Scand J Plast Recons
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Scand J Plast Recons · Jan 2002
Case ReportsBasal cell carcinoma of the penis and scrotum with cutaneous metastases.
A 75-year-old man presented with a multicentric basal cell carcinoma (BCC) of the penis and scrotum with skin metastases. The lesion was large, affecting the whole shaft, the scrotum, and the public and inguinal areas. ⋯ This site is extremely rare (we know of 24 cases described) but seems to metastasis widely. Surgery is the best treatment option in these cases, and must be aggressive, considering the particular biological behaviour of BCC of the genital region.
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Scand J Plast Recons · Jan 2002
Comparative StudyLocally-applied collagenase and regeneration of transsected and repaired rat sciatic nerves.
The possible effects of collagenase on peripheral nerve regeneration were evaluated after epineurial repair of rat sciatic nerves. In the control group the repair site was covered by fibrin adhesive and infused with isotonic saline and in the experimental group collagenase was infused into the fibrin adhesive. ⋯ There were no significant differences between the two groups in either the short or long term. We conclude that locally-applied collagenase had no effect on peripheral nerve regeneration.
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Scand J Plast Recons · Jan 2002
Intraoperative expansion of skin around large congenital naevi with foley catheter balloons: 11 new cases.
Tissue expansion allows reconstruction of large cutaneous defects with adjacent skin, similar in appearance and type, without using skin grafts or multiple, regional, distant, or microsurgical flaps. Conventional expansion produces a greater increase in surface and length than intraoperative expansion, but it has several disadvantages and should be reserved for closing problematic defects. There is considerable controversy about the relative effects of intraoperative expansion and undermining on the tensions of closing wounds, although immediate expansion is commonly used particularly in head and neck reconstruction. ⋯ We have chosen multiple Foley catheter balloons, because of their availability and low cost, to repair 11 limb defects after excision of large naevi. The wounds are easy to close, primarily, and postoperative results are good. Dark pigmentation scars are the most common possible complications.