Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction?

Background: Women who undergo breast cancer surgery often have an indication for gynaecological procedure. The aim of our study was to compare infectious complications rate after mastectomy with implant-based reconstruction in patients with and without concurrent gynaecological procedure.

Patients And Methods: We retrospectively reviewed clinical records of 159 consecutively operated patients after mastectomy with implant-based reconstruction.

A Unique Method for Total Nasal Defect Reconstruction - Prefabricated Innervated Osteocutaneous Radial Forearm Free Flap.

A 52-Year-old woman underwent a two-stage total nose reconstruction for complete nasal defect due to skin cancer. In the 1 stage, innervated osteocutaneous radial forearm flap ("Neo nose") was raised with the help of a 3D template. In the 2 stage, well vascularised "Neo-nose" was transferred to the face and covered with pre-expanded forehead flap.

Anatomical Considerations to Optimize Sensory Recovery in Breast Neurotization with Allograft.

Background: Breast numbness is a recognized problem following mastectomy and subsequent reconstruction. Contemporary literature acknowledges the positive role of breast neurotization, but it is characterized by a variety of technical approaches and substantial heterogeneity with respect to the degree of recovered sensibility that remains suboptimal in comparison with other sensory nerve reconstructions. This study's purpose was to provide an anatomical basis for observed inconsistencies and therein provide a principle that can be used to develop a technical approach that will optimize sensory recovery.

Does a continuous local anaesthetic pain treatment after immediate tissue expander reconstruction in breast carcinoma patients more efficiently reduce acute postoperative pain--a prospective randomised study.

Background: Immediate breast reconstruction with an expander is a reasonable option for properly selected patients. After reconstruction, patients have severe postoperative pain, which responds poorly to opioids. Our aim was to evaluate if continuous wound infusion of a local anaesthetic into the surgical wound reduces postoperative pain, consumption of opioids and incidence of chronic pain compared to standard intravenous piritramide after primary breast reconstruction in breast carcinoma patients.

Evaluation of surgical treatment in mandibular condyle fractures.

Aim: In the past, fractures of the mandibular condylar process were, as a rule, treated conservatively. At the Department of Maxillofacial and Oral Surgery of the University Medical Centre Ljubljana, Slovenia, our doctrine was changed in 2002 on the basis of preliminary results and reports in the literature, and these fractures were started to be treated surgically by open reduction and internal fixation with miniplates and screws, which led to good results and a shorter rehabilitation period. The goal of this study was to determine the safety and efficiency of surgical treatment, as well as to compare long-term results of surgical and conservative treatment, as objectively as possible.

The use of 3D laser imaging and a new breast replica cast as a method to optimize autologous breast reconstruction after mastectomy.

Aesthetically pleasing and symmetrical breasts are the goal of reconstructive breast surgery. Sometimes, however, multiple procedures are needed to improve a reconstructed breast's symmetry and appearance. In order to avoid additional corrective procedures, we have developed a new method that uses a reverse engineering technique to produce what we call a new breast replica cast (NBRC).

Endoscopic decompression of the ulnar nerve at the elbow.

Purpose: The ideal operative treatment for cubital tunnel syndrome, the second most common form of peripheral compression neuropathy, remains controversial. We therefore reviewed our series of endoscopically assisted ulnar nerve decompression at the elbow to determine the effectiveness of the procedure, which was intended to minimize perioperative morbidity and scar discomfort.

Methods: In 36 patients (ages 22-76 years) with clinical McGowan grade I (4 patients), II (21 patients), and III (11 patients) and electrophysiologic signs of cubital tunnel syndrome (35 primary, 1 recurrent), 20 cm of the ulnar nerve was released through a 3.

Port wine stain treatment with a dual-wavelength Nd:Yag laser and cryogen spray cooling: a pilot study.

Background And Objectives: We report on a pilot study of port wine stain (PWS) treatment with a prototype Nd:YAG/KTP laser system, emitting simultaneously at 1,064 and 532 nm, and equipped with a cryogen spray cooling (CSC) device.

Study Design/patients And Methods: On 10 patients (4-36 years old, mean: 16.2 years) with skin types II-III, therapeutic efficacy of the dual-wavelength laser (KTP+) was compared with a standard KTP laser (532 nm only) at the same pulse duration (25 millisecond), spot diameter (3 mm), and CSC parameters.

Surgical technique to reduce scar discomfort after carpal tunnel surgery.

A total of 379 patients (416 hands) with clinically diagnosed and electromyographically confirmed carpal tunnel syndrome were enrolled in a prospective study to determine the influence of a modified open decompression technique on postoperative scar discomfort. The new technique used in 184 patients (200 hands) is presented. Special attention was focused on identification and preservation of macroscopically detectable subcutaneous nerves.