Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Feb 2006
Comparative StudyComparison of elongations provided by subcutaneous pedicle rhomboid flap and Z-plasty in rat inguinal skin.
The most commonly used technique in the treatment of contracture bands is Z-plasty. The subcutaneous pedicle rhomboid flap is a relatively new flap whose efficiency in the treatment of wide or linear contractures with two or more contracture bands has been demonstrated. This experimental study was planned to compare the lengthening provided by the subcutaneous pedicle rhomboid flap with that provided by the Z-plasty. ⋯ The subcutaneous pedicle rhomboid flap technique is a more effective than Z-plasty in lengthening the tension lines in rat inguinal skin.
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Plast. Reconstr. Surg. · Feb 2006
A supermicrosurgical flap model in the rat: a free true abdominal perforator flap with a short pedicle.
Perforator flaps have recently gained considerable popularity in reconstructive surgery, and their importance and advantages over conventional flaps have been widely accepted. Given the improvements in microsurgical techniques, researchers have encouraged the search for further perforator flap sources, such as a perforator flap with a short pedicle only. The purpose of this study was to describe a true perforator flap model with a short vascular pedicle in the abdominal region in the rat. ⋯ Not only is the free abdominal perforator flap a reliable and true perforator flap model for future physiological, biological, and pharmacological studies, it is also an excellent self-controlled supermicrosurgical training model for learning proper techniques, meticulous intramuscular dissection of true perforator flaps, and anastomosis of small-caliber vessels.
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Plast. Reconstr. Surg. · Jan 2006
Cranioplasty with subcutaneously preserved autologous bone grafts.
The efficacy of reconstructing a cranial defect with the craniectomy bone graft (bone flap) banked in a subcutaneous pocket of the abdominal wall after emergency decompressive craniotomy was evaluated. ⋯ Subcutaneous storage preserves viability of portions of autogenous bone grafts. Cranioplasty performed with a subcutaneously preserved craniectomy graft has a low revision rate.
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Plast. Reconstr. Surg. · Jan 2006
Determining the optimal approach to breast reconstruction after partial mastectomy.
Unfortunately, patients who desire repair of contour deformities after partial mastectomy usually present after radiation therapy, which may increase the risk of complications and result in a poor aesthetic outcome. The authors reviewed their experience with repair of partial mastectomy defects to determine the optimal approach to breast reconstruction after partial mastectomy. ⋯ Immediate repair of partial mastectomy defects with local tissues results in a lower risk of complications and better aesthetic outcomes than immediate repair of partial mastectomy defects with a latissimus dorsi flap.