RESUMO
A two-stage, endoscopically assisted technique was used to reconstruct the chest wall and breast deformity in a female patient with Poland syndrome. In the first stage the latissimus dorsi muscle was transferred anteriorly, and a tissue expander was placed under the transposed muscle to adjust the size of the breast accordingly. In the second stage the same incision in the midaxillary line was used to remove the expander and place a permanent implant endoscopically. The two-stage technically demanding endoscopically assisted reconstruction of Poland syndrome was rewarded by inconspicuous scars and a fine aesthetic result.
Assuntos
Endoscopia , Procedimentos de Cirurgia Plástica/métodos , Síndrome de Poland/cirurgia , Adulto , Feminino , HumanosRESUMO
The failure rate of replantations following a crush-avulsion type injury is high. This study has been designed to reproduce an effective standardized crush-avulsion injury model to the femoral artery of the rat and evaluate the antithrombotic efficacy of systemic intravenous administration of recombinant human tissue-type plasminogen activator (rt-PA). The crush-avulsion injury was reproduced by using a bulldog clamp and two hemostats and followed by microvascular repair. The animals were divided into three groups of 20 rats each and received either normal saline, heparin 100 U/kg body weight, or rt-PA 3.5 mg/kg body weight intravenously. Patency tests were performed 20 min and 48 h after blood flow reestablishment. Results showed that this experimental crush-avulsion injury model ensures low patency in the control group, whereas systemic rt-PA administration improves the patency rate statistically significantly compared to control and heparin groups at both 20 min and 48 h postrevascularization.
Assuntos
Fibrinolíticos/farmacologia , Microcirurgia , Ativador de Plasminogênio Tecidual/farmacologia , Grau de Desobstrução Vascular/efeitos dos fármacos , Procedimentos Cirúrgicos Vasculares , Animais , Modelos Animais de Doenças , Estudos de Avaliação como Assunto , Artéria Femoral/lesões , Humanos , Masculino , Distribuição Aleatória , Ratos , Ratos Wistar , Proteínas RecombinantesRESUMO
Three cases of face and neck deformities, reconstructed with free flaps in order to obtain better aesthetic results, are presented here. Nasal tip, cartilage, and soft tissue defects as well as facial burn contractures were reconstructed with a free radial forearm flap, latissimus dorsi myocutaneous flap, and groin flap, respectively. Case specifics are discussed.
Assuntos
Estética , Face/cirurgia , Pescoço/cirurgia , Transplante de Pele/métodos , Retalhos Cirúrgicos/métodos , Adulto , Queimaduras/cirurgia , Carcinoma Basocelular/reabilitação , Carcinoma Basocelular/cirurgia , Cicatriz/cirurgia , Contratura/cirurgia , Hemiatrofia Facial/cirurgia , Traumatismos Faciais/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Músculos/transplante , Neoplasias Nasais/reabilitação , Neoplasias Nasais/cirurgia , Cirurgia PlásticaRESUMO
This is a statistical evaluation of 4114 burns treated in Greek Hospitals during 1986. The results are based on a questionnaire that was sent to all Greek hospitals. The distribution of burns in every health district, the causes of burns, the educational status and the occupation of burn victims are examined. The adequacy of the present burn care facilities in Greece and the future prospects for better burn care are also discussed.
Assuntos
Queimaduras/epidemiologia , Acidentes de Trabalho/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Queimaduras/etiologia , Queimaduras por Corrente Elétrica/epidemiologia , Criança , Pré-Escolar , Escolaridade , Estudos de Avaliação como Assunto , Feminino , Grécia/epidemiologia , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e QuestionáriosRESUMO
Transabdominal amniocentesis is described and our experience with this method is presented. No severe maternal complications were recorded. In two cases accidental puncture of fetal blood vessels in pregnancies over 40 weeks led to delivery by cesarean section. We believe that, although fetal complications are rare, the indications for amniocentesis should be significant enough to discount the hazards of the procedure.
