Yuen Wong, K; Malata, C.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2014-07-01, Volúmen 67, Número 7, Pages 921-926
Numerous surgical techniques exist for gynaecomastia treatment. Although ultrasound-assisted liposuction (UAL) is thought to be more effective than conventional liposuction, to date there remains no objective and direct comparison of the two modalities. Hence, a comparative study was performed of a single surgeon’s experience over 13 years using two definitive parameters, namely intraoperative conversion to open excision and postoperative revisional surgery rates.
This patient safety article discusses strategies to prevent, diagnose, and manage complications from body contouring surgery. Preoperative, intraoperative, and postoperative approaches to avoiding, identifying, and treating complications are addressed. Individual complications, such as hematoma, seroma, infection, dehiscence, suture extrusion, deep venous thrombosis, and pulmonary embolism are discussed and a review of complication rates in the body contouring literature is provided. The article addresses procedure-specific complications and pearls to avoiding complications in these cases. Difficult problems such as skin relaxation and management of the disappointed patient are also discussed.
Después de la cirugía, las incisiones se suelen cerrar aproximando los bordes con suturas (puntos), grapas, adhesivos (pegamento) o broches. Este proceso ayuda a que los bordes incididos cicatricen juntos y se le llama «cicatrización por primera intención». Esta revisión pertenece a una serie de revisiones Cochrane que investigan las pruebas sobre antisépticos y antibióticos en diferentes tipos de heridas. También se propone presentar pruebas actuales relacionadas con la administración de antisépticos y antibióticos para las heridas quirúrgicas con cicatrización por segunda intención (SWHSI, por sus siglas en inglés).
Practice guidelines (PGs) are recommendations for diagnosis and treatment of diseases and injuries, and are designed to define optimal evaluation and management. The first PGs for burn care addressed the issues encountered in developed countries, lacking consideration for circumstances in resource-limited settings (RLS). Thus, the mission of the 2014–2016 committee established by the International Society for Burn Injury (ISBI) was to create PGs for burn care to improve the care of burn patients in both RLS and resource-abundant settings. An important component of this effort is to communicate a consensus opinion on recommendations for burn care for different aspects of burn management.
Autologous fat grafting (AFG) or lipofilling is nowadays a popular technique for breast reconstruction after breast cancer surgery. There is debate regarding the oncological safety and risks of this procedure in breast cancer patients. A systematic review of the literature published between January first 1995 and October first 2016 was conducted regarding the efficacy, safety and complications of this technique in breast cancer patients after their cancer treatment.
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