[Plastic reconstruction of defects in head and neck region through microsurgical free flaps].

The present reconstructive methods in plastic surgery include application of microsurgical techniques for reconstruction of tissue defects caused by various etiologic factors. In certain cases the free flaps turn to be the only therapeutic solution, or offer an alternative for achievement of a superior functional and aesthetic treatment. The opportunity for transfer of versatile tissues on microsurgical anastomoses, define the broad indications for the method application. We present several cases of free flap reconstructions of permanent tissue loss in head and neck region due to radical surgical treatment of neoplasms.

[Liposuction in outpatient/one-day surgery]. / Liposuktsiia v usloviiata na ambulatorna/ednodnevna khirurgiia.

On the basis of 126 cases it has been demonstrated that liposuction is a surgical procedure, which can be performed safely on an outpatient basis only under precise conditions--patient class ASA I, recovery room, permanent phone connection between the doctor and the patient after leaving the facility. The suction of more than 2500-3000 ml fat tissue increases the hazards associated with this type of operation. The regional epidural anesthesia is perfectly suitable for the outpatient/one-day surgery.

[The 1st steps in the surgical treatment of transsexualism in Bulgaria]. / Purvi stupki v khirurgichnoto lechenie pri transseksualizum u nas.

This is a report on the early results of the first cases of physical sex reconstruction in female to male transsexualism, and vice versa. Phalloplasty using an abdominal skin flap is applied in three cases of female to male transsexualism. Initially, in one of the patients the technique of Baumann for labia majus reconstruction is employed, with ensuing necrosis. Full-thickness flaps are taken with maximal removal of fatty tissue at a 7-to-14 ratio. Transfer and insertion of a penile silicon implant is forthcoming.