Unlabelled: The intermuscular technique for subcutaneous implantable cardioverter-defibrillator (S-ICD) implantations is a technique for implanting the device between the anterior serratus muscle and latissimus dorsi (LD) muscle. A 70-year-old hypertrophic cardiomyopathy patient underwent a surgical repositioning of an S-ICD due to a moved device with skin thinning from mechanical stress. The patient had an S-ICD implantation 4 years prior to the reimplantation and the intermuscular technique was not expected to be achieved.
View Article and Find Full Text PDFBackground: Recently, significant inframalleolar disease seems to increase in chronic limb-threatening ischemia (CLTI) patients, making identifying sufficient outflow vessels in the foot challenging. In these difficult situations, free tissue transfer is a valuable tool to provide a low-resistance vascular bed to the affected part. However, there remains concern that free tissue transfer may impede adequate perfusion of the higher resistance diseased vascular bed.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
August 2021
Unlabelled: Nontraumatic atlantoaxial rotatory fixation after microtia reconstruction surgery is a rare complication. Intraoperative cervical hyperextension and/or excessive rotation and postoperative inflammation have been reported as causes of atlantoaxial rotatory fixation. We herein describe cases of atlantoaxial rotatory fixation after microtia reconstruction surgery.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
April 2021
The primary goal of abdominal wall reconstruction is to prevent hernia recurrence through robust and durable repair. Synthetic mesh utilization can provide sound strength but is susceptible to extrusion, infection, and intestinal fistulization. The use of autologous fasciae latae to reinforce the primary fascial reapproximation has mostly been abandoned, presumably because synthetic patches are readily available.
View Article and Find Full Text PDFReconstruction of combined skin and tendon loss in an injury of the dorsum of the hand is a challenging problem because it is required to achieve adequate excursion of the tendon. We herein report our case of extensor tendon repair for a dorsal hand injury using a rolled deep temporal fascial (DTF) graft and a free temporoparietal fascial flap. The patient regained satisfactory hand function with minimal donor site morbidity.
View Article and Find Full Text PDFBackground: In two-stage procedures for reconstruction of microtia, an axial flap of temporoparietal fascia is widely used to cover the costal cartilage blocks placed behind the framework. Although a temporoparietal fascia flap is undoubtedly reliable, use of the flap is associated with some morbidity and comes at the expense of the option for salvage surgery.
Methods: The authors devised a simplified procedure for covering the cartilage blocks by creating a pocket in the postauricular temporoparietal fascia.