RESUMO
In a group of 331 augmentation mammaplasties performed at the Clinic of Plastic Surgery in Prague from 1994-1998, capsular contracture was recorded in 6% cosmetic and 12% of reconstruction operations. The main cause was, in particular, the quality of tissue surrounding the implants along with individual disposition. The incidence of this complication did not differ significantly in relation to the placement of the prosthesis beneath the muscle or gland. Based on histological analysis and the clinical finding, it is obvious that disintegration of the prosthesis does not always lead to severe grades of capsular contracture. It is despite the presence of foreign bodies in the connective tissue.
Assuntos
Implante Mamário/efeitos adversos , Implantes de Mama , Adulto , Feminino , HumanosRESUMO
Plastic and reconstructive surgery is frequently mistaken for aesthetic and cosmetic surgery. At present, plastic surgery is a very broad discipline in which aesthetic surgery is an integral part. The majority of reconstructive operations, in particular on the body surface, include an aesthetic component. Their purpose is not only the restoration of function but also the achievement of optimal aesthetic results. The authors demonstrate examples on the vague borderline between functional and aesthetic reconstruction and present their views on the medical indication for these operations.
Assuntos
Procedimentos de Cirurgia Plástica/classificação , Criança , Pré-Escolar , Orelha Externa/cirurgia , Estética , Feminino , Humanos , Masculino , Mamoplastia , Mastectomia/reabilitação , Pessoa de Meia-Idade , Pênis/cirurgia , Cirurgia Plástica/classificaçãoRESUMO
A case of successful scalp replantation is referred. Attention is paid to problems that may accompany this less frequent type of surgery.
Assuntos
Reimplante , Couro Cabeludo/lesões , Couro Cabeludo/cirurgia , Acidentes de Trabalho , Adulto , Agricultura , Humanos , MasculinoRESUMO
The paper summarizes experience with the application of Bactroban which was used for local antimicrobial treatment in 25 patients at the Burn Centre of the Department of Plastic Surgery, Prague. Various types of deep skin layers with mixed infection were chosen for this therapy, mostly due to Staphylococcus, even though a resistant Staphylococcus never occurred during the testing period. Bactroban was applied in cases where commonly used preparations had failed, and its therapeutical results can be considered positive.
Assuntos
Antibacterianos/uso terapêutico , Queimaduras/tratamento farmacológico , Infecção dos Ferimentos/tratamento farmacológico , Adolescente , Adulto , Queimaduras/complicações , Criança , Pré-Escolar , Avaliação de Medicamentos , Ácidos Graxos/uso terapêutico , Humanos , Pessoa de Meia-Idade , Mupirocina , Pomadas , Infecção dos Ferimentos/etiologiaRESUMO
In the past, the authors centred their attention on the effect of various skin substitutes on dermal burns. In the present study, the effect of various synthetic and biological skin substitutes on full thickness skin defects was studied. Experiments were carried out on laboratory pigs; the effect of various materials was evaluated in excised full thickness burns and in tangentially excised dermal burns. A parallel study was carried out in burned patients. It was concluded that for different indications, different qualities (or properties) of temporary skin substitutes are desirable or preferable. None of the materials available to date has all desirable qualities for all types of skin defects.
