ABSTRACT
A prospective study of a new mammary prosthesis with PVP-based gel as filling material was carried out. Scheduled follow-ups were planned at 3, 6, 12, and 24 months post-implantation to assess all complications, Baker scores, and the patient's, and the physician's global assessment of each implant. PVP-filled implants were used in 95 breasts for augmentation (60%) or reconstruction (40%). Sixty-nine percent of all patients underwent a primary procedure, 19% had a history of severe capsular fibrosis. During follow-up, a hematoma was observed in 2% and a seroma in 5%. Leakage occurred in 3% (one iatrogenic and two cases of unknown reason), a Baker 3 in 6% (12 months). No volume increase of the implants occurred. The probability that a patient would be complication-free at 24 months was 0.86. Physician's and patient's satisfaction rating after 12 months remained high without any time effect (physician very good/good 63%, patient 75%). According to our current experiences, the PVP-filled implants are a remarkable alternative with an improved viscosity and enhanced x-ray transmission, compared to saline filled implants.
Subject(s)
Breast Implantation , Breast Implants , Povidone , Adolescent , Adult , Aged , Breast Implantation/adverse effects , Breast Implants/adverse effects , Female , Follow-Up Studies , Gels , Humans , Middle Aged , Prospective StudiesABSTRACT
Two radiopalmar ganglia lying close together were excised from a 44 year-old man. The wall of the radial artery between the ganglia and immediately proximal to it showed aneurysmatic changes. The affected section of the artery had to be resected and the artery anastomised end-to-end.
Subject(s)
Aneurysm/etiology , Synovial Cyst/complications , Wrist/blood supply , Adult , Aneurysm/surgery , Arteries/surgery , Humans , Male , Synovial Cyst/surgeryABSTRACT
Successful transplantation of a free flap is dependent on a thorough knowledge of the circulatory conditions of the donor and the recipient sites. The Allen-test is not feasible in all cases and is not always dependable. Angiography is not only a strain for the patients but often involves risks. This paper gives an account of the Doppler-sonography investigation method based on documented studies of the radial and ulnar arteries and of the anterior and posterior tibial arteries. This method involves no strain on the patients and allows for precise assessment of the circulatory conditions of the donor and recipient sites.
