The treatment of sternal wound infection by internal fixation of sternum with titanium plate after cardiac surgery / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the internal fixation of sternum with titanium plate for the treatment of sternal wound infection after cardiac surgery.</p><p><b>METHODS</b>A retrospective study of 26 patients from Jan 2009 to Dec 2011 was carried out. All the 26 cases with sternal wounds infection after cardiac surgery, were treated by internal fixation with titanium plates.</p><p><b>RESULTS</b>All the patients had chronic infection, lasting for more than 3 months. 3 patients received vacuum-assisted closure treatment after complete debridement. All the wounds were covered with pectoral major muscle flap. All the wounds healed completely with no recurrence of infection.</p><p><b>CONCLUSIONS</b>Internal fixation of sternum with titanium plate can increase the stability. It helps to improve the treatment efficacy of sternal wound infection after cardiac surgery.</p>

Plastic surgery after solid organ transplantations / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>More patients receive organ transplantation surgeries due to the advancement in immunosuppressive agents and surgical techniques. Some of those patients may need to undergo plastic or reconstructive surgery. Long-term use of immunosuppressive agents raises some serious problems. Therefore, this study aimed to introduce our experience about the safety and effectiveness of plastic surgeries after solid organ allograft transplantation.</p><p><b>METHODS</b>A retrospective review of 17 transplant recipients who underwent different reconstructive or cosmetic operations was carried out. The subjects included 1 heart transplant, 1 liver transplant and 15 kidney transplant recipients.</p><p><b>RESULTS</b>All patients tolerated the plastic surgery procedures well. Flaps and skin grafts were the main constructive methods. There were no postoperative infections and wound dehiscence. Transferred flaps survived completely. Skin grafts took well. Three of the cosmetic surgery patients were satisfied with the results.</p><p><b>CONCLUSIONS</b>Immunosuppressed organ transplant recipients can successfully undergo major reconstructive and cosmetic surgery when given special attention.</p>

Vertical reduction mammaplasty with wide superior pedicle / 中华整形外科杂志

<p><b>OBJECTIVE</b>To report the reduction mammaplasty with vertical incision and superior wide pedicle.</p><p><b>METHODS</b>Typical Lejour mosque-dome design was performed. The inferior part of glandular tissue and skin were excised. The nipple-and-areola complex (NAC) was elevated to normal position with superior wide pedicle. The breast morphology was modified with vertical scar left.</p><p><b>RESULTS</b>46 patients were treated. 4 patients had unilateral breast reduction. 14 breasts had wound dehiscence. 3 breasts received debridement, others were treated conservatively with dressings. No complete NAC necrosis occurred.</p><p><b>CONCLUSIONS</b>The reduction mammaplasty with vertical incision and superior wide pedicle is a safe and effective method with a low risk of NAC necrosis.</p>