ABSTRACT
I reviewed the cases of 50 consecutive patients who had a total of 75 plastic surgery procedures after weight reduction. The average weight loss was 126 lb. There were 28 women and 22 men. The 75 operations were abdominoplasty (24), face-lift (18), reduction mammaplasty (ten), blepharoplasty (eight), mastopexy (eight), thigh reduction (five), and arm reduction (two). Twenty-one patients also had adjunctive nonplastic surgery. The average hospital stay was 5.3 days. Seromas were encountered in 42% of the abdominoplasty group as the most frequent complication. Response to a questionnaire showed that 39 patients (82%) believed the surgical results improved their self-esteem; 35 (72%) stated that plastic surgery did not provide an incentive for maintaining their weight reduction.
Subject(s)
Body Weight , Surgery, Plastic , Female , Humans , MaleABSTRACT
The application of microvascular technics to problems in reconstructive surgery has enabled the surgeon to revascularize ischemic digits, replant amputated digits, and to transfer directly composite tissue from one area of the body to another for reconstructive purposes. The success of these procedures is directly dependent upon the ability to perform and maintain patent microvascular anastomoses. Representative cases are reported including the revascularization of an incompletely amputated digit, the replantation of an amputated thumb, the direct transfer of a toe to replace a missing thumb, and the transfer of a groin flap to cover a lower extremity defect. The principles of preoperative management, operative technics, and postoperative care are reviewed.
Subject(s)
Microsurgery/methods , Replantation , Skin Transplantation , Toes/transplantation , Adult , Amputation, Traumatic/surgery , Finger Injuries/surgery , Foot Dermatoses/surgery , Hand Injuries/surgery , Humans , Male , Microcirculation , Middle Aged , Replantation/methods , Skin Ulcer/surgery , Transplantation, AutologousABSTRACT
A clinical and pathological review of 67 cases of congenital giant nevi and of 5 cases of malignant transformation in congenital giant nevi brings out the following. 1. The lesions should be regarded as premalignant. 2. An aggressive approach is advocated to remove the lesion before school age. 3. Staged excisions, combined with skin grafting and/or local rotation flaps, are advocated. 4. Any nodularity or ulceration developing within a congenital giant nevus should be regarded as an ominous sign. 5. A long-term follow-up is necessary in those patients having subtotal excisions.
