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marzo 2016 Archivos

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Current trends in the oncologic and surgical managements of breast cancer in women with implants: incidence, diagnosis, and treatment

Veronesi, P; De Lorenzi, F; Loschi, P; Rietjens, M; Veronesi, U.
Aesthetic Plastic Surgery, February 2016, pp 1-10

portada - APS - Vol. 39 (2015)Breast augmentation is the most common cosmetic surgery in the United States, and thousands of augmented patients develop breast cancer each year. The possible effects of implants on cancer incidence, diagnosis, and treatment usually generate a disarming confusion. The present paper represents an update of the more recent oncologic and surgical strategies, aiming to support plastic and general surgeons in such challenging aspects. Several aspects of breast cancer management in augmented women are investigated, including: risk estimation and cancer characteristics, cancer diagnosis and cancer treatment including breast conservation, intraoperative radiotherapy, sentinel node biopsy and mastectomy, and reconstruction.

Publicado: . En: Artículos recomendados. #

Adipocyte and preadipocyte viability in autologous fat grafts: comparing the water jet assisted liposuction (WAL) and Coleman techniques

Chia, H. L. et als.
European Journal of Plastic Surgery, June 2015, Volume 38, Issue 3, pp 183-188

portada - EJPS - Vol. 35 (2012)Autologous fat transplantation is a promising technique for soft tissue augmentation. However, the long-term maintenance of fat grafts remains unpredictable. Based on Peer’s cell theory, techniques that cause less cellular damage will optimize graft integration. Water jet-assisted liposuction (WAL) was introduced as a gentle and efficient technique for harvesting a large volume of fat in a short period of time. In this study, we evaluated the viability and function of adipocytes and preadipocytes harvested using WAL and compared this with the Coleman technique.

Publicado: . En: Artículos recomendados, Propuesta del editor. #

Surgical and reconstructive management of pressure ulcers

Lefemine, V; Enoch, S; Boyce, D. E.
European Journal of Plastic Surgery, April 2009, Volume 32, Issue 2, pp 63-75

portada - EJPS - Vol. 35 (2012)Despite significant advances in therapeutic options, pressure ulcers continue to pose a challenge to physicians and surgeons and frequently require multidisciplinary input. In addition, they place huge financial burdens on health care providers. Generally classified as grades I to IV depending on the extent and severity of the ulcer, grades I and II are usually amenable to conservative management. Grades III and IV may require surgical intervention, which could either be simple debridement or complex reconstructive microsurgery. Direct closure or skin grafting is useful in only a small number of early pressure ulcers. For non-healing and advanced pressure ulcers, reconstructive surgery is indicated, which consists of soft tissue flap coverage such as fasciocutaneous, musculocutaneous, perforator, or free flaps.

Publicado: . En: Artículos recomendados, Propuesta del editor. #