Scand J Plast Recons
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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.
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Scand J Plast Recons · Sep 2001
Randomized Controlled Trial Clinical TrialRole of pre-emptive analgesia in reduction mammaplasty.
Pre-emptive analgesia is an antinociceptive treatment that prevents altered central excitability from high intensity noxious stimuli. The aim of this study was to evaluate the efficacy of pre-emptive analgesia in patients due to have elective breast reduction that usually requires drugs for postoperative pain control. ⋯ Analgesic requirements were recorded. There was a statistically significant difference between groups in the amount of additional pain control required during the early postoperative period, which suggests that pre-emptive analgesia reduces pain after reduction mammaplasty.
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Scand J Plast Recons · Sep 2000
Case ReportsIsolated tuberculous tenosynovitis of the flexor tendon of the fourth finger of the hand. Case report.
A 21-year-old woman presented with a painful swelling of her palm which prevented her from fully extending her fourth finger. Magnetic resonance imaging showed synovial thickening around the flexor tendon and fluid in the tendon sheath. The mass was excised and histopathological examination showed tuberculosis. She had a six-month course of antituberculous treatment and was perfectly well three years later.
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We describe a way of achieving immediate painfree mobilisation after tenolysis or tenosynovectomy in Zone II. Bupivacaine is instilled along the flexor tendon sheath through a thin percutaneous catheter with an antibacterial filter.