Acta chirurgiae plasticae最新文献

{"title":"The evolution of maxillofacial surgery in Slovakia - a legacy of excellence and innovation.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 4","pages":"145-146"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double right triangular shape full-thickness skin grafts technique for short rectangular or square shape donor site defect - original method with a case report.","authors":"A Kosiyatrakul, S Luenam","doi":"10.48095/ccachp202424","DOIUrl":"10.48095/ccachp202424","url":null,"abstract":"<p><p>Full-thickness skin grafts are essential tools for reconstructive surgery. Rectangular or square secondary defect usually occurs after performing a cross-finger flap or homodigital island flap. With the traditional fusiform ellipse design, trimming out excess graft tissue is necessary. Double right triangular shape full-thickness skin grafts are designed to correct the problem.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 1","pages":"24-26"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140846734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The top 10 AI tools for academic surgeons right now.","authors":"M Kadhum, N Cereceda-Monteoliva, A Hagiga","doi":"10.48095/ccachp202439","DOIUrl":"https://doi.org/10.48095/ccachp202439","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 1","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pedicled TFL flap for metastatic penile cancer reconstruction -  a case series.","authors":"B Kawilarang, A R R Hariantana Hamid, I G Putu Hendra Sanjaya","doi":"10.48095/ccachp2024172","DOIUrl":"https://doi.org/10.48095/ccachp2024172","url":null,"abstract":"<p><strong>Background: </strong>Penile cancer patients with advanced metastatic disease in the inguinal region present a therapeutic challenge. This study assesses the long-term viability of tensor fascia lata (TFL) flap for inguinal reconstruction after inguinal lymphadenectomy in metastatic penile cancer patients.</p><p><strong>Material and methods: </strong>We herein report eight cases of advanced penile cancer utilizing a TFL flap for reconstructing defects in the inguinal region. Demographic characteristics, perioperative findings and outcome of the patients were evaluated.</p><p><strong>Results: </strong>Patients were followed up for 1-35 months. The mean age of patients included in this study was 58.75 years. Six out of eight patients had a favorable prognosis. The strong vascularity of the TFL flap enables excellent coverage, which can reduce the rate of ischemia and necrosis of the flap. No serious complications occurred in all cases during the perioperative period. One patient developed partial flap necrosis, which required debridement, whereas one patient underwent distal wound dehiscence which resolved with routine wound care.</p><p><strong>Conclusions: </strong>Our experience demonstrates the versatility and effectiveness of the TFL flap in addressing reconstruction of defects following inguinal lymph node dissection among patients with advanced penile cancer.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 4","pages":"172-177"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstruction of the metacarpophalangeal volar plate with the A1 pulley and 11 cases of proximal interphalangeal/metacarpophalangeal volar plate injuries in adolescent age.","authors":"R Bánsky, M Krayinina, J Olexík, S Estergályos","doi":"10.48095/ccachp2024160","DOIUrl":"https://doi.org/10.48095/ccachp2024160","url":null,"abstract":"<p><p>Finger injuries involving the proximal interphalangeal joint (PIPJ) plate are common, but injuries involving the metacarpophalangeal joint (MCPJ) plate are rare. Injury severity is often underappreciated as a \"jammed finger\". Delayed diagnosis and treatment can have an essential impact on regaining full function. From 2010 to 2021, we dealt with a total of twelve cases of volar plate lesions, eight boys and four girls, from 13 to 16 years of age, eight of them were treated surgically, two with dorsal pinning and two with dorsal block splinting. No significant differences between the patients treated conservatively and operatively were found concerning treatment duration, required physiotherapy and total active motion. No patient developed palmar joint instability, and a painless, stable joint and full grip function was achieved. Surgical treatment of the volar plate injuries is indicated in the case of joint instability, subluxation, persistent swelling, limited range of motion or the presence of dislocation of a bone fragment grade 3-4. Conservative treatment for cases with small or no fragment dislocation is recommended. Untreated volar plate injuries can lead to permanent loss of function, inadequate treatment leads to persistent swelling, instability, and limited range of motion, which are difficult to treat.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 4","pages":"160-166"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Registrar-to-registrar insights - essential tips for aspiring microsurgeons on early independent DIEP flap reconstructions.","authors":"M De Fré, A Khan, T Nanidis, F Ruccia","doi":"10.48095/ccachp2024134","DOIUrl":"https://doi.org/10.48095/ccachp2024134","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 3","pages":"134-135"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of exposed tibial bone by old school burr holes - a case report.","authors":"C Arkaz, W Van Damme, G Peeters","doi":"10.48095/ccachp2024127","DOIUrl":"10.48095/ccachp2024127","url":null,"abstract":"<p><strong>Background: </strong>We report a successful wound treatment of a chronic ulcer with bone exposure using a somehow forgotten technique of creating burr holes into the bone. Most clinics would promote flap surgery to cover wounds with bone exposure, however, in some cases invasive surgery is not mandatory. We bring up an alternative treatment for such cases.</p><p><strong>Case: </strong>We report a case of chronic ulcers on both lower extremities in a 43-year-old Caucasian male. He suffers from a leukocytoclastic vasculitis and sarcoidosis which is medicated by immunosuppressive medication. The patient's wounds were initially treated with mechanical debridement and split-thickness skin grafts, however, his wounds tended to worsen the more they were manipulated and finally resulted in tibial bone exposure. After levelling up his immune suppressive drugs, the wounds finally stabilized but didn't heal after several weeks of follow-up. The wound was ultimately treated by placing burr holes in the underlying cortical bone.</p><p><strong>Conclusion: </strong>Chronic ulcers with bone exposure at the lower leg are challenging to treat. They often require local or free flap surgery. In some cases, because of underlying systemic disease, it is mandatory to stay away from invasive flap surgery. With this case, we like to put under attention an old technique of decorticating the exposed bone to promote secondary wound healing. It has been described mainly for scalp injuries, however, we have proven the viability of this technique for pretibial wounds as well.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 3","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reports on vascular catheter-associated thromboembolic events in a burn unit - a gap in the literature?","authors":"M Jarnalo, P Videira Reis, R Horta","doi":"10.48095/ccachp202431","DOIUrl":"10.48095/ccachp202431","url":null,"abstract":"<p><p>Indwelling intravascular catheters are important tools in the care of critically ill patients; however, they have an inherent risk of infection or thromboembolic events. Reports on catheter associated thromboembolic events in burn units are rare, despite being well recognized that burn patients bear an increased baseline risk for thromboembolic events. We describe two catheter-associated thromboembolic complications in burn patients in a burn unit and the morbidity associated with these events. Patients with endovascular catheters in burn units may be at increased risk for severe thromboembolic events associated with intravascular catheters, but specific guidelines for prevention and management of these patients are still missing.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 1","pages":"31-33"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pedicled myocutaneous trapezius flap for chronic osteomyelitis of the spinous processes - a case report.","authors":"P Vodička, V Mařík","doi":"10.48095/ccachp2024124","DOIUrl":"10.48095/ccachp2024124","url":null,"abstract":"<p><p>Complex injuries to the posterior trunk can still pose a significant challenge to the reconstructive surgeon. Due to the lack of skin laxity, dependent anatomical location and the importance of the deeper structures, a systematic approach tailored to the individual defect should be considered for these types of reconstructions. In our case report, we present a reconstructive solution of a chronic defect of the back caused by resection of an ulceration. What was previously considered to be a relapse of a malignant melanoma turned out to be a chronic osteomyelitis of the spinous processes of the thoracic vertebrae. The defect after the resection of the ulceration and infected spinous processes of the thoracic vertebrae with exposed dorsal lamina was covered with pedicled myocutaneous flap. Reconstruction yielded well-vascularized tissue that provided sufficient volume and tissue quality. Even in the light of modern perforator flaps, local or locoregional muscle and myocutaneous flaps remain the first choice for the treatment of deep back defects. Considering all the factors in the given case, plastic surgeons are able to tailor the reconstructive technique to every individual case to match the desired reconstruction goal.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 3","pages":"124-126"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic allopurinol administration reduces malondialdehyde, interleukin 6, tumor necrosis factor α, and increases vascular endothelial growth factor in random flap Wistar rats exposed to nicotine.","authors":"I Gitaswari, A R R H Hamid, I G P H Sanjaya, G W Samsarga, A A W Lestari, I W Niryana, I M Darmajaya","doi":"10.48095/ccachp202460","DOIUrl":"10.48095/ccachp202460","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking poses a risk to flap viability, with nicotine being a major contributor to the formation of free radicals. Allopurinol, known for its antioxidant properties, has been shown to enhance tissue survival in ischemic conditions by reducing the production of reactive oxygen species (ROS). This study aims to assess the impact of allopurinol on the viability and success of skin flaps in Wistar rats exposed to nicotine.</p><p><strong>Methods: </strong>This study examined skin flap survival in nicotine-exposed rats treated with allopurinol. Twenty-eight rats were separated into two groups. During 1 month of nicotine exposure, the treatment group received systemic allopurinol 7 days before and 2 days after the flap procedure, while the control group received no allopurinol. Pro-angiogenic factors, proinflammatory factors, anti-inflammatory factors, and oxidative markers were assessed on the 7th day after the flap procedure using enzyme-linked immunosorbent assay method. Macroscopic flap viability was evaluated on the 7th day using Image J photos.</p><p><strong>Results: </strong>As an oxidative marker, malondialdehyde levels were significantly lower in rats given allopurinol than in controls (P &lt; 0.001). The levels of interleukin 6 and tumor necrosis factor α, as markers of inflammatory factors, were significantly lower in the group of rats given allopurinol compared to controls (P &lt; 0.001). The level of angiogenesis in rats given allopurinol, measured by vascular endothelial growth factor levels, was also higher in the treatment group compared to controls (P &lt; 0.001). Macroscopically, the percentage of distal flap necrosis in Wistar rats given allopurinol was lower and statistically significant compared to controls (P &lt; 0.001).</p><p><strong>Conclusions: </strong>Xanthine oxidoreductase is part of a group of enzymes involved in reactions that produce ROS. Allopurinol, as an effective inhibitor of the xanthine oxidase enzyme, can reduce oxidative stress by decreasing the formation of ROS. This reduction in oxidative stress mitigates the risk of ischemic-reperfusion injury effects and significantly increases the viability of Wistar rat flaps exposed to nicotine.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 2","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142034923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}