ABSTRACT
OBJECTIVE: The aim of this study was to elucidate the external temporary skin plication (ETSP) technique in gynecomastia surgery and evaluate its role in mitigating complications and enhancing cosmetic outcomes. PATIENTS AND METHODS: This study was conducted on patients diagnosed with gynecomastia, explicitly falling under Rohrich Grades IIB and III, with dermal quality being a crucial determinant. Between September 2018 and November 2021, surgical interventions were performed on 96 qualifying patients by the senior author. The operative protocol consisted of ultrasonic and suction-assisted liposuction, supplemented by lateral periareolar piecemeal gland excision. Within the cohort, 42 patients were subjected to the novel ETSP technique. In contrast, the remaining 54 patients underwent standard treatment, serving as the control group for subsequent comparative assessment. RESULTS: One patient required revisions for contour irregularities, while partial nipple necrosis was observed in two patients but healed without surgical intervention. However, saucer-like deformity and total nipple necrosis were not observed in our series. The overall complication rate in our series was 19%, with 9.5% of cases requiring revision. In our control group, the overall complication rate in our series was found to be 22%, with 13% of cases requiring revision. CONCLUSIONS: ETSP provides a homogeneous spread of the excess skin and greatly reduces or eliminates the amount of skin fold formation. ETSP reduces the need for possible skin excision and reduces visible scars and incisions, and it helps improve the results of skin-protective surgeries that are widespread today.
Subject(s)
Gynecomastia , Lipectomy , Mammaplasty , Male , Humans , Gynecomastia/surgery , Lipectomy/methods , Cicatrix/surgery , Mammaplasty/methods , Necrosis/surgery , Retrospective Studies , Treatment OutcomeABSTRACT
UNLABELLED: This study aims to present a different technique for the closure of trocar sites in laparoscopic surgeries. MATERIALS AND METHODS: Retrospective records of cases who received the new closure technique were collected. Multifilament synthetic absorbable suture was used in this technique, with no additional tools. RESULTS: This technique was applied in a total of ten cases, which included myomectomy, hysterectomy, sacrocolpopexy, and ectopic pregnancy. No intraoperative and postoperative complications were seen in any of the cases. CONCLUSION: This new and relatively easy-to-use technique can be used as an alternative technique for the closure of trocar sites in laparoscopy.
Subject(s)
Abdominal Wound Closure Techniques , Hysterectomy/methods , Laparoscopy/methods , Uterine Myomectomy/methods , Female , Humans , Postoperative Complications , Pregnancy , Pregnancy, Ectopic/surgery , Retrospective Studies , Surgical Instruments , Sutures , Wound Closure TechniquesABSTRACT
Pseudoamniotic band syndrome is a rare iatrogenic complication of twin-to-twin transfusion syndrome treated with foetoscopic procedures. We report a severe pseudoamniotic band syndrome in the recipient monochorionic diamniotic twin pregnancy with twin-to-twin transfusion syndrome following a selective foeticide procedure. A male newborn with a severe circumferential amniotic band in the left leg was treated by single-stage excision of the ring and arterio-venous decompression. No complications were encountered. A microsurgical approach to improve the circulation together with ring excision may be useful in some cases.
Subject(s)
Amniotic Band Syndrome/diagnosis , Amniotic Band Syndrome/surgery , Fetofetal Transfusion/diagnosis , Fetofetal Transfusion/surgery , Fetoscopy , Infant, Premature, Diseases/diagnosis , Infant, Premature, Diseases/surgery , Limb Salvage/methods , Pregnancy Reduction, Multifetal , Pregnancy, Twin , Decompression, Surgical , Female , Foot/blood supply , Humans , Infant, Newborn , Ischemia/diagnosis , Ischemia/surgery , Leg/abnormalities , Leg/surgery , Male , Microsurgery , PregnancyABSTRACT
A 28-year-old man presented with a disproportionate enlargement of the fourth finger of the left hand since birth. This patient appeared to have a combination of lipofibromatous hamartoma and macrodystrophia lipomatosa. Surgical success was gained after elevation of a "vascularised digital nerve flap" and the distal resection. This method has not been described previously. We believe that it can be useful in selected cases.
Subject(s)
Fingers/abnormalities , Fingers/surgery , Hamartoma/congenital , Hamartoma/surgery , Hand Deformities, Congenital/surgery , Limb Deformities, Congenital/surgery , Lipomatosis/congenital , Lipomatosis/surgery , Surgical Flaps/blood supply , Surgical Flaps/innervation , Ulnar Neuropathies/congenital , Ulnar Neuropathies/surgery , Adult , Comorbidity , Hamartoma/diagnosis , Hand Deformities, Congenital/diagnosis , Humans , Limb Deformities, Congenital/diagnosis , Lipomatosis/diagnosis , Magnetic Resonance Imaging , Male , Surgical Flaps/surgery , Tissue and Organ Harvesting/methods , Ulnar Neuropathies/diagnosisABSTRACT
Report of two cases with Van der Woude syndrome: a child and her mother: Congenital pits of the lower lip are rare malformations. They are closely associated with cleft lip (CL), cleft lip/palate (CL/CP) or isolated cleft palate (CP) and if so this condition is known as Van der Woude syndrome, which is inherited in an autosomal dominant fashion with high penetrance. Two individuals, one with lower lip pits and cleft palate and the other with isolated lower lip pit from the same family are described. Autosomal dominant pattern of inheritance was observed in this family and treatment consisted of complete removal of sinus tracts in one patient. Pathological features of sinus tracts consisted of stratified nonkeratinized squamous epithelium and a lamina propria of dense connective tissue. Importance of genetic counseling is emphasized as at least half of gene carriers have some kind of clefting.
