Secondary Operations of the Anterior Abdominal Wall Following Microvascular Breast Reconstruction with the TRAM and DIEP Flaps

2006 ◽  
Vol 22 (08) ◽  
Author(s):  
Maurice Nahabedian
Keyword(s):  
Breast Reconstruction ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Secondary Operations ◽  
Wall Following

scholarly journals Necrotizing Fasciilitis of the Anterior Abdominal Wall Following Myomectomy in an Obese Diabetic Patient: A Case Report

2018 ◽  
Vol 5 (3) ◽  
pp. 3704-3706
Author(s):  
Iornum H. Shambe ◽  
Ismaila O. Bashiru ◽  
Kenneth N. Ozoilo
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Mortality Rates ◽  
High Morbidity ◽  
Aggressive Treatment ◽  
Subcutaneous Tissues ◽  
Wall Following ◽  
Obese Diabetic Patient

Necrotizing fasciitis is a progressive infection of fascia that is associated with necrosis of subcutaneous tissues. It has high morbidity and mortality rates because the diagnosis is often not made early enough to institute the aggressive treatment that is necessary to prevent death. We herein report a case of necrotizing fasciitis of the anterior abdominal wall following a myomectomy in an obese diabetic female that was diagnosed early enough to allow for a favorable outcome following aggressive antibiotic therapy and surgical debridement.

OPTIMIZATION IN DIEP FLAP BREAST RECONSTRUCTION (DEEP INFERIOR EPIGASTRIC ARTERY PERFORATOR FLAP) WITH THE HELP OF CT(A) AND 3D MAPPING

2019 ◽  
Vol 65 (4) ◽  
pp. 603-607
Author(s):  
R. Pesotskiy ◽  
P. Kalinin ◽  
Petr Krivorotko ◽  
Andrey Mishchenko ◽  
Konstantin Zernov ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Abdominal Wall ◽  
Ct Angiography ◽  
Anterior Abdominal Wall ◽  
Tissue Injury ◽  
Perforator Flap ◽  
Operation Time ◽  
Diep Flap ◽  
Preoperative Preparation ◽  
Aesthetic Result

Introduction: deep inferior epigastric perforator flap (DIEP-flap) reconstruction provides the most acceptable aesthetic result among autologous breast reconstruction. However, a thorough preoperative assessment of the individual vascular anatomy of the deep lower epigastric vessels (DIEA/V) is still challlenging. Usage of CT(a) allows define individual anatomical features such as: intramuscular stroke, tortuosity of vessels and their branches which is an essential thing for reducing of the operation time, flap ischemia time, decreasing the complication rate. Material and methods: with the help of Radiology Department, we have launched a new protocol for planning of the DIEP flap surgery. As a preoperative preparation, we perform CT angiography (CTA) according to a specific protocol, which allows us to reduce the trauma of aponeurosis and the rectus abdominis muscle. Сonclusion: preoperative CT angiography, performed according to a special scanning and post-processing protocol, allows us to optimize the planning of the surgical intervention and improving the results of breast reconstruction. Detailed study of the topography of the vessels of the anterior abdominal wall leads to a decrease in tissue injury of the anterior abdominal wall. This article describes the importance of CT angiography, for the preoperative preparation (visualization) as a crucial step in preparing for the DIEP reconstruction of the breast.

scholarly journals Necrotizing fasciitis of anterior abdominal wall following cesarean section in a low-risk patient

2016 ◽  
Vol 2016 (7) ◽  
pp. rjw122 ◽  
Author(s):  
Manisha Chhetry ◽  
Basudeb Banerjee ◽  
Shanti Subedi ◽  
Ashok Koirala
Keyword(s):  
Cesarean Section ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Low Risk ◽  
Risk Patient ◽  
Wall Following

Reinforcement of the Abdominal Wall following Breast Reconstruction with Abdominal Flaps

2014 ◽  
Vol 133 (3) ◽  
pp. 700-707 ◽  
Author(s):  
Ketan M. Patel ◽  
John Shuck ◽  
Rex Hung ◽  
Lindsay Hannan ◽  
Maurice Y. Nahabedian
Keyword(s):  
Breast Reconstruction ◽  
Abdominal Wall ◽  
Abdominal Flaps ◽  
Wall Following

scholarly journals Perioperative Challenges in Repeat Bladder Exstrophy Repair - Case Report

2015 ◽  
Vol 3 (3) ◽  
pp. 432-435
Author(s):  
Otu Enenyi Etta ◽  
Monday Ituen
Keyword(s):  
Case Report ◽  
Epidural Analgesia ◽  
Abdominal Wall ◽  
General Anaesthesia ◽  
Anterior Abdominal Wall ◽  
Bladder Exstrophy ◽  
Post Operative Period ◽  
Caudal Epidural ◽  
Wall Following ◽  
Prolonged Surgery

Bladder exstrophy is a rare congenital malformation. It presents as leakage of urine in the anterior abdominal wall following defects in midline anterior abdominal wall skin and bladder. We report the use of combined general anaesthesia and caudal epidural analgesia in a 4yr old boy for repeat bladder exstrophy repair. Problems of prolonged surgery and the challenges of pain and sedation management in the post operative period are discussed.

Sign in / Sign up

Export Citation Format

Share Document