[Recurrence of a Desmoid Tumour in a Scar at the Donor Site of a Latissimus Dorsi Flap].

A desmoid tumour, also known as aggressive fibrous tumour or desmoid fibromatosis, is a rare, benign tumour originating from connective tissue cells. Desmoid tumours account for approximately 0.03+% of all neoplasms and less than 3+% of all soft tissue tumours.

[Buried Penis: A Comprehensive Review on Aetiology, Classification and Plastic-Surgical Reconstruction].

The buried penis, also called hidden or concealed penis, is associated with morbid obesity or seen after massive weight loss in adults. In highly obese, bariatric patients, the penile shaft invaginates into the pre-pubic fat masses, resulting in voiding problems and urine wetting of the surrounding tissue. This leads to infection, skin maceration, lichen sclerosus and eczema.

Influence of human fibroblasts on development and quality of multilayered composite grafts in athymic nude mice.

In patients after extensive burn injury the lack of split thickness skin graft donor sites, and consecutive delay in wound closure are critical factors of morbidity and mortality. In addition limited functional and aesthetic results after transplantation of split thickness skin grafts present a socioeconomic problem. For improved wound closure the aim of this study was the development of a one stage technique for the establishment of a multi layer composite graft, existing of a collagen-GAG-matrix with silicon layer of a two layer synthetic dermal equivalent (DE) with integrated fibroblasts, and ceratinocytes.

The compound dorsal metacarpal artery tendofasciocutaneous flap: an attractive reconstructive tool for complex digital defects.

Different modifications of flaps based on the dorsal metacarpal arterial system have been reported as reliable tools for reconstruction of dorsal and palmar phalangeal soft tissue defects. For simultaneous reconstruction of the extensor aponeurosis and joint in complex injuries of the dorsal index, we used a distally based pedicled fasciotendocutaneus second dorsal metacarpal flap, including the complete vascularized extensor indicis tendon in 2 cases. Clinical results of this procedure have not been reported so far.

Compression therapy after complex soft tissue trauma, and flap coverage: optimization of scar development, swelling, function, and aesthetic result.

Problems after severe soft tissue injuries, skin grafting, and flap procedures are uncontrolled hypertrophic scarring, unstable scars, functional deficits, and aesthetic disfigurements. Ongoing swelling and lymphatic stasis are also a common problem, and do contribute to functional problems. After deep skin / soft tissue injuries, an unstructured replacement tissue is formed (scar), and does not have all functions of healthy skin.

Survival of severe ARDS with five-organ system failure following burns and inhalation injury in a 15-year-old patient.

Objective: To show the effectiveness of an integrated therapeutical approach in a severe case of acute respiratory distress syndrome (ARDS) following burns, inhalation injury with therapy-refractory oxygenation under maximized ventilatory settings, and an overall complicated clinical course.

Patient And Methods: Case report of a patient with severe inhalation injury and burns in an intensive care unit setting, undergoing cardiopulmonary resuscitation (CPR), nitric oxide (NO)-inhalation, surfactant-, kinetic-, and urodilatin-therapy.

Case Report: A 15-year-old male presented with deep dermal and full thickness thermal injuries involving 25% of his total body surface area.

Severe abdominal wall necrosis after ultrasound-assisted liposuction.

The complicated case of a 44-year-old white female following ultrasound-assisted liposuction of the entire abdomen is presented. In this case the postoperative course was complicated by hematoma, treated conservatively. During following weeks extensive cutaneous necrosis over the abdomen developed.