Chaffoo, R. A. K.
Facial Plastic Surgery Clinics of North America, 2013-11-01, Volúmen 21, Número 4, Pages 551-558
Rhytidectomy remains a challenging surgical procedure for even the most experienced aesthetic plastic surgeons. The challenges are compounded by complications that are inherent to this procedure and place added pressure on the doctor-patient relationship. Expectations for both parties are high and the margin for error nil. This article presents a personal approach to the avoidance and management of complications associated with facelift surgery. It presents the author’s personal approach as a plastic surgeon in the practice of aesthetic plastic surgery over the past 25 years. Clinical pearls are provided to obtain optimum results in rhytidectomy and limit associated sequelae.
Late haematomas and seromas (≥4 months postoperatively) in breasts with silicone prosthesis have been reported. Since 2001, there have only four patients with such delayed complication visiting our hospitals. The purpose of this literature review and our case presentation is to have more understanding about the clinical symptoms, surgical managements and relationship with implants for this late complication.
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.
The objective of this review was to systematically examine whether there is clinical evidence to support recommendations for positioning patients with acute burn. Review of the literature revealed minimal evidence-based practice regarding the positioning of burn patients in the acute and intermediate phases of recovery. This manuscript describes recommendations based on the limited evidence found in the literature as well as the expert opinion of burn rehabilitation specialists. These positioning recommendations are designed to guide those rehabilitation professionals who treat burn survivors during their acute hospitalization and are intended to assist in the understanding and development of effective positioning regimens.
With the popularity of cosmetic surgery procedures, it is vital that the surgeon select patients for procedures who likely will benefit, handle stress in a healthy manner, and not pose an undue level of aggravation to the surgeon and staff. By using a carefully planned preoperative written assessment, the surgeon can help identify patients who, for psychologic reasons, are emotionally suitable for such surgery.
Las infecciones constituyen actualmente, la principal amenaza vital en los pacientes tras una agresión térmica severa, siendo la principal causa de morbi-mortalidad de estos. La incidencia de infección en los pacientes quemados varía mucho de unas unidades de quemados a otras, y se halla claramente asociada al porcentaje de superficie corporal quemada (SCQ). Se realizó un estudio retrospectivo de 107 pacientes ingresados en la unidad de quemados del Hospital Hermanos Ameijeiras en el período de enero de 2006 hasta diciembre 2008, con el diagnóstico de quemaduras, los que fueron estratificados según el porcentaje de SCQ.
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