V-Y plasty for perianal reconstruction after resection of tumor.

A patient with combination of perianal condylomas and Bowen's disease is described. After resection of the tumor, the defect was repaired by use of V-Y plasty using triangular island skin flaps and split thickness skin grafts. After repair and reconstruction of the perianal area, the patient regained full continence.

Deep partial skin thickness burns: a reproducible animal model to study burn wound healing.

A reproducible deep partial skin thickness burn model using guinea-pigs to study the healing process of this injury is described. Round aluminium templates heated to 75 degrees C and applied for 5 s to the moistened, clipped and depilated dorsal skin produced the desired depth of injury. This model is applicable for the study of the three main components of the burn wound healing process: epithelialization, contraction and scar formation.

Mammaplasty with a short horizontal scar. Evaluation and results after 9 years.

To obtain a shorter horizontal branch of the inverted T used in mammaplasties, the senior author has developed a technique based on a vertical skin resection stopping above the inframammary line. An evaluation of the results after 9 years of experience has been carried out in 176 patients. Results were satisfactory overall because the shape obtained was pleasing and stable in most cases; the horizontal scar remained hidden beneath the breast in the standing position.

Use of the rectus abdominis muscle and fascia flap in reconstruction of epispadias/exstrophy.

Inferiorly based rectus abdominis muscle flaps and fascial flaps have been used to construct a firm abdominal wall without hernias and to provide coverage of the bladder, bladder neck, and proximal urethra in the secondary reconstruction of patients with epispadias/exstrophy complex. They have also been used to produce an elevation of the mons area, which is lacking in the typical exstrophy patient. Rectus fascial flaps have been the mainstay of abdominal closure when wide diastasis of the rectal muscles is present and when the lower abdomen lacks fascial support.