Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Oct 2013
Clinical TrialTreatment of keloids and hypertrophic scars with bleomycin and electroporation.
Keloids and hypertrophic scars are the result of abnormal healing responses and dermal tissue proliferation; current surgical procedures can give rise to exuberant scarring and permanent functional loss or disfigurement. Considering the promising results reported when treating keloids and hypertrophic scars with intralesional bleomycin injection and the enhanced effect of bleomycin when combined with electroporation, the authors hypothesized that electrochemotherapy should be used to treat keloids and hypertrophic scars when other treatments have failed. ⋯ Therapeutic, IV.
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Plast. Reconstr. Surg. · Oct 2013
Autologous immediate cranioplasty with vascularized bone in high-risk composite cranial defects.
Composite cranial defects in the setting of infection, irradiation, or cerebrospinal fluid leak present a significant risk for devastating neurologic sequelae. Such defects require soft-tissue coverage and skeletal reconstruction that can withstand the hostile environment of a precarious wound. ⋯ Therapeutic, IV.
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Plast. Reconstr. Surg. · Oct 2013
The role of chronic and perioperative glucose management in high-risk surgical closures: a case for tighter glycemic control.
The exact risk that poor glucose control introduces to patients undergoing surgical closure has yet to be fully defined. ⋯ Risk, II.
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Plast. Reconstr. Surg. · Oct 2013
Plastic surgery improves long-term weight control after bariatric surgery.
The positive impact of Roux-en-Y gastric bypass on weight, comorbidities, and health-related quality of life is well documented. However, 50 percent of patients regain some of the lost weight after 2 years with Roux-en-Y gastric bypass and present a mean weight regain of 10 to 15 percent after several years, partially losing the previously obtained benefits. The authors hypothesize that body contouring could decrease weight regain, leading to better long-term weight control after Roux-en-Y gastric bypass. ⋯ Therapeutic, III.
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Plast. Reconstr. Surg. · Oct 2013
Clinical factors associated with replantation after traumatic major upper extremity amputation.
Little knowledge exists concerning replantation following traumatic major upper extremity amputation. This study characterizes the injury patterns and outcomes of patients suffering major upper extremity amputation and ascertains clinical factors associated with the decision to attempt replantation. ⋯ Risk, III.