Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · May 2005
Microvascular free flap reconstruction in pediatric lower extremity trauma: a 10-year review.
Limb-threatening wounds of the adult distal lower extremity pose a challenge to the microvascular surgeon and are the subject of a sizable body of literature. The microsurgical management of these injuries in the pediatric population has some unique features but has not previously been the subject of a separate study. ⋯ There is a significant role for the microvascular surgeon in the management of limb-threatening injuries in children. If the unique features of this population are taken into consideration, a high rate of limb salvage and good function can be expected.
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The safety and efficiency of liposuction have been proven in several studies, but little attention has been paid to postoperative pain. The present study was designed to determine the demand for analgesic agents used postoperatively after liposuction. ⋯ This study gives clear proof that liposuction is a relatively painless procedure, and 48.2 percent off all liposuction patients do not need any pain medication at all. If they do need analgesic agents postoperatively, in most cases, analgesic therapy is sufficient with oral pain medication such as paracetamol or tramadol. In addition, patients can be reassured that merely 1 week after the operation very few patients complain of pain, and they can return to normal life without any complications concerning pain.