scholarly journals Successful Microsurgical Scalp Replantation Utilizing Loupe Magnification

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mustafa Chopan ◽  
Mark Leyngold ◽  
Jessica Ching
Keyword(s):  
2002 ◽  
Vol 92 (2) ◽  
pp. 97-101 ◽  
Author(s):  
A. Lee Dellon ◽  
Jaesuk Kim ◽  
Cecily M. Spaulding

Previous anatomic studies of the medial heel region were done on embalmed human cadavers. Here, the innervation of the medial heel region was studied by dissecting living tissue with the use of 3.5-power loupe magnification during decompression of the medial ankle for tarsal tunnel syndrome in 85 feet. The medial heel was found to be innervated by just one medial calcaneal nerve in 37% of the feet, by two medial calcaneal nerves in 41%, by three medial calcaneal nerves in 19%, and by four medial calcaneal nerves in 3%. An origin for a medial calcaneal nerve from the medial plantar nerve was found in 46% of the feet. This nerve most often innervates the skin of the posteromedial arch, where it is at risk for injury during calcaneal spur removal or plantar fasciotomy. Knowledge of the variations in location of the medial calcaneal nerves may prevent neuroma formation during surgery and provide insight into the variability of heel symptoms associated with tarsal tunnel syndrome. (J Am Podiatr Med Assoc 92(2): 97-101, 2002)


2015 ◽  
Vol 38 (5) ◽  
pp. 363-370 ◽  
Author(s):  
Gary dos Passos ◽  
Alan D. Rogers ◽  
Christopher E. Price ◽  
Conrad H. Pienaar ◽  
Jacobus E. van Zyl ◽  
...  

Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 49-54 ◽  
Author(s):  
Young Ho Lee ◽  
Jun Mo Jung ◽  
Goo Hyun Baek ◽  
Moon Sang Chung

We report on six patients of intramuscular lipoma of the hand. Four of them occurred in the thenar muscles and two in the hypothenar muscles. The mean age was 49 years (7–68 years). The duration of the lesions prior to excision was averaged as 35 months (12–60 months). Preoperative MRI was taken in all patients, and it was very useful for the diagnosis and differentiation between four well-circumscribed types and two infiltrative types. All operations were performed under loupe magnification. Preoperatively four patients with thenar lipoma had difficulty in moving their thumbs. Two out of four patients with lipomas in the thenar muscles had preoperative intermittent paresthesia and hyperesthesia caused by compression of the radial digital nerve of the thumb. Two patients with lipoma in the hypothenar eminence complained of difficulty with strong grip. The average diameter of the thenar group in its longest dimension was 5.2 cm (3–7 cm), and those of the hypothenar group was 5.5 cm (4–7 cm). At a mean follow-up of 55 months (21–91 months), no tumour had recurred.


2016 ◽  
Vol 3 (2) ◽  
pp. 76-82
Author(s):  
Nicoleta Ferariu ◽  
S. Corțan ◽  
Anca Colcigeanu ◽  
I. Lascăr ◽  
Adriana Elena Nica ◽  
...  

The reconstruction of the breast after an oncological mastectomy is a challenge for the plastic surgeons. During the dissection of one fresh, female cadaver, age 63, a free superior gluteal flap was taken from the gluteal region, using loupe magnification. The dissection preparations were photographed with a high definition camera. The harvesting of the superior gluteal musculocutaneous fat-pad flap and the closure of the donor area in layers advantages and disadvantages of using the superior gluteal flap in the reconstruction of the amputated breast.


Author(s):  
Md Ashraful Islam ◽  
Ismat Ara Begum ◽  
Khandker Md Nurul Arifeen ◽  
Manoshi Datta ◽  
Sk Mohammad Ali ◽  
...  

Background: Dupuytren’s disease is a benign yet disabling, irreversible, progressive fibroproliferative condition affecting the palm and fingers, leading to flection contracture of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints.Objective: To evaluate results of selective fasciectomy to correct the deformity of MCP and PIP joints and observe the complications.Methods: This crosssectional study was done on 30 patients of Dupuytren’s contracture treated by selective fasciectomy, between January 2015 and December 2018, in Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Selective fasciectomy was done under brachial plexus block, tourniquet control and loupe magnification. Brunner zigzag incision was used. Indications for surgery was MCP flection contracture more than 30⁰ and any degree of PIP flection contracture. Postoperatively hand was immobilised in extension of MCP and PIP joints for 2 weeks and then active and passive movements were encouraged and intermittent splinting for 10 weeks (only at night in last 6 weeks).Results: Among 30 patients, 24 (80%) patients were male, 6 (20%) were female; mean age was 62 years (56-74 years). 12 (40%) cases were bilateral, ring and little fingers involvement were seen in most cases (92%). Mean MCP correction was 53⁰ and mean PIP correction was 34⁰ (p<0.001). There were 3 digital nerve injuries peroperatively which were repaired/reconstructed and protective sensation regained in repaired nerve area at 1 year and 3 (10%) marginal skin loss postoperatively which healed secondarily. Superficial wound infection developed in 3 (10%) patients which healed on dressing and antibiotics. Complex regional pain syndrome developed in 2 (6.66%) patients which were mild and resolved on conservative management. 3 (10%) patients developed scar sequilae which were mild and resolved on conservative treatment. Radial digital artery injury was observed in 1 (3.33%); however, no ischaemic insult was observed postoperatively. 2 (6.66%) patients developed recurrence of the disease who were more than 70 years old; however, they declined further intervention.Conclusion: Selective fasciectomy is an easy and effective procedure with less complication to correct the deformities and improve the gripstrength significantly in Dupuytren’s contracture patients.International Journal of Human and Health Sciences Vol. 06 No. 01 January’22 Page: 41-46


2016 ◽  
Vol 13 (3) ◽  
pp. 140
Author(s):  
AbdelrahmanE. M. Ezzat ◽  
MustafaI Eid ◽  
MabroukM Akel ◽  
MarwaM El-Begermy ◽  
AymanY Abbas

2019 ◽  
Vol 13 (1) ◽  
pp. 290-294
Author(s):  
Konstantinos C Xarchas ◽  
Georgios Kyriakopoulos ◽  
Maria Vlachou ◽  
Spyros Manthas

Tumors of the median nerve are difficult to diagnose and median nerve schwannomas are rare. During a ten-year period, we treated eleven median nerve schwannomas found on the hand (nine) and wrist (two). All the tumors were treated by enucleation under loupe magnification and tourniquet application. All had a favorable result at a mean follow up of five years. We present three of our most typical cases, with schwannomas found on the wrist, palm and thumb. We also review the literature offering a wider view on the pathology, diagnosis and treatment of schwannomas in general.


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