Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Feb 1979
Repairs in the lower abdomen, groin, or perineum with myocutaneous or omental flaps.
Our experiences with omental and myocutaneous flaps for the closure of the lower abdomen, groin, and perineum are outlined. The relative advantages and disadvantages of the various flaps are discussed.
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Plast. Reconstr. Surg. · Oct 1978
Case ReportsUse of a cross-forearm neurocutaneous flap to provide sensation and coverage in hand reconstruction.
A cross-forearm, neurocutaneous flap has been used in certain clinical situations to restore coverage and sensation over hand defects. Based on the superficial branch of the radial nerve, this flap provides a combination of handlike skin and subcutaneous tissue with sensation, which can be transferred. A fascicular neurorrhaphy between the superficial branch of the radial nerve and an appropriate recipient nerve stump has resulted in new epicritic sensation in the reconstructed area.
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Plast. Reconstr. Surg. · Sep 1978
Case ReportsForeign-body reaction to silicone gel in axillary lymph nodes after an augmentation mammaplasty.
A radical mastectomy was performed for a breast adenocarcinoma occurring 10 years after a subpectoral augmentation mammaplasty with silicone gel-filled prostheses. A foreign-body reaction to silicone was seen in two of the axillary lymph nodes resected.
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We recommend the use of one dose of physostigmine salicylate, a few minutes before the termination of a general anesthetic, to prevent confusion, struggling, disorientation, or delirium during the recovery from anesthesia. We believe that it is well to prevent such behavior, particularly in patients who have just undergone reconstructive surgery where the unmanageable behavior could jeopardize surgical results. Our results indicate that such behavior is largely preventable.
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Plast. Reconstr. Surg. · May 1977
Biography Historical ArticleThe physician signers of the declaration of independence.