115 results match your criteria: "Hospital Sud[Affiliation]"

Echocardiography is crucial for evaluating patients at risk of clinical deterioration. Left ventricular ejection fraction (LVEF) and velocity time integral (VTI) aid in diagnosing shock, but bedside calculations can be time-consuming and prone to variability. Artificial intelligence technology shows promise in providing assistance to clinicians performing point-of-care echocardiography.

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[Vascularized composite allografts in France: An update].

Ann Chir Plast Esthet

December 2024

Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France.

Vascularized composite allografts (VCA) encompass the face, upper limb, trachea, penis, abdominal wall, and, more recently, uterus transplants. They offer unique reconstructive possibilities to overcome the limitations of traditional reconstructive techniques. Unlike solid organ transplants (heart, liver, kidney, lung, etc.

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Hand and wrist complete degloving: A case report and litterature review.

Ann Chir Plast Esthet

October 2024

Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France. Electronic address:

Introduction: Complete hand degloving injuries are traumatic avulsion injuries causing the skin to pull away from the underlying tissues and are most often caused by industrial machinery. We present the case of a degloving trauma of the whole fingers, hand, and wrist resulting in a "watch hand" by analogy with the "ring finger" and discuss alternatives and recommendations from the rare cases described of similar traumas.

Case Presentation: A 33-year-old manual worker, a non-smoker with no significant medical or surgical comorbidities, was admitted for a complete skin avulsion of the left hand and wrist following a work-related accident with a trommel-type industrial roller.

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A Two-Step Approach for Breast Augmentation with Chest Wall Deformity?

Aesthetic Plast Surg

February 2024

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, Rennes University Hospital Center, University of Rennes, 16 Boulevard de Bulgarie, 35000, Rennes, France.

Breast augmentation in the case of chest wall deformity can be challenging. It is essential to treat the two problematics separately, and not to attempt compensation for asymmetry with vastly different breast implants. With this work, we wish to highlight the approach based on the use of custom-made 3D implants, enabling optimal correction of thoracic deformity.

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Nonsurgical Treatment of Postburn Hypopigmentation: A Literature Review.

J Burn Care Res

May 2024

Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, 02114 Boston, MA, USA.

The treatment of postburn hypopigmentation was primarily surgical before the advent of new technologies. Medical devices and therapies are emerging to manage scar sequelae that can be disfiguring and associated with severe psychosocial impact. These innovations have been poorly investigated for hypopigmentation, but they represent a real hope.

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Background: Breast reduction surgery for hypertrophy is one of the most commonly performed procedures in plastic surgery. This surgery exposes patients to complications that are well-documented in the literature. The objective of this study is to identify risk factors to establish an estimate of the risk of developing complications.

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Comment on "Surgical management of slightly or non-displaced corporal scaphoid fractures by retrograde percutaneous screw fixation through the anterior trapezium horn: A single-center retrospective French study of 33 patients between January 2015 and January 2019".

Ann Chir Plast Esthet

August 2023

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud (CHU de Rennes), University of Rennes 1, Rennes, France; SITI Laboratory, Rennes University Hospital, Rennes, France; Department of Plastic, Reconstructive and Aesthetic Surgery, CHU de Rouen, Rouen, France.

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LHX2 haploinsufficiency causes a variable neurodevelopmental disorder.

Genet Med

July 2023

Department of Human Genetics, Inselspital Bern, University of Bern, Bern, Switzerland; Department for Biomedical Research, University of Bern, Bern, Switzerland; Bern Center for Precision Medicine (BCPM), University of Bern, Bern, Switzerland. Electronic address:

Purpose: LHX2 encodes the LIM homeobox 2 transcription factor (LHX2), which is highly expressed in brain and well conserved across species, but it has not been clearly linked to neurodevelopmental disorders (NDDs) to date.

Methods: Through international collaboration, we identified 19 individuals from 18 families with variable neurodevelopmental phenotypes, carrying a small chromosomal deletion, likely gene-disrupting or missense variants in LHX2. Functional consequences of missense variants were investigated in cellular systems.

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[Oncologic plastic surgery: An essential activity to develop in France].

Ann Chir Plast Esthet

June 2023

Department of Onco-Plastic Surgery, IUCT-Oncopole University Hospital and Department of Plastic surgery, University Toulouse III Paul Sabatier, Toulouse, France.

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Only few studies report long-term evolution of patients with neuroendocrine cell hyperplasia of infancy (NEHI). We report data from a 54-patient cohort followed up in the French network for rare respiratory diseases (RespiRare). Demographic characteristics and respiratory and nutritional evolution were collected at the time of the patient's last scheduled visit.

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Comment on "Augmentation mammaplasty by superolateral thoracic flap: a case report".

J Med Case Rep

October 2022

Department of Plastic, Reconstructive and Aesthetic Surgery, Rennes University Hospital Center, Hospital Sud, University of Rennes 1, Rennes, France.

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Unlabelled: Early diagnosis of neuroendocrine cell hyperplasia of infancy (NEHI) is crucial as, conversely to the other causes of intersititial lung disease, corticosteroids are not recommended. Diagnosis is historically based on lung biopsy (NEHI), but in current practice, a clinical and radiological approach is more and more preferred (NEHI syndrome). This national study aimed to address diagnosis and initial management of patients followed up for a NEHI pattern in pediatric centers for rare lung diseases (RespiRare, France).

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Article Synopsis
  • Stage IIB Hodgkin lymphoma (HL) patients with certain risk factors have a poor prognosis and are treated either as limited or advanced stage, with differing clinical trials comparing these treatment approaches.
  • A study involving 148 patients showed that baseline total metabolic tumor volume (TMTV) and responses after two cycles of chemotherapy significantly influenced progression-free survival rates, with a median follow-up of 4.1 years showing PFS rates around 88%.
  • The findings suggest that both upfront ABVD plus radiation therapy and upfront escBEACOPP without radiotherapy yield similar outcomes in these high-risk patients, while TMTV can effectively stratify their risk at baseline.
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Treatment of hyperpigmentation after burn: A literature review.

Burns

August 2022

Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Plastic Surgery, European Georges Pompidou Hospital, University of Paris, Paris, France; Lecturer at Massachusetts General Hospital and Shriners Hospitals for Children. Department of Plastic Surgery, Massachusetts General Hospital/ Harvard Medical School, Boston, MA, USA. Electronic address:

Article Synopsis
  • Skin pigmentation disorders, often resulting from burn injuries, can lead to psychological issues, especially when they affect the face, with some cases resulting in permanent changes.
  • A literature review revealed a lack of consensus on the best treatments for these hyperpigmentations, with only a handful of studies providing insights into effective management options.
  • Topical treatments like hydroquinone and retinoids have mixed results, while laser therapies show promise but may worsen pigmentation; hence, treatment should be tailored to individual cases, weighing risks and benefits.
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Background: Individuals with pathogenic variants in SATB2 display intellectual disability, speech and behavioral disorders, dental abnormalities and often features of Pierre Robin sequence. SATB2 encodes a transcription factor thought to play a role in bone remodeling. The primary aim of our study was to systematically review the skeletal manifestations of SATB2-associated syndrome.

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Purpose: The AHL2011 study (ClinicalTrials.gov identifier: NCT01358747) demonstrated that a positron emission tomography (PET)-driven de-escalation strategy after two cycles of bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone (BEACOPP) provides similar progression-free survival (PFS) and overall survival (OS) and reduces early toxicity compared with a nonmonitored standard treatment. Here, we report, with a prolonged follow-up, the final study results.

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Hip arthroplasty represents a large proportion of orthopaedic activity, constantly increasing. Automating monitoring from clinical data warehouses is an opportunity to dynamically monitor devices and patient outcomes allowing improve clinical practices. Our objective was to assess quantitative and qualitative concordance between claim data and device supply data in order to create an e-cohort of patients undergoing a hip replacement.

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Risk Factors for Complications after J Medial Thighplasty following Massive Weight Loss: A Multivariate Analysis of 94 Consecutive Patients.

Plast Reconstr Surg

October 2021

From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, INSERM U1236, and Department of Hepatobiliary and Digestive Surgery, University of Rennes 1; SITI Laboratory, Rennes University Hospital; Department of Plastic, Reconstructive, and Aesthetic Surgery, Cliniques Universitaires Saint-Luc; and Department of Plastic, Reconstructive, and Aesthetic Surgery, CHU of Montpellier.

Background: Bariatric surgery has increased the number of patients requiring medial thighplasty after massive weight loss. However, despite the various complications, the procedure improves quality of life. The authors report postoperative complications of vertical J-shaped medial thigh lift in a series of patients and identify preoperative risk factors.

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Medial Thighplasty Improves Patient's Quality of Life After Massive Weight Loss: a Prospective Multicentric Study.

Obes Surg

November 2021

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200, Rennes, France.

Background: The aim of this study was to assess the impact of medial thighplasty following massive weight loss on the quality of life of patients and on their sexual life.

Methods: We performed a multicentric, prospective study on the quality of life after massive weight loss using the Short-Form 36 questionnaire, the Female Sexual Function Index questionnaire, and the Moorehead-Ardelt Quality of life questionnaire. Forty-nine patients who underwent medial thighplasty were included in three centers and evaluation was made pre- and post-operatively.

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Fleur-de-lys abdominal body contouring surgery following massive weight loss.

J Plast Reconstr Aesthet Surg

August 2021

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, Rennes, France; INSERM U1236, University of Rennes 1, Rennes, France; SITI Laboratory, Rennes University Hospital, Rennes, France.

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Background: The treatment of deep wound sternal infection requires loco-regional pedicled flaps, usually with muscular flaps. Perforator propeller flaps represent the ultimate progress in the history of reconstructive surgery. We report here our experience with the superior epigastric artery perforator (SEAP) flaps to repair sternal defect.

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Perforator-Based Intercostal Artery Muscle Flap: A Novel Approach for the Treatment of Tracheoesophageal or Bronchoesophageal Fistulas.

Plast Reconstr Surg

May 2021

From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, INSERM U1236, and the Department of Hepatobiliary and Digestive Surgery, University of Rennes 1; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital; and the Department of Plastic, Reconstructive, and Aesthetic Surgery, Cliniques Universitaires Saint-Luc.

Summary: Postoperative tracheoesophageal or bronchoesophageal fistulas represent a major surgical challenge. The authors report the description of an original perforator-based intercostal artery muscle flap, aiming to cover all types of intrathoracic fistulas, from any location, in difficult cases such as postoperative fistulas after esophagectomy in an irradiated field. Between June of 2016 and January of 2019, eight male patients were treated with a perforator-based intercostal artery muscle flap.

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[Flap harvest training on a new ultrarealistic simulation model: In-training operator feedback about a pulsating reperfused and reventilated cadaver Simlife®].

Ann Chir Plast Esthet

April 2021

Laboratoire d'anatomie et de simulation de l'université de Poitiers, ABS Lab-Bât D1, 6, rue de la Miletrie TSA-51115, 86073 Poitiers cedex 9, France; Department of Plastic & Reconstructive Surgery, Hand Surgery, Centre of Expertise for Sex Reassignment Surgery, University Hospital Poitiers, CHU de la Miletrie de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France; Inserm U1189-ONCO-THAI-Image Assisted Laser Therapy for Oncology, University Hospital Lille, Lille, France.

Introduction: The anatomical subject is still a key element to learn complex procedures in plastic surgery. We present here the evaluation of an in-training operator on a SIMLIFE® model, hyper realistic model consisting in human bodies donated to science equipped with pulsating recirculation and reventilation device.

Material And Methods: From February 2019 to October 2019, 8 forearm flaps with radial proximal pedicle were harvested by the learner on a SIMLIFE® model.

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The Perception of Plastic Surgery by Community-Based, Private Practice Nurses: A French National Descriptive Study.

Plast Surg Nurs

August 2021

Elise Lupon, MD, is a resident at the Department of Plastic Surgery, University Toulouse III Paul Sabatier, Toulouse, France; and a research fellow at the Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston.

Article Synopsis
  • Plastic surgery is often misunderstood by healthcare professionals and the public, particularly regarding the role of nurses in postoperative care.
  • The study measured the knowledge and perceptions of plastic surgery among community nurses in France through an online survey.
  • Findings indicate a need for specialized training in plastic surgical nursing to improve patient outcomes after discharge.
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Background: We report our experience using the Lipo-Bodylift technique for circumferential lower trunk reconstruction following massive weight loss.

Methods: The procedure combines extensive circular liposuction with circular skin resection immediately under the dermis. We classify lower trunk deformities using three parameters: (1) excess skin (in the horizontal direction, or both horizontally and vertically); (2) the body mass index (BMI); and, (3) skin quality (hyperlaxity or a normal tone).

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