Archives of Plastic Surgery-APS最新文献_第2页

LVAs in a Pedicled SIEA Flap for the Treatment of Recurrent Lymphocele of the Groin Using Superficial Veins of the Flap for Lymphovenous Anastomosis: A Case Report and Literature Review. 利用浅静脉瓣进行淋巴管吻合治疗腹股沟复发性淋巴囊肿的带蒂SIEA皮瓣中的淋巴管：病例报告和文献综述。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-06-13 eCollection Date: 2024-07-01 DOI: 10.1055/s-0044-1782142

Federico Facchin, Elmar Fritsche, Alberto Franchi

{"title":"LVAs in a Pedicled SIEA Flap for the Treatment of Recurrent Lymphocele of the Groin Using Superficial Veins of the Flap for Lymphovenous Anastomosis: A Case Report and Literature Review.","authors":"Federico Facchin, Elmar Fritsche, Alberto Franchi","doi":"10.1055/s-0044-1782142","DOIUrl":"10.1055/s-0044-1782142","url":null,"abstract":"Persistent lymphocele of the groin is a complication of groin surgery that can severely impact the quality of life. The restoration of the interrupted lymphatic pathway is considered by many authors the ideal treatment to prevent a recurrence. However, multiple aspiration procedures and surgical revisions can compromise the availability of local veins needed for a lymphovenular bypass surgery. In addition, surgical debridement of a long-standing lymphocele can generate extensive dead space and contour deformity. A flap delivering additional venules for trans-flap lymphovenular anastomoses (LVAs) can overcome both problems by providing soft tissue and competent veins harvested outside the zone of injury. A successful case of severe groin lymphocele treated with trans-flap LVAs from an abdominal-based flap is presented. The patient was referred to us for a recurrent lymphocele developed in the right groin after lipoma excision that persisted despite multiple surgical attempts. After the identification of patent and draining inguinal lymphatic vessels, a pinch test was used to design a mini-abdominoplasty superficial inferior epigastric artery flap. The superficial veins of the cranial incision were identified and anastomosed to the lymphatic vessels after the pedicled flap harvested and insetted in the groin. The early restoration of lymphatic drainage and the optimal aesthetic outcome supports the combined approach offered by trans-flap LVAs as a valuable therapeutic option for severe and persistent lymphocele.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11257738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735390","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

Posttraumatic Scrotal Reconstruction with a Pedicled "Extended" Superficial Circumflex Iliac Artery Perforator Flap: A Case Report. 带蒂“扩展”旋髂浅动脉穿支皮瓣创伤后阴囊重建。一份病例报告。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-05-09 eCollection Date: 2024-05-01 DOI: 10.1055/a-2166-8783

Lucía Sisternas Hernández, Susana López Fernández, Paúl D Zamora Alarcón, Carmen Vega García, Laura Torrano Romero, Manuel Fernández Garrido

引用次数: 0

Psychiatric Influences on Hidradenitis Suppurativa: A Call for Help. 化脓性扁桃体炎的精神影响：寻求帮助。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-04-04 eCollection Date: 2024-05-01 DOI: 10.1055/a-2258-2438

Holly D Shan, Samuel S Huffman, John D Bovill, Zoë K Haffner, Parhom Towfighi, Carol D Benedict, Karen K Evans

{"title":"Psychiatric Influences on Hidradenitis Suppurativa: A Call for Help.","authors":"Holly D Shan, Samuel S Huffman, John D Bovill, Zoë K Haffner, Parhom Towfighi, Carol D Benedict, Karen K Evans","doi":"10.1055/a-2258-2438","DOIUrl":"10.1055/a-2258-2438","url":null,"abstract":"Background Hidradenitis suppurativa (HS) is associated with a high prevalence of psychiatric disorders. However, no studies examine how psychiatric disorders influence surgical and financial outcomes. This study aimed to assess impact of a psychiatric diagnosis on patients treated for HS. Methods Patients with HS were retrospectively identified at a single institution from 2010 to 2021. Cohorts were stratified by the presence of a psychiatric disorder. Demographics, comorbidities, and disease characteristics were collected. Outcomes assessed included the procedural interventions and emergency department (ED) visits. Financial distress was assessed via the COST-FACIT Version 2 survey. Results Out of 138 patients, 40 (29.0%) completed the survey of which 19 (47.5%) had a preexisting psychiatric diagnosis. No demographic differences were found between cohorts. Mean follow-up was 16.1 ± 11.0 months. The psychiatric cohort had a higher median number of surgeries received (7.0 vs. 1.5, p < 0.001), a higher median number of ED visits (1.0 vs. 0, p = 0.006), and a similar hospital length of stay ( p = 0.456). The mean COST-FACIT score of the overall study population was 19.2 ± 10.7 (grade 1 financial toxicity). The psych cohort had a lower mean COST-FACIT score (16.8 vs. 21.3, p = 0.092) and reported greater financial hardship (3.3 vs. 1.7, p < 0.001). On multivariate analysis, a psychiatric diagnosis was predictive of lower credit scores, more ED visits, and a higher number of surgeries. Conclusion Preexisting psychiatric conditions in patients with HS are associated with increased health care utilization and surgical intervention with substantial financial distress. Plastic surgeons should be cognizant of such comorbid disorders to facilitate holistic care addressing all patient needs.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11081730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913220","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

Commentary: Gluteal Region Reshaping of Massive Weight Loss Patients-A Decision-Making Strategy. 评论：大量减肥患者的臀部整形--决策策略。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-03-04 eCollection Date: 2022-05-01 DOI: 10.1055/s-0043-1777242

Mohamed Ali Mahgoub

引用次数: 0

Commentary: Reconstruction of Pharyngolaryngeal Defects with the Ileocolon Free Flap: A Comprehensive Review and How to Optimize Outcomes. 评论：用回结肠游离皮瓣重建咽喉缺损：全面回顾与如何优化结果。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-03-04 eCollection Date: 2022-05-01 DOI: 10.1055/s-0043-1777220

Joseph M Escandón

引用次数: 0

Hybrid Lymphovenous Anastomosis Surgery Guided by Intraoperative Mesenteric Intranodal Lymphangiography for Refractory Nontraumatic Chylous Ascites: A Case Report. 术中肠系膜内淋巴管造影引导下的淋巴-静脉吻合混合手术治疗难治性非外伤性乳糜腹水：病例报告。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-02-28 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1776304

Soo Jin Woo, Saebeom Hur, Hee Seung Kim, Hak Chang, Ji-Young Kim, Soo Jin Park, Ung Sik Jin

{"title":"Hybrid Lymphovenous Anastomosis Surgery Guided by Intraoperative Mesenteric Intranodal Lymphangiography for Refractory Nontraumatic Chylous Ascites: A Case Report.","authors":"Soo Jin Woo, Saebeom Hur, Hee Seung Kim, Hak Chang, Ji-Young Kim, Soo Jin Park, Ung Sik Jin","doi":"10.1055/s-0043-1776304","DOIUrl":"10.1055/s-0043-1776304","url":null,"abstract":"Refractory chylous ascites can cause significant nutritional and immunologic morbidity, but no clear treatment has been established. This article introduces a case of a 22-year-old female patient with an underlying lymphatic anomaly who presented with refractory chylous ascites after laparoscopic adnexectomy for ovarian teratoma which aggravated after thoracic duct embolization. Ascites (>3,000 mL/d) had to be drained via a percutaneous catheter to relieve abdominal distention and consequent dyspnea, leading to significant cachexia and weight loss. Two sessions of hybrid lymphovenous anastomosis (LVA) surgery with intraoperative mesenteric lymphangiography guidance were performed to decompress the lymphatics. The first LVA was done between inferior mesenteric vein and left para-aortic enlarged lymphatics in a side-to-side manner. The daily drainage of chylous ascites significantly decreased to 130 mL/day immediately following surgery but increased 6 days later. An additional LVA was performed between right ovarian vein and enlarged lymphatics in aortocaval area in side-to-side and end-to-side manner. The chylous ascites resolved subsequently without any complications, and the patient was discharged after 2 weeks. The patient regained weight without ascites recurrence after 22 months of follow-up. This case shares a successful experience of treating refractory chylous ascites with lymphatic anomaly through LVA, reversing the patient's life-threatening weight loss. LVA was applied with a multidisciplinary approach using intraoperative mesenteric lipiodol, and results showed the possibility of expanding its use to challenging problems in the intraperitoneal cavity.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997900","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

Failure is a Failure If You Learn Nothing from It. 如果你没有从中学到任何东西，失败就是失败。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-02-28 eCollection Date: 2024-01-01 DOI: 10.1055/a-2259-0524

Joon Pio Hong

引用次数: 0

The "Swing-Door" Regrafting of Donor Site: An Alternative Method for Split-Thickness Skin Graft in the Hand. 捐赠场地的“旋转门”重建；一种可供选择的手部分层植皮方法

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-02-28 eCollection Date: 2024-01-01 DOI: 10.1055/a-2166-8995

Jin Soo Kim, Chan Ju Park, Sung Hoon Koh, Dong Chul Lee, Si Young Roh, Kyung Jin Lee

{"title":"The \"Swing-Door\" Regrafting of Donor Site: An Alternative Method for Split-Thickness Skin Graft in the Hand.","authors":"Jin Soo Kim, Chan Ju Park, Sung Hoon Koh, Dong Chul Lee, Si Young Roh, Kyung Jin Lee","doi":"10.1055/a-2166-8995","DOIUrl":"10.1055/a-2166-8995","url":null,"abstract":"Background Skin defects in the hands are common injuries, and autologous skin grafting is the ideal treatment. However, complications can occur at the donor and recipient sites. This study compares the \"Swing-door\" technique with conventional skin grafting. Methods From August 2019 to February 2023, 19 patients with skin defects of hand underwent the \"Swing-door\" split-thickness skin graft (STSG) technique. The thin epithelial layer was elevated with proximal part attached. Skin graft was harvested beneath. Donor site was then closed with epithelial flap like a \"Swing-door\". The outcomes were evaluated in terms of healing time, scar formation, and pain at the donor and recipient sites. The data were compared with the conventional STSG. Results The \"Swing-door\" group had lower graft take percentages, but complications did not significantly differ between the two groups. The \"Swing-door\" technique resulted in better cosmetic outcomes, as evidenced by lower Vancouver Scar Scale scores, faster donor site epithelialization, and reduced pain and discomfort during the early postoperative period, as measured by Visual Analog Scale. Conclusion The \"Swing-door\" STSG is a useful alternative for treating hand skin defects.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46304507","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

Commentary: Evaluation of Breast Animation Deformity following Pre- and Subpectoral Direct-to-Implant Breast Reconstruction: A Randomized Controlled Trial. 评论：胸骨前和胸骨下直接植入乳房重建术后乳房动画畸形的评估：随机对照试验。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-02-22 eCollection Date: 2022-09-01 DOI: 10.1055/s-0043-1777254

Diana L Dyrberg, Camilla Bille, Vibeke Koudahl, Oke Gerke, Jens A Sørensen, Jørn B Thomsen

引用次数: 0

Commentary: Reconstruction of Pharyngolaryngeal Defects with the Ileocolon Free Flap: A Comprehensive Review and How to Optimize Outcomes. 评论：用回结肠游离皮瓣重建咽喉缺损：全面回顾与如何优化结果。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-02-22 eCollection Date: 2022-05-01 DOI: 10.1055/s-0043-1777252

Joseph M Escandón, Eric Santamaría, Peter A Prieto, Daniela Duarte-Bateman, Pedro Ciudad, Megan Pencek, Howard N Langstein, Hung-Chi Chen, Oscar J Manrique

引用次数: 0