A proposal for classifying peristomal skin disorders: results of a multicenter observational study.

The challenges of caring for abdominal ostomy disorders have grown over the years. Because the literature shows no evidence of a tool to classify peristomal skin disorders, a study group comprised of seven enterostomal therapy nurses and four surgeons sought to provide an objective, reproducible, standardized classification instrument. A prospective, observational study was conducted among eight ostomy centers across Italy.

[Multicentre observational study on peristomal skin disorders. A proposal classification].

Disorders regarding peristomal skin have been more and more investigated in order to establish the impact on quality of life of ostomy patients. The aim of this classification is to provide an objective, standardized tool for the assessment of peristomal skin complication specifically designed on the description and localization of the lesion.

Tissue expansion in neurosurgical reconstructive technique: case report.

Background: Various reconstructive techniques using hair-bearing scalp to manage unsightly scalp defects have been described. In 1983, Fonseca and in 1984, Horowitz emphasized the use of galeal-pericranial flaps in scalp wounds with exposed bone. In 1986, Matthews and Missoten described early tissue expansion to close a traumatic defect of the scalp, and in 1990 Kiyono placed tissue expander in a pocket adjacent to the defect that was covered with Marlex Mesh.

Breast reconstruction according to pTNM: our experience.

Reconstruction of the breast after radical mastectomy has become an integral part of the treatment and rehabilitation of the patient with breast cancer. Any variants of radical mastectomy are the mainstay of the treatment of the majority of patients with breast cancer. We prefer modified radical mastectomy according to the Madden-Auchincloss technique, because the breast reconstruction after this procedure is easier from the anatomic point of view.