Aesthetic plastic surgery
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Aesthetic plastic surgery · Jul 2003
Multicenter Study Comparative StudyComparison of the incidence and predicted risk of early surgical site infections after breast reduction.
In plastic surgery, clean, elective operations such as breast reductions are anticipated to have low risk factors for infections (1.1-2.1%). To further lower or prevent surgical site infections (SSI), the efficacy of a prophylactic administration of anti-microbacterials remains a current controversial issue in plastic surgery. We report here the findings of a retrospective study in which we examined two groups of patients with breast reductions, one of which received a single-shot antimicrobacterial prophylaxis with cefuroxime preoperatively and the other who were given no anti-microbacterials. ⋯ According to the SENIC score, breast reductions can be classified also as medium risk of SSI with a predicted risk of 3.9%, which showed a nearly perfect correspondence with the actual SSI incidence in both study groups. The reason for this increased, medium risk is the factor "operation time > 2 h," which is obviously an inherent risk factor in breast reductions. Among the multitude of patient and nonpatient SSI risk factors, in healthy women operation time was the only factor which could be clearly identified.
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Aesthetic plastic surgery · Jul 2003
Comparative Study Clinical Trial Controlled Clinical TrialIce application to minimize pain in the split-thickness skin graft donor site.
Reconstruction of tissue defects with skin grafts is one of the most used processes in soft tissue defects. While any part of the body can be used as a donor site of split-thickness skin grafts, the posterolateral thigh is the most used one. Pain in the graft donor site may be the primary concern of patients in the postoperative period. ⋯ The mean pain scores in the graft donor site were found to be quite low in patients in the group with ice application (p < 0.05). No significant difference was determined between the two groups when their pain scales were compared on the fourth and the fifth days (p > 0.05). Ice can be safely used in patients for whom donor site pain is the primary concern, with advantages such as ease of application, low cost (almost free), and a significant decrease in pain in the donor site.
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Aesthetic plastic surgery · Jul 2003
Case ReportsAugmentation mammaplasty for mammarial hypotrophy and ptosis in a patient with ichthyosis.
A 30-year-old female with mammarial hypotrophy was diagnosed with non-bullous congenital ichthyosiform erythroderma (NBCIE) with dermatologic evaluation. Her mammarial hypotrophy and ptosis was corrected with a breast implant. Although there is a tendency to skin infections and increased skin fragility in the ichthyotic patients, breast augmentation with silicone prosthesis is well-tolerated by the patient.
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Aesthetic plastic surgery · Jul 2003
Case ReportsAtypical pyoderma gangrenosum after breast reduction.
Although rare, pyoderma gangrenosum (PG) occurs as one of the worst local complications following plastic surgery to the breast. The early manifestations are similar to a necrotizing wound infection, so diagnosis and correct management are often delayed. Failure of response to the aggressive treatment strategies needed for necrotizing wound infections and the phenomenon of pathergy will often raise the clinical suspicion of PG. ⋯ Smaller defects are best left to heal by secondary intention, as pathergy can reactivate the syndrome and cause an even larger skin wound. Larger defects are repaired with skin grafts or flaps. We report a case of atypical (bullous) PG in a healthy 57 year-old white woman following reduction mammaplasty.