Barnea, Y. et als.
Plastic & Reconstructive Surgery: February 2017 – Volume 139 – Issue 2 – p 348e–357e
Patients with a small breast volume and a relative large lumpectomy volume are at risk of developing severe breast deformity and asymmetry following breast conservation, presenting a unique surgical challenge.
A series of patients undergoing immediate reconstruction by means of an oncoplastic breast augmentation technique following breast conservation are described. The technique includes local tissue rearrangement and bilateral subpectoral breast augmentation with implants of different sizes and shapes, immediately after lumpectomy for a malignant tumor.
El colgajo sural de flujo reverso ha ganado gran popularidad, pero algunos autores describen como complicación frecuente la necrosis parcial o total del mismo. En este artículo, se presentan una serie de modificaciones técnicas propuestas por los autores para aumentar la viabilidad del colgajo cuando es necesario diseñarlo en su máxima extensión en cobertura de grandes defectos del pie.
Burns of anterior shoulder joint surface and neighboring areas produce shoulder edge adduction contracture and scar deformity, slowing down the development of upper limbs in pediatric patients. Therefore, surgical reconstruction is indicated as early as the contracture is formed. Currently used surgical techniques, based on counter transposition of the local triangular flaps and skin transplants, do not solve the problem because of incomplete release of the contractures. Repeated operations are often performed. The scar deformity also remains.
Flaps are increasingly popularized in reconstructive surgery and there is need to test and increase their reliability. Color Doppler ultrasound has been stated to be valuable in flap planning. The aim of this study was to conduct a systematic review and meta-analysis of the literature of Color Doppler ultrasound targeted pedicled perforator flaps and provide information on outcomes and complication rates.
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