Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Jul 2009
Case ReportsBuffalo hump in HIV patients: surgical management with liposuction.
Although lipohypertrophy has been reported in as many as 41% of patients with HIV, buffalo hump or cervical lipomatosis has been reported in only 1-2% of patients. There is no definitive medical treatment for this disabling condition. Few case series describing the role of liposuction in buffalo lump treatment have been published, with variable short-term and long-term results. We describe our experience in two patients, with a brief review of the literature.
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Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting. ⋯ The lack of correlations suggests that illness perceptions of patients do not necessarily relate to the recent trauma experience or the severity of their hand injury. Patients in this cohort were optimistic about treatment and their recovery. There was some evidence to suggest that patients with severe injury were over-optimistic about recovery. These findings suggest that there could be a role for psychological intervention in hand injury.
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J Plast Reconstr Aesthet Surg · Jul 2009
Comparative StudyA comparison of pretreatment with a topical combination of nonivamide and nicoboxil and surgical delay in a random pattern skin flap model.
Delay procedures are intended to increase flap safety in otherwise risky flaps. In general they are of surgical nature, making an additional operation necessary. To overcome this drawback, non-surgical alternatives that may be as effective as the surgical procedure are constantly sought. ⋯ Additionally, there was a significant increase in skin flap viability between the chemical group and the control group (mean percentage of viable skin flap area in surgical delay group, 80.9+/-15.6; nonivamide/nicoboxil pre-treated group, 71.8+/-4.9; control group, 60.7+/-2.1; p<0.05). Although not as effective as the surgical delay procedure, the topical combination of nicoboxil and nonivamide proved to be of significant value in order to ameliorate ischemic necrosis in experimental skin flaps. Due to its ease and safety in application, this ointment may prove clinically useful in selected situations, especially when combined with an additional postoperative treatment.