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Adipofascial Extension of the Propeller Perforator flap: achieve two things at one stroke
Perforator-Pedicled Propeller(PPP) Flap has been widely accepted for reconstruction of soft tissue defects as it requires a simple operative technique and has a consistent vascular pedicle1. However, according to a systematic review and meta-analysis2, the donor site was only self-closing in 69.7 percent (154 of 221), and covered by a skin graft in 30.3 percent of the cases (67 of 221). Besides, for patients with dead space infection of the defects, the regular PPP flap is difficult to achieve satisfactory results.
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - January 7, 2017 Category: Cosmetic Surgery Authors: Zheng-Bing Zhou, Ding Pan, Ju-Yu Tang Tags: Correspondence and Communications Source Type: research

Novel Oral Anticoagulants in Plastic Surgery
Novel oral anticoagulants (NOACs) have emerged as a good alternative to warfarin in the prevention of stroke for patients with atrial fibrillation. NOAC use is increasing rapidly therefore greater understanding of their use in the perioperative period is important for optimal care.Studies and reviews that reported on the use of NOACs were identified, with particular focus on the perioperative period. PubMed was searched for relevant articles published between January 2000 and August 2015.The inevitable rise in use of NOACs such as rivaroxaban (XareltoTM), apixaban (EliquisTM), edoxaban (LixianaTM) and dabigatran (PradaxaTM...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - March 1, 2016 Category: Cosmetic Surgery Authors: C.F. Munson, A.J. Reid Tags: Review Source Type: research

Conservative treatment in Jersey finger: A case report
We report a case of a Type Vb flexor digitorum profundus tendon avulsion in a patient for whom surgery was contraindicated because of a high risk of stroke if anticoagulant treatment was to be stopped. After a 6-week conservative treatment and a 3-week self-physiotherapy programme, the patient achieved a nearly full active range of motion and an excellent functional result. A radiograph demonstrated a good fracture healing.Level of evidence: V.
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - April 22, 2013 Category: Cosmetic Surgery Authors: Ahmed Zemirline, Ghada Asmar, Philippe A. Liverneaux Tags: Case Reports Source Type: research