Petroleum jelly lipogranuloma of the penis treated with excision and native skin coverage.

Penile augmentation by injection of petroleum jelly is still performed by nonmedical practitioners abroad and causes foreign body reactions with resultant scarring, deformity, and ulceration. Surgical treatment involves removal of the foreign material and granuloma, followed by scrotal flaps, inguinal flaps, free flaps, or split-thickness skin grafts. We present the use of native penile skin for coverage after resection of oleogranuloma in the first case of which we are aware.

Long-term functional results after reduction mammaplasty.

The techniques and cosmetic results of reduction mammaplasty have been well documented. However, pain is a major indication for undergoing this procedure, and symptom relief has rarely been addressed. This issue becomes particularly important in an era when medical costs are being increasingly scrutinized.

Immediate breast reconstruction following mastectomy is as safe as mastectomy alone.

We evaluated wound complications and potential risk factors after mastectomy with immediate breast reconstruction and compared them with similar data after modified radical mastectomy. The incidences of infection, seroma, hematoma, and epidermolysis were compared among 395 patients (305 with modified radical mastectomies and 90 with mastectomy with immediate breast reconstruction) from Virginia Mason Medical Center, Seattle, Wash, between 1983 and 1989. Obesity, age (60 years or older), smoking, antibiotics, and wound drainage were examined as possible risk factors.