Search Our Scientific Publications & Authors

Pediatr Cardiol 2019 Feb 19. Epub 2019 Feb 19.

Department of Pediatrics, Dong-A University Hospital, Busan, South Korea.

Coronary reimplantation after neoaortic reconstruction (CRANR) in the arterial switch operation (ASO) allows easy selection of accurate coronary transfer sites in the distended neoaorta. However, neoaortic valve injury may occur during coronary reimplantation. We determined whether the CRANR procedure increased the incidence of aortic valve regurgitation (AR) after ASO. Read More

Asian Cardiovasc Thorac Ann 2019 Jan 19:218492319825966. Epub 2019 Jan 19.

Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

The arterial switch operation was performed on a 38-day-old infant with d-transposition of the great arteries and abnormal origin of the left anterior descending and right coronary arteries from a non-facing sinus. A vertical aortic tube flap was established to lengthen the abnormally originating coronary arteries, by transecting part of the ascending aorta 2 cm above the coronary orifices. Both coronary arteries were transferred to the neoaortic root in a single extended tube. Read More

Plast Reconstr Surg Glob Open 2018 Dec 14;6(12):e2012. Epub 2018 Dec 14.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.

Major wound necrosis is an uncommon yet critical complication of meningomyelocele surgical repair with few reports available. Management is demanding and often requires further reconstructive surgery. We report a case of a neonate who developed extensive wound necrosis with dehiscence following primary repair of myelomeningocele. Read More

Ann Plast Surg 2019 Mar;82(3):284-288

From the Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Correction of Tanzer type IIB constricted ears requires sufficient expansion of the auricular skin to cover the reconstructed cartilaginous framework. To obtain an adequately sized skin cover, skin flap transposition from periauricular donor sites has been described; however, it remains challenging to obtain enough skin to enable satisfactory reconstruction. Herein, we describe a novel method that uses 2 local flaps comprising superoauricular, retroauricular, and preauricular soft tissue to expand the skin cover and correct Tanzer type IIB deformity. Read More

Childs Nerv Syst 2019 Jan 4. Epub 2019 Jan 4.

Unit of Pediatric Neurosurgery, University Hospital La Fe, Valencia, Spain.

Background: Closure of the skin defect in myelomeningocele repair determines the quality of the surgical result. In large myelomeningoceles, the direct closure or by skin undermining may not be possible. In these cases, the skin defect must be closed using flaps to provide a tension-free and successful closure. Read More

Open Access Maced J Med Sci 2018 Dec 18;6(12):2376-2377. Epub 2018 Dec 18.

Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev Nr 79, Sofia, Bulgaria.

Background: One of the features characterising cutaneous SCC as high-risk is lymphovascular infiltration. The diffuse lymphangitic spread of carcinogenic cells is defined as the so-called lymphangitis carcinomatosa. In some cases, it is the only and first sign to alert the presence of an underlying malignancy. Read More

Tech Coloproctol 2019 Jan 2;23(1):43-52. Epub 2019 Jan 2.

Department of Surgery, Caritas Clinic St. Josef, Landshuter Str. 65, 93053, Regensburg, Germany.

Background: The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch-vaginal fistulas in patients with inflammatory bowel disease (IBD).

Methods: A retrospective study was conducted in patients with IBD who had GMT performed by a single surgeon between 2000 and 2018. Follow-up data regarding healing rate, complications, additional procedures, and stoma closure rate was collected. Read More

Gen Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Cardiovascular Surgery, Karabük Training and Research Hospital, Karabük, Turkey.

Objective: Sternal wound infections after sternotomy are associated with high morbidity, high mortality, and prolonged hospital stay. The recurrence rate of sternal wound infections after single-stage closure is greater than expected. The aim of the study is to present our results of a consecutive series of Z-plasty for the treatment of recurrent sternal wound infections. Read More

Actas Dermosifiliogr 2019 Jan - Feb;110(1):33-37. Epub 2018 Oct 30.

Unidad de Cirugía Dermatológica de la Cátedra de Dermatología Médico-Quirúrgica, Hospital de Clínicas Dr. Manuel Quintela, Universidad de la República, Montevideo, Uruguay.

Introduction And Objectives: The trapdoor effect is a possible complication in flap reconstructions, particularly those involving the face. It consists of a bulging, elevated deformity that appears 3 weeks after the intervention. To date there has been no consensus on how the trapdoor effect should be treated. Read More

Eur J Orthop Surg Traumatol 2019 Feb 26;29(2):357-366. Epub 2018 Oct 26.

Clinical Hospital of Rehabilitation Cluj Napoca, University of Medicine Iuliu Hatieganu Cluj Napoca, Str. Viilor Nr. 46-50, 400347, Cluj Napoca, Cluj, Romania.

After a long history in flaps' surgery, the perforator flaps became the most used flaps nowadays. From the beginning, their use as free flaps diminished substantially the donor site morbidity. In the attempt to not only diminish the donor site morbidity, but also to achieve more similar reconstructions, a new concept appeared 20 years ago: local perforator flaps. Read More

J Craniomaxillofac Surg 2018 Dec 26;46(12):2144-2149. Epub 2018 Sep 26.

Department of Plastic Surgery, University of Groningen and University Medical Centre Groningen, Groningen, the Netherlands.

Background: In longstanding facial palsy, gracilis free functional muscle transfer (FFMT) is currently considered to be the gold standard in smile reanimation. An alternative to muscle free flaps is local muscle transposition, with the temporalis muscle transposition being the preferred procedure, because of its direction of pull when transposed. The present study aimed to compare outcomes of gracilis FFMT neurotised by the masseteric nerve and temporalis muscle transposition in longstanding facial palsy using patient-reported and aesthetic outcomes. Read More

J Craniofac Surg 2018 Nov;29(8):e812-e814

School of Medicine, Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaraş Sütçüimam University, Kahramanmaraş, Turkey.

The intrauterine growth of the face is formed by appropriate fusion of frontonasal, maxillary, and mandibular protrusions. These anomalies are very rare and there may be differences between individuals according to cleft types. In this article, a very rare condition of isolated alar cleft and its treatment method were presented. Read More

AME Case Rep 2017 17;1. Epub 2017 Nov 17.

Department of Thoracic Surgery, Policlinico Tor Vergata University, Rome, Italy.

Desmoid tumors (DT) are rare neoplasms with unknown etiology arising from musculoaponeurotic structures. Chest wall localization is uncommon and has been associated with high recurrence rate unless radical resection with negative margins is carried out. Postresectional reconstruction can be challenging in presence of giant lesions and might require adoption of complex reconstruction methods including use of well vascularized muscle flaps. Read More

Ann Chir Plast Esthet 2018 Sep 17. Epub 2018 Sep 17.

Service de chirurgie digestive et hépato-biliaire, CHU de Rennes, hôpital Pontchaillou, 35000 Rennes, France.

Anastomotic leakage frequently complicates esophagectomy and can trigger a rare life- threatening complication, a tracheoesophageal fistula. No guideline has yet addressed this complication. Plastic surgeons play a crucial role for salvage surgery. Read More

Ann Plast Surg 2018 12;81(6):e12-e19

From the USC Division of Plastic and Reconstructive Surgery, Los Angeles, CA.

Background: Pilonidal disease (PD) is a recalcitrant condition associated with significant morbidity. It affects 26 in 100,000 individuals; however, there is no consensus on optimal surgical treatment, and up to half of patients struggle with recurrence. This review appraises the current literature on techniques and outcomes of PD surgery, to better guide decision making. Read More

Langenbecks Arch Surg 2018 Aug 31;403(5):547-554. Epub 2018 Jul 31.

Department of Surgery, Düsseldorf University Hospital, Düsseldorf, Germany.

Introduction: The definitive treatment of pilonidal sinus disease (PSD) is surgical. There is still no consensus as to the most appropriate off-midline primary closure technique. The aim of this meta-analysis has been to compare Karydakis flap reconstruction (KF) to Limberg flap transposition (LF) with regard to short- and long-term postoperative outcomes. Read More

Dermatology 2018 31;234(3-4):99-104. Epub 2018 Jul 31.

Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.

Background: Skin cancer removal surgery involving the tip or dorsum of the nose often results in large-sized defects with exposure of cartilage. In such cases, the paramedian forehead flap is a frequently used reconstruction technique; however, this method is complex and can result in a cosmetically unsatisfying outcome.

Objective: To describe the folded transposition flap as an aesthetically pleasing alternative to the paramedian forehead flap for large nasal defects with exposed cartilage. Read More

Updates Surg 2018 Dec 7;70(4):485-490. Epub 2018 Jul 7.

Surgery of the Alimentary Tract, Department of Medical and Surgical Sciences, Sant'Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.

Background: The surgical management of rectovaginal fistulae associated with Crohn's disease is often frustrated by poor results regardless of the different techniques. The outcomes of the gracilis muscle transposition (GMT) for the treatment of recurrent Crohn's-associated fistulae are still debated. The aim of the study is to determine whether the success rate of GMT is similar in Crohn's disease patients and in a control group. Read More

Plast Reconstr Surg 2018 09;142(3):786-794

Chicago, Ill. From the Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center.

Background: Successful free tissue transfer requires tension-free microvascular anastomosis. Vein grafts are used when this cannot be obtained, which increases microsurgical complexity and the chance of vessel thrombosis. Previous studies on vein grafts are limited to low numbers and selected techniques, making it difficult to draw conclusions. Read More

Microsurgery 2018 Oct 28;38(7):752-757. Epub 2018 Jun 28.

Plastic and Reconstructive Surgery, Nevsehir Public Hospital, Nevsehir, Turkey.

Background: Repair of large soft tissue defects in meningomyelocele is difficult and its morbidity is high. By applying unilateral lumbar artery perforator transposition flap for closing these defects, we aimed to investigate effects on the repair procedure, duration of surgery and recovery period, with the rates of bleeding and morbidity.

Patients And Methods: Our report was conducted in 38 patients between the years 2013 and 2017. Read More

Saudi J Ophthalmol 2018 Apr-Jun;32(2):110-113. Epub 2017 Nov 15.

Emsey Hospital, Ophthalmology Department, Istanbul, Turkey.

Purpose: To investigate and compare the efficacy of conjunctival autograft and conjunctival transpositional flap for the treatment of primary pterygium surgery.

Design: Retrospective, interventional case series analysis.

Materials And Methods: Medical records of 48 patients who underwent pterygium surgery by conjunctival autograft or conjunctival transpositional graft for primary pterygium surgery were reviewed. Read More

Plast Reconstr Surg 2018 08;142(2):511-519

Cleveland, Ohio; East Greenwich and Providence, R.I.; and Worcester, Mass. From the Department of Dermatology, Cleveland Clinic Foundation; Dermatology Professionals, Inc.; the Department of Dermatology, Warren Alpert Medical School at Brown University; and the Division of Dermatology, University of Massachusetts Medical School.

Background: Bilobed and trilobed transposition flaps are versatile random pattern transposition flaps that reliably restore nasal symmetry, topography, light reflex, and contour and are frequently used in cutaneous nasal reconstructive surgery. The authors wish to compare the characteristics of bilobed and trilobed flaps in cutaneous reconstructive surgery and to identify scenarios for their differential use.

Methods: A retrospective chart review over 7 years of consecutive patients who underwent reconstruction with a bilobed or trilobed flap after Mohs micrographic surgery was performed. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):55-58

Department of Plastic Surgery, Sichuan Provincial People's Hospital & Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072, P.R.China.

Objective: To investigate the effectiveness of local skin flaps such as V-Y advancement flap (V-Y plasty) and transposition flap (Z plasty) in the adjustment of reconstructed nasal alars at second stage.

Methods: Between June 2012 and January 2017, 14 cases of reconstructed nasal alars by nasolabial flap or expanded forehead flap were recruited. There were 9 males and 5 females with an average age of 34. Read More

JAMA Dermatol 2018 Jun;154(6):708-711

Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Sep;31(9):1064-1068

Department of Orthopaedics, Drum Tower Hospital of Nanjing University Medical School, Nanjing Jiangsu, 210008, P.R.China.

Objective: To evaluate the effectiveness of induced membrane technique in the treatment of infectious bone defect.

Methods: Thirty-six patients (37 bone lesions) with infectious bone defects were treated with induced membrane technique between January 2011 and June 2014. There were 28 males and 8 females with an average age of 36 years (range, 20-68 years). Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Jul;31(14):1100-1102

Department of Otorhinolaryngology Head and Neck Surgery, Enshi Central Hospital, Enshi, 445000, China.

The aim of this study is to sum up the different surgical repair methods and techniques for the skin defect of head and face.A retrospective study on 97 cases of the face and head skin defect caused by trauma and tumor resection in nearly five years, including 37 cases on nasal, 21 cases on cheek, 9 cases on frontal, 13 cases on temporal, and 17 cases on ear. After resecting skin lesion in security boundary, skin defect were repaired by transposition adjacent flap, zone vascular pedicle flap, myocutaneous flap and the mucosal flap. Read More

J Hand Surg Am 2018 Jul 24;43(7):686.e1-686.e5. Epub 2018 Apr 24.

Department of Plastic Surgery, Isala Klinieken Zwolle, Zwolle, The Netherlands.

Surgical treatment of recurrent and persistent carpal tunnel syndrome by repeat carpal tunnel release combined with soft tissue nerve coverage results in a higher success rate for symptomatic relief in the presence of a scarred median nerve. Several techniques, including local pedicled flaps, transposition flaps from the distal forearm, and free flaps, have been described, but consensus regarding a preferred technique has not been reached. The dorsal ulnar artery flap or Becker flap is a local fasciocutaneous flap based on a dorsal perforating branch of the ulnar artery that can be used for soft tissue coverage of the median nerve. Read More

World J Plast Surg 2018 Jan;7(1):12-15

Department of Plastic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted.

Methods: The medical records of patients undergoing transposition of the soleus muscle for treating exposed bone in the leg and simultaneous sural flap were retrospectively analyzed from January 2009 to July 2014, while gathering information on the used muscle was to cover the lesion. Read More

J Craniomaxillofac Surg 2018 May 14;46(5):868-874. Epub 2018 Mar 14.

Maxillo-Facial Surgery Department. (Head: Professor C. Marchetti), Sant'Orsola-Malpighi Hospital, University of Bologna, via Albertoni 15, Bologna, Italy.

Recent facial paralyses, in which fibrillations of the mimetic muscles are still detectable by electromyography (EMG), allow facial reanimation based on giving new neural stimuli to musculature. However, if more time has elapsed, mimetic muscles can undergo irreversible atrophy, and providing a new neural stimulus is simply not effective. In these cases function is provided by transferring free flaps into the face or transposing masticatory muscles to reinstitute major movements, such as eyelid closure and smiling. Read More

Plast Reconstr Surg Glob Open 2018 Feb 8;6(2):e1485. Epub 2018 Feb 8.

Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.

Reconstruction of the anterior neck requires attention to both aesthetic and functional outcomes. In general, skin grafts are not suitable for anterior neck reconstruction in Asian patients, even when artificial dermis is used before skin grafting. Therefore, we have employed various types of thin flaps for anterior neck reconstruction, including the cervico-pectoral flap. Read More

J Craniofac Surg 2018 Jul;29(5):1241-1244

Department of Plastic Surgery, Konkuk University School of Medicine.

Tear trough deformity has been an area that has received much attention in terms of esthetic improvements. Fat transposition has been commonly used for the treatment of tear trough deformity. As some patients have had minimal improvement by that method, we propose the use of fat grafting combined with open blepharoplasty to complement the sunken area, including some of anterior maxilla region, and evaluate and precisely remove the excessive tissue. Read More

Injury 2018 Jun 13;49(6):1197-1202. Epub 2018 Mar 13.

Limb Reconstruction Unit, Leeds General Infirmary, Leeds, West Yorkshire, United Kingdom.

Purpose: With an ageing population, the incidence of trauma in those aged over 65 years is increasing. Strategies for dealing with these patients must be developed. At present the standard management of open tibial fractures in the UK is described by the BOAST4 guidelines (from the British Orthopaedic Association and British Association of Plastic & Aesthetic Surgeons). Read More

G Ital Dermatol Venereol 2018 Apr;153(2):278-282

Division of Plastic Surgery, Department of Surgical Sciences, University of Parma, Parma, Italy.

The skin cancers of the head and neck district are localized mostly on the nose, which, by being in the center of the mid-face, has an important aesthetic role. Therefore, many reconstructive techniques have been studied; among them regional skin flaps appeared the most suitable since they guaranteed the oncological radicality as well as a good aesthetic outcome. In this paper, we present our experience with the use of the Zitelli bilobed flap, which is defined as a double transposition flap for the reconstruction of the nose defects. Read More

Int J Surg Case Rep 2017 27;41:516-519. Epub 2017 Nov 27.

Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Piazza Luigi Miraglia, 1-80138 Naples, Italy.

Introduction: Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure with many possible complications such as wound breakdown, seroma, hematoma and infection.The treatment of an exposed hip implant in these cluster of patient is extremely challenging and the literature shows how negative pressure wound therapy and myocutaneous, both pedicled and free, flaps are workhorses in these situations.

Case Report: In this paper we report a successful coverage of exposed prosthetic hip implant with a local fasciocutaneous flap in a patient in which any other kind of reconstruction was not feasible. Read More

J Craniofac Surg 2018 Jul;29(5):1181-1186

Division of Plastic and Reconstructive Surgery, Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.

Purpose: Titanium mesh is used to reconstruct the neurocranium in cranioplasties. Though it is generally well-tolerated, erosion of the overlying soft tissue with exposure of the implant is a complication that adversely affects patient outcomes. The purpose of this study is to investigate potential risk factors for titanium mesh exposure. Read More

Clin Plast Surg 2018 Apr;45(2):277-293

Department of Plastic Surgery, The Ohio State University, 915 Olentangy River Road, Suite 2100, Columbus, OH 43212, USA; Private Practice, Columbus Institute of Plastic Surgery, 6499 East Broad Street, Suite 130, Columbus, OH 43213, USA. Electronic address:

Massive weight loss patients and aesthetic patients can present with significant gluteal contour abnormalities. Gluteal ptosis, skeletal deformities, severe platypgia, and a paucity of donor fat for autologous transfer are common problems. Excisional procedures are used to treat massive-weight-loss contour abnormalities. Read More

Phys Rev Lett 2018 Feb;120(6):068101

Paulson School of Engineering and Applied Sciences, Harvard University, 29 Oxford Street, Cambridge, Massachusetts 02138, USA.

Reconstructive surgeries often use topological manipulation of tissue to minimize postoperative scarring. The most common version of this, Z-plasty, involves modifying a straight line cut into a Z shape, followed by a rotational transposition of the resulting triangular pedicle flaps, and a final restitching of the wound. This locally reorients the anisotropic stress field and reduces the potential for scarring. Read More

Dermatol Online J 2017 Sep 15;23(9). Epub 2017 Sep 15.

Department of Dermatology, Centro Hospitalar do Porto, Portugal. fernandojrmota@ gmail.com.

The nasolabial flap is one of the most ancient techniques used in orofacial surgery. The authors report two cases of patients with skin cancer treated surgically with variations of the classic nasolabial flap by transposition (bilateral and folded) that highlight the broad applicability of this technique. Read More

J Plast Reconstr Aesthet Surg 2018 Jun 7;71(6):889-894. Epub 2018 Feb 7.

Red Cross Hospital, Department of Plastic, Reconstructive and Hand Surgery, Vondellaan 13, 1942 LE, Beverwijk, The Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, VU University Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. Electronic address:

Background: The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the infragluteal fold.

Methods: A retrospective cohort study was conducted in all patients who underwent ischial pressure ulcer reconstruction using the PIPAP flap between March 2010 and March 2017. Read More

Microsurgery 2019 Jan 5;39(1):6-13. Epub 2018 Feb 5.

Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Background: Reconstruction for total laryngopharyngoesophagectomy is accomplished mainly by gastrointestinal transposition but can be complicated by anastomotic tension or associated neck-skin defect. Here, we present the results of total esophageal reconstruction by gastrointestinal transposition alone or with additional free tissue transfer and propose an algorithm accordingly.

Methods: We reviewed patients who had oncologic total laryngopharyngoesophagectomy between January 2012 and January 2016. Read More

Handchir Mikrochir Plast Chir 2018 Aug 16;50(4):259-268. Epub 2018 Jan 16.

Klinik für Plastische und Handchirurgie, Universitätsklinikum Freiburg.

Background: The resection of large soft-tissue sarcoma requires reconstruction with free flaps. The choice of recipient vessels is crucial for the success of surgery.

Patients: We report four cases with large soft-tissue sarcomas with complex anatomical relationships: two tumors of the thigh surrounding the femoral neurovascular structures and two tumors of the abdomen with infiltration of the thorax and the abdomen. Read More

Orbit 2018 Aug 15;37(4):303-305. Epub 2018 Jan 15.

a Oxford Eye Hospital, John Radcliffe Hospital , Oxford , UK.

Purpose: The "reading man" flap (RMF), a double advancement transposition cutaneous flap named for its appearance, has been described in the reconstruction of various circular skin defects, particularly in the malar region. We describe two cases where this flap was used to reconstruct the lower eyelid/periorbital region.

Methods: Two oculoplastic patients with lower eyelid basal cell carcinomas underwent Mohs micrographic excision resulting in a large skin defects. Read More

Fetal Diagn Ther 2018 20;44(3):173-178. Epub 2017 Dec 20.

Zurich Center for Fetal Diagnosis and Therapy, University Children's Hospital Zurich, Zurich, Switzerland.

Background: One of the intraoperative challenges of fetal spina bifida repair is skin closure when there is an extended skin defect. Thus, we examined whether distally pedicled random pattern transposition flaps (TFs) are a valid option to overcome this problem.

Subjects And Methods: All patients undergoing in utero repair of spina bifida with application of a TF for back skin closure were analyzed focusing on intraoperative flap characteristics and postoperative flap performance. Read More

Ann Dermatol Venereol 2017 Dec;144 Suppl 4:IVS10-IVS15

Service de dermatologie générale et oncologique, CHU Ambroise-Paré 9, avenue Charles-de-Gaulle, 92200 Boulogne-Billancourt, 75007 Paris, France; cabinet médical, 4 bis, avenue de Ségur, 75007 Paris, France. Electronic address:

This "What's new in instrumental dermatology" dedicated skin surgeryis based upon a 2015-2017 literature analysis. The excision of skin cancers is an important part of surgical dermatology. Will artificial intelligence and new drug be able to face the increasing need for therapy? Wrong-site surgery is due to multiple factors. Read More

Semin Ultrasound CT MR 2017 Dec 8;38(6):604-615. Epub 2017 Aug 8.

Department of Diagnostic Radiology, The University of Texas, MD Anderson Cancer Center, Houston, TX; Department of Diagnostic Imaging, The Chaim Sheba Medical Center, Ramat-Gan, Israel, affiliated with the Tel Aviv University, Israel.

Improvements in surgical technique over the last decade enable surgeons to perform extensive resection and reconstruction in patients presenting with tumors involving the soft tissue or bony structures of the chest wall. The type of surgical resection and its size, depend on the type of tumor resected and its location. In addition to providing a better esthetic result, the reconstruction restores support and functionality of the thoracic cage. Read More

Ann Chir Plast Esthet 2018 Feb 16;63(1):75-80. Epub 2017 Nov 16.

Service de chirurgie plastique, reconstructrice et esthétique, hôpital Européen-Georges-Pompidou, université Paris-Descartes, Assistance publique-hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France. Electronic address:

Free flaps have become a reliable practice for breast reconstruction. However, the venous congestion is still the most frequent reason of flap failure. It is due to bad quality of the internal mammary veins, a preferential superficial venous outflow of the flap or due to venous thrombosis. Read More