scholarly journals Use of micro-grafts in a chronic infected open wound after limb amputation in a cat

2021 ◽  
Author(s):  
L Pennasilico ◽  
C Di Bella ◽  
R Botto ◽  
E Murgia ◽  
V Riccio ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Reconstructive Surgery ◽  
Chronic Wounds ◽  
Skin Grafting ◽  
Human Medicine ◽  
Limb Amputation ◽  
Open Wound ◽  
Wound Area ◽  
Skin Loss ◽  
The Aesthetic

In human medicine, skin grafting is an innovative surgical technique widely used in reconstructive surgery to repair skin loss. This case evaluated the effectiveness of a treatment with dermal micro-grafting obtained through the Rigenera<sup>®</sup> technology in a chronic open wound resulting from a suture dehiscence of a limb amputation in a cat. Significant differences were observed between the aesthetic aspects of the injury using traditional treatments (cleaning and curettage) and the regenerative technology. The results showed that the healing periods were significantly reduced after the Rigenera<sup>®</sup> treatment and that, moreover, a perfect skin status and a complete reduction in the wound area (100%) were achieved in one month. Given these results, Rigenera<sup>®</sup> has proven to be a simple yet highly effective method in the treatment of inactivated chronic wounds.

Stress-Reducing Psychological Interventions as Adjuvant Therapies for Diabetic Chronic Wounds

2021 ◽  
Vol 17 ◽  
Author(s):  
Isadora Pombeiro ◽  
João Moura ◽  
Maria Graça Pereira ◽  
Eugénia Carvalho
Keyword(s):  
Wound Healing ◽  
Psychological Stress ◽  
Stress Reduction ◽  
Chronic Wounds ◽  
Major Complication ◽  
Limb Amputation ◽  
Adrenaline Release ◽  
New Applications ◽  
Improve Wound Healing

Background: Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus and a leading cause of lower limb amputation. Interventions to reduce psychological stress may have the potential to improve self-care and greatly reduce the morbidity and mortality associated with DFU. This review is focused on the consequences of psychological stress in wound healing and reflects on the effects of currently used psychological stress-reducing interventions in patients with DFU, proposing new applications for currently used stress-reduction interventions. Results: Stress is a natural and fundamental survival mechanism that becomes harmful when chronic. DFU is associated with high levels of anxiety and chronic psychological stress. Chronic stress induced cortisol and adrenaline release impairs wound healing, independently of the stressor. Psychological stress-reducing interventions, such as relaxation with guided imagery, biofeedback-assisted relaxation, mindfulness-based strategies, and hypnosis can lead to a reduction in perceived stress and improve wound healing, by reducing wound inflammation and pain, while improving glycemic control. All stress reduction interventions also lead to pain relief and improved patient’s quality of life.

scholarly journals Standardized surgical technique for uniportal video-assisted thoracoscopic lobectomy

2020 ◽  
Vol 58 (Supplement_1) ◽  
pp. i23-i33
Author(s):  
Marina Paradela de la Morena ◽  
Mercedes De La Torre Bravos ◽  
Ricardo Fernandez Prado ◽  
Anna Minasyan ◽  
Alejandro Garcia-Perez ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Reconstructive Surgery ◽  
Operative Technique ◽  
Thoracoscopic Surgery ◽  
Geometric Approach ◽  
Surgical Practice ◽  
Video Assisted ◽  
Technical Advice ◽  
Set Up ◽  
Video Assisted Thoracoscopic Surgery

Abstract Summary Uniportal video-assisted thoracoscopic surgery may be the approach for any thoracic procedure, from minor resections to complex reconstructive surgery. However, anatomical lobectomy represents its most common and clinically proven usage. A wide variety of information about uniportal video-assisted thoracoscopic lobectomies can be found in the literature and multimedia sources. This article focuses on updating the surgical technique and includes important aspects such as the geometric approach, anaesthesia considerations, operating room set-up, tips about the incision, instrumentation management and the operative technique to perform the 5 lobectomies. The following issues are explained for each lobectomy: anatomical considerations, surgical steps and technical advice. Medical illustrations and videos are included to clarify the text with the goal of describing a standard surgical practice.

Article Commentary: Optimizing Aesthetic Results in Skin Grafting

2012 ◽  
Vol 78 (2) ◽  
pp. 151-154 ◽  
Author(s):  
Ron Hazani ◽  
Ryan Whitney ◽  
Bradon J. Wilhelmi
Keyword(s):  
Donor Site ◽  
Skin Grafting ◽  
Donor Site Morbidity ◽  
Secondary Intention ◽  
Donor Skin ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Sheet Graft ◽  
Surrounding Skin ◽  
Tissue Defects

The aesthetic goal in skin grafting is to provide a cosmetically pleasing coverage of soft tissue defects while minimizing donor site morbidity. A skin graft should blend well with the color and texture of the surrounding skin, reduce wound size, and not interfere with the function of the reconstructed part. This review examines the key components of choosing the appropriate donor skin for a variety of defects. The decision-making process is based on the anatomic location of the defect; donor site availability; and graft size, thickness, and pigmentation. The aesthetic implications of using a sheet graft versus a meshed graft versus an expanded graft are discussed. Aside from addressing the aesthetic needs of the defect, attention is paid to the functional goals of the reconstructed part and reduced donor site morbidity. Partial graft failure can have significant deleterious effects on the aesthetic outcome of skin grafts. The need for further grafting or healing by secondary intention may result in additional scarring and deformity. Recommendations for improvement in graft take and infection control are presented.

Plastic and burns surgery

2021 ◽  
pp. 647-668
Author(s):  
Brian Chen ◽  
Simon Davis ◽  
Fynn Maguire
Keyword(s):  
Surgical Procedures ◽  
Free Flap ◽  
Reconstructive Surgery ◽  
Breast Augmentation ◽  
Skin Grafting ◽  
Anaesthetic Management ◽  
Surgical Patients ◽  
Flap Surgery ◽  
Free Flap Surgery ◽  
Surgical Operations

This chapter discusses the anaesthetic management of plastic and burns surgery. It begins with general principles of the anaesthetic management of plastic surgical patients. Surgical procedures covered include breast augmentation, reconstruction and reduction surgery; free flap surgery; liposuction; skin grafting and burns reconstructive surgery. The chapter includes pertinent anaesthetic features for a series of additional miscellaneous plastic surgical operations.

Computer Assisted Navigation Systems for Hip and Knee Reconstructive Surgery: Evaluation of Traditional Surgical Technique

2001 ◽  
Author(s):  
Anthony M. DiGioia ◽  
Frederic Picard ◽  
Branislav Jaramaz ◽  
David Sell ◽  
James C. Moody ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Patient Outcomes ◽  
Reconstructive Surgery ◽  
Surgical Navigation ◽  
Surgical Techniques ◽  
Measurement Tool ◽  
Computer Assisted ◽  
Navigation Systems ◽  
Assisted Navigation ◽  
Surgical Navigation System

Abstract In this paper we describe a surgical navigation system named HipNav (Hip-Navigation) for THR and KneeNav (Knee-Navigation) for TKR with an emphasis on using these systems as a real time intraoperative measurement tool (these enabling technologies are the surgical toolbox of the future). This approach will permit the direct comparison of patient outcomes with measurable surgical techniques.

scholarly journals Three-Dimensional Printing: Custom-Made Implants for Craniomaxillofacial Reconstructive Surgery

2017 ◽  
Vol 10 (2) ◽  
pp. 089-098 ◽  
Author(s):  
Mariana Matias ◽  
Horácio Zenha ◽  
Horácio Costa
Keyword(s):  
3D Printing ◽  
Reconstructive Surgery ◽  
Three Dimensional ◽  
Tactile Feedback ◽  
Current Status ◽  
Printing Technology ◽  
Three Dimensional Printing ◽  
3D Printing Technology ◽  
Custom Made ◽  
The Aesthetic

Craniomaxillofacial reconstructive surgery is a challenging field. First it aims to restore primary functions and second to preserve craniofacial anatomical features like symmetry and harmony. Three-dimensional (3D) printed biomodels have been widely adopted in medical fields by providing tactile feedback and a superior appreciation of visuospatial relationship between anatomical structures. Craniomaxillofacial reconstructive surgery was one of the first areas to implement 3D printing technology in their practice. Biomodeling has been used in craniofacial reconstruction of traumatic injuries, congenital disorders, tumor removal, iatrogenic injuries (e.g., decompressive craniectomies), orthognathic surgery, and implantology. 3D printing has proven to improve and enable an optimization of preoperative planning, develop intraoperative guidance tools, reduce operative time, and significantly improve the biofunctional and the aesthetic outcome. This technology has also shown great potential in enriching the teaching of medical students and surgical residents. The aim of this review is to present the current status of 3D printing technology and its practical and innovative applications, specifically in craniomaxillofacial reconstructive surgery, illustrated with two clinical cases where the 3D printing technology was successfully used.

Plastic chronic wound management with Cellutome

Phlebologie ◽  
2016 ◽  
Vol 45 (02) ◽  
pp. 100-105
Author(s):  
G. U. Seip
Keyword(s):  
Health Care Providers ◽  
Chronic Wounds ◽  
Donor Site ◽  
Skin Grafting ◽  
Minimal Invasive ◽  
Wound Management ◽  
Wound Treatment ◽  
Care Providers ◽  
Patients With Diabetes ◽  
Chronic Wound Management

SummaryChronic wounds continue to present a significant challenge to health-care providers around the globe. Unlike acute wounds, chronic wounds do not proceed through an orderly process of repair. In recent years many new modalities of modern wound treatment systems have been promoted. However, until recently there were few modalities designed to promote epithelialisation of a fully granulated wound. Mesh graft procedures have long been the gold standard for the management of acute wounds and chronic wounds but have also many disadvantages like discomfort associated with the donor site and the creation of a second painful wound (donor site).The increase of chronical wounds in Germany due to the average age of patients, the aggressiveness of medical treatment and increase of numbers of patients with diabetes and severe polymorbidity requires specialized wound treatment and plastic surgery. Since 2014 there was a new innovative system introduced in the market called Cellutome epidermal harvesting system. The Cellutome system is a epidermal harvesting system for skin grafting and can replace in many cases the traditional meshgraft procedure with a classic dermatoma. The skin donor section on the patient`s thigh heals within days without scarring. The system offers a precise, simplified and minimal invasive option for skin grafting in the treatment of especially chronic wounds.

V-Y Tensor Fascia Lata for Trochanteric Pressure Sore Treatment

1997 ◽  
Vol 5 (4) ◽  
pp. 213-216
Author(s):  
Daniel álvaro Alvarez Lazo ◽  
Olímpio Colicchio Filho ◽  
Ricardo Galvão Chaim ◽  
Paula Zuccolotto Moro
Keyword(s):  
Surgical Technique ◽  
Primary Closure ◽  
Donor Site ◽  
Skin Grafting ◽  
Pressure Sore ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
Precise Evaluation ◽  
Tensor Fascia Lata Flap

There are several alternatives for pressure sore reconstruction, but it is of utmost importance that an appropriate surgical technique be adopted, because although treatment is successful, recurrence of these ulcers is frequent. The purpose of this study was to conduct a precise evaluation of the V-Y tensor fascia lata flap, pointing out its advantages compared with the classical flap and with other possibilities described in the literature. The author employed 20 V-Y tensor fascia lata flaps to correct 20 trochanteric ulcers. The use of the classical tensor fascia lata flap to cover trochanteric ulcers is unquestionable. However, primary closure for flaps wider than 10 cm is difficult, necessitating an eventual skin grafting of the donor site. The V-Y tensor fascia lata allows a covering similar to the classical flap, simplifies primary closure and essentially presents the possibility of numerous reutilizations.

scholarly journals Treatment of Chronic Lower Extremity Wound Complicated by Osteomyelitis: Using Partial Biceps Femoris Muscle Flap

2021 ◽  
Vol 17 (2) ◽  
pp. 135-140
Author(s):  
Joon Shik Hong ◽  
Young Woong Mo ◽  
Inho Kang ◽  
Gyu Yong Jung ◽  
Hea Kyeong Shin ◽  
...  
Keyword(s):  
Chronic Wounds ◽  
Donor Site ◽  
Effective Means ◽  
Muscle Flap ◽  
Biceps Femoris ◽  
Open Wound ◽  
Transposition Flap ◽  
Biceps Femoris Muscle ◽  
The Right ◽  
Femoris Muscle

In many cases chronic wounds in the lower extremities are extremely difficult to heal because of inadequate blood supply, and when wounds are complicated by osteomyelitis, plastic surgeons and orthopedic surgeons must join forces to facilitate treatment. A 63-year-old man with bone exposure and a peripherally indurated chronic open wound complicated by osteomyelitis of the right distal thigh was admitted to the department of orthopedic surgery at our hospital. He was referred to our department for treatment of the right side chronic open wound. We report our successful experience with a partial biceps femoris muscle transposition flap with fasciocutaneous expanded-keystone advancement flap following wound and bone debridement for the coverage of complex wounds associated with bone infection. The results show two discrete layers of muscle. In patients with chronic osteomyelitis, fasciocutaneous flaps might provide a more effective means of covering full-depth soft tissue defects without donor site morbidity, compared to free flaps.

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