47 results match your criteria: "St. Rochus Hospital[Affiliation]"

Author Response to Letter: BioBridge Collagen Matrix for Lymphedema Therapy.

Lymphology

November 2024

St. Rochus Hospital, Clinic for Plastic, Aesthetic and Reconstructive Surgery, Castrop-Rauxel, Germany.

Author's response to letter concerning article: Witt, M, A Ring: Handley's Thread Lymphangioplasty Vs. BioBridge Collagen Matrix for Lymphedema Therapy-Old Wine in New Bottles? Lymphology 56 (2023) 110-120.

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Background: Apart from surgical procedures for breast and buttock augmentation, copolyamide fillers can be locally injected for an increase in volume. This method is especially popular in Asia.

Patient: A 39-year-old female patient had received a buttock augmentation by injection of a copolyamide filler.

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Smoking represents the well-known enemy of vascular well-being. Numerous previous studies emphasised the important role of smoking on the development and progression of atherosclerotic cardiovascular disease. The current study aimed to identify hurdles and barriers for an insufficient implementation of secondary prevention in the treatment of lower extremity peripheral arterial disease (PAD).

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Background: Systematic reviews summarize and evaluate relevant studies to contribute to evidence-based practice. Internationally, researchers have reached a consensus that the active involvement of the public leads to better research. Despite this agreement, there are many reviews of research concerning healthcare interventions intended to promote the care of people living with dementia and those from their social network (e.

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Background: The modern multimodal treatment of malignant tumors has increased disease-specific survival and decreased the burden of tumor-associated complications. The main focus of palliative surgery is not based primarily on quantitative success parameters of tumor response but is instead mainly on the question of quality of life.

Aim: The current study was conducted to analyze the clinical and oncological outcomes of palliative patients with soft tissue sarcoma.

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The technique of lymphangioplasty or capillary thread drainage was historically performed with subcutaneously implanted surgical threads. It has recently been revived by introducing a thread-like aligned nanofibrillar collagen matrix (BioBridge). These collagen threads consitute subcutaneous neocollectors along which guided lymphangiogenesis is said to occur secondarily.

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Handley's Thread Lymphangioplasty Vs. BioBridge Collagen Matrix for Lymphedema Therapy - Old Wine in New Bottles?

Lymphology

January 2023

St. Rochus Hospital, Clinic for Plastic, Aesthetic and Reconstructive Surgery, Castrop-Rauxel, Germany.

Lymphangioplasty is a technique of reconstructive lymphatic surgery where subcutaneous lymphatic neocollectors are created, using surgical threads, nanofibrillar collagen threads, plastic tubes or autologous tissue flaps. The history and success rates of these techniques are outlined and a classification for lymphangioplasty techniques is proposed. The use of absorbable surgical threads is suggested for modern attempts of thread lymphangioplasties.

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[Turbo-propeller flap for elbow reconstruction under regional anesthesia].

Unfallchirurgie (Heidelb)

April 2023

Klinik für Plastische Chirurgie, SLG St. Paulus GmbH, St. Rochus Hospital, Glückaufstr. 10, 44575, Castrop-Rauxel, Deutschland.

A method for the reconstruction of an extensive soft tissue defect after a complicating olecranon fracture is presented. A perforator-based retrograde pedicled propeller flap was used from the lateral upper arm with additive microvascular "turbo"-anastomosis to the radial artery and vein. The turbo-flap was performed under regional anesthesia.

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Improving Vascularization of Biomaterials for Skin and Bone Regeneration by Surface Modification: A Narrative Review on Experimental Research.

Bioengineering (Basel)

July 2022

Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, St. Rochus Hospital Castrop-Rauxel, Katholische St. Lukas Gesellschaft, Glückaufstraße 10, 44575 Castrop-Rauxel, Germany.

Artificial tissue substitutes are of great interest for the reconstruction of destroyed and non-functional skin or bone tissue due to its scarcity. Biomaterials used as scaffolds for tissue regeneration are non-vascularized synthetic tissues and often based on polymers, which need ingrowth of new blood vessels to ensure nutrition and metabolism. This review summarizes previous approaches and highlights advances in vascularization strategies after implantation of surface-modified biomaterials for skin and bone tissue regeneration.

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Background: The classic type of epithelioid sarcoma (ES) is a rare, aggressive soft tissue neoplasm that most commonly affects the distal upper extremities of young patients. This study aimed to assess clinical features and provide a long-term report of the oncological outcome.

Methods: We retrospectively analyzed our clinical database for patients with ES of the distal upper extremities.

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Background: Prolonged surgical site infections after spinal fusion surgery may lead to exposure of the implant due to the formation of extensive tissue defects and endanger the clinical outcome.

Objective: This study aims to enlighten the role of the keystone perforator flap method in the reconstruction of lumbar soft tissue defects.

Material And Methods: The retrospective study included 11 consecutive patients with a wound dehiscence of over 6 × 6 cm defect area persisting for 2 weeks after spinal fusion.

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Article Synopsis
  • * The study involved 127 patients with traumatic fractures, assessing pain intensity and quality of life over a year, revealing a connection between higher pain levels, increased need for analgesics, and a decline in quality of life in CPSP patients.
  • * Neuropathic CPSP was identified in a smaller percentage of patients, but a significant 68.6% of those with CPSP exhibited at least one neuropathic symptom after 12 months, indicating
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Objectives: This study aims to evaluate the outcomes of proximal humeral fracture (PHF) fixation with a polyaxial locking plate (PLP) osteosynthesis alone versus cement-augmented PLP (PLP-CA) in an elderly population.

Patients And Methods: Between May 2015 and June 2018, a total of 101 patients (17 males, 84 females; mean age: 74.5±8.

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Background: Free fascial flaps from the anterolateral thigh (ALT) were used to reconstruct soft tissue defects after trauma to the ankle. This modification was compared to the conventional fasciocutaneous method.

Material And Methods: The defect size, the thickness of the subcutaneous fat layer on the thigh and the extent of the soft tissue covering the ankle were determined retrospectively.

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Background: Secondary lymphedema is a leading sequela of cancer surgery and radiotherapy. The microsurgical transfer of lymph node flaps (LNFs) to affected limbs can improve the symptoms. The intra-abdominal cavity contains an abundant heterogenic source.

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[Reconstruction of defects on the hand].

Unfallchirurg

October 2021

Klinik für Plastische und Ästhetische Chirurgie/Handchirurgie, Bergmannsheil- und Kinderklinik Buer GmbH, Gelsenkirchen, Deutschland.

From a reconstructive viewpoint, injuries of the hand are particularly challenging. They are often associated with exposed tendons, bones, nerves and vessels, whereas little skin and soft tissue reserves are available for coverage. Functional and esthetic requirements necessitate a differentiated approach, depending on the location and extent of the defect.

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Introduction: Extracorporeal shock waves (ESWs) have been shown to have a positive effect on skin wound healing; however, little is known on the regeneration of the microcirculation and angiogenesis as well as the different application modes.

Methods: A total of 40 BALB/c mice were provided with dorsal skin fold chambers and were divided into 3 therapy groups (n = 30) and one control group (n = 10). The 3 therapy groups were treated with shock waves at different pulse rates (500-1,000 pulses/min) and application frequencies (day 0 and day 6 or day 0 only).

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[Fluorescence lymphangiography in the diagnosis and navigated microsurgical treatment of iatrogenic lymph vessel lesion].

Hautarzt

December 2021

Klinik für Plastische Chirurgie und Handchirurgie, Zentrum für Rekonstruktive Lymphchirurgie, St. Rochus-Hospital, Glückaufstr. 10, 44575, Castrop-Rauxel, Deutschland.

Injuries of lymph vessels can occur due to trauma or surgery and may result in significant difficulties for patients. Wound healing is often severely impaired and patients may need extensive surgical treatment. A case of iatrogenic lymph vessel injury after excision of a skin tumor in the axillary region is reported, as is the reconstructive procedure by lymphaticovenous anastomosis.

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An Extraordinary Reconstruction of a Postoperative Defect after Metatarsophalangeal Joint Arthrodesis of the Big Toe Using the "Chinese Forearm Flap".

Z Orthop Unfall

August 2022

Department of Plastic and Reconstructive Surgery, Hand Surgery, St.-Rochus Hospital, Castrop-Rauxel, Germany.

Background: We present an unusual technique for reconstruction of a postoperative tissue defect following hallux rigidus surgery.

Methods: A complicated course after left big toe arthrodesis resulted in a soft tissue defect with bone exposure of the first ray. Amputation of the big toe was categorically rejected by the patient.

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[Microvascular reconstruction of foot defects using a free femoral periostal flap].

Orthopade

April 2021

Klinik für Plastische und Rekonstruktive Chirurgie, St. Rochus Hospital, Glückaufstraße 10, 44575, Castrop-Rauxel, Deutschland.

Background: The reconstruction of defects in the foot region is a challenge due to the anatomical peculiarities of the soft tissue covering.

Objective: This article presents the results of the reconstruction of postoperative foot defects using the free femoral periosteal flap (FFPF).

Material And Methods: In a patient collective (n = 10) with postoperative wound healing disorders of the foot, the defect zone was covered using a vascularized FFPF from the distal femoral region.

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A Novel Technique for the Standardized Application of Shock Waves in Experimental Research: The Diver Box.

Ultrasound Med Biol

July 2018

Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, St. Rochus Hospital Castrop-Rauxel, Katholische St. Lukas Gesellschaft, Castrop-Rauxel, Germany. Electronic address:

The Diver Box is designed to prevent impedance differences, energy loss or damage to neighboring structures caused by the use of shock waves with application gels. The Diver Box is an acrylic glass container filled with tempered water and includes a coupling membrane to prevent the impedance jump from air to water and to avoid the continuous propagation of shock waves into the tissue, maintaining wave dynamics. Different modes of extracorporeal shock waves can be applied to a mouse skin wound without energy loss and protected from harmful phase-reversed waves.

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Sternal Reconstruction with the Omental Flap-Acute and Late Complications, Predictors of Mortality, and Quality of Life.

J Reconstr Microsurg

June 2018

Department of Hand-, Plastic, Reconstructive and Burn Surgery, BG Trauma Center Tuebingen, Eberhard Karls University, Tuebingen, Germany.

Background:  The omental flap is a reliable flap for the coverage of sternal defects. However, little is known about the predictors of mortality and the long-term outcome in such patients.

Methods:  We, therefore, performed a retrospective study from 2002 to 2013, including all patients who underwent sternal reconstruction with the omental flap.

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