4,160 results match your criteria Abdominal Wall Reconstruction


Histological Analysis of the Effect of ATX-101 (Deoxycholic Acid Injection) on Subcutaneous Fat: Results From a Phase 1 Open-Label Study.

Dermatol Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Medical Aesthetics, Allergan plc, Irvine, California.

Background: ATX-101 is approved for submental fat reduction.

Objective: To characterize the histological effect of ATX-101 injection into subcutaneous fat.

Methods: This Phase 1 open-label study enrolled 14 adults to receive injections of ATX-101 into abdominal fat at varying concentrations (0. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001851DOI Listing
February 2019

Postural Changes After Abdominoplasty in Morbid Obese Patients.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Divison of Plastic and Reconstructive Surgery, University of the Study of Naples "Federico II".

Background: In the multidisciplinary treatment of obesity, the role of a plastic surgeon is to remove the excess of skin after weight loss to obtain cosmetic, functional, and psychological benefits. Obesity modifies body geometry, increases the mass of different segments, and imposes functional limitations in life activities that may predispose the obese to injury. The authors evaluated the postural conditions of obese patients, before and 12 months after surgery. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001807DOI Listing

Abdominal Contouring and Male Gender: Analysis of Complications Using the National Quality Improvement Program Database.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, UT.

Background: Males represent a significant portion of patients undergoing abdominal contouring. Despite this, there are few studies examining the implication of gender on complications.

Objective: The aim of this study was to examine the association between gender and early postoperative outcomes in patients undergoing abdominal contouring procedures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001785DOI Listing

Unilateral Reconstruction of the Large Breast: Combining Prosthetic and Autologous Methods for Improved Symmetry.

Plast Reconstr Surg Glob Open 2019 Feb 11;7(2):e2154. Epub 2019 Feb 11.

Georgia Breast Surgery, PC, Lawrenceville, Ga.

Postmastectomy reconstruction in patients with significant macromastia and/or large chest wall dimensions can be challenging. Implants have a limited size range and may not be large enough to adequately reconstruct a wide, obese patient. Abdominally based flaps may be unsafe in these patients if they have significant obesity and or other comorbidities and may still be insufficient to adequately fill a very large breast footprint. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416119PMC
February 2019

Anatomical Considerations to Optimize Sensory Recovery in Breast Neurotization with Allograft.

Plast Reconstr Surg Glob Open 2018 Nov 7;6(11):e1985. Epub 2018 Nov 7.

Plastic and Reconstructive Surgery, University of Ljubljana, Ljubljana, Slovenia, EU.

Background: Breast numbness is a recognized problem following mastectomy and subsequent reconstruction. Contemporary literature acknowledges the positive role of breast neurotization, but it is characterized by a variety of technical approaches and substantial heterogeneity with respect to the degree of recovered sensibility that remains suboptimal in comparison with other sensory nerve reconstructions. This study's purpose was to provide an anatomical basis for observed inconsistencies and therein provide a principle that can be used to develop a technical approach that will optimize sensory recovery. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001985DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414125PMC
November 2018
1 Read

Preserve encephalus in surgery of trauma: online survey. (P.E.S.T.O).

World J Emerg Surg 2019 4;14. Epub 2019 Mar 4.

11Department of Emergency Surgery, Parma University Hospital, Parma, Italy.

Background: Traumatic brain injury (TBI) is a global health problem. Extracranial hemorrhagic lesions needing emergency surgery adversely affect the outcome of TBI. We conducted an international survey regarding the acute phase management practices in TBI polytrauma patients. Read More

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http://dx.doi.org/10.1186/s13017-019-0229-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399949PMC

Abdominal Wall Plication and Correction of Deformities of the Myoaponeurotic Layer: Focusing on Materials and Techniques Used for Synthesis.

Aesthet Surg J 2019 Mar;39(Supplement_2):S78-S84

Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo, São Paulo, Brazil.

The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of specific techniques to treat different types of abdominal wall deformity is also considered. Read More

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http://dx.doi.org/10.1093/asj/sjy333DOI Listing
March 2019
9 Reads

[Pre- and intra-operative methods of increasing abdominal compliance in surgery of ventral hernias].

Ugeskr Laeger 2019 Mar;181(10)

Treatment of ventral hernias with "loss of domain" is a surgical challenge, and in this review, an overview of the current literature is presented. Abdominal compliance can be increased intra-operatively by performing component separation and/or organ reduction but leads to increased post-operative morbidity. As a result, preoperative methods, which increase abdominal compliance, are of interest: tissue expanders, progressive pneumoperitoneum, and botulinum toxin A. Read More

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March 2019
2 Reads

New Approach for Post-bariatric Abdominoplasty with Extended Vertical Resection: A Prospective Cohort Study.

Aesthetic Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, SP, Brazil.

Introduction: As the number of bariatric surgeries has increased, so has the demand for post-bariatric abdominoplasty. The aim of this study was to describe a new approach to anchor-line abdominoplasty for the treatment of post-bariatric surgery patients.

Methods: This prospective, longitudinal, single-center study was conducted with 20 women, 23-47 years of age, with a body mass index < 30 kg/m, who had undergone gastroplasty. Read More

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http://dx.doi.org/10.1007/s00266-019-01339-zDOI Listing

The Application of Extraperitoneal Ostomy Combined with Pelvic Peritoneal Reconstruction in Laparoscopic Abdominoperineal Resection for Rectal Cancer.

Gastroenterol Res Pract 2019 5;2019:3015958. Epub 2019 Feb 5.

Department of General Surgery, General Surgery Institute of Yangzhou, Northern Jiangsu Province Hospital, Clinical Medical College, Yangzhou University, Yangzhou, Jiangsu 225000, China.

Background: Due to the technical difficulty, it is not common to close the pelvic peritoneum in laparoscopic abdominoperineal resection (LAPR) in China, which increases the risk of related complications. Permanent sigmoid colostomy is performed through the transperitoneal route conventionally in LAPR. This leads to the high occurrence of parastomal hernias and bowel obstructions. Read More

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http://dx.doi.org/10.1155/2019/3015958DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379842PMC
February 2019
1 Read

Abdominoplasty in massive weight loss patient: Modifying the technique to improve the safety.

J Plast Reconstr Aesthet Surg 2019 Mar 2. Epub 2019 Mar 2.

BAC Center for Aesthetic Surgery, Casa di Cura Villa Stuart, Roma, Italy.

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https://linkinghub.elsevier.com/retrieve/pii/S17486815193006
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http://dx.doi.org/10.1016/j.bjps.2019.02.002DOI Listing
March 2019
2 Reads

Ascending the Learning Curve of Robotic Abdominal Wall Reconstruction.

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, NYU Winthrop Hospital, Mineola, New York, USA.

Background: Robotic complex abdominal wall reconstruction (r-AWR) using transversus abdominis release (TAR) is associated with decreased wound complications, morbidity, and length of stay compared with open repair. This report describes a single-institution experience of r-AWR.

Methods: A retrospective chart review was performed on patients who underwent r-AWR by a single surgeon (D. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400246PMC
March 2019
3 Reads

[Ischemic Necrosis Caused by Retroanastomotic Hernia after Subtotal Gastrectomy].

Korean J Gastroenterol 2019 Feb;73(2):109-113

Department of Anatomic Pathology, Kangwon National University School of Medicine, Chuncheon, Korea.

After gastrojejunostomy, a small space can occur between the jejunum at the anastomosis site, the transverse mesocolon, and retroperitoneum, which may cause an intestinal hernia. This report presents a rare case of intestinal ischemic necrosis caused by retroanastomotic hernia after subtotal gastrectomy. A 56-year-old male was admitted to Kangwon National University Hospital with melena, abdominal pain, and nausea. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4166/kjg.2019.73
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http://dx.doi.org/10.4166/kjg.2019.73.2.109DOI Listing
February 2019
8 Reads

Retromuscular Approach in Ventral Hernia Repair - Endoscopic Rives-Stoppa Procedure.

Chirurgia (Bucur) 2019 Jan-Feb;114(1):109-114

In 1993 Leblanc published his laparoscopic technique in ventral hernia repair. The procedure has been improved due to deeply change of the paradigm in abdominal wall reconstruction. Placing the mesh into the retrorectus space was initially a big challenge but now the Rives-Stoppa procedure by endoscopic approach extended total extra-peritoneal approach (eTEP) become a well known technique. Read More

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http://www.revistachirurgia.ro/pdfs/2019-1-109.pdf
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http://dx.doi.org/10.21614/chirurgia.114.1.109DOI Listing
February 2019
5 Reads

Oblique pelvic osteotomy in the treatment of bladder exstrophy in neonates.

J Pediatr Orthop B 2019 Mar 1. Epub 2019 Mar 1.

Departments of Orthopaedics and Traumatology.

Bladder exstrophy is a congenital and rare malformation of the lower abdominal wall with exposure of the bladder mucosa to the external environment, and it is related to pelvis abnormalities. Eighteen patients with bladder exstrophy were treated with bilateral oblique pelvic osteotomy in conjunction with urologic reconstruction after they were stabilized by cast. No failure of midline closure was observed (wound dehiscence or recurrence of bladder exstrophy). Read More

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http://dx.doi.org/10.1097/BPB.0000000000000614DOI Listing

Transcriptome Patterns in Hidradenitis Suppurativa: Support for the Role of Antimicrobial Peptides and Interferon Pathways in Disease Pathogenesis.

Clin Exp Dermatol 2019 Mar 3. Epub 2019 Mar 3.

Computational Biology Institute, Milken Institute School of Public Health, The George Washington University, Washington D.C, USA.

Background: Hidradenitis suppurativa (HS) is a recurrent inflammatory disease of the apocrine sweat glands. Immune dysregulation likely contributes to the pathogenesis of HS.

Aim: The purpose of this study was to harness mRNA expression arrays to investigate the transcriptome profile in HS compared to control skin. Read More

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http://dx.doi.org/10.1111/ced.13959DOI Listing

Comparison of aesthetic outcome with round and three-armed star flap umbilicoplasty.

J Plast Surg Hand Surg 2019 Mar 1:1-5. Epub 2019 Mar 1.

c Plastic Reconstructive and Aesthetic Surgery Clinic , Sisli Etfal Training and Research Hospital , Istanbul , Turkey.

Background: The umbilicus is an indicative aesthetic component of the abdomen. Many umbilicoplasty techniques have been defined and the most commonly used method is the round incision technique. In this paper, we present a new umbilicoplasty technique involving the use of a three-armed star flap and compare it with the round technique. Read More

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http://dx.doi.org/10.1080/2000656X.2019.1582424DOI Listing
March 2019
5 Reads

Opioid Prescribing and Consumption Patterns following Outpatient Plastic Surgery Procedures.

Plast Reconstr Surg 2019 Mar;143(3):929-938

Madison, Wis. From the Division of Plastic and Reconstructive Surgery, University of Wisconsin.

Background: Opioid overprescribing is a nationwide problem contributing to the current epidemic. This study evaluated opioid consumption, physician prescribing, and patient satisfaction with pain control following outpatient plastic surgery procedures.

Methods: Patients completed a questionnaire during their first postoperative visit. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005351DOI Listing

Getting the Best Results in Abdominoplasty: Current Advanced Concepts.

Plast Reconstr Surg 2019 Mar;143(3):628e-636e

Palo Alto and San Francisco, Calif. From Illuminate Plastic Surgery; and Sieber Plastic Surgery.

Learning Objectives: After studying this article and viewing the videos, the participant should be able to: 1. Describe the safe techniques recommended for patients undergoing a lipoabdominoplasty. 2. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005378DOI Listing

A Quantitative Analysis of Online Plastic Surgeon Reviews for Abdominoplasty.

Plast Reconstr Surg 2019 Mar;143(3):734-742

Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.

Background: Online reviews increasingly influence patients' decision-making. This is the first systematic, quantitative analysis of online reviews for abdominoplasty.

Methods: Reviews for abdominoplasty were sampled from RealSelf, Yelp, and Google for six major metropolitan areas. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005320DOI Listing
March 2019
1 Read

Hip Asymmetry: Implications in Body Contouring Surgery.

Plast Reconstr Surg 2019 Mar;143(3):513e-517e

Boston, Mass.; and New York, N.Y. From the Division of Plastic and Reconstructive Surgery, Harvard Medical School-Beth Israel Deaconess Medical Center; Plastic and Reconstructive Surgery, Hofstra-Northwell School of Medicine; and Plastic Surgery, Manhattan Eye, Ear and Throat Hospital.

Background: Asymmetry of the hips and its implication in body contouring procedures has not yet been reported. Hip asymmetry is common in the general population and may account for uneven abdominoplasty scar and the apparent discrepancies in volume following liposuction of the hips and flanks. The goal of this study was to determine the presence of hip asymmetry in women presenting for abdominal contouring surgery. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005317DOI Listing
March 2019
2 Reads

Achieving Aesthetic Results in the Umbilical Float Mini-Abdominoplasty: Patient Selection and Surgical Technique.

Plast Reconstr Surg 2019 Mar;143(3):722-732

Dallas, Texas From the Dallas Plastic Surgery Institute.

Background: The umbilical float mini-abdominoplasty has been criticized for low final umbilicus position and umbilical distortion. The authors believe that in the properly selected patient and with proper technique, the umbilical float can achieve superior aesthetic results in a subset of patients.

Methods: A retrospective review was performed of all umbilical floats performed by two surgeons (B. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005387DOI Listing
March 2019
3 Reads

Reliable reference genes for expression analysis of proliferating and adipogenically differentiating human adipose stromal cells.

Cell Mol Biol Lett 2019 15;24:14. Epub 2019 Feb 15.

1Division of Cell Metabolism and Differentiation Research, Institute for Biomedical Aging Research, University of Innsbruck, Rennweg 10, A-6020 Innsbruck, Austria.

Background: The proliferation and adipogenic differentiation of adipose stromal cells (ASCs) are complex processes comprising major phenotypical alterations driven by up- and downregulation of hundreds of genes. Quantitative RT-PCR can be employed to measure relative changes in the expression of a gene of interest. This approach requires constitutively expressed reference genes for normalization to counteract inter-sample variations due to differences in RNA quality and quantity. Read More

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http://dx.doi.org/10.1186/s11658-019-0140-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377720PMC
February 2019

Application of a Minimally Invasive Liposuction Technique for Harvesting Fat during Transsphenoidal Surgery: A Technical Note.

Neurol Med Chir (Tokyo) 2019 Feb 28. Epub 2019 Feb 28.

Department of Neurosurgery, Kobe University Graduate School of Medicine.

Secure reconstruction in transsphenoidal surgery (TSS) is important for the prevention of the major and serious complication of postoperative cerebrospinal fluid (CSF) leak. Although abdominal fat can be safely and effectively used as a reconstruction tissue, harvesting it from the abdominal wall is traumatic and invasive, resulting in cosmetic problems. In this report, we present a method of harvesting abdominal fat using a minimally invasive liposuction technique to avoid cosmetic issues. Read More

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http://dx.doi.org/10.2176/nmc.tn.2018-0270DOI Listing
February 2019

Analysis and Interpretation of Google Trends Data on Public Interest in Cosmetic Body Procedures.

Aesthet Surg J 2019 Feb 22. Epub 2019 Feb 22.

Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Background: Several online resources such as Google Trends (GT) enable plastic surgeons to track search volume trends for cosmetic procedures. Understanding these data may allow surgeons to better anticipate patients' interests and meet their needs.

Objectives: Evaluate the correlation between GT search volumes and annual surgery volumes. Read More

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http://dx.doi.org/10.1093/asj/sjz051DOI Listing
February 2019

'Scarless reverse umbilicoplasty': A new technique of umbilical transposition in abdominoplasty.

J Plast Reconstr Aesthet Surg 2019 Feb 10. Epub 2019 Feb 10.

Plastic Surgery and Post Bariatric Surgery Unit, Gruppo San Donato, IC S. Ambrogio, via Faravelli 16, Milano and Policlinico San Pietro, via Forlanini 15, Ponte San Pietro, Bergamo, Italy.

Introduction: The navel plays a major role in the aesthetics of the abdomen. A navel that is abnormally shaped, malpositioned or has evident scarring may compromise the outcome of an otherwise well-executed full abdominoplasty. The aim of the technique in question is to recreate a navel that looks natural, with no visible scar, and that is properly positioned. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.01.024DOI Listing
February 2019

Venous Thromboembolism After Abdominal Wall Reconstruction: A Prospective Analysis and Review of the Literature.

Plast Reconstr Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, Ohio.

Introduction: Ventral hernias are a common problem after exploratory laparotomy, and plastic surgeons often become involved for hernia repair in complex situations. Plastic surgeons can achieve fascial closure through primary repair, an external oblique aponeurosis release, or a transversus abdominis release. Currently, there is scant literature evaluating venous thromboembolism (VTE) rates after these procedures. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005534DOI Listing
February 2019

Retromuscular mesh and hernial sac technique in the reconstruction of 139 cases of large median incisional hernias: one institution's experience.

Hernia 2019 Feb 26. Epub 2019 Feb 26.

Department of Surgery, University of Medicine, Pharmacy, Sciences and Technology, Tirgu Mures, Romania.

Purpose: Incisional hernia is the most common complication of laparotomy. Postoperative parietal defects tend to relapse, even after the most optimal surgical methods. The aim of this study was to present the effectiveness of an adapted retromuscular technique with prolene mesh and a hernial sac, in patients with large incisional median hernias. Read More

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http://dx.doi.org/10.1007/s10029-019-01915-xDOI Listing
February 2019
1 Read

Sublay or onlay incisional hernia repair along with abdominoplasty: which is better? Long-term results.

Hernia 2019 Feb 25. Epub 2019 Feb 25.

Department of General and Transplant Surgery, Medical University of Lodz, Kopcinskiego 22, 90-153, Lodz, Poland.

Purpose: Estimation and comparison of results after incisional hernia repair (IHR) modo onlay or sublay with abdominoplasty in patients who lost the weight following Roux-en-Y Gastric Bypass (RYGB). Analysis and comparison of changes in quality of life (QL) of these patients prior to RYGB, before and after simultaneous IHR and abdominoplasty.

Methods: Clinical analysis involved 40 patients with abdominal disfigurement (following RYGB and massive weight loss) after one-time IHR sublay method with abdominoplasty-group 1 or IHR onlay method with abdominoplasty-group 2. Read More

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http://dx.doi.org/10.1007/s10029-019-01914-yDOI Listing
February 2019
1 Read

Complex abdominal wall reconstruction, harnessing the power of a specialized multidisciplinary team to improve pain and quality of life.

Hernia 2019 Feb 23. Epub 2019 Feb 23.

Department of Plastic and Reconstructive Surgery, Dermatology and Plastic Surgery Institute, Cleveland Clinic Foundation, A60 Crile building 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Introduction: Patients who require highly complex abdominal wall hernia repair with composite soft tissue free flap coverage represent the most challenging population, and the most difficult to definitively treat. For many, this combined procedure represents their last chance to restore any sense of normalcy to their lives. To date, patient reported post-operative outcomes have been limited in the literature, in particular, quality of life has been an under-reported component of successful management. Read More

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http://dx.doi.org/10.1007/s10029-019-01916-wDOI Listing
February 2019

Use of posterior component separation and transversus abdominis release in trauma and emergency general surgery patients: a case report and review of the literature.

Trauma Surg Acute Care Open 2019 24;4(1):e000268. Epub 2019 Jan 24.

Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Posterior component separation with transversus abdominis release and implantation of synthetic mesh in the retromuscular space is a durable type of repair for many large incisional hernias with recurrence rates consistently less than 10%. The purported advantage of biologic prostheses in contaminated fields has recently been challenged, and the concern for placing synthetic mesh in contaminated fields may be overstated. There are almost no data specifically addressing the use of this type of repair for chronic incisional hernias in trauma and emergency general surgery patients, so research is needed on this patient population. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350719PMC
January 2019

Collapsed wall: destructive and reconstructive surgery of anterior abdominal wall tumour in a young girl.

J Surg Case Rep 2019 Feb 8;2019(2):rjy345. Epub 2019 Feb 8.

Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kota Bharu, Malaysia.

Natural history of abdominal wall soft tissue sarcoma is still poorly understood due to its rarity. In unpublished data of our institution, only seven cases of abdominal wall soft sarcoma with ICD-10 coding of 49.4 were found for past 10 years. Read More

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http://dx.doi.org/10.1093/jscr/rjy345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368141PMC
February 2019

3D segmentation of exterior wall surface of abdominal aortic aneurysm from CT images using variable neighborhood search.

Comput Biol Med 2019 Feb 6;107:73-85. Epub 2019 Feb 6.

Faculty of Information and Communication Technology, Mahidol University, Nakhonpathom, Thailand; Bremen Spatial Cognition Center, University of Bremen, Bremen, Germany.

A 3D model of abdominal aortic aneurysm (AAA) can provide useful anatomical information for clinical management and simulation. Thin-slice contiguous computed tomographic (CT) angiography is the best source of medical images for construction of 3D models, which requires segmentation of AAA in the images. Existing methods for segmentation of AAA rely on either manual process or 2D segmentation in each 2D CT slide. Read More

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http://dx.doi.org/10.1016/j.compbiomed.2019.01.027DOI Listing
February 2019
1 Read

Outcome of Body-Contouring Procedures After Massive Weight Loss.

Obes Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University of Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany.

Background: With the increased popularity of bariatric surgery, the demand for body-contouring procedures is growing. Associated with these procedures are a number of complications due to different risk factors and patients' characteristics. The aim of this study was to assess the outcome of body-contouring procedures and correlate it to possible risk factors. Read More

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http://dx.doi.org/10.1007/s11695-019-03773-zDOI Listing
February 2019
1 Read

Internal hernia to the retrosternal space is a rare complication after minimally invasive esophagectomy: three case reports.

Surg Case Rep 2019 Feb 18;5(1):26. Epub 2019 Feb 18.

Division of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Background: Minimally invasive esophagectomy is considered a beneficial approach to esophageal cancer, although a hiatal hernia occurs more frequently in this approach than in open esophagectomy with reconstruction via the mediastinal route. Development of an internal hernia to the retrosternal space is not a recognized complication of reconstruction via the retrosternal route after esophagectomy. We herein report three cases of the development of an internal hernia to the retrosternal space after minimally invasive esophagectomy. Read More

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http://dx.doi.org/10.1186/s40792-019-0578-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379493PMC
February 2019
3 Reads

Effective preoperative abdominal incision planning on a patient with a history of repeated abdominal operations using a three-dimensional reconstruction technique: a case report.

J Int Med Res 2019 Mar 18;47(3):1359-1364. Epub 2019 Feb 18.

1 Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

This case report describes the use of a three-dimensional reconstruction technique to plan the abdominal incision in order to avoid incision-related complications in a 53-year-old female patient who had had a cystic mass in the liver for 16 years and had undergone four previous surgeries. The patient presented with a recurrent cyst. The surgical team used three-dimensional reconstruction to model the liver mass, the area of abdominal wall weakness due to previous surgeries, bowel adhesions, skeletal structure and whole abdominal contour. Read More

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http://dx.doi.org/10.1177/0300060519828510DOI Listing
March 2019
2 Reads

Performance of biological mesh materials in abdominal wall reconstruction: study protocol for a randomised controlled trial.

BMJ Open 2019 Feb 15;9(2):e024091. Epub 2019 Feb 15.

Department of Surgery, University of Calgary and the Foothills Medical Centre, Calgary, Alberta, Canada.

Introduction: Abdominal wall hernias are a common source of morbidity and mortality. The use of biological mesh has become an important adjunct in successful abdominal wall reconstruction. There are a variety of biological mesh products available; however, there is limited evidence supporting the use of one type over another. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024091DOI Listing
February 2019
1 Read

Sinus Wounds Management.

Adv Skin Wound Care 2018 Nov;31(11):1-4

Zheng-Ying Jiang, MD, is a Burn Surgeon and Wound Repair Consultant; Ming-Zhuo Liu, PhD, MD; Zhong-Hua Fu, MD; Xin-Cheng Liao, MD, is Burn Surgeon and Wound Repair Consultant and Assistant Professor, Medical College of Nanchang University; Guang-Hua Guo, PhD, MD, is the Director of the Wound Repair Center and Chief Physician, Department of Burns, and a Professor, Medical College of Nanchang University, and the Chairman of Wound Repair Association, and Vice Chairman of the Chinese Burn Association; all at the Center of Wound Repair, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

With aging populations and the increased incidence of cerebrovascular disease, diabetes, and other diseases, more and more patients suffer from pressure injuries. Pressure injuries are often difficult to heal because of the presence of sinus tracts, which make it difficult to clean and change dressings. Sinus wounds are common in patients with pressure injuries, but also occur after abdominal wall incision and in patients who have experienced a physical trauma that created a wound. Read More

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http://dx.doi.org/10.1097/01.ASW.0000546391.73806.85DOI Listing
November 2018
2 Reads

Filter-Associated Inferior Vena Cava Thrombosis with Duodenal Perforation: Case Report and Literature Review.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France.

Background: The aim of this article is to report a case of filter-associated inferior vena cava (IVC) thrombosis with perforation of the duodenum and penetration of a vertebral body by the filter struts.

Case Report: A 37-year-old woman with a medical history of Behcet's disease treated with corticosteroids underwent placement of a retrievable IVC filter because of recurrent iliofemoral venous thrombosis regardless of therapeutic levels of anticoagulation. Despite a correct positioning of the filter, the second follow-up computed tomography scan, performed at 1 year, showed a complete thrombosis of the infrarenal IVC segment, with perforation of the vessel wall by the filter struts and penetration in the duodenum. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.021DOI Listing
February 2019
2 Reads

Ligasure impact might reduce blood loss, complications, and re-operation occurrence after abdominoplasty in massive-weight-loss patients: A Comparative Study.

Scand J Surg 2019 Feb 14:1457496919828237. Epub 2019 Feb 14.

1 Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.

Background And Aims:: The most effective dissection technique for raising the flap in abdominoplasty is still controversial, particularly in high-risk massive-weight-loss patients. LigaSure Impact vessel-sealing system (Medtronic, Dublin, Ireland) is an energy device commonly used among different surgical specialties to reduce morbidity and implement outcomes. The aim of this study was to investigate the effectiveness of LigaSure Impact in abdominoplasty compared with the conventional techniques, diathermia. Read More

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http://journals.sagepub.com/doi/10.1177/1457496919828237
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http://dx.doi.org/10.1177/1457496919828237DOI Listing
February 2019
3 Reads

Association of Thoracic Epidural Pain Management with Urinary Retention after Complex Abdominal Wall Reconstruction.

Am Surg 2018 Nov;84(11):1808-1813

The association of thoracic epidural analgesia and urinary retention after complex abdominal wall reconstruction (CAWR) is unknown. The purpose of this study was to investigate the association between the presence of a thoracic epidural, timing of Foley catheter removal, and the rates of urinary retention and catheter-associated urinary tract infections (CAUTIs) in patients undergoing CAWR. All patients undergoing CAWR, who had an epidural catheter for postoperative pain management at our institution from September 2015 through April 2016, were prospectively followed. Read More

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November 2018

Frozen-thawed Abdominal Flap Remnant as an education material for a Medium Group Surgical Skills Education Workshop.

Ann Surg Treat Res 2019 Feb 30;96(2):53-57. Epub 2018 Jan 30.

Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Purpose: Residents' duty-hour regulations and the evolution of minimally invasive surgical techniques require more effective and efficient surgical skill teaching models. We used frozen-thawed human tissue remnants harvested during abdominoplasty or abdominal tissue-based breast reconstruction to allow for a medium-sized group workshop program, simulating a realistic surgical environment and visual/haptic feedback.

Methods: Full-thickness abdominal tissue (skin and subcutaneous fat) were donated from patients who underwent autologous breast reconstruction and gave consent to use their tissue for comprehensive research and medical educational purposes. Read More

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http://dx.doi.org/10.4174/astr.2019.96.2.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358597PMC
February 2019
1 Read

Biocellulose for Incisional Hernia Repair-An Experimental Pilot Study.

Nanomaterials (Basel) 2019 Feb 10;9(2). Epub 2019 Feb 10.

Department of General, Visceral and Vascular Surgery, Jena University Hospital, 07747 Jena, Germany.

Ventral or incisional hernia are a common disease pattern in general surgery. Mostcommonly, a mesh repair is used for reconstruction, whereby the mesh itself might causecomplications, like infections or adhesions. Biological materials, like biocellulose, might reducethese clinical problems substantially. Read More

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http://dx.doi.org/10.3390/nano9020236DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410132PMC
February 2019

Comment to "Correction of Contour Deformity Using Reverse Abdominoplasty Combined with Mini-Abdominoplasty".

Chin Med J (Engl) 2019 Mar;132(5):630

Department of Plastic Surgery, Alpert Medical School, Brown University, Providence, RI, USA.

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http://dx.doi.org/10.1097/CM9.0000000000000045DOI Listing

Perforated appendicitis in the setting of a massive ventral hernia, morbid obesity, and multiple severe comorbidities: challenges in acute management.

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

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http://dx.doi.org/10.1136/tsaco-2018-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347851PMC
January 2019
2 Reads

Revascularization of AlloDerm Used during Endoscopic Skull Base Surgery.

J Neurol Surg B Skull Base 2019 Feb 6;80(1):46-50. Epub 2018 Jul 6.

Department of Otolaryngology - Head and Neck Surgery, NYU Langone Medical Center, New York, United States.

 AlloDerm is an acellular dermal matrix often used for reconstruction throughout the body. AlloDerm has been shown to undergo revascularization when used to reconstruct soft tissue such as in abdominal wall reconstruction. In this study, the authors review the literature on revascularization of AlloDerm and demonstrate the histologic findings of AlloDerm after implantation during skull base reconstruction. Read More

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http://dx.doi.org/10.1055/s-0038-1666851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365292PMC
February 2019

"A Cost Minimization Analysis Evaluating the Use of Liposomal Bupivacaine in Reconstructive Plastic Surgery Procedures."

Plast Reconstr Surg 2019 Jan 22. Epub 2019 Jan 22.

Postsurgical pain management is critical to patient satisfaction and value. Several studies have evaluated liposomal bupivacaine (LB) in postoperative pain management protocols, however its economic feasibility remains undefined. This study analyzes the economic impact of LB using a national claims database to assess postoperative clinical and financial outcomes in plastic and reconstructive procedures. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005435DOI Listing
January 2019
1 Read

Cultural Insensitivity Pervasive in Spanish Online Cosmetic Surgery Resources: A Call to Action.

Ann Plast Surg 2019 Apr;82(4S Suppl 3):S228-S233

From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Background: Hispanics are the second largest demographic that underwent cosmetic surgery in 2017. The popularity of cosmetic surgeries among this group has increased significantly within the past decade and is projected to continue rising. Patient-directed websites that provide educational materials addressing these procedures should include information that is accurate, comprehensible, and sensitive to the demographic's diverse cultural and ethnic needs. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9706
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http://dx.doi.org/10.1097/SAP.0000000000001841DOI Listing
April 2019
6 Reads

Sub-Scarpa's Lipectomy in Abdominoplasty: An Analysis of Risks and Rewards in 723 Consecutive Patients.

Aesthet Surg J 2019 Feb 5. Epub 2019 Feb 5.

Yale-New Haven Hospital, Orange, CT.

Background: During the course of performing abdominoplasties, a plastic surgeon will encounter a certain body habitus characterized by a thick, tethered, and excessively redundant upper skin flap. Often these patients also demonstrate diffuse and substantial fascial laxity. One approach to this problem involves direct thinning and release of the flap by resection of the sub-Scarpa's fat pad. Read More

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http://dx.doi.org/10.1093/asj/sjz027DOI Listing
February 2019

Quality of life and predictive factors for complications in patients undergoing abdominoplasty after gastric bypass: A retrospective cohort.

Surg Obes Relat Dis 2019 Jan 9. Epub 2019 Jan 9.

University of Brasília, Brasília, DF, Brazil.

Background: Obesity is a major health risk factor associated with medical complications, such as cardiovascular disease, that may compromise outcomes. Furthermore, obesity may lead to difficulties in daily life, altering the quality of life and generating psychological disorders such as devalued self-image and depression.

Objectives: This study evaluated the quality of life and predictive factors of postoperative complications in patients who underwent abdominoplasty after Roux-en-Y gastric bypass. Read More

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http://dx.doi.org/10.1016/j.soard.2018.12.034DOI Listing
January 2019
3 Reads