World Journal of Plastic Surgery最新文献_第3页

The Challenges of Extensive Face and Neck Necrotising Fasciitis Reconstruction: A Case Report. 广泛面部及颈部坏死性筋膜炎重建的挑战：1例报告。

IF 0.9

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.93

Hui Yuan Lam, Hamidah Binti Mohd Zainal, Khai Luen Koh, Mohammad Ali Bin Mat Zain

{"title":"The Challenges of Extensive Face and Neck Necrotising Fasciitis Reconstruction: A Case Report.","authors":"Hui Yuan Lam, Hamidah Binti Mohd Zainal, Khai Luen Koh, Mohammad Ali Bin Mat Zain","doi":"10.61186/wjps.14.1.93","DOIUrl":"10.61186/wjps.14.1.93","url":null,"abstract":"Necrotising fasciitis (NF) is a rare, severe, rapidly progressive, and life-threatening synergistic infection that primarily affects the superficial fascia. Although unusual in head and neck surgeries, necrotizing fasciitis may have drastic consequences. Dental problems, burns, trauma, and peritonsillar abscesses often cause the condition. We describe a rare case of extensive facial necrotising fasciitis secondary to carbimazole-induced agranulocytosis. A protective tracheostomy, prophylactic thyroidectomy, serial surgical debridement, and broad-spectrum antibiotics therapy were initiated. Our team referred the patient for subsequent soft tissue reconstruction. Reconstruction was challenging as it involved a full-thickness cheek defect extending to the oral commissure, lower lip, and anterior neck. In a single-stage procedure, we utilised a transverse upper gracilis free flap to reconstruct full-thickness tissue loss, provide tissue bulk, and seal the dead space. Reconstructing various parts of the face and lips while ensuring aesthetic and functional results can be difficult..","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"93-97"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Therapeutic Outcomes of Trapezius Muscle Transfer in Brachial Plexus Injury Patients: A Case Analysis at 15 Khordad Hospital, Tehran. 斜方肌转移治疗臂丛损伤的疗效：德黑兰15 Khordad医院一例分析。

IF 0.9

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.97

Soraya Shahrokh Shahraki, Farnood Gharghabi, Masoud Yavari

{"title":"The Therapeutic Outcomes of Trapezius Muscle Transfer in Brachial Plexus Injury Patients: A Case Analysis at 15 Khordad Hospital, Tehran.","authors":"Soraya Shahrokh Shahraki, Farnood Gharghabi, Masoud Yavari","doi":"10.61186/wjps.14.1.97","DOIUrl":"10.61186/wjps.14.1.97","url":null,"abstract":"Background: We investigated the therapeutic outcomes of trapezius muscle transfer in individuals diagnosed with brachial plexus damage.Methods: We examined patients diagnosed with brachial plexus palsy referred to 15 Khordad Hospital in Tehran, Iran during 2018-20. The patients considered for inclusion in the study were those who were eligible for trapezius muscle transfer surgery, either on the affected side or the unaffected side. The evaluation focused on various aspects, including shoulder range of motion, muscle strength, shoulder pain, age and gender distribution, as well as satisfaction and function levels of the shoulder.Results: The suitability of shoulder motions, shoulder abduction, and muscular strength in patients who underwent ipsilateral side trapezius muscle transfer surgery was greater compared to those who underwent contralateral side trapezius transfer. In the investigation of postoperative shoulder function among patients who underwent trapezius muscle transfer surgery on the ipsilateral side, it was shown that 3 patients (25%) exhibited favorable function, while 6 patients (50%) demonstrated acceptable function, and 3 patients (25%) displayed excellent function. Out of the total sample size of 9 patients who underwent surgery for trapezius muscle transfer on the contralateral side, 6 patients (66.7%) exhibited favorable function, while 3 patients (33.3%) demonstrated acceptable function.Conclusion: Employing the contralateral trapezius muscle as a substitute when utilizing the ipsilateral trapezius muscle is not feasible is a viable alternative with favorable function.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"97-104"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Imaging Characteristics of Rhino-Orbital Cerebral Mucormycosis. 鼻-眶部脑毛霉菌病的影像学特征评价。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.2.79

Ayeh Kiani, Mohammad Ghasem Hanafi, Shokrollah Salmanzadeh, Golshan Mirmomeni, Zahra Javadzade

{"title":"Evaluation of the Imaging Characteristics of Rhino-Orbital Cerebral Mucormycosis.","authors":"Ayeh Kiani, Mohammad Ghasem Hanafi, Shokrollah Salmanzadeh, Golshan Mirmomeni, Zahra Javadzade","doi":"10.61186/wjps.14.2.79","DOIUrl":"10.61186/wjps.14.2.79","url":null,"abstract":"Background: Mucormycosis is a fungal infection with diverse clinical manifestations, the most common of which, i.e., the classical form of rhino-orbital cerebral mucormycosis (ROCM), has had a significant prevalence among patients recovered from COVID-19. We aimed to investigate the findings of ROCM imaging recorded at Imam Khomeini Hospital in Ahvaz, Iran, in 2022.Methods: This retrospective study reviewed the files of patients definitively diagnosed with mucormycosis and COVID-19. Imaging procedures performed on patients included non-contrast CT scans (CT imaging protocol: from vertex to mandible without contrast for evaluating sinus contents, bone erosion, osteomyelitis, pre-sinus or orbital invasion). Key imaging findings were assessed and documented, and findings were evaluated.Results: The mean age of subjects was 53.11 ± 14 years, with the majority being male (55.3%). All subjects had nasal and sinus involvement, but their brains were unaffected. Approximately 36% of subjects had ocular involvement. In imaging findings, left pterygopalatine involvement had the highest prevalence (27.7%), while left extraocular muscle involvement had the lowest prevalence (4.3%). Patients with lamina papyracea and extraocular muscle involvement all had ocular involvement, which was statistically significant. Additionally, those with hard palate erosion had significantly higher ocular involvement rates (5 out of 6 cases with hard palate erosion).Conclusion: Rhino-orbital cerebral mucormycosis is associated with nasal and sinus involvement, and diabetes and male gender are predisposing factors to this disease. CT, as a complement to other clinical evaluations, dramatically aids in diagnosing and identifying the extent and complications of the disease.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"79-85"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extraocular Muscle Trauma: Clinical Approach to Diagnosis and Surgical Management of Rectus Muscle Disruptions. 眼外肌损伤：直肌损伤的临床诊断和外科治疗。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.2.46

Cen-Hung Lin, Pi-Chieh Lin, Ching-Hua Hsieh

{"title":"Extraocular Muscle Trauma: Clinical Approach to Diagnosis and Surgical Management of Rectus Muscle Disruptions.","authors":"Cen-Hung Lin, Pi-Chieh Lin, Ching-Hua Hsieh","doi":"10.61186/wjps.14.2.46","DOIUrl":"10.61186/wjps.14.2.46","url":null,"abstract":"We aimed to review the clinical approach to diagnos and surgical management of traumatic extraocular rectus muscle disruptions, a rare but significant cause of strabismus and diplopia in the adult trauma patients. This review examined the anatomy of the four rectus muscles, mechanisms of injury, clinical presentation, imaging evaluation, classification of injury types, management strategies, outcomes, and future directions in treatment. Extraocular rectus muscle disruptions occur through blunt trauma (typically causing muscle entrapment in the orbital fractures) or penetrating trauma (causing laceration or avulsion). Clinical features include diplopia, restricted eye movement, and in some cases, visible muscle prolapse. Imaging evaluation includes computed tomographyas first-line approach, with magnetic resonance imaging providing superior soft tissue detail, and anterior segment optical coherence tomography offering valuable information for surgical planning. Management focuses on early intervention, with surgical repair ideally performed within 24-48 hours for entrapped muscles and within days for lacerations or avulsions. Outcomes vary based on injury severity and timing of treatment, with better prognosis associated with early intervention. While traumatic extraocular rectus muscle disruptions present complex challenges, prompt diagnosis and surgical management often yield favorable results. Future advances in treatment might involve advanced imaging techniques, engineered tissue for muscle reconstruction, refined surgical approaches, and improved interdisciplinary trauma care protocols.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"46-55"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical Evaluation of Keystone Reconstruction: A Retrospective Series of 32 Cases. 关键评价基石重建：回顾性系列32例。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.2.103

Abhinav Singh, Abhishek Sharma, Rohini Singh, Kuldeep Singh, R B Singh, Aksha Mohan

{"title":"Critical Evaluation of Keystone Reconstruction: A Retrospective Series of 32 Cases.","authors":"Abhinav Singh, Abhishek Sharma, Rohini Singh, Kuldeep Singh, R B Singh, Aksha Mohan","doi":"10.61186/wjps.14.2.103","DOIUrl":"10.61186/wjps.14.2.103","url":null,"abstract":"Background: We aimed to create focus and awareness about versality of keystone flap in safe re-surfacing of small to medium and large sized skin defects in single stage with minimal donor site morbidities and maximum anatomical, functional and aesthetic results.Methods: Retrospective study was conducted between October 2021- December 2022 on 26 males and 5 females aged 20-70 years who underwent 32 Keystone flap reconstruction (type IIA n=11, type IIB n=7 type III n=6, Type IV n=8) in diversity of defects following: domestic electric burn on pulp of thumb (n=2), chronic discharging sinus over clavicle (n=1), post-traumatic wounds on eighteen legs (n=19), excision of unstable scar over shin of tibia (n=4), exit wound on medial aspect of foot (n=3) and excision of non-healing ulcer over heel (n=3). Flaps were designed in a way to keep maximum perforators in pedicular area and to ascertain maximum mobility. After debridement, wound area ranged from 4mm x 4mm to 17 x 8 cm. The flap size ranged from 5mm x 5mm to 18cm x 8cm. Follow- ups ranged from 1 month to 12 months.Results: Three cases developed partial wound dehiscence which were managed subsequently. None of the flap had partial or total loss. Over-all results were satisfying.Conclusion: Our series highlighted that keystone flaps have defect adaptive design and are technically easy to perform, cost and time effective and can be designed from head to toe (omnipresence) with excellent outcome. We advocate their use as robust reconstructive tool for Plastic surgeons, Orthopedic surgeons and Dermatosurgeon.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"103-121"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing the Effects of Mitomycin-C and Triamcinolone-Acetonide Injections on Hypertrophic Scars and Keloids in Burn Patients. 丝裂霉素c与曲安奈德治疗烧伤增生性瘢痕和瘢痕疙瘩的疗效比较。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61882/wjps.14.3.70

Jafar Jafarzadeh, Mahtab Farhadi, Nasrin Khodadadi, Elham Farhadi, Abdulreza Sheikhi

{"title":"Comparing the Effects of Mitomycin-C and Triamcinolone-Acetonide Injections on Hypertrophic Scars and Keloids in Burn Patients.","authors":"Jafar Jafarzadeh, Mahtab Farhadi, Nasrin Khodadadi, Elham Farhadi, Abdulreza Sheikhi","doi":"10.61882/wjps.14.3.70","DOIUrl":"https://doi.org/10.61882/wjps.14.3.70","url":null,"abstract":"Background: Hypertrophic scars (HTS) and keloids are the proliferative responses of the fibroblastic. Surgical excision lead to changes, but postoperative recurrence rate seems to be still high. The topical use of mitomycin C (MMC) has been thus documented to suppress fibroblast proliferation. We aimed to investigate the effects of MMC injection on HTS and keloids in burn wounds, and compare the results with intralesional Triamcinolone Acetonide (TAC) injection in with regard to scar size reduction.Methods: This randomized clinical trial was conducted on 90 burn patients (divided into two groups) with hypertrophic scars and keloids at Taleghani Burn Hospital, Ahvaz, Iran, in 2023. Patients were randomly assigned to receive intralesional MMC (0.4 mg/dL) or TAC (0.4 mg/dL). Scar characteristics were assessed pre- and post-treatment using the Vancouver Scar Scale (VSS) over six months.Results: The average size of the scars at the pre- and post-intervention stages was 15.71 and 4.81 mm. No significant difference was observed between both groups. Effect of MMC was over and above TAC. There was a significant difference between both groups. Significant difference was found between the Vancouver Scar Scale (VSS) mean scores before and after the intervention, so the TAC value was greater than that of MMC, and the scores at the pre- and post-intervention stages were significantly different.Conclusion: MMC and TAC were considered as effective methods for HTS and keloid management. In spite of this, the VSS scores and the scar size denoted that MMC was much more effective in the treatment of such scars than TAC.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 3","pages":"70-78"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12842963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting of Biomechanics' Properties Incisional Wound Repair by Mesenchymal Stem Cell Transplantation. 间充质干细胞移植对伤口修复生物力学特性的促进作用。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.2.63

Maryam Habibi, Jafar Rezaian, Pooria Ali, Rasool Mohammedi, Hassan Ahmadvand, Abolfazl Abaszadeh, Farzaneh Chehelcheraghi

{"title":"Promoting of Biomechanics' Properties Incisional Wound Repair by Mesenchymal Stem Cell Transplantation.","authors":"Maryam Habibi, Jafar Rezaian, Pooria Ali, Rasool Mohammedi, Hassan Ahmadvand, Abolfazl Abaszadeh, Farzaneh Chehelcheraghi","doi":"10.61186/wjps.14.2.63","DOIUrl":"10.61186/wjps.14.2.63","url":null,"abstract":"Background: Diabetes mellitus is related to wound healing process impairments and molecular abnormalities of the wound. We aimed to evaluate the therapeutic potential of semi-solid bone marrow as a source of stem cells (SCs) in regenerative medicine.Methods: This trial study was conducted at the Faculty of Medicine, Lorestan University of Medical Sciences, Khorram Abad, IRAN in 2019. Forty five Albino Wistar rats with an average weight of 250-300g, were purchased from Lorestan Aftabavaran Company in (Khorramabad, Lorestan, Iran). The rats were divided into 3 groups (n=15). For all groups, Streptozotocin (STZ) (Single dosage; 65 mg/kg, i.p.) was used to induce diabetes, and Sharp dissection was used to draw and pull down a dorsal skin flap (9×3 cm) in the control and saline groups on day0, respectively. The group used 7 × 109 BMMSCs on day 0. Histologic specimens were stained with hematoxylin and eosin and were stained with trichrome mason. Biomechanic measurements were taken in the wound area.Results: The epidermal thickness was increasing and blood vessels were growing. In the cells group, hair follicle destruction, cellular penetration, diffuse fibrosis, and necrosis were not observed in comparison with the saline and control groups. The Cells group had a higher energy absorption than the Bending stiffness and Maximal Force Ultimate Tensile Strength (UTS) group on day 14 as a result of decreased Bending stiffness and Maximal Force Ultimate Tensile Strength (UTS).Conclusion: According on result of recent study, Stem cells can improve the healing of diabetic incision wounds.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"63-71"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Columella-Labial Angle Changes Following Septocolumellar Suture and Lateral Crural Overlay Methods in Rhinoplasty. 鼻中隔小柱缝合和外侧脚覆盖法后鼻小柱-唇角的改变。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.2.92

Nima Dehghani, Xaniar Mahmoudi, Mohadeseh Azarsina, Elham Hosseini

{"title":"Columella-Labial Angle Changes Following Septocolumellar Suture and Lateral Crural Overlay Methods in Rhinoplasty.","authors":"Nima Dehghani, Xaniar Mahmoudi, Mohadeseh Azarsina, Elham Hosseini","doi":"10.61186/wjps.14.2.92","DOIUrl":"10.61186/wjps.14.2.92","url":null,"abstract":"Background: One of the most important stages in rhinoplasty is the control of nasal tip rotation. Different techniques have been proposed to achieve this goal. We aimed to compare the effects of two methods of Septocolumellar Suture (SCS) and Lateral Crural Overlay (LCO) on nasal tip rotation by measuring of Columella-Labial angle.Methods: In a single-blinded clinical trial, 148 patients were selected among the patients who were candidates for rhinoplasty in Sina Hospital in Tehran, Iran 2024. The patients were randomly divided into two groups (each group contained 74 subjects). The patients in the first group were operated on using LCO technique, and the patients in the second group were operated on using SCS technique. Columella-Labial angle of the samples were evaluated using the photographs of the samples before and six months after surgery. The obtained results were compared using SPSS software and t-paired and Mann-Whitney statistical tests.Results: The mean Columella-Labial angle in both groups was more than that before surgery (P<0.001). The mean Columella-Labial angle before surgery in the SCS group were higher than that in LCO group and this difference was significant (P<0.001). The Columella-Labial angle difference was also significant between the two groups after surgery (P = 0.005), and Columella-Labial angle in LCO group was higher than that in SCS group (P <0.001).Conclusion: LCO technique increase Columella-Labial angle more than SCS technique. Therefore, it is recommended that LCO technique to be used in patients with who need greater Columella-Labial angle change.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"92-97"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Lipoabdominoplasty with the Application of Intra-Abdominal Pressure and Respiratory Airway Pressure in Women: A Multicenter Prospective Study. 一项多中心前瞻性研究：应用腹内压力和呼吸气道压力对女性腹部脂肪成形术的影响。

IF 0.9

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.52

Khalil Rostami, Amirhossein Karimi, Soraya Shahrokh

{"title":"The Effects of Lipoabdominoplasty with the Application of Intra-Abdominal Pressure and Respiratory Airway Pressure in Women: A Multicenter Prospective Study.","authors":"Khalil Rostami, Amirhossein Karimi, Soraya Shahrokh","doi":"10.61186/wjps.14.1.52","DOIUrl":"10.61186/wjps.14.1.52","url":null,"abstract":"Background: Abdominoplasty surgery is associated with intra-abdominal pressure (IAP) and respiratory airway pressure (RAP) changes. We aimed to assess the impact of the lipoabdominoplasty on the simultaneous changes in the IAP and RAP and their predictive factors for the first time.Methods: This prospective study was conducted on 30 women who underwent lipoabdominoplasty between November 2021 and November 2022 in Modares and 15- Khordad hospitals affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Iran. Patients underwent lipoabdominoplasty by a surgeon with more than ten years of experience. RAP was measured based on P platue and P Peak three times (after anesthesia, after plication, and after surgery).Results: The mean changes of IAP and RAP were significantly different based on the p peak and p plateau after anesthesia, plication, and surgery (P<0.001). Changes in IAP with BMI, degree of laxity, degree of plication, number of pregnancies, xiphoid to pubis distance, and 12th vertebra to ASIS distance were related. RAP (p peak and P platue) with a degree of laxity, degree of plication, number of pregnancies, IAP, xiphoid to pubis distance, and 12th vertebra to ASIS distance were related (P<0.05).Conclusion: lipoabdominoplasty significantly affects changes in IAP and RAP after anesthesia, plication, and surgery. During lipoabdominoplasty, surgeons should simultaneously pay attention to the changes in both IAP and RAP from the beginning to the end of the surgery, especially in obese women with a history of multiple pregnancies and patients with severe laxity.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"52-58"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Syndactyly in Twins: A Case Report. 双胞胎并指畸形一例报告。

IF 1

World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.2.126

Hossein Akbari, Amir Saraee, Yousef Shafaei, Mohammad-Reza Akhoondinasab, Peyman Akbari

引用次数: 0