ABSTRACT
<p><b>OBJECTIVE</b>To investigate the feasibility of immediate breast and nipple-areola reconstruction after skin-sparing mastectomy.</p><p><b>METHODS</b>24 patients who received skin-sparing mastectomy underwent immediate breast reconstruction with or without breast implants. The nipple-areola complex is also reconstructed with the skin paddle of the latissimus dorsi flap in one stage.</p><p><b>RESULTS</b>All the latissimus dorsi myocutaneous flaps survived completely. Partial necrosis happened in two reconstructed nipples which healed after dress changing. The follow-up period ranged from 6 to 12 months. 3 patients presented with capsular contracture (Baker I), with no necessary of surgical revision. The retraction rate of reconstructed nipples projection is 35.4% at 6 months postoperatively and 38.6% at 12 months postoperatively. 91.7% of patients were satisfied or very satisfied with the breast shape, while 83.3% were satisfied or very satisfied with the breast volume. All the patients considered the reconstructed nipple very good, while 91.6% were satisfied with the nipple projection. 91.7% considered immediate nipple reconstruction to be very important, and 8.3% considered it to be important. 66.7% considered the new breast could replace the breast they had lost, and 8.3% considered that it could not.</p><p><b>CONCLUSION</b>For skin-sparing mastectomy, immediate breast and nipple reconstruction can achieve good aesthetic results.</p>
Subject(s)
Female , Humans , Breast Neoplasms , General Surgery , Esthetics , Mammaplasty , Methods , Psychology , Myocutaneous Flap , Transplantation , Nipples , General Surgery , Superficial Back Muscles , TransplantationABSTRACT
Objective To evaluate the preliminary outcome of stable vitiligo treatment with ReCell(R )technique.Methods Six patients with stable vitiligo were treated with ReCell(R ) technique.In each patient,a thin razor-thickness cutaneous biopsy was harvested from uninvolved area near the vitiligo patches.It was then processed through the ReCell(R ) system and 1 ml autologous epidermal cell suspension was obtained.The lesion area was dermabraded using a diamond fraise wheel to the dermoepidermal junction.The cell suspension was then sprayed on the wound and covered with non-adhering dressings.Results The patients were followed up for 6 months.5 patients presented with repigmentaion in the treated area.There was no significant response in one patient who was diagnosed as systematic vitiligo.Conclusions The ReCell(R ) technique is an alternative treatment for stable vitiligo patients.The clinical outcome will be satisfactory when appropriate patients are selected.
ABSTRACT
OBJECTIVE:To observe the clinical efficacy of the formula granula of Siwu decoction for pubertal dysfunctional uterine bleeding.METHODS:A total of 204 pubertal dysfunctional uterine bleeding cases were randomly assigned to receive formula granula of Siwu decoction(n=109,trial group) or western medicine(n=95,control group).RESULTS:The trial group showed higher total effective rate than in the control group,showing significant differences between the two groups(P