Risk Factors for Lymphedema after Thigh Sarcoma Resection and Reconstruction—Erratum
No abstract available (Source: Plastic and Reconstructive Surgery – Global Open)
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Erratum Source Type: research
Could Head-mounted Cameras Be to Plastic Surgeons What a Laparoscope Is to Abdominal Surgeons?
No abstract available (Source: Plastic and Reconstructive Surgery – Global Open)
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Technology: Viewpoint Source Type: research
An Unmet Need: Surgical Gloves with Variable Finger Lengths
Conclusions:
A high percentage of glove users would want gloves with variable finger lengths. Current surgical gloves do not support hand anatomy variations. (Source: Plastic and Reconstructive Surgery – Global Open)
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Technology: Original Article Source Type: research
Technical Tips for Anastomosis of 0.2-mm Diameter Vessels during Lymphatic Venous Anastomosis
No abstract available (Source: Plastic and Reconstructive Surgery – Global Open)
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Video Source Type: research
Sacral Defect Reconstruction Using Double Pedicled Gracilis Muscle Flap combined with Gluteal Fasciocutaneous Rotation Flap
We present the case of a 70-year-old man who underwent en-bloc resection of a sacral chordoma resulting in a large three-dimensional defect. To reconstruct the pelvic floor, an acellular dermal matrix and a double pedicled muscle gracilis flap were used to avoid herniation of the abdominal cavity organs. The overlying soft tissue defect was reconstructed with a unilateral gluteal fasciocutaneous rotation flap partially deepithelialized. No surgical complications were observed. Aesthetic and functional outcomes were both satisfying at 9-months postoperative follow-up. The ambulatory functions were not compromised. This comb...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Transretroperitoneal Pedicled Omental Flap for Coverage of Traumatic Sacral Defect: A Case Report
We report the case of a 46-year-old man with a complex traumatic sacral wound resulting in severe limitation of reconstructive options. A pedicled greater omentum flap was transposed through the retroperitoneum via the lumbosacral triangle, resulting in durable soft-tissue coverage. (Source: Plastic and Reconstructive Surgery – Global Open)
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Combined Treatment with Lymphaticovenular Anastomosis and Ethanol Sclerotherapy for Cystic Lymphangioma in a Limb
Summary:
Several treatment options, including sclerotherapy and surgical excision, are available for the management of cystic lymphangioma. Lymphaticovenular anastomosis (LVA) has recently garnered attention in the field of microsurgery as a minimally invasive surgical reconstruction strategy. Combined treatment using surgical excision and LVA for large or persistent cystic lymphatic malformations has been reported but can be very invasive. This case report describes use of a combination of LVA and sclerotherapy to treat cystic lymphatic malformations with satisfactory results. This combination could be a complementary...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Operative Planning of Chest Wall Reconstructions Illustrated by a Large Defect in a Child
Summary:
Reconstruction of large chest wall defects is challenging. Here we discuss the process of decision-making in planning chest wall reconstruction, considering the requirements of tumor removal, stabilization of the chest wall, and soft tissue coverage, illustrated by a case of a hemi-chest wall defect in a child. Ewing sarcoma measuring 10 × 9 × 13 cm was resected in a 9-year-old boy, followed by stabilization using a Gore-Tex patch. Due to extension of the oncologic resection far into the superomedial quadrant of the chest, tension-free coverage with a classical latissimus-dorsi flap could not be achiev...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Rintala Flap and Posterior Perichondrial Cutaneous Graft: A Combined Approach for Nasal Tip Reconstruction
Summary:
Nasal tip reconstruction requires a meticulous approach due to the complexity of the nasal anatomy and its aesthetic importance. Many procedures have been described to restore this aesthetic unit, including the paramedian forehead flap, which is one of the workhorse flaps. However, despite excellent final outcomes, this procedure may be refused by patients, due to its temporary conspicuous appearance possibly associated with serious psychological implications, and the need of multiple interventions. We aimed to present an approach combining the Rintala flap and the posterior perichondrial cutaneous graft as a ...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Inferiorly Based Alar Groove Flap for Correction of Alar Base Malposition and Nasal Stenosis
Summary:
When the external nasal valve (ENV) is excessively narrow or lacks support, nasal obstruction can develop causing decreased airflow. Although cartilage grafts may support a collapsed nasal ala, addressing severe nasal stenosis requires further intervention. Techniques to move flared ala inward are well-known; however, repositioning a medially displaced alar base is less commonly described. Our surgical team developed an inferiorly based alar groove flap to achieve lateral movement of a malpositioned alar base, with goals of widening the ENV and improving nasal symmetry and cosmesis. A retrospective chart revie...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Ideas and Innovations Source Type: research
Functional Restoration of Complex Segmental Middle Third Facial Defect Using Tensor Fascia Lata and Lipofilling
Summary:
Composite defects in the middle third of the face have devastating effects on a patient’s life and social impacts. Several techniques have been described for the restoration of facial defects. The dynamic reconstruction of such defects mainly comprises a complex two-stage procedure and/or microsurgery, functional muscle transfer for restoration of facial animation, and filling the defects. A novel idea for the dynamic reconstruction of the complex segmental midfacial defects includes employing a fascial interposition graft to bridge the gap between the proximally innervated remnants of the facial muscle supp...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Ideas and Innovations Source Type: research
Liposuction and Controlled Compression Therapy Reduce the Erysipelas Incidence in Primary and Secondary Lymphedema
This study aimed to determine whether liposuction for late-stage lymphedema reduces the rate of erysipelas in lower extremity lymphedema.
Methods:
One-hundred twenty-four patients with a median age of 49 years who had liposuction and controlled compression therapy for lower extremity lymphedema were included. Excess volumes were calculated before and after surgery. Median preoperative and postoperative patient years at risk were 11 and 5 years, respectively.
Results:
With a total of 1680 preoperative person years at risk and 335 bouts of erysipelas experienced in 64 patients, the preoperative incidence rate w...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Original Article Source Type: research
Functional and Patient-reported Outcomes following Transmetatarsal Amputation in High-risk Limb Salvage Patients
Background:
Transmetatarsal amputation (TMA) is performed in patients with nonhealing wounds of the forefoot. Compared with below-knee amputations, healing after TMA is less reliable, and often leads to subsequent higher-level amputation. The aim of this study was to evaluate the functional and patient-reported outcomes of TMA.
Methods:
A retrospective review of patients who underwent TMA from 2013 to 2021 at our limb-salvage center was conducted. Primary outcomes included postoperative complications, secondary proximal lower extremity amputation, ambulatory status, and mortality. Univariate and multivariate ana...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Original Article Source Type: research
Moisturization of the Surgical Field during Cancer Resection Reduces Perioperative Complications in Reconstruction Surgery
Background:
Intraoperative tissue desiccation is a risk factor for infection and wound necrosis. We hypothesized that maintaining a moist environment in the surgical field would reduce perioperative complications in free flap reconstruction for head and neck cancer surgery.
Methods:
A total of 331 patients who underwent free flap reconstruction after head and neck cancer surgery from January 2013 to December 2017 at Osaka International Cancer Institute were included in the study. We classified patients into two groups: those in whom saline was sprayed only during reconstruction (control group: 162 patients) and ...
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Original Article Source Type: research
Standardized Perioperative Protocol and Routine Ketorolac Use for Head and Neck Free Flap Reconstruction
Conclusions:
A standardized perioperative protocol for head and neck free flap reconstruction can reduce hospital and intensive care unit length of stay. No statistically significant differences in complication rates were identified when comparing ketorolac use and perioperative regimens among patients undergoing a diverse set of microsurgical head and neck free flap reconstructions. (Source: Plastic and Reconstructive Surgery – Global Open)
Source: Plastic and Reconstructive Surgery – Global Open - May 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Original Article Source Type: research
