scholarly journals Umbilical Reconstruction with Double Opposing Semilunar Flap, an Appealing Results

2021 ◽  
Vol 3 (1) ◽  
pp. 11
Author(s):  
Arif Rahmat Muharram ◽  
Beta Subakti Nata'atmadja ◽  
Agus Santoso Budi ◽  
Lobredia Zarasade
Keyword(s):  
Plastic Surgery ◽  
Psychological Trauma ◽  
Technical Detail ◽  
Abdominal Tumor ◽  
Postoperative Result ◽  
Tumor Excision ◽  
Advantages And Disadvantages ◽  
Aesthetic Appearance ◽  
Umbilical Reconstruction ◽  
Umbilical Endometriosis

Umbilical loss is not a common problem encountered in plastic surgery routine cases. The absence of umbilicus will cause significant effect in total aesthetic appearance of the abdomen, thus making it an essential part of anatomy landmark. Congenital defect, oncologic and abdominoplasty complication are the most often causes, and tremendous psychological trauma will cause patient to seek help. There are many proposed technique for such reconstruction, based on original scar or wound and final expected shape, of course with their advantages and disadvantages. We used a double opposing semilunar flap for our cases. Along with its technical detail, we will present three cases comprises of the defect after omphalocele scar removal, umbilical endometriosis excision and postcentral abdominal tumor excision. Reports will be presented with preoperative dan postoperative result.

Microsurgery training: for whom and how?

2021 ◽  
Vol 24 (1) ◽  
pp. 61-72
Author(s):  
I. V. Reshetov ◽  
V. S. Melnikov ◽  
Yu. V. Babaeva ◽  
O. I. Starceva ◽  
D. V. Melnikov
Keyword(s):  
Plastic Surgery ◽  
Learning Process ◽  
Universal Method ◽  
Short Term ◽  
Advantages And Disadvantages

In 2011, the staff of the Department of Plastic Surgery, Sechenov University (Moscow, Russia), organized three-stage microsurgical courses. Having analyzed the advantages and disadvantages of the previous practical course, it was created according to the principle “from simple to complex”, integrating theoretical material into the practical preparation for the formation of a microsurgical outlook.According to the authors, dividing the learning process into short-term stages allows students to gradually immerse themselves in the microsurgical world, while they themselves regulate the frequency of training and the need for further improvement of skills. Due to the phasing, the course becomes more accessible and makes it possible to popularize microsurgery as a universal method for solving surgical problems.

Lip and Perioral Trauma: Principles of Aesthetic and Functional Reconstruction

2021 ◽  
Author(s):  
Yanjun Xie ◽  
Molly E. Heft Neal ◽  
Shannon F. Rudy ◽  
Lisa D. Grunebaum ◽  
David A. Shaye ◽  
...  
Keyword(s):  
Primary Repair ◽  
Surgical Techniques ◽  
Psychological Trauma ◽  
Tissue Loss ◽  
Sphincter Function ◽  
Natural Function ◽  
Reconstructive Ladder ◽  
Aesthetic Appearance ◽  
Management Of Complications ◽  
Nuanced Understanding

AbstractSuccessful management of lip and perioral trauma requires a nuanced understanding of anatomy and surgical techniques. Surgical correction is particularly challenging in instances of tissue loss, due to a narrow tolerance for aesthetic deformity and highly specialized functions of the perioral region, including facial expression, communication, and oral competence. Restoring continuity of the orbicularis oris musculature is critical for dynamic sphincter function of the upper and lower lips. Lip and perioral tissue symmetry are also critical for aesthetic balance, and failure to restore a natural appearance can adversely affect personal identity, with attendant psychological trauma. This discussion of lip and perioral trauma management encompasses lip and perioral anatomy, evaluation of injuries, reconstructive techniques, and prevention and management of complications. Perioral injuries are classified by size, depth, and extent of injury, and the corresponding reconstructive approaches are a function of complexity. These approaches proceed sequentially up rungs of the reconstructive ladder including primary repair, local flaps, grafting, regional flaps, as well as microvascular free tissue transfers. Procedures may be single stage or require multiple stages or subsequent refinement. Regardless of the defect size or location, the guiding principle of repair in the perioral region is restoring natural function and aesthetic appearance. This still-evolving area of facial plastic and reconstructive surgery lends itself to artistry and technical precision, offering opportunities for further innovation to improve the outcomes of patients with lip and perioral trauma.

scholarly journals HISTORICAL ASPECTS OF PHALLOPLASTY

2017 ◽  
Vol 4 (3) ◽  
pp. 86-92
Author(s):  
P. S. Kyzlasov ◽  
M. M. Sokol'shchik ◽  
A. A. Kazhera ◽  
M. V. Zabelin
Keyword(s):  
Literature Review ◽  
Plastic Surgery ◽  
Gold Standard ◽  
Chronological Order ◽  
Historical Aspects ◽  
Advantages And Disadvantages ◽  
The Past ◽  
Congenital Deformities ◽  
No Gold Standard ◽  
Forming Methods

Reconstruction of the penis in transgender operations, amputation of the penis, congenital deformities and anomalies of the penis was and remains today an important issue in plastic surgery of the urogenital region. The only method to restore the penis is phalloplasty. In general, over the past decades, generations of clinicians have different ways and flaps for total fallouretheral reconstruction. Thus was formulated the characteristics of an ideal flap for the formation of neophallos, which should be safe, sensitive, without hair, and with long leg. However, despite the fact that the characteristics of a perfect flap, nowadays there is no “gold standard” in the formation of neophallos, as phalloplasty is a fairly complicated surgery, and the choice of method depends on many factors. The choice of methodology is determined by the plastics surgeon and to each patient is individual, depends on the etiology of the disease and the possibility of choosing the form of the donor’s transplant. This article presents a literature review devoted to the historical aspects of phalloplasty. In the article, in chronological order reflected the evolution of the different forming methods neofallos, phallourethrоplasty, describes their advantages and disadvantages.

scholarly journals CLINICO-ANATOMICAL FEATURES OF INTEGUMENTARY TISSUES IN THE ACHILLES TENDON FROM THE POINT OF VIEW OF PLASTIC SURGERY. THE ANALYSIS OF WAYS OF ELIMINATION OF CICATRICIAL DEFORMATIONS IN THE ACHILLES TENDON AREA: THEIR ADVANTAGES, DISADVANTAGES

2018 ◽  
Vol 22 (6) ◽  
pp. 317-320
Author(s):  
Olga V. Filippova ◽  
A. V. Govorov ◽  
K. A. Afonichev ◽  
N. S. Galkina ◽  
Ya. N. Proshchenko ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Plastic Surgery ◽  
Clinical Features ◽  
Normal Skin ◽  
Point Of View ◽  
Anatomical Features ◽  
Advantages And Disadvantages ◽  
Skin Repair

The article deals with the features of integumentary tissues in the Achilles tendon region, which must be taken into account in the planning of reconstructive surgeries, the clinical features of this scar localization, as well as the advantages and disadvantages of existing methods of normal skin repair in the Achilles tendon area.

scholarly journals A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty

2019 ◽  
Vol 52 (03) ◽  
pp. 270-276
Author(s):  
Jonas Röjdmark ◽  
Agko Mouchammed
Keyword(s):  
Plastic Surgery ◽  
Alar Cartilage ◽  
Easy Access ◽  
Integrative Approach ◽  
Open Approach ◽  
Nasal Tip ◽  
Advantages And Disadvantages ◽  
Aesthetic Plastic Surgery ◽  
Closed Approach ◽  
Open Versus

Abstract Introduction Open versus closed approach in rhinoplasty is a frequently debated topic in aesthetic plastic surgery. Although good results can often be achieved with either technique, both have unique advantages and disadvantages. In this investigation, we present our experiences of a modified closed-open approach that has been applied on 482 complex primary and secondary rhinoplasties. Three representative cases are described in more detail. Materials and Methods The procedure begins as a closed approach through an intracartilaginous incision allowing cephalic trimming of the lateral crura, dorsal rasping, and/or excision. Patients requiring extensive nasal tip maneuvers are subjected to exposure of the alar cartilage framework through a transcolumellar/limited marginal incision. This provides not only adequate exposure of the alar cartilages but also easy access to the septum. Conclusion In our hands, this approach is easy and expeditious. It requires less tip dissection, and therefore may avoid the prolonged postoperative edema that is often a consequence of open or extended closed tip delivery approaches.

scholarly journals Evaluation of scrotal reconstruction with thigh flap

2018 ◽  
Vol 50 (1-2) ◽  
pp. 13-17
Author(s):  
Md Tarikul Islam ◽  
Palash Kumar Dey ◽  
Abu Hena Mustafa Kamal ◽  
Md Farid Uddin
Keyword(s):  
Prospective Study ◽  
Donor Site ◽  
Scrotal Skin ◽  
College Hospital ◽  
Medical College ◽  
Advantages And Disadvantages ◽  
Aesthetic Appearance ◽  
Skin Loss ◽  
Cutaneous Flap ◽  
Surgery Department

Background: Scrotal skin can be lost in many ways. Partial loss of scrotum is easy to manage but major scrotal skin loss represents a significant challenge to the reconstructive surgeon. Although many techniques have been established for the treatment of major scrotal defects, each technique has its own advantages and disadvantages in specific situations.Objective: The aim of this prospective study was to evaluate the outcome of thigh fascio-cutaneous flap for reconstruction of major scrotal loss with exposed testis.Methods: This prospective study was done for 5 years extending from January 2012 to December 2016. In this period we reconstructed major scrotal defects of eight patients with antero medial and pudendal thigh fascio-cutaneous flap in Burn and Plastic Surgery department, Khulna Medical College Hospital. Total eleven thigh fascio-cutaneous flaps were used for reconstruction of major scrotal defects.Results: The mean patient age was 41 years (range 24 to 62 years). The aetiology of scrotal loss was Fournier's gangrene in 4 cases and trauma in 4 cases. Three cases had bilateral and five cases had unilateral flap reconstruction. The flaps allowed sensate coverage and took well. Primary donor site closure obviated the need for skin grafts in most of the cases, Complications were flap tip necrosis (12.50%) and minor wound infection (12.50%) which were treated conservatively. Donor site scar was limited and acceptable. The flap had good aesthetic appearance except in one fatty patient where the flaps were bulky.Conclusion: The study concluded that thigh fascio-cutaneous flap is very reliable for coverage of major scrotal defects.Bang Med J (Khulna) 2017; 50 : 13-17

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