Immediate tendon transfer for functional reconstruction of a dorsal forearm defect after sarcoma resection.

In the treatment of sarcoma, the reconstructive surgeon must consider not only limb salvage but also functional reconstruction. The aim of this study was to evaluate a functional reconstruction of a dorsal forearm defect after sarcoma resection using immediate tendon transfer. Patients who underwent reconstruction of a dorsal forearm defect after sarcoma resection with an immediate tendon transfer between 1997 and 2019 at our hospital were included in this retrospective study.

A Labia Majora Sharing Perforator Flap for Labial Defect Reconstruction.

Reconstruction of a defect in the labial area has to be performed by taking account of the shape of the labial area and urogenital function. The gracilis myocutaneous flap and the gluteal fold flap are commonly used reconstructive procedures, but sometimes these flaps are too bulky and cause a deviation of the urination stream and/or deformity of the reconstructed site. In this report, we present our unique method of reconstruction using a contralateral labia majora sharing perforator flap.

Triple-lobe combined latissimus dorsi and scapular flap for reconstruction of a large defect after sarcoma resection.

Background: In the setting of the reconstruction for a large defect, we must make the maximum use of the limited human tissue with the minimum damage. In this article, we report on reconstruction using a combination of three-skin paddle latissimus dorsi and a scapular flap for a large defect after soft tissue sarcoma resection to minimize donor site morbidity.

Methods: From 2000 to 2012, six patients underwent primary reconstruction using free or pedicled triple-lobe combined latissimus dorsi and scapular flap after wide resection of soft tissue sarcoma.

Long-term results of vascularized proximal fibula epiphyseal transfer based on the anterior tibial artery in retrograde fashion.

Injury of bone growth plates can result in severe disability in children. We report the long-term results of successful vascularized proximal fibula epiphyseal transfer based on the anterior tibial artery in retrograde fashion.

A Rare Chest Wall Deformity after Usage of a Tissue Expander for Breast Reconstruction.

A 2-stage breast reconstruction using a breast tissue expander and prosthesis is a simple method of breast reconstruction with little donor-site morbidity and short surgery time. In this report, we present a rare case of chest wall deformity, which appeared during breast skin expansion with tissue expander. We present a case of a 31-year-old woman who underwent a 2-stage breast reconstruction with a tissue expander and breast prosthesis.

Use of Laser Speckle Contrast Imaging for Successful Fingertip Replantation.

Fingertip replantation is a technical challenge for microsurgeons. For successful fingertip replantation, it is important to monitor the replanted fingertip vascularity for the early detection and revision of vascular compromise. Laser speckle contrast imaging (LSCI) is a camera-based technique that measures the perfusion by illuminating the tissue with a 785-nm-wavelength divergent laser beam.

A Breast Reconstruction Using a Breast Prosthesis and Capsular Flap for a Lymphocele Patient.

We encountered a very rare condition where the patient had a lymphocele under the skin envelope of the breast following mastectomy during the course of breast reconstruction with a tissue expander. The incidence rate of axillary lymphoceles is reported as 2.2-50% in breast cancer patients, but there have been no reports mentioning lymphoceles under the breast skin during the course of breast reconstruction with a prosthesis.

A Cadaver Study to Assess the Feasibility of a Cross-Nerve Transfer of the Infraorbital Nerve for Patients With Peripheral Infraorbital Nerve Injury.

Background: Patients with facial fracture or head and neck surgery sometimes suffer from infraorbital nerve injury. This injury results in severe hemilateral numbness in the midfacial area. The infraorbital nerve ends with two major branches; the infra nasal branch (INB) and superior labial branch (SLB).

Vulvar Reconstruction Following Surgery for Vulvar Cancer Using a Stepladder V-Y Advancement Medial Thigh Flap.

Objective: The aim of this study was to identify the risks and benefits of the stepladder V-Y advancement medial thigh flap for vulvovaginal reconstruction in comparison to direct skin closure.

Methods: Fifty-four patients with vulvar cancer treated in our hospital between 1992 and 2013 were enrolled in this study. The cohort group (group A) consisted of 25 patients who underwent surgery from August 2006 until April 2013.

Recent advances in reconstructive surgery for bone and soft tissue sarcomas.

We present the current perspective on reconstructive surgery for soft tissue tumors, especially in the extremities, based on our large series. A total of 1,813 patients with bone and soft tissue sarcomas underwent surgery at our hospital between 1978 and 2011. Reconstructive operations were performed by plastic surgeons.

Continuous local intraarterial infusion of anticoagulants for microvascular free tissue transfer in primary reconstruction of the lower limb following resection of sarcoma.

In free tissue transfers, preventing microvascular thrombosis is the first priority to achieve a successful result. Numerous protocols exist for preventing thrombosis postoperatively. We performed continuous local intraarterial infusion of anticoagulants in 11 patients undergoing wide resection of malignant soft tissue tumors, followed by primary microvascular reconstruction in the lower limb.

Reconstruction following resection of soft-tissue sarcomas at the ankle region in seven patients.

The defects following soft-tissue or bone malignancies resection tend to be wide and composite at the region of ankle, and reconstruction of the defects is a difficult task. Between 1982 and 2007, we performed reconstruction for the defects of the ankle region in seven patients. All of the patients underwent free tissue transfer, and the selected methods are different for each case.

Stepladder V-Y advancement medial thigh flap for the reconstruction of vulvoperineal region.

Many surgical procedures have been reported for vulvoperineal reconstruction following cancer resection. These include the use of skin grafts, local skin flaps, muscle flaps and fasciocutaneous flaps. Among them, V-Y advancement flap from the medial thigh region has been widely used.