Histopathological evaluation of the effect of hyperbaric oxygen therapy on capsule occurrence around silicone breast prosthesis: an experimental study.
CONCLUSION: We believe that HBO therapy can be used as an adjuvant treatment options to decrease capsule contraction occurring after silicone implant application. PMID: 33176522 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - November 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Epithelioid sarcoma of the hand: a wolf in sheep's clothing.
Authors: Persitz J, Beit Ner E, Chechik I, Keren T, Avisar E Abstract Epithelioid sarcoma (ES) of the hand is a rare, aggressive cutaneous malignancy with high rates of recurrence, metastases and mortality. With an incidence rate of 0.4 cases/y per one million population, which compromise for approximately 1-1.4% of all soft tissue sarcoma, ES accounts for 10% of soft tissues sarcomas of the hand and foot. Its aggressiveness and propensity to spread and metastases without being noticed, makes it unique and potentially lethal. Missed or delayed diagnosis are often encountered as this tumor can mimic variety of diffe...
Source: Journal of Plastic Surgery and Hand Surgery - November 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Late arm and shoulder problems after axillary therapeutic lymph node dissection in patients with melanoma.
CONCLUSION: Our sample shows that ATLND in melanoma patients with the clinically detectable disease can be performed without a major risk of late ASPs and impaired daily life. Increasing tumor size and decreasing age at the surgery are risk factors for developing ASP-related dysfunction. PMID: 33176535 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - November 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The role of ultrasonography in the assessment of ulnar collateral ligament injury of the thumb - a diagnostic test accuracy meta-analysis.
Authors: Raheman FJ, Rojoa DM, Dhingra M, Siddiqui S, Macdonald CR Abstract The accurate diagnosis of ulnar collateral ligament (UCL) injuries of the thumb is important in identifying patients requiring surgery. Stener lesion, the most severe form of such injuries, is debilitating and leads to chronic instability if misdiagnosed. We evaluated the diagnostic accuracy of ultrasonography (USS) in UCL injuries. A systematic review of existing literature was performed with a meta-analysis using a bivariate mixed-effects model to estimate summary sensitivity and specificity. All observational studies were assessed, with ...
Source: Journal of Plastic Surgery and Hand Surgery - November 11, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

A simple computerised technique for estimating resting lip position and symmetry.
In conclusion, computerised CCE angle measurement is highly repeatable and may be a useful tool with which to assess gross resting lip symmetry. PMID: 33124495 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - November 1, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Free neurosensory flap based on the accompanying vessels of lateral sural cutaneous nerve: anatomic study and preliminary clinical applications.
CONCLUSION: A free innervated flap may be elevated safely based on the LSCN and its accompanying vessels. It provides an alternative in reconstruction of soft tissue defects where sensory recovery is important. PMID: 33107362 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 28, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Lotus petal flap and vertical rectus abdominis myocutaneous flap in vulvoperineal reconstruction: a systematic review of differences in complications.
Conclusions: Overall, the lotus petal flap has lower complication rates at both the donor and the recipient site compared with the vertical rectus abdominis muscle flap. When both options seem viable, the lotus petal flap procedure may be preferred on the basis of the reported lower complication rates. Abbreviations: APE: abdominoperineal excision; ELAPE: extra levator abdominoperineal excision; LP flap: lotus petal flap; NIH: National Institute of Health; NR: not reported; RCT: randomized controlled trial; VRAM flap: vertical rectus abdominis myocutaneous flap. PMID: 33054472 [PubMed - as supplied by publisher] (Sourc...
Source: Journal of Plastic Surgery and Hand Surgery - October 21, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Vibrotactile perception in Dupuytren disease.
CONCLUSIONS: The data on vibration sensitivity obtained from a large group of subjects with and without DD present interesting trends that may serve as a useful reference to future DD researchers. Understanding additional symptoms of DD may facilitate development of novel diagnostic or prognostic protocols. PMID: 33043747 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Anatomic surface landmarks to guide injection for posterior interosseous nerve block.
Authors: Kachare SD, Vivace BJ, Meredith LT, Kachare MD, Kapsalis CN, Ablavsky M, Safeek RH, Muresan C, Choo JH, Kasdan ML, Wilhelmi BJ Abstract Proper injection of the posterior interosseous nerve (PIN) is important for both the therapeutic and diagnostic management of wrist pain. However, no anatomical study exists describing the site of injection based on individual wrist width. We sought to develop a reproducible anthropometric ratio utilizing external wrist surface anatomy to predict a safe and accurate injection site for the PIN. Fresh frozen cadaver forearms were dissected at the University of Louisville tis...
Source: Journal of Plastic Surgery and Hand Surgery - October 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Patient-reported outcomes following interposition arthroplasty of the basal joint of the thumb.
Authors: Wejnold Jørgensen R, Odgaard A, Flensted F, Daugaard H, Hjorth Jensen C Abstract LEVEL OF EVIDENCE: II - prospective cohort. PMID: 33043762 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Patient reported vaginal laxity, sexual function and stress incontinence improvement following vaginal rejuvenation with fractional carbon dioxide laser.
In this study, we have evaluated the efficiency of fractional carbon dioxide laser in the treatment of vaginal laxity and urinary incontinence. Thirty patients with vaginal laxity, sexual dysfunction and urinary incontinence complaints were treated with fractional carbon dioxide laser. Results were evaluated with patient questionnaires relating to comfort during the procedure and general satisfaction following the procedure. In the survey regarding comfort during the procedure, 90% (n:27) of the patients reported that they were comfortable during the procedure. The survey on the level of general satisfaction six months fol...
Source: Journal of Plastic Surgery and Hand Surgery - October 9, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Does methylene blue increases capsular contracture in immediate breast reconstruction with silicone implant? An experimental study.
Authors: Albayati A, Ozkan B, Atilgan AO, Sencelikel T, Uysal CA, Ertas NM Abstract Recently, most of the immediate breast reconstructions following mastectomy are being carried out with the use of silicone implants. In these patients, methylene blue is being used for the detection of sentinel lymph nodes. This experimental study was performed to determine the effect of methylene blue on capsular contracture around breast implants. Thirty-two Sprague Dawley rats were divided into 4 groups. Custom made silicone blocks were placed on the back of animals. In group 1, the incision was closed without performing any addi...
Source: Journal of Plastic Surgery and Hand Surgery - October 9, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Refracture after plate removal following ulnar shortening osteotomy for ulnar impaction syndrome - a retrospective case-control study.
Authors: Cha SM, Shin HD, Ahn BK Abstract LEVEL OF EVIDENCE: Level III, case-control study. PMID: 33019843 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 8, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Radial and palmar active range of motion measurement: reliability of six methods in healthy adults.
Authors: Holzbauer M, Hopfner M, Haslhofer D, Kwasny O, Duscher D, Froschauer SM Abstract The current study aims to assess the reliability of 6 range-of-motion measurement methods for the thumb carpometacarpal joint: Pollexograph-thumb, Pollexograph-metacarpal, radius-metacarpal goniometry, intermetacarpal goniometry, intermetacarpal distance, and thumb-distal-interphalangeal distance. A senior hand surgeon, an experienced resident, and a less experienced research fellow evaluated the dominant hands of 29 healthy subjects. All 6 methods were performed for radial adduction, radial abduction, and palmar abduction, bu...
Source: Journal of Plastic Surgery and Hand Surgery - October 8, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Thorax anthropometric position index: a simple evaluation of the inframammary fold position in the thorax.
Authors: Fujisawa K, Ito T, Aoyama S, Kiuchi T, Araki J, Nakao J, Nakagawa M Abstract Appropriate positioning of the inframammary fold (IMF) is essential for breast reconstruction. The purpose of this study was to quantitatively measure and evaluate the anthropometric position of the IMF in the thorax. A total of 145 Japanese women with unilateral breast cancer were analyzed. To indicate the superior-inferior position of the IMF on the non-diseased side, the distances from the sternal notch (SN) to the IMF along the midline (SN-IMFM) and from the SN to the umbilicus (UB) (SN-UB) were measured. A new index, the thor...
Source: Journal of Plastic Surgery and Hand Surgery - October 6, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Skin closure following abdominal wall reconstruction: three-layer skin suture versus staples.
This study assessed the postoperative wound-related complications and patient-reported outcomes after skin closure using single- or triple layer closure following AWR. This was a retrospective study at a University Hospital from 2016 to 2018. Patients were grouped into a single-layer cohort (SLC) and a triple-layer cohort (TLC). Skin incisions closed with either technique were compared. Postoperative complications were registered from chart review (SLC: n = 48, TLC: n = 40). Patient reported-outcomes were assessed through the Patient Scar Assessment Questionnaire (PSAQ) and the Hernia Related Qu...
Source: Journal of Plastic Surgery and Hand Surgery - September 19, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Anthropometric breast measurements of young women with no history of pregnancy or surgery in Turkey.
This study revealed the average breast size and measurements of women in Turkey. It can be useful to guide for both reconstructive and aesthetic procedures of the breast. PMID: 32921201 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - September 16, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The effects of valsartan on scar maturation in an experimental rabbit ear wound model.
CONCLUSION: Both Valsartan and Enalapril are found to be effective for the prevention of pathological scar formation. PMID: 32915110 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - September 12, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The use of moist exposed burn ointment (MEBO) for the treatment of burn wounds: a systematic review.
In conclusion, the evidence for MEBO in English-language literature was poor and inconsistent with respect to wound healing rate and analgesis compared to 1% SSD, Acquacel Ag, Helix aspersa cream and povidone-iodine + bepanthenol cream. Blinded RCTs comparing MEBO to both placebo and other common topical treatments may further improve the confidence in concluding their analysis. There is some evidence that MEBO is as safe as its comparators as shown by the low complication rate. PMID: 32876517 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - September 3, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Profunda femoris artery perforator flaps: a detailed anatomical study.
Authors: Algan S, Tan O Abstract The thigh region has many perforators when compared to the other areas in the body. Surgeons have disregarded the posterior thigh region as a potential donor site for perforator flap surgeries, presumably owing to the positioning difficulties of the patients during the intervention and inadequate anatomical information. The purpose of this study was to provide comprehensive data concerning the profunda femoris artery. Perforator flaps on an anatomical basis, and to describe anatomical landmarks, easing topographical flap dissection in various combinations. Eleven fresh cadaver thigh...
Source: Journal of Plastic Surgery and Hand Surgery - August 13, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Actualized lower body contouring surgery after bariatric surgery - a nationwide register-based study.
Authors: Pajula S, Gissler M, Jyränki J, Tukiainen E, Koljonen V Abstract Massive weight loss might lead to excess skin folds causing functional, physical, and psychosocial discomfort. Following bariatric procedures, an increasing number of patients are seeking lower body contouring surgery (LBCS). The proportion of bariatric patients who undergo LBCS is largely unknown. The aim of this current study was to analyse the incidence and realization of LBCS in bariatric patients in Finland. National retrospective register linkage study including all adult patients who received bariatric surgery in Finland during 19...
Source: Journal of Plastic Surgery and Hand Surgery - August 13, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Optimizing non-opioid pain control after implant-based breast reconstruction: a review of the literature and proposed pain control algorithm.
Authors: Oliver JD, Knackstedt R, Gatherwright J Abstract Despite the intense focus on the opioid epidemic and its known association with surgical procedures, there is a paucity of evidence-based literature on pain management in implant-based breast reconstruction (IBR). Herein, we present an updated review of the literature aimed at identifying pain treatment protocols to minimize narcotic use and its associated potential addiction in IBR. A comprehensive review of the published English literature was conducted using Ovid Medline/PubMed Database without timeframe limitations. The inclusion criteria of selected art...
Source: Journal of Plastic Surgery and Hand Surgery - August 2, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effect of unplanned excision of soft tissue sarcomas on skin defects and reconstructive procedures.
Authors: Tokumoto H, Akita S, Kubota Y, Mitsukawa N Abstract Unplanned excision (UE) is defined as a procedure wherein a surgeon operates a tumor resection without appropriate preoperative diagnostic modalities and without the intent to achieve tumor-free margins. Generally, the reconstruction rate after UE is higher than that after planned excision (PE). The present study aimed to investigate how the reconstructive procedure and size of skin defect could be influenced. We reviewed the cases of 442 patients who underwent the resection of soft tissue sarcoma. Patients were stratified into two groups (UE vs. PE). We ...
Source: Journal of Plastic Surgery and Hand Surgery - August 2, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Free flap reconstruction of sarcoma defects in the setting of radiation: a ten-year experience.
Authors: Othman S, Azoury SC, Weber KL, Kovach SJ Abstract Neoadjuvant treatment and surgical resection for sarcoma patients can often leave devastating wounds necessitating soft-tissue coverage in the form of free flaps. There is still debate as to the optimal flap for reconstruction of defects in irradiated fields. We aim to describe our experiences with free fasciocutaneous and free muscle flaps for sarcoma reconstruction in the setting of radiation therapy. A retrospective chart review was conducted encompassing all patients requiring soft-tissue reconstruction secondary to sarcoma resection from January 2010 t...
Source: Journal of Plastic Surgery and Hand Surgery - July 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effect of perivascular low dose ethanol on rat femoral vessels: Preliminary study.
In this study, 27 Wistar albino male rats weighing 250-300 grams were used. The rats were randomly divided into three groups: saline (group S, n = 8), lidocaine (group L, n = 9) and 96% ethanol (group E, n = 9). According to group, 0.1 mL saline, 0.1 mL lidocaine and 0.1 mL ethanol were applied around the rat femoral neurovascular bundle. After the application, on the 0th day and 3th weeks, femoral artery and vein diameters were measured. After 3. weeks, histopathological samples from femoral artery, vein and nerve were evaluated. On the 0th day, the mean diame...
Source: Journal of Plastic Surgery and Hand Surgery - July 10, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Retrospective analysis of the predictive factors associated with good surgical outcome in brachioplasty in massive weight loss patients.
CONCLUSION: The authors' technique resulted in positive outcomes overall, considering the difficulty in dealing with the problems of MWL patients. Based on our results, we aim to suggest to perform brachioplasty in patient with the lower achievable BMI (preferably
Source: Journal of Plastic Surgery and Hand Surgery - July 10, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The management of acute fracture dislocations of proximal interphalangeal joints: a systematic review.
Authors: Breahna A, Mishra A, Arrowsmith J, Lindau T Abstract A systematic review was conducted to identify the best management for acute proximal interphalangeal joint fracture-dislocations. A study protocol was designed in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Due to limited data in the primary assessment, the hypothesis was tested in a secondary analysis of articles that marginally met the inclusion criteria (i.e. studies that included patients under 18 years of age). A further tertiary analysis was conducted by dividing the studies into closed reducti...
Source: Journal of Plastic Surgery and Hand Surgery - July 9, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Mechanical emulsification of lipoaspirate by different Luer-Lok connector changes the viability of adipose derived stem cells in Nanofat.
Authors: Chen X, Hong S, Hong F, Yang B, Tong C, Zhang J Abstract Nanofat grafting is a fat transfer procedure that uses a thin needle to smooth out wrinkles, thereby achieving the goal of skin rejuvenation. The Luer-Lok connector is one of the most common methods for obtaining Nanofat. In the present study, we compared three different Luer-Lok connectors (2.0 mm, 1.5 mm and 1.1 mm in diameter) in terms of their impact on the viability of adipose-derived stem cells (ADSCs) to determine the optimal size of the connector for efficient Nanofat grafting. We observed that a smaller diameter of the L...
Source: Journal of Plastic Surgery and Hand Surgery - July 4, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Factors associated with chronic pain following breast reconstruction in Japanese women.
Authors: Makoto S, Sowa Y, Fujikawa K, Kodama T, Okamoto A, Numajiri T, Taguchi T, Amaya F Abstract Chronic pain after breast surgery including breast reconstruction is a major concern for patients. However, the factors associated with chronic pain after breast surgery are uncertain in Japanese population. The aim of this study was to identify patient-specific and medical/surgical factors that predict chronic pain after breast surgery in Japanese patients. The subjects were 189 Japanese women undergoing breast surgery including tissue expander/implant (TE/implant), deep inferior epigastric perforator (DIEP) procedu...
Source: Journal of Plastic Surgery and Hand Surgery - June 27, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Complications in skin grafts when continuing antithrombotic therapy prior to cutaneous surgery requiring skin grafting: an observational study.
Authors: Jørgensen L, Matzen RD, Albertsdottir E, Birk-Sørensen L Abstract Use of anticoagulants is common and practice regarding continuation or discontinuation of the medication peri-operatively for cutaneous surgery lacks evidence-based consensus. Therefore, we aimed to do a prospective observational study with patients who were referred to cutaneous surgery and needed full thickness or split skin grafting and using antitrombotic or non-antitrombotic therapies. Data on patients characteristics, diagnosis, location of surgery and surgery performed, antithrombotic medication and complications in skin...
Source: Journal of Plastic Surgery and Hand Surgery - June 24, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Physical activity with hindrances: a qualitative study of post bariatric patients' experiences of physical activity in relation to excess skin.
Authors: Fagevik Olsén M, Gren S, Heydeck Sundberg S, Biörserud C Abstract A common side effect after massive weight loss is excess skin. Knowledge about the experience of excess skin in relation to physical activity is limited. The aim of this study was therefore to investigate how post bariatric surgery patients experience physical activity in relation to excess skin. Fifteen semi-structured interviews were performed with individuals who experienced excess skin after massive weight loss after bariatric surgery. The interviews were transcribed, and data were analyzed by qualitative content analysis. An...
Source: Journal of Plastic Surgery and Hand Surgery - June 17, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The efficacy of nerve block for pain control after mammaplasty: a meta-analysis of randomized controlled studies.
Authors: Cai L, Li Z, Liu L, Cao D, Li K, Li Y, Wang D Abstract Background: Nerve block shows some potential in alleviating pain after mammaplasty. This systematic review and meta-analysis aims to investigate the efficacy of nerve block for pain control after mammaplasty.Methods: The databases including PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases are systematically searched for collecting the randomized controlled trials (RCTs) regarding the impact of nerve block on pain intensity after mammaplasty.Results: This meta-analysis has included four RCTs. Compared with the control group after ma...
Source: Journal of Plastic Surgery and Hand Surgery - June 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comparison between stromal vascular fraction and adipose derived stem cells in a mouse lymphedema model.
Conclusion: The volume of the hindlimbs showed that treatment with SVF or ASC yielded very similar results compared to the control group when assessed after 8 weeks. In week two the biggest difference between ASC and NS was seen but the difference diminished during the 8 weeks. The secondary outcomes showed that the lymph vessel lumen decreased when treated with ASC compared to the control group. Lymphoscintigraphy yielded non-significant results. PMID: 32520635 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - June 11, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Beyond the anterolateral thigh: the descending branch intermuscular septal (DBIS) flap.
We describe a flap from the descending branch of the lateral circumflex system including the intermuscular septum (DBIS) without use of the perforator for use of an ultra-thin flap for defect closure. A retrospective review of all patients who underwent wound closure with use of the DBIS flap from March 2016 to August 2018 was performed. Data on patient demographics and date on operative time, defect type, defect size, flap size, vessel size, complications and need for revisions were collected. Seven patients were identified who underwent reconstruction with DBIS flap, six patients for ankle defects and one for a scalp def...
Source: Journal of Plastic Surgery and Hand Surgery - June 11, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Upper extremity replantation and revascularization in Finland between 1998 and 2016.
This study evaluated all emergency replantations and revascularizations in the upper extremity in Finland from 1998 to 2016. A total of 2,434 operations were identified within the study period. The average number of operations per year was 128 which corresponds with 2.4 operations per 100,000 person years. Operations were most common in persons aged 20 to 59 years and the rate of operations ranged from 1.4 to 5.0 per 100,000 person years. Thirteen percent of the patients were women and 87% were men. This study shows rates of emergency replantation and revascularization operations in upper extremity injuries and prov...
Source: Journal of Plastic Surgery and Hand Surgery - June 7, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Finger reconstruction with dorsal metacarpal artery perforator flaps and dorsal finger perforator flaps based on the dorsal branches of the palmar digital arteries - 40 consecutive cases.
Authors: Besmens IS, Guidi M, Frueh FS, Uyulmaz S, Lindenblatt N, Reissner L, Calcagni M Abstract Since the first description many variations of the dorsal metacarpal reverse island flap have been published but there is still uncertainty about which vascular component should be included for an optimal result. Therefore, it was the aim of this study to analyze vascular reliability and ischemic complications of dorsal metacarpal artery perforator (DMAP) flaps and dorsal finger perforator (DFP) flaps in our patient collective. We performed 40 of these flaps from the dorsum of hand and fingers for finger injuries. The ...
Source: Journal of Plastic Surgery and Hand Surgery - June 6, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Surgical management of isolated orbital floor and zygomaticomaxillary complex fractures with focus on surgical approaches and complications.
Authors: Schneider M, Besmens IS, Luo Y, Giovanoli P, Lindenblatt N Abstract Zygomaticomaxillary complex (ZMC) and orbital blow out fractures are commonly encountered midfacial fractures that may result in aesthetic and functional impairment. This retrospective study reports on the surgical treatment and associated postoperative complications in our patient collective. We evaluated 100 patients who underwent open reduction and internal fixation of midfacial fractures between 2010 and 2015. Preoperative clinical features, surgical technique and postoperative complications were analyzed. Surgery was performed with a ...
Source: Journal of Plastic Surgery and Hand Surgery - June 6, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Resveratrol inhibits proliferation and promotes apoptosis of keloid fibroblasts by targeting HIF-1 α.
In this study, keloid-derived fibroblasts were cultured under hypoxia environment and was treated by resveratrol. CCK-8 assay and Annexin V-FITC were used to evaluate cell activity and apoptosis level. Western blot and RT-qPCR were also used to assess the expression of HIF-α, Collagen I and Collagen III. Besides, siRNA was also used to explore the mechanisms of resveratrol's effect. In this study, hypoxia promotes proliferation and inhibits apoptosis of keloid fibroblasts. These findings highlight the potential obstacle in treating keloids. Furthermore, we demonstrated that resveratrol could reverse the effect of hyp...
Source: Journal of Plastic Surgery and Hand Surgery - June 6, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The effects of human amniotic membrane on silicone related capsule formation in rats.
Authors: Akyürek M, Orhan E, Aydın MŞ, Uysal Ö, Karşıdağ S Abstract Silicone breast implants are commonly used materials in plastic surgery for breast augmentation and reconstruction and the most severe complication of silicone implants are capsule contraction which occurs in 40% of patients. The aim of our study is to evaluate how the amniotic membrane alters the capsule formation effects of silicone 24 wistar rats were used in the study. We placed a bare silicone block into the left side (Subgroup A) and single layer amniotic membrane coated silicone block into the right side (Subgroup B) of the ra...
Source: Journal of Plastic Surgery and Hand Surgery - May 21, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Adipose-derived stem cells in wound healing of full-thickness skin defects: a review of the literature.
Authors: Huayllani MT, Sarabia-Estrada R, Restrepo DJ, Boczar D, Sisti A, Nguyen JH, Rinker BD, Moran SL, Quiñones-Hinojosa A, Forte AJ Abstract The complex process of wound healing can be delayed in circumstances when the natural niche is extremely altered. Adipose-derived stem cells (ADSC) seem to be a promising therapy for these type of wounds. We aim to describe the studies that used ADSC for wound healing after a full-thickness skin defect, the ADSC mechanisms of action, and the outcomes of the different ADSC therapies applied to date. We performed a review by querying PubMed database for studies that e...
Source: Journal of Plastic Surgery and Hand Surgery - May 21, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Satisfactory function 12 years after triscaphoid arthrodesis for chronic scapholunate ligament injury.
Authors: Reigstad O, Grimsgaard C, Holm-Glad T, Korslund J, Thorkildsen RD, Røkkum M Abstract Scapholunate ligament (SLL) injury represents a hazard to the wrist and the treatment of these injuries has been the focus of much debate. We performed a long-term follow (>10 years) of triscaphoid arthrodesis for symptomatic chronic SLL injuries in 10 (8 men) patients 37 (22-49) years of age. All arthrodesis healed. One patient was converted to total wrist arthrodesis during the follow-up period, and three had minor additional surgeries. At final follow-up, the patients had reduced active range of motion ...
Source: Journal of Plastic Surgery and Hand Surgery - May 17, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

On the role of the frontal projection in videoradiography of velopharynx in decision-making for a velopharyngeal flap plasty in patients with cleft palate.
Authors: Appelros F, Becker M, Salé H, Svensson H Abstract Despite uneventful primary surgery, patients with cleft palate may experience velopharyngeal insufficiency (VPI) and hypernasal speech. Videoradiography of velopharynx is a commonly used method to visualize velopharyngeal function and a velopharyngeal flap is often used to counteract VPI. The aim of this study was to investigate whether the frontal projection on videoradiography plays a role in the decision-making about velopharyngeal flap surgery, or possibly the width and orientation of the flap. A secondary aim was to evaluate the effect of the fl...
Source: Journal of Plastic Surgery and Hand Surgery - May 15, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comment on hepatic artery reconstruction in living donor liver transplantation: strategy of the extension of graft or recipient artery.
Authors: Akbulut S, Sahin TT, Yilmaz S PMID: 32401665 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - May 15, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Reconstruction of large perineal defects after advanced malignant tumour resection: a simple gluteal thigh flap modification.
Authors: Shimizu Y, Kishi K Abstract Reconstruction of large defects in the perineal region, after resection of advanced malignant tumours is challenging because both coverage of the perineal skin defect and adequate filling of the pelvic space must be achieved simultaneously. This manuscript introduces a simple gluteal posterior thigh flap modification for the reconstruction of such defects. A trilobed flap, in the gluteal and posterior thigh regions, was designed to be of an adequate size to repair the dermal and pelvic floor defects. After the flap was elevated and rotated 90°, the posterior thigh portion wa...
Source: Journal of Plastic Surgery and Hand Surgery - May 15, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Capsular contracture in patients with prior breast augmentation undergoing breast conserving therapy and irradiation.
Authors: Serritzlev MS, Lorentzen AK, Matthiessen LW, Hölmich LR Abstract Radiation is considered to be a risk factor for developing capsular contracture in augmented women, but the studies reporting on this subject show conflicting results. In this systematic review we sought to understand the risk of capsular contracture in augmented patients with breast cancer treated with breast conserving surgery and radiotherapy. A search was conducted through PubMed for studies reporting on breast cancer, breast augmentation and radiotherapy, with capsular contracture as our primary outcome. To ...
Source: Journal of Plastic Surgery and Hand Surgery - May 8, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Use of a biopsy punch for end-to-side anastomosis in free-tissue transfer.
Authors: Chung JH, Sohn SM, You HJ, Yoon ES, Lee BI, Park SH, Kim DW Abstract Background: In end-to-side vessel-anastomoses, a side fenestration should be made by a slit incision or partial excision of the vessel wall. However, a slit incision might restrict blood flow across the anastomosis, and a partial vessel wall excision using micro-scissors may be time-consuming and result in irregular edges, which may weaken the vessel wall and cause flow disturbances. We used a biopsy punch for end-to-side anastomosis, and obtained satisfactory results.Methods: Between September 2015 and August 2017, 27 end-to-side anastom...
Source: Journal of Plastic Surgery and Hand Surgery - April 28, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effect of dipyridamole on random pattern skin flap viability in rats.
Authors: Uslu AB Abstract Ischemic necrosis has been most dreaded complication of flap reconstruction. Therefore, researchers have tried to improvise modalities to prevent or treat it since the onset of flap surgery. So far these researches have failed to identify a pharmacological therapy equally effective as surgical delay in augmenting skin flap viability. In the path of search for this substance, dipyridamole attracted our attention as an antiaggregant agent. Put together with pathophysiological mechanisms underlying ischemic flap necrosis, we concluded dipyridamole might have beneficial effect on survival of s...
Source: Journal of Plastic Surgery and Hand Surgery - April 27, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

A new method measurement for finger range of motion using a smartphone.
This study was performed to determine the reliability and convenience of this new method. The ROM in 1007 finger joints was measured by both the standard and new method and the data were analyzed using the intraclass correlation coefficient (ICC). The smartphone ICC score was high (0.927), and the average measurement time per joint was 49% lower with the smartphone compared to the goniometer. The results indicated that the smartphone-based measurement method had the same reliability as the conventional goniometer, in addition to an excellent measurement time. PMID: 32329668 [PubMed - as supplied by publisher] (Source: ...
Source: Journal of Plastic Surgery and Hand Surgery - April 25, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Enzymatic debridement of hands with deep burns: a single center experience in the treatment of 52 hands.
Conclusions: Enzymatic debridement is a useful tool in the treatment of burned hands but the decision-making and correct timing of operative intervention in deep partial thickness burns after debridement requires experience. In our cohort, spontaneous healing of deep partial thickness burns was best in patients with contact burns and less than 15% burn TBSA. PMID: 32315252 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - April 22, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The effect of the macrophage migration inhibitory factor (MIF) on excisional wound healing in  vivo.
Conclusions: Our data suggest an inhibiting effect of MIF in wound healing with increased inflammation and perfusion. In flaps, by contrast, MIF may contribute to flap vascularization. PMID: 32281469 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - April 15, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research