Intercalary Resection of the Tibia for Primary Bone Tumors: Are Vascularized Fibula Autografts With or Without Allografts a Durable Reconstruction?
CONCLUSION: VFG, alone or combined with an allograft, could be considered in reconstructing a lower extremity after intercalary resections of the tibia for primary bone tumors, and it avoids the use of a large endoprosthesis. However, this procedure was associated with frequent, often severe complications during the first postoperative years and complication-free survival of 58% at 5 years. Nearly 10% of patients ultimately had an amputation. For patients whose reconstruction succeeded, the technique provides a durable reconstruction with good MSTS scores, and we believe it is useful for active patients with long life expe...
Source: Clinical Orthopaedics and Related Research - March 21, 2024 Category: Orthopaedics Authors: Domenico Andrea Campanacci Roberto Scanferla Mariagrazia Marsico Federico Scolari Guido Scoccianti Giovanni Beltrami Luca Delcroix Marco Innocenti Rodolfo Capanna Source Type: research

Endoscopic mastectomy followed by immediate breast reconstruction with fat grafting for breast cancer
CONCLUSION: To the best of our knowledge, this is the first report of endoscopic mastectomy with immediate FG for reconstruction. When compared with other immediate autologous reconstructions, our strategy could minimize the skin incision and procedure duration, as well as limit complications. Further prospective investigations are needed to evaluate oncological safety, surgical outcomes, and patient satisfaction.PMID:38512534 | DOI:10.1007/s12282-024-01561-x (Source: Breast Cancer)
Source: Breast Cancer - March 21, 2024 Category: Cancer & Oncology Authors: Kazutaka Narui Toshihiko Satake Takashi Ishikawa Mayu Muto Yui Tsunoda Akimitsu Yamada Kei Kawashima Natsuki Uenaka Yoshie Fujiwara Masanori Oshi Shoko Adachi Chiho Suzuki Tomoko Wada Shinya Yamamoto Mikiko Tanabe Jiro Maegawa Itaru Endo Source Type: research

Endoscopic mastectomy followed by immediate breast reconstruction with fat grafting for breast cancer
CONCLUSION: To the best of our knowledge, this is the first report of endoscopic mastectomy with immediate FG for reconstruction. When compared with other immediate autologous reconstructions, our strategy could minimize the skin incision and procedure duration, as well as limit complications. Further prospective investigations are needed to evaluate oncological safety, surgical outcomes, and patient satisfaction.PMID:38512534 | DOI:10.1007/s12282-024-01561-x (Source: Breast Cancer)
Source: Breast Cancer - March 21, 2024 Category: Cancer & Oncology Authors: Kazutaka Narui Toshihiko Satake Takashi Ishikawa Mayu Muto Yui Tsunoda Akimitsu Yamada Kei Kawashima Natsuki Uenaka Yoshie Fujiwara Masanori Oshi Shoko Adachi Chiho Suzuki Tomoko Wada Shinya Yamamoto Mikiko Tanabe Jiro Maegawa Itaru Endo Source Type: research

Endoscopic mastectomy followed by immediate breast reconstruction with fat grafting for breast cancer
CONCLUSION: To the best of our knowledge, this is the first report of endoscopic mastectomy with immediate FG for reconstruction. When compared with other immediate autologous reconstructions, our strategy could minimize the skin incision and procedure duration, as well as limit complications. Further prospective investigations are needed to evaluate oncological safety, surgical outcomes, and patient satisfaction.PMID:38512534 | DOI:10.1007/s12282-024-01561-x (Source: Breast Cancer)
Source: Breast Cancer - March 21, 2024 Category: Cancer & Oncology Authors: Kazutaka Narui Toshihiko Satake Takashi Ishikawa Mayu Muto Yui Tsunoda Akimitsu Yamada Kei Kawashima Natsuki Uenaka Yoshie Fujiwara Masanori Oshi Shoko Adachi Chiho Suzuki Tomoko Wada Shinya Yamamoto Mikiko Tanabe Jiro Maegawa Itaru Endo Source Type: research

Endoscopic mastectomy followed by immediate breast reconstruction with fat grafting for breast cancer
CONCLUSION: To the best of our knowledge, this is the first report of endoscopic mastectomy with immediate FG for reconstruction. When compared with other immediate autologous reconstructions, our strategy could minimize the skin incision and procedure duration, as well as limit complications. Further prospective investigations are needed to evaluate oncological safety, surgical outcomes, and patient satisfaction.PMID:38512534 | DOI:10.1007/s12282-024-01561-x (Source: Breast Cancer)
Source: Breast Cancer - March 21, 2024 Category: Cancer & Oncology Authors: Kazutaka Narui Toshihiko Satake Takashi Ishikawa Mayu Muto Yui Tsunoda Akimitsu Yamada Kei Kawashima Natsuki Uenaka Yoshie Fujiwara Masanori Oshi Shoko Adachi Chiho Suzuki Tomoko Wada Shinya Yamamoto Mikiko Tanabe Jiro Maegawa Itaru Endo Source Type: research

Head and Neck Reconstruction in Burn Patients
Reconstruction of burns in the head and neck region is challenging. This is because it must achieve both functional reconstruction and esthetic reconstruction. Local flaps are best for minor defects, particularly in the case of deep burns, because they bear the correct texture and color. However, for large deep burn wounds, simple grafting or small local flaps will not produce satisfactory results. It is also crucial to assess the extent and depth of reconstruction that is needed throughout the face-neck-anterior chest region, and to make the choice between techniques such as Z-plasty, skin grafting, super-thin flaps, and ...
Source: Clinics in Plastic Surgery - March 21, 2024 Category: Cosmetic Surgery Authors: Rei Ogawa Source Type: research

Update on Hypertrophic Scar Management in Burn Patients
Hypertrophic scars arise from burn injuries because of persistent inflammation in the reticular dermis. Several risk factors promote this chronic inflammation. One is tension on the burn wound/scar due to surrounding skin tightness and bodily movements. High estrogen levels and hypertension are also important systemic risk factors. Thus, to prevent burn wounds from developing into hypertrophic scars, it is important to focus on quickly resolving the reticular dermal inflammation. If conservative treatments are not effective and the hypertrophic scar transitions to scar contracture, surgical methods such as Z-plasty, full-t...
Source: Clinics in Plastic Surgery - March 21, 2024 Category: Cosmetic Surgery Authors: Rei Ogawa Source Type: research

Salvage of brachiocephalic aneurysmatic fistulas, using ePTFE graft with a minimally invasive approach
CONCLUSION: In brachiocephalic AVF aneurysms requiring surgical treatment, hemodialysis can be continued with a graft placed in the same arm in this technique.PMID:38506887 | DOI:10.1177/11297298241238783 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 20, 2024 Category: Surgery Authors: Burak Tamtekin G üler Gülsen Ersoy Source Type: research

Smart Janus cotton fabrics prepared via mist polymerization for moisture and thermal management
Int J Biol Macromol. 2024 Mar 18:130929. doi: 10.1016/j.ijbiomac.2024.130929. Online ahead of print.ABSTRACTThe construction of Janus structures on cotton fabrics can endow the fabrics with dynamic multifunctional properties. However, because of the large pores between fabric fibers, the formation of Janus structures by grafting different functional coatings on the double surfaces of cotton fabrics via dipping technology is difficult. To construct Janus structures on cotton fabrics, mist polymerization and "grafting-through" polymerization technologies were used to graft polylauryl methacrylate and a heat-shrinkable thermo...
Source: International Journal of Biological Macromolecules - March 20, 2024 Category: Biochemistry Authors: Qingbo Xu Xinyu Wang Yong Wang Yanyan Zhang Source Type: research

Salvage of brachiocephalic aneurysmatic fistulas, using ePTFE graft with a minimally invasive approach
CONCLUSION: In brachiocephalic AVF aneurysms requiring surgical treatment, hemodialysis can be continued with a graft placed in the same arm in this technique.PMID:38506887 | DOI:10.1177/11297298241238783 (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - March 20, 2024 Category: Surgery Authors: Burak Tamtekin G üler Gülsen Ersoy Source Type: research

Smart Janus cotton fabrics prepared via mist polymerization for moisture and thermal management
Int J Biol Macromol. 2024 Mar 18:130929. doi: 10.1016/j.ijbiomac.2024.130929. Online ahead of print.ABSTRACTThe construction of Janus structures on cotton fabrics can endow the fabrics with dynamic multifunctional properties. However, because of the large pores between fabric fibers, the formation of Janus structures by grafting different functional coatings on the double surfaces of cotton fabrics via dipping technology is difficult. To construct Janus structures on cotton fabrics, mist polymerization and "grafting-through" polymerization technologies were used to graft polylauryl methacrylate and a heat-shrinkable thermo...
Source: International Journal of Biological Macromolecules - March 20, 2024 Category: Biochemistry Authors: Qingbo Xu Xinyu Wang Yong Wang Yanyan Zhang Source Type: research

A polyethylene glycol-grafted pullulan polysaccharide adhesive improves drug loading capacity and release efficiency
In conclusion, PLUPE represented a groundbreaking adhesive solution for TDDS patches, successfully overcoming longstanding challenges associated with PSAs.PMID:38503369 | DOI:10.1016/j.ijbiomac.2024.130958 (Source: International Journal of Biological Macromolecules)
Source: International Journal of Biological Macromolecules - March 19, 2024 Category: Biochemistry Authors: Haoyuan Song Longyi Nan Jiaqi Wang Yu Cai Peng Sun Jie Liu Chao Liu Liang Fang Source Type: research

Closing the Gap: Exploring the Role of Cap Grafts in Tracheocutaneous Fistula Closure
AbstractExploring the Role of Cap Grafts in tracheocutaneous fistula Closure. A tracheocutaneous fistula (TCF) is an abnormal connection that forms between the trachea (windpipe) and the skin of the neck. If spontaneous closure does not occur, fibrosis of the surrounding tissue may result in a persistent TCF and in some cases, iatrogenic laryngotracheal stenosis at the level of tracheostoma, the so-called A-frame deformity. In all 5 patients, Conchal cartilage was harvested. The new de-epithelialized stoma is measured, and the previously harvested graft is cut to match the defect. Passing through the centre of the tracheal...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 19, 2024 Category: ENT & OMF Source Type: research

Co2 LASER Therapy as an Option for Non-Healing Surgical Wounds after Radiation Therapy —A Retrospective Study
ConclusionCO2 LASER therapy speeds up the healing process with minimal discomfort to the patient. CO2 LASER therapy can be used as an alternative for non-healing  surgical wounds after salvage surgery in previously radiated  patients with an unhealthy wound bed where split-thickness skin graft uptake is unpredictable. (Source: Journal of Maxillofacial and Oral Surgery)
Source: Journal of Maxillofacial and Oral Surgery - March 19, 2024 Category: ENT & OMF Source Type: research

Duragen: A dermal substitute for the management of suboptimal wounds
Trop Doct. 2024 Mar 18:494755241239090. doi: 10.1177/00494755241239090. Online ahead of print.ABSTRACTUsing a flap in a large wound with a very small area of exposed vital structures may be an excessive intrusion and cause unnecessary donor site morbidity. Dermal matrix (DuraGen) was applied onto critical areas where bone or tendons were exposed and a split skin graft was placed thereon. All patients had satisfactory wound closure without the need for a flap. DuraGen appears to be a safe, single-stage alternative, to a flap for the healing of complex wounds.PMID:38497140 | DOI:10.1177/00494755241239090 (Source: Tropical Doctor)
Source: Tropical Doctor - March 18, 2024 Category: Tropical Medicine Authors: Prashant Yadav Satyam Soni Rajeev Kukrele Pawan Agarwal Dhananjaya Sharma Source Type: research