Acta chirurgiae plasticae最新文献_第6页

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp202366

S Al-Benna

{"title":"Electrical burns in adults.","authors":"S Al-Benna","doi":"10.48095/ccachp202366","DOIUrl":"10.48095/ccachp202366","url":null,"abstract":"Introduction: Electrical burns account for up to 10% of burns admissions worldwide and are a potentially serious mechanism of injury. The aim of this study is to describe the epidemiology, presentation, management and complications of electrical burn injuries in adults.Material and methods: A retrospective study of all adult patients with electrical burns admitted to a tertiary burns centre.Results: Eighty-two cases were identified. The mean age was 40 ± 2 years, 92.7% were males. The most common activities causing the injuries were work (39%) and do-it yourself activities (32%). A low voltage (< 1,000 W) power source was involved in 78% of cases. The mean total body surface area involved was 3 ± 0.3%. The head, hands, and other upper extremities were the body parts most frequently injured. The mean hospital stay was 2 ± 1days.Conclusion: Electrical injury was an infrequent but potentially serious cause of injury in adults. Minor injuries were successfully managed non-operatively. Electrical burns in adults are mainly low voltage burns contracted by manual workers resulting in a flesh burn. Although rare, the loss of digits, neurological sequelae, cardiac arrhythmias and renal failure remain serious complications in a significant number of cases.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"65 2","pages":"66-69"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10311572","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}

引用次数: 0

Abdominal wall reconstruction for extensive necrosis following abdominoplasty in a patient with subcostal scars - case report. 肋下疤痕患者腹部整形术后广泛坏死的腹壁重建 - 病例报告。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp2023155

Horacio F. Mayer, René M. Palacios Huatuco, Tatiana Ruffa, Hernán A. Aguilar

{"title":"Abdominal wall reconstruction for extensive necrosis following abdominoplasty in a patient with subcostal scars - case report.","authors":"Horacio F. Mayer, René M. Palacios Huatuco, Tatiana Ruffa, Hernán A. Aguilar","doi":"10.48095/ccachp2023155","DOIUrl":"10.48095/ccachp2023155","url":null,"abstract":"Abdominal wall defects encompass a broad spectrum of musculo-fasciocutaneous anomalies. We present case of a 42-year-old woman with a history of multimorbidity and bilateral subcostal scars. The patient underwent incisional ventral hernia repair and abdominoplasty performed by a general surgeon at another institution. However, she developed extensive necrosis of the cutaneous-fatty panniculus between the bilateral subcostal incisions and the abdominoplasty incision. The patient presented with a medial area of 50 × 60 cm with loss of soft tissue vitality and necrotic plaques. Tangential escharotomies were performed to remove devitalized tissue, and management of the open wound included hydrocolloid and alginate dressings. Finally, a defect of 45 × 40 cm was achieved. Three tissue expanders were used to reconstruct the abdominal wall, allowing sufficient adjacent autologous tissue to be harvested for definitive correction of the abdominal defect. An acceptable aesthetic result was observed 5 years after surgery. This report highlights the importance of adequate evaluation of the previously scarred abdominal wall prior to abdominoplasty.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"65 3-4","pages":"155-159"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140304353","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}

引用次数: 0

3D color doppler ultrasound for postoperative monitoring of vascularized lymph node flaps. 三维彩色多普勒超声用于血管化淋巴结皮瓣术后监测。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp2022116

Jonas F, Alejandro D P K, Kesa P, Lambert L, Burgetova A, Sefc L, Mestak O, Ticha P

{"title":"3D color doppler ultrasound for postoperative monitoring of vascularized lymph node flaps.","authors":"Jonas F, Alejandro D P K, Kesa P, Lambert L, Burgetova A, Sefc L, Mestak O, Ticha P","doi":"10.48095/ccachp2022116","DOIUrl":"10.48095/ccachp2022116","url":null,"abstract":"Background: Vascularized lymph node transfer (VLNT) is a relatively well-established microsurgical treatment for lymphedema that is especially beneficial for advanced cases in which lymphovenous anastomosis is not indicated due to lymphatic vessel sclerosis. When VLNT is performed without a skin paddle, such as a buried flap, the possibilities for postoperative monitoring are limited. The aim of our study was to evaluate the use of ultra-high-frequency color Doppler ultrasound with 3D reconstruction in a pedicled axillary lymph node flap.Methods: Flaps were elevated in 15 Wistar rats based on the lateral thoracic vessels. We preserved the axillary vessels to maintain the rats' mobility and comfort. The rats were divided into three groups as follows: Group A, arterial ischemia; group B, venous occlusion; and group C, healthy.Results: Ultrasound and color Doppler scan images revealed clear information on flap morphology changes and pathology if it was present. Surprisingly, we detected venous flow in group A rats, supporting the pump theory and venous lymph node flap concept.Conclusion: We conclude that 3D color Doppler ultrasound is an effective method for monitoring buried lymph node flaps. 3D reconstruction makes it easier to visualize the flap anatomy and detect pathology if it is present. Moreover, the learning curve for the technique is short. Our setup is user-friendly even in the inexperienced hands of a surgical resident, and images can be reevaluated at any time if necessary. The use of 3D reconstruction removes the complications associated with observer-dependent monitoring of VLNT.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"64 3-4","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222157","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}

引用次数: 0

In memoriam. 为纪念。

Acta chirurgiae plasticae Pub Date : 2023-01-01

引用次数: 0

Clinical outcomes of absorbable plates (hydroxyapatite-poly-l-lactide composites) for phalangeal fractures - case reports. 可吸收钢板(羟基磷灰石-聚l-丙交酯复合材料)治疗指骨骨折的临床效果-病例报告。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp202337

I Nagura, T Kanatani, A Inui, Y Mifune, R Kuroda, S Lucchina

引用次数: 0

Outcome measurement in hand surgery - a brief overview. 手外科手术的结果测量-简要概述。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp202359

M Vlach

引用次数: 0

Adult orbital xanthogranuloma - a case report. 成人眼眶黄色肉芽肿1例。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp2022139

Rashidov E, Babakalanova M, Molitor M, Špůrková Z

引用次数: 0

Role of perforator flaps in leg and foot reconstruction. 穿支皮瓣在腿足重建中的作用。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp202320

T A El-Gammal, Y S Hassan, T Raief, M Elyounsi, M Adel

{"title":"Role of perforator flaps in leg and foot reconstruction.","authors":"T A El-Gammal, Y S Hassan, T Raief, M Elyounsi, M Adel","doi":"10.48095/ccachp202320","DOIUrl":"https://doi.org/10.48095/ccachp202320","url":null,"abstract":"Introduction: Lower extremity wounds have always been a challenge for the reconstructive surgeons. Free perforator flaps are considered to be the best option for this problem but require the complexity of microsurgery. So, pedicled perforator flaps have emerged as an alternative option.Patients and methods: Prospective study was conducted in 40 patients with traumatic soft tissue defects in the leg and foot. The free flaps included the anterolateral thigh flap (ALT) and medial sural artery perforator flap (MSAP). In pedicled perforator flaps group, 10 cases were designed as propeller flaps while the other 10 flaps were designed as perforator plus flaps.Results: Free flaps were mainly used for large-sized defects; we had one case of partial flap loss and one case of complete flap necrosis. MSAP flap was the first option for coverage of large-sized defects on foot and ankle as it is a thin and pliable flap, while ALT flap was used for coverage of larger defects on the leg. Pedicled perforator flaps were used mainly for small to medium-sized defects, especially in the lower third of the leg; we had three cases of flap loss in propeller flap design while we had no cases of flap loss in perforator plus flap.Conclusion: Perforator flaps have become a reasonable solution for soft tissue defects of the lower extremity. Careful assessment of the dimensions, location, patient comorbidities, availability of surrounding soft tissue and presence of adequate perforators are mandatory for proper perforator flap selection.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"65 1","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9873558","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}

引用次数: 0

Roman Bánsky (ed.): Clefts. 罗曼·巴恩斯基（编）：《裂缝》。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp202385

引用次数: 0

Data on paediatric burn mortality from a single centre over 32 years. 一个中心32年来的儿科烧伤死亡率数据。

Acta chirurgiae plasticae Pub Date : 2023-01-01 DOI: 10.48095/ccachp202384

J Bartková, B Lipový

引用次数: 0