Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Dec 2011
Use of desmopressin for unremitting epistaxis following septorhinoplasty and turbinectomy.
Cauterization, nasal packing, and topical and/or injection of intranasal vasoconstrictors have been the mainstay of treatment for epistaxis following outpatient nasal surgery. In this study, the authors report the clinical outcomes in a cohort of patients with postoperative epistaxis managed with a single dose of intravenous desmopressin. ⋯ Unremitting postoperative epistaxis following outpatient nasal surgery can be successfully controlled by a protocol using intravenous desmopressin without the need for alternative maneuvers.
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Plast. Reconstr. Surg. · Dec 2011
Case ReportsEfficient design of split anterolateral thigh flap in extremity reconstruction.
Irregularly shaped and three-dimensional soft-tissue defects in the extremities are difficult to cover precisely and efficiently. One strategy is to use the anterolateral thigh flap with two perforators and split the flap into two subunits based on separate perforators. The subunits can be rearranged into various geometric configurations to cover defects with nonelliptical shapes. Such a strategy emphasizes harvesting an elliptical anterolateral thigh flap with a narrower width to allow for primary closure in most cases. This avoids the need for skin grafting and reduces donor-site morbidity. ⋯ Therapeutic, V.
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Plast. Reconstr. Surg. · Dec 2011
Editorial Biography Historical ArticleSo you want to be like Leonardo da Vinci or Michelangelo? Which one are you?
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Plast. Reconstr. Surg. · Nov 2011
Comparative StudyChanging practice: implementation of a venous thromboembolism prophylaxis protocol at an academic medical center.
The Institute of Medicine has identified a "quality chasm" between existing evidence and actual clinical practice. The Venous Thromboembolism Prevention Study has shown that enoxaparin prophylaxis is a safe and effective way of preventing postoperative venous thromboembolism. This article presents a "how-to" guide for implementation of a venous thromboembolism prophylaxis protocol. ⋯ This article provides readers with a practical approach for implementation of a venous thromboembolism prophylaxis protocol at their hospital.