Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Nov 2015
Thumb reconstruction via a pedicled flap based on the superficial palmar branch of the radial artery from the wrist crease area.
The free flap based on the superficial palmar branch of the radial artery (SPBRA) has been extensively reported. A reversed pedicled flap based on the SPBRA, harvested from the wrist crease area, can be a potential candidate for the reconstruction of the soft-tissue and artery defects in the thumb. ⋯ The reverse island flap based on the SPBRA is feasible for soft-tissue defects and establishing blood circulation in the thumb. The donor site can be closed primarily, and the scar is inconspicuous in the wrist crease.
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J Plast Reconstr Aesthet Surg · Oct 2015
Randomized Controlled TrialOutcome in body-contouring surgery after massive weight loss: A prospective matched single-blind study.
Body-contouring (BC) procedures after massive weight loss (MWL) are extensive and numerous. Currently, inconsistent data exist regarding quality-of-life (QoL) scales, and long-term analysis is lacking. The aim of this study was to investigate the long-term outcome of patients who elect to have BC procedures after MWL. ⋯ BC procedures lead to high and durable patient satisfaction. However, the appropriate management of expectations before surgery is mandatory.
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J Plast Reconstr Aesthet Surg · Oct 2015
Functional and aesthetic outcomes of the fingertips after nail lengthening using the eponychial flap.
Eponychial flap technique is able to lengthen the visible nail and allow the preservation of the nail complex following fingertip amputations with nail bed involvement. The study assessed the functional and aesthetic outcomes of the reconstructed fingertips using the eponychial flap. ⋯ The eponychial flap is a simple and safe technique that can restore the functional and aesthetic fingertip in selected distal phalanx amputations. The aesthetics, pinch power, and patient satisfaction are significantly better with fingernail preservation and elongation using the eponychial flap.
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J Plast Reconstr Aesthet Surg · Oct 2015
Parallel pocket incision: Less invasive surgical intervention for the treatment of intractable pressure ulcer with wound edge undermining.
The treatment of deep pressure ulcer with a wide wound edge undermining (pocket) is challenging, especially when conservative treatments are ineffective. As most patients with a pressure ulcer suffer from systemic comorbidities, invasive surgery cannot be performed on all patients, and less invasive treatment is required. ⋯ PPI is a simple, technically easy, and less invasive surgical intervention to an intractable pressure ulcer with a pocket, which can be safely performed under local infiltration anesthesia even on a patient with severe systemic comorbidities.