Abraham, J; Saint-Cyr, M.
Clinics in Plastic Surgery, 2017-04-01, Volúmen 44, Número 2, Páginas 385-402

Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autologous tissue transfer while limiting donor site morbidity. Further modifications of the pedicle perforator flap have led to a multitude of freestyle pedicle perforator flap options, as well as freestyle free flaps for soft tissue reconstruction. Modifications in the keystone perforator island flap have increased the degrees of freedom for soft tissue coverage of large defects, with reliable and aesthetically pleasing results.

Rejuvenation of the dorsal surface of the hand for various conditions, such as cutaneous dyschromia, fine wrinkling, skin laxity, visible extensor tendons, and varicosities appear vital to prevent wrist and digit flexion resulting from hiding of the aged appearance of the hand. Numerous fillers have been applied to re-contour the aging dorsal surface of the hand and the results were variable. The micro-autologous fat transplantation (MAFT) technique, proposed by Lin et al. in 2006, has demonstrated its feasibility in facial rejuvenation. In this study, we applied the MAFT technique for the rejuvenation of the dorsal portion of the hand.
Liposuction is the most performed surgical procedure in Brazil and the second in the world. In recent years, new technologies have been developed in an attempt to improve liposuction, such as laser. The objective of this study is to evaluate the efficacy and safety of laser-assisted liposuction (LAL) compared to traditional liposuction through a systematic review of the literature.
Las heridas por quemadura causan niveles altos de morbilidad y mortalidad en todo el mundo. Los pacientes con quemaduras son particularmente vulnerables a las infecciones; más del 75% de todas las muertes debido a quemaduras (después de la reanimación inicial) son resultado de la infección. Los antisépticos son agentes tópicos que actúan para prevenir el crecimiento de microorganismos. Se utiliza una amplia variedad con la intención de prevenir la infección y promover la cicatrización de las heridas por quemadura.





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