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Post-surgical mediastinitis caused by Aspergillus calidoustus in a heart transplant recipient: A case report and review of the literature.
Diagn Microbiol Infect Dis
March 2025
Infectious Diseases Unit, Department of Internal Medicine, La Paz University Hospital, Madrid, Spain; Clinical Microbiology and Parasitology Department La Paz University Hospital, Madrid, Spain.
Acute mediastinitis is a common infectious complication following heart transplant surgery. The etiology is typically bacterial, and the condition tends to have a favourable outcome with appropriate source control and antimicrobial treatment. Clinically, it often presents acutely, with early dehiscence of the surgical wound and systemic involvement, necessitating prompt surgical intervention.
View Article and Find Full Text PDFThe Incomplete V-Y Flap: A Useful Design Modification of the Conventional V-Y Flap Exampled With a Case Series of Pilonidal Sinus Excision Defects.
Ann Plast Surg
February 2025
From the Mersey Regional Centre for Burns and Plastic Surgery, Whiston Hospital, Mersey & West Lancashire NHS Trust, Prescot Merseyside, United Kingdom.
Pilonidal disease is relatively common and can be particularly comorbid for patients, especially in circumstances of chronic abscess or sinus formation. Excision of such disease can require flap reconstruction, one of the most common types being V-Y advancement flap. We present a modification of the V-Y flap that leaves incompletely incised distal edges that theoretically will help to avoid flap tip necrosis while allowing sufficient tissue mobility.
View Article and Find Full Text PDFExtended Anterolateral Thigh Flaps: Maximum Size for Covering Cancerous Defects.
Ann Plast Surg
February 2025
From the Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Chiba, Japan.
Background: The anterolateral thigh perforator flap is frequently used for massive soft-tissue defect reconstruction. Cadaver perfusion examinations of isolated anterolateral thigh flaps have suggested a maximum skin area that may be vascularized based on the perforating vessels (ie, 250 cm2). Therefore, this study aimed to evaluate a series of consecutive cases involving use of extended anterolateral thigh flaps for oncologic reconstruction of massive soft-tissue defects.
View Article and Find Full Text PDFObjective: The aim of this report is to raise awareness of a rare inborn error of immunity (IEI) that can predispose to inflammatory disease and infection risk by describing a patient case.
Methods: We reviewed clinical findings, laboratory and pathology evaluations, and genetic results.
Results: A 13-year-old female patient with a history of prematurity and spastic diplegic cerebral palsy underwent planned orthopedic procedures to correct chronic gait abnormalities.
Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation.
Arch Plast Surg
March 2025
Department of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, Japan.
Free flap reconstruction can be performed in patients with chronic limb-threatening ischemia (CLTI). However, early walking training may increase the risk of wound dehiscence and prolong hospitalization. Total contact cast (TCC) treatment effectively addresses diabetic plantar ulcers by immobilizing the foot and distributing weight away from the ulcer area.
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