ABSTRACT
The principle subdivisions of aesthetic breast surgery are: breast augmentation, mastopexy (breast lift), and reduction mammoplasty (breast reduction). In each of these subdivisions, emerging new technologies and trends have potential to change the management of specific aesthetic problems of the breast. Given the continued increasing popularity of aesthetic breast surgery, an understanding of these newer developments will assist all practitioners in communicating with their patients and colleagues.
Subject(s)
Breast Implantation/methods , Breast Implants , Breast/surgery , Esthetics , Mammaplasty/methods , Breast Implantation/trends , Humans , Lipectomy , Mammaplasty/trendsABSTRACT
BACKGROUND: Ventral hernia repair with prosthetic mesh has recurrence rates up to 54% and is contraindicated in the setting of infection. The aim of this study was to provide our experience with acellular bovine pericardium (Veritas collagen matrix; Synovis Life Technologies, Inc., St. Paul, MN) in complex abdominal wall reconstruction where prosthetic mesh had failed or was contraindicated. Between 2005 and 2008, a retrospective review of a single general surgeon's practice identified patients reconstructed with acellular bovine pericardium. Thirty primary or recurrent ventral hernias were treated in 26 patients. All patients presented with either contaminated wounds or failure of a prosthetic mesh material. RESULTS: Hernia size ranged from 20 cm(2) to 600 cm(2) (mean 111 cm(2)). Seven patients had previous hernia repair with prosthetic mesh, and 16 patients had ongoing infection or gross contamination at the time of repair. The mean follow-up was 22 months. The hernia recurrence rate in our series was 19% with no fistula development. CONCLUSIONS: Acellular bovine pericardium's high strength, minimal infection rate, and low cost allow its use in the reconstruction of complex abdominal wall defects.
Subject(s)
Abdominal Wall/surgery , Biocompatible Materials/therapeutic use , Collagen/therapeutic use , Hernia, Ventral/surgery , Pericardium/transplantation , Adult , Aged , Aged, 80 and over , Animals , Biocompatible Materials/economics , Cattle , Collagen/economics , Cost Savings , Fasciotomy , Female , Hernia, Ventral/pathology , Humans , Male , Middle Aged , Missouri , Negative-Pressure Wound Therapy , Recurrence , Reoperation , Retrospective Studies , Surgical Mesh , Wound Infection/surgery , Young AdultABSTRACT
Amyand's hernia is a rare hernia in which an incarcerated or perforated appendix is found in the right inguinal canal. This case report looks at the clinical presentation, the modalities for preoperative evaluation, and finally a combined approach of laparoscopic appendectomy and open repair of the hernia. To our knowledge, this is the first report of this type of management, and we feel that it is a safe and effective option.
