: Immediate breast reconstruction is often applied after mastectomy. However, inappropriate surgical technique, postoperative radiotherapy and infection may lead to tissue necrosis and implant protrusion. Traditional therapies frequently fail. However, previous data suggested that capsule flaps may be appropriate for the salvage of implants. Our goal was to investigate the usefulness of capsuloplasty in patients with exposed breast implant and to monitor the blood supply of capsule flaps during the operation. : Capsuloplasty was performed in 19 patients with exposed implant. After removal of necrotic tissue, capsulotomy was performed, the planned flap was dissected free, the implant was covered with the flap and the wound was then closed. During operation, the blood flow of the flap was determined by means of laser Doppler flowmetry. Moreover, tissue samples were taken for histology and immunostaining for CD34. : The postoperative follow-up showed that capsule flaps survived in each case: no complications were found. The blood flow of the flaps did not change significantly during the intervention as compared with the baseline values. The histology and the immunohistochemistry revealed considerable vascularization and angiogenesis in the flap. : Capsule flaps seem to be appropriate for the salvage of exposed implants and for enhancement of implant cover in the case of thin and injured tissue.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/08941939.2018.1442532 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Debridement Technique for Single-Stage Revision Shoulder Arthroplasty.
JBJS Essent Surg Tech
January 2025
Shoulder and Elbow Service, Florida Orthopaedic Institute, Tampa, Florida.
Background: The incidence of revision shoulder arthroplasty continues to rise, and infection is a common indication for revision surgery. Treatment of periprosthetic joint infection (PJI) in the shoulder remains a controversial topic, with the literature reporting varying methodologies, including the use of debridement and implant retention, single-stage and 2-stage surgeries, antibiotic spacers, and resection arthroplasty. Single-stage revision has been shown to have a low rate of recurrent infection, making it more favorable because it precludes the morbidity of a 2-stage operation.
View Article and Find Full Text PDFLow-dose estrogen release from silastic capsule enhanced flap wound healing in an animal model.
Int Wound J
October 2024
Burn Center and Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Article Synopsis
- Flap transplantation is often used for extensive wounds, relying on stable blood flow, and previous studies showed that high doses of estrogen improve flap survival but may cause side effects due to unnatural concentrations.
- This study tested the effects of sustained-release estrogen capsules at lower, physiological levels on flap survival in ovariectomized mice, focusing on blood perfusion and wound healing indicators.
- Results indicated that lower doses of estrogen improved blood flow and reduced necrosis while impacting specific markers related to tissue oxygen levels and cell death, suggesting that physiological estrogen levels can still be beneficial for flap survival.
[Modified gluteus maximus transfer for hip abductor deficiency].
Oper Orthop Traumatol
October 2024
Klinik und Poliklinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Deutschland.
Article Synopsis
- The objective of the surgical procedure is to address abductor deficiency by transferring the gluteus maximus and refixing it at the greater trochanter.
- This method is suitable for patients with significant atrophy and fatty degeneration of the gluteal muscles (over 50%), while contraindications include low muscle degeneration, limited strength, and infections.
- The surgical technique involves making incisions to create a triangular flap from the gluteus maximus, which is then repositioned to improve hip stability and muscle function.
"Inverted flap rhexis" - Salvation of intumescence.
Indian J Ophthalmol
September 2024
Department of Cataract and IOL Services, Indira Gandhi Eye Hospital and Research Centre, Lucknow, Uttar Pradesh, India.
Intumescent cataract can be a challenge even for an experienced surgeon, particularly for creating a continuous curvilinear capsulorhexis (CCC) because of increased endolenticular pressure. CCC in white intumescent cataract is associated with increased risk of extension of rhexis margin leading to radial tear or biradial extension causing "Argentinian flag sign" and associated complications. We describe a novel technique for CCC, in which we manipulate the vector forces acting in creating a capsulorhexis.
View Article and Find Full Text PDFComparison of the therapeutic effects of lens capsular flap transplantation and autologous retinal transplantation in the management of refractory macular holes.
Int Ophthalmol
July 2024
Department of Ophthalmology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Purpose: To report the comparison of the therapeutic effects of lens capsular flap transplantation (LCT) and autologous retinal transplantation (ART) in refractory macular hole (MH) treatment.
Methods: Thirty-one patients (31 eyes) with refractory MH were retrospectively reviewed. The patients were divided into two groups based on the surgical procedures: the LCT group (13 eyes) and the ART group (18 eyes).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!