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Bilateral Pedicled Superior Gluteal Artery Perforator (SGAP) Flap for Double-Layer Closure and Reconstruction of Sacrococcygeal Defect After Chordoma Resection: A Case Report.
Microsurgery
January 2025
Zentrum für Plastische Chirurgie, Pyramid Clinic, Zurich, Switzerland.
Article Synopsis
- Chordomas are rare, slow-growing cancers that often occur in the lower spine area and require surgical removal, which can leave significant defects.
- Traditional reconstruction methods often use musculocutaneous flaps, leading to higher complications at the donor site; hence, there is a need for better techniques that reduce these issues.
- This case report introduces a new reconstruction method using gluteus maximus muscle advancement and superior gluteal artery perforator flaps for a patient after chordoma removal, resulting in successful recovery and minimal complications at the donor site during follow-up.
Robot-Assisted Nerve-Sparing Eradication of Deep Endometriosis Using the da Vinci SP.
J Minim Invasive Gynecol
October 2024
Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan (all authors).
Article Synopsis
- - The text discusses the advantages of nerve-sparing surgery for deep endometriosis, emphasizing how it can minimize pelvic organ dysfunction post-surgery through improved anatomical knowledge and surgical techniques.
- - It highlights the use of the da Vinci SP robotic system, which has advanced tools that enhance precision in complex surgeries compared to traditional single-port laparoscopic methods, though its full potential is still being explored.
- - A case study is presented involving a 47-year-old woman with chronic pelvic pain, illustrating that the technique used in the surgery mimics conventional robotic procedures, benefiting from the SP system's superior visualization and instrument maneuverability.
Reconstruction for extensive sacrococcygeal defects in complex tumor patients with personalized customized gluteus maximus myocutaneous flaps.
J Tissue Viability
November 2024
Department of Burns and Plastic Surgery, Second Affiliated Hospital of Naval Medical University, 415 Fengyang Road, Huangpu District, Shanghai, China. Electronic address:
Article Synopsis
- - The study aimed to assess the effectiveness of personalized gluteus maximus myocutaneous flaps (GMMF) for reconstructing large soft tissue defects in patients with complex tumors, specifically in the sacrococcygeal area.
- - Researchers reviewed the medical cases of 8 patients from December 2021 to August 2023, focusing on designing GMMF that fit the specific shape and depth of individual defects, with careful monitoring of potential complications during recovery.
- - Results showed successful reconstruction with minimal complications; only one patient experienced a seroma that resolved quickly, highlighting the technique as an effective option for these challenging wounds.
Transjugular antegrade transvenous obliteration, with and without portal decompression, for management of rectal variceal hemorrhage.
CVIR Endovasc
September 2024
Division of Vascular and Interventional, Radiology Department of Radiology, University of Southern California, 1500 San Pablo St Second Floor Imaging, Los Angeles, CA, 90033, USA.
Purpose: To report antegrade transvenous obliteration, with or without concurrent portosystemic shunt creation, for the treatment of hemorrhagic rectal varices.
Materials And Methods: Eight patients, including five (62.5%) females and three (37.
Segmental Bowel Resection for Rectal Endometriosis Using the da Vinci SP.
J Minim Invasive Gynecol
August 2024
Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan (all authors).
Objective: The da Vinci SP Surgical System (SP) received regulatory approval for use in gynecological surgeries in Japan in 2023. Given the advantages of the precision of a robot, less pain, and the cosmesis of single-port surgery, the da Vinci SP is expected to be further used for minimally invasive surgeries. To the best of our knowledge, this is the first report of the use of SP for the treatment of rectal endometriosis with segmental bowel resection.
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