Assuntos
Fibrossarcoma/diagnóstico , Neoplasias Cutâneas/diagnóstico , Adolescente , Adulto , Criança , Pré-Escolar , Fibrossarcoma/secundário , Fibrossarcoma/terapia , Humanos , Lactente , Recém-Nascido , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Neoplasias Cutâneas/terapia , Fatores de TempoRESUMO
The embryology and anatomy of the ano-perineal region explain the complex pathology which is difficult to treat. Six types of lesions are discussed. Congenital skin lesions: naevus or angiomas, requiring the same procedures of local autoplasty and graft as those of other regions, whenever they are extensive. Infectious lesions are dominated by Verneuil's disease, chronic hidradenitis or acne conglobata. Treatment involves wide excision which is sufficiently deep, followed by skin graft. Cancerous or pre-cancerous lesions. A distinction must be made between Bowen's disease and Paget's disease: the first is a precancerous lesion and the second is a sign of underlying carcinoma. The treatment is very different for the two conditions. Radiation dermatitis is not exceptional. Surgical treatment is required, but it is difficult. Radio-necroses can be repaired with epiplooplasty and a musculo-cutaneous flap from gluteus maximus. Post-traumatic and surgical sequelae sometimes need to be repaired by a plastic operation. Anal continence can be treated by surgical repair.
Assuntos
Canal Anal/cirurgia , Períneo/cirurgia , Cirurgia Plástica , Doenças do Ânus/cirurgia , Doença de Bowen/cirurgia , Queimaduras/cirurgia , Incontinência Fecal/cirurgia , Humanos , Inflamação , Doença de Paget Extramamária/cirurgia , Períneo/lesões , Radiodermite/cirurgia , Neoplasias Cutâneas/cirurgia , Transplante de Pele , Retalhos Cirúrgicos , Doenças das Glândulas Sudoríparas/cirurgiaAssuntos
Mama/cirurgia , Mamilos/cirurgia , Cirurgia Plástica/métodos , Adolescente , Adulto , Feminino , HumanosRESUMO
The author describes the advantages and disadvantages of the three possible types of treatment for basal cell epitheliomas: --Dermatological which combines all the physical methods for destroying the tumor. --Surgical involving wide excision and wound repair. --Radiotherapeutic by the application of radium curietherapy or iridium wires.
Assuntos
Carcinoma Basocelular/terapia , Neoplasias Faciais/terapia , Braquiterapia , Carcinoma Basocelular/radioterapia , Carcinoma Basocelular/cirurgia , Cauterização , Criocirurgia , Eletrocoagulação , Neoplasias Faciais/radioterapia , Neoplasias Faciais/cirurgia , HumanosRESUMO
Strips of skin taken from the excess skin adjoining the scar, prepared carefully and used as a loose continuous suture, represent an elastic material which is easy to use and of great strength. Results studied in a group of 36 patients with a follow-up varying from 12 month to 16 years were excellent in 70% of cases and moderate in 25%. The quality of the results obtained, from both a mechanical standpoint as well as in terms of tolerance, together with the simplicity of the technique, have led us to consider it as a method of choice in the repair of large incisional hernias, in particular recurrent.
Assuntos
Hérnia Ventral/cirurgia , Retalhos Cirúrgicos , Feminino , Seguimentos , Hérnia Ventral/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Cirurgia Plástica/efeitos adversos , Cirurgia Plástica/métodos , Técnicas de SuturaAssuntos
Hérnia Ventral/cirurgia , Transplante de Pele , Adulto , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Transplante AutólogoAssuntos
Microcirurgia/métodos , Reimplante/métodos , Cirurgia Plástica/métodos , Feminino , Humanos , MasculinoRESUMO
In severe cases of microphthalmos or anophthalmos, the bony orbital cavity is often too small to allow one to create a satisfactory socket for a prosthesis. An omnidirectional expansion of the orbit, by osteotomies done in a step-like fashion, allows the creation of a larger bony cavity and improves the symmetry of the face. The risks of the craniotomy and of the mobilization of the free bone pieces are discussed.
