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    Synchronous Soleus and Reverse Sural Flap for Large Soft Tissue Defect Reconstruction of Leg.
    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

    Mixed facial reanimation technique to treat paralysis in medium-term cases.
    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

    Reconstruction of Anterior Neck Scar Contracture Using A Perforator-Supercharged Transposition Flap.
    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

    Managing soft tissues in severe lower limb trauma in an ageing population.
    Injury 2018 Mar 13. 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

    Nose defects reconstruction with the Zitelli bilobed flap.
    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

    Limberg fasciocutaneous transposition flap for the coverage of an exposed hip implant in a patient affected by ewing sarcoma.
    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

    Autologous Gluteal Augmentation with the Moustache Transposition Flap Technique.
    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

    Topology, Geometry, and Mechanics of Z-Plasty.
    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

    The pedicled internal pudendal artery perforator (PIPAP) flap for ischial pressure sore reconstruction: Technique and long-term outcome of a cohort study.
    J Plast Reconstr Aesthet Surg 2018 Feb 7. 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

    Esophageal reconstruction after oncological total laryngopharyngoesophagectomy: Algorithmic approach.
    Microsurgery 2018 Feb 5. 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

    [The use of Deep Inferior Epigastric Vessels to Revascularise Free Flaps for Reconstruction of Complex Oncosurgical Defects of the Thigh and the Abdomen].
    Handchir Mikrochir Plast Chir 2018 Jan 16. 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

    In utero Plastic Surgery in Zurich: Successful Use of Distally Pedicled Random Pattern Transposition Flaps for Definitive Skin Closure during Open Fetal Spina Bifida Repair.
    Fetal Diagn Ther 2017 Dec 20. 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

    Intra- and Extra-Thoracic Muscle Flaps and Chest Wall Reconstruction Following Resection of Thoracic Tumors.
    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

    [Transposition of the cephalic vein in free flap breast reconstruction: Technical note].
    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

    [Aesthetic criteria in surgical treatment of hypospadias in children].
    Urologiia 2017 Oct(5):63-68
    Department of Uroandrology, Department of Endocrinology No. 2, Russian Childrens Clinical Hospital of Minzdrav of Russia.
    Aesthetically acceptable cosmetic results of surgical correction of external genital organ defects are important for treatment evaluation along with well-known criteria of good functional outcomes.The purpose of this study was to improve the results of treating children with hypospadias by improving the assessment of results and introducing multi-step correction modalities.

    Materials And Methods: From 2013 to 2015, 476 patients with various forms of hypospadias were treated at the Department of Uroandrology of RCCH. Read More

    Reconstructive options for large back free flap donor sites.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
    Background: Reconstruction of posterior thoracic and trunk defects can prove challenging even to the most seasoned surgeons. Many commonly used techniques for closing back defects include primary closure and split skin grafts. Often times, however, other techniques are needed in order to give the patient the best aesthetic and functional outcome. Read More

    Vulvo-vaginal reconstruction after radical excision for treatment of vulvar cancer: Evaluation of feasibility and morbidity of different surgical techniques.
    Surg Oncol 2017 Dec 5;26(4):511-521. Epub 2017 Oct 5.
    Department of Gynecologic-Obstetrical and Urologic Sciences, University "Sapienza" of Rome, Policlinico Umberto I Hospital, Rome, Italy. Electronic address:
    Background: Vulvar cancer is a rare disease accounting for approximately 5% of female genital tract tumors worldwide. Currently surgery represents the mainstay alone or sometimes, in combination with chemo-radiotherapy, for locally advanced tumors and recurrent disease. However, significant physical and sexual impairment mostly due to anatomical distortion of external genitalia are a consequence of radical surgical treatment. Read More

    Selection of oncoplastic surgical technique in Asian breast cancer patients.
    Arch Plast Surg 2018 Jan 27;45(1):37-44. Epub 2017 Oct 27.
    Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
    Background: Oncoplastic surgery is being increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors should be considered to determine the optimal surgical method.

    Methods: A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. Read More

    The superiorly based bilobed flap for nasal reconstruction.
    J Am Acad Dermatol 2018 Feb 19;78(2):370-376. Epub 2017 Oct 19.
    Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
    Background: The laterally based bilobed flap is commonly used for the reconstruction of small- to medium-sized defects of the distal portion of the nose; However, when this flap is used to repair defects that are larger, more cephalic, or more lateral on the nose, there is a risk for lower nasal distortion. Reorienting the base superiorly preserves the advantages of the traditional design while minimizing this risk.

    Objective: To demonstrate the design, execution, and efficacy of the superiorly based bilobed flap. Read More

    Internal limiting membrane flap transposition for surgical repair of macular holes in primary surgery and in persistent macular holes.
    Eur J Ophthalmol 2017 Sep 18. Epub 2017 Sep 18.
    VIROS-Vienna Institute for Research in Ocular Surgery, Karl Landsteiner Institute, Hanusch Hospital, Vienna - Austria.
    Purpose: Classical or temporal internal limiting membrane (ILM) flap transposition with air or gas tamponade are current trends with the potential to improve surgical results, especially in cases with large macular holes.

    Methods: A prospective case series included patients with idiopathic macular holes or persistent macular holes after 23-G pars plana vitrectomy (PPV) and ILM peeling with gas tamponade. In all patients, 23-G PPV and ILM peeling with ILM flap transposition with gas tamponade and postoperative face-down position was performed. Read More

    [Fasciocutaneous flap reliable by deep femoral artery perforator for the treatment of ischial pressure ulcers].
    Ann Chir Plast Esthet 2018 Apr 28;63(2):148-154. Epub 2017 Sep 28.
    Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, hôpital de la Croix-Rousse, hospices civils de Lyon, CHU, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France.
    Introduction: The surgical management of pressure ulcers in the paraplegic or quadriplegic population is marked by the high risk of recurrence in the long-term. In the current era of perforator flaps, newer reconstructive options are available for the management of pressure ulcers, decreasing the need to use the classically described muscular or musculocutaneous locoregional flaps. The coverage of ischial sores described in this article by a pedicled flap based on a deep femoral artery perforator, appears to be an effective first-line reconstructive option for the management of limited size pressure ulcers. Read More

    Deltopectoral flap revisited for reconstruction surgery in patients with advanced thyroid cancer: a case report.
    BMC Surg 2017 Sep 15;17(1):101. Epub 2017 Sep 15.
    Department of General Surgery, Yokohama City University Hospital, Yokohama, Japan.
    Background: We present the cases of 2 patients with invasive thyroid cancer, who underwent reconstructive surgery using a deltopectoral flap. Although the overall rate of extrathyroidal extension in patients with thyroid cancer is quite low, skin invasion is the most common pattern observed. Reconstructive surgery, involving local skin flaps, is required in these patients. Read More

    Repair of Craniomaxillofacial Traumatic Soft Tissue Defects With Tissue Expansion in the Early Stage.
    J Craniofac Surg 2017 Sep;28(6):1477-1480
    *Department of Plastic and Reconstructive Surgery, Chinese PLA General Hospital, Beijing†Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
    Background: Craniomaxillofacial traumatic soft tissue defects severely affect the function and appearance of the patients. The traditional skin grafting or free flap transplantation can only close the defects in the early stage of operation but cannot ensure similar color, texture, and relative aesthetic contour. In the present study, the authors have explored a novel strategy to repair craniomaxillofacial traumatic soft tissue defects by tissue expansion in the early stage and have obtained satisfactory results. Read More

    The caudolaterally inserted transposition flap and its variations for reconstruction of defects of the nasal ala.
    J Dtsch Dermatol Ges 2017 Oct 25;15(10):981-987. Epub 2017 Aug 25.
    Department of Dermatology, Venerology and Allergy, University Medical Center Mannheim, University of Heidelberg, Manheim, Germany.
    Closure of non-full-thickness defects of the nasal ala can be a surgical challenge. While there is a plethora of various reconstructive techniques, not all of them are easy to learn and carry out. Recently, the dermatosurgeon Andreas Lösler from the Department of Dermatology at the Hornheide Medical Center, Germany, developed and published the caudolaterally inserted transposition flap for the reconstruction of alar defects. Read More

    [Laparoscopic-assisted harvesting of omental flap in chest wall reconstruction for deep sternal wound infection].
    Khirurgiia (Mosk) 2017(8):18-23
    A.V. Vishnevsky Surgery Institute of Health Ministry of the Russian Federation, Moscow, Russia.
    Aim: To present an experience of laparoscopic-assisted harvesting of omental flap in chest wall reconstruction for deep sternal wound infection.

    Material And Methods: It was made a prospective analysis of 14 patients aged 39-85 years after laparoscopic-assisted harvesting of omental flap in chest wall reconstruction for the period December 2014 - November 2016. Men/women ratio was 10/4. Read More

    The association of a lip commissure to eyelid transposition flap with a frontal transposition flap for reconstructive eyelid surgery following squamous cell carcinoma resection in a European short-haired cat.
    Clin Case Rep 2017 Aug 28;5(8):1297-1302. Epub 2017 Jun 28.
    Lorrainevet95 rue des Mazurots54710LudresFrance.
    The surgical resection of a squamous cell carcinoma in a cat was performed on both the palpebral and nasal aspects of the OD medial canthus. A two-stage surgical technique was employed, involving two different transposition flaps, taking care to maintain eyelid function and estheticism, with a long follow-up. Read More

    Microvascular Decompression for Trigeminal Neuralgia Using a Novel Fenestrated Clip and Tentorial Flap Technique.
    World Neurosurg 2017 Oct 25;106:775-784. Epub 2017 Jul 25.
    Department of Neurosurgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
    Background: Microvascular decompression (MVD) for neurovascular compression syndromes, such as trigeminal neuralgia and hemifacial spasm, has been traditionally described as an interposing technique using Teflon. Some alternative interposing materials have been proposed. In addition, transposing techniques have been increasingly reported as an alternative with a potentially lower recurrence rate and fewer complications. Read More

    Modification of pedicle lengthening through perforator transposition in free anterolateral thigh flaps with pedicle size discrepancy: A case report.
    Microsurgery 2018 Jan 26;38(1):94-97. Epub 2017 Jul 26.
    Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
    In spite of thorough presurgical planning, emergency situations requiring longer pedicle length may arise during anterolateral thigh (ALT) free flap surgeries. While performing vessel graft for pedicle lengthening, discrepancy may occur because of a certain genetic predisposition or vascular variation at the anastomosis site of the graft vessel and the flap pedicle. A 76-year-old male patient with neurofibromatosis type I had a 15 x 10 cm defect, which was caused by radical excision of a malignant peripheral nerve sheath tumor on his back. Read More

    Pedicled omental flaps in the treatment of complex spinal wounds after en bloc resection of spine tumors.
    J Plast Reconstr Aesthet Surg 2017 Sep 16;70(9):1267-1271. Epub 2017 Jun 16.
    Istituto Ortopedico Rizzoli, via Pupilli, 1, Bologna, Italy.
    Study Design: The present paper presents a retrospective study of 5 patients who underwent pedicled omental flap procedure following spine tumor removal.

    Summary Of Background Data: Postoperative wound dehiscence represents a major complication in spinal surgery, particularly after en bloc tumor resection, because of the extended sacrifice of soft tissues and adjuvant radiation therapy and chemotherapy.

    Methods: Five patients, with a mean age of 52 years (range, 24-71 years), who underwent omental flaps for the treatment of postoperative complication in spine tumor resections were retrospectively evaluated. Read More

    Flap Basics I: Rotation and Transposition Flaps.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):313-321. Epub 2017 May 30.
    Department of Otolaryngology, University at Buffalo, 1237 Delaware Avenue, Buffalo, NY 14209, USA. Electronic address:
    In many cases of complex facial defects, because of advanced cutaneous malignancies, primary wound closure is impossible. In these instances, ideal results can be obtained through recruitment of adjacent tissue with the use of local flaps. Advances in local flap techniques have raised the bar in facial reconstruction; however, acceptable results to the surgeon and patient require high levels of planning and surgical technique. Read More

    Endobronchial-Guided Vascularized Tissue Flaps for a Bronchopleural Fistula.
    Ann Thorac Surg 2017 Jul;104(1):e1-e3
    Division of Thoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota. Electronic address:
    The management of bronchopleural fistulas can be challenging. The initial treatment is usually conservative, but operative intervention with transposition of vascularized pedicled flaps may be required in refractory cases. We present the case of a 67-year-old man with stage IIIa squamous cell carcinoma of the lung who underwent a lower and middle bilobectomy after receiving neoadjuvant chemoradiation. Read More

    Correction of sunken upper eyelid with orbital fat transposition flap and dermofat graft.
    J Plast Reconstr Aesthet Surg 2017 Dec 24;70(12):1768-1775. Epub 2017 May 24.
    Dept. of Plastic and Reconstructive Surgery, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, South Korea. Electronic address:
    Background: Sunken upper eyelid is a commonly found deformity among Asians, mostly due to the aging process and excessive orbital fat removal during oriental blepharoplasty procedures. This deformity is frequently accompanied by multiple, poorly defined upper eyelid folds and blepharoptosis. To date, autologous fat graft has been the treatment of choice for this group of patients. Read More

    Single-stage excision and sentinel lymph node biopsy in cutaneous melanoma in selected patients: a retrospective case-control study.
    Melanoma Res 2017 Dec;27(6):573-579
    aDepartment of Plastic and Reconstructive Surgery, Policlinico di Bari, Bari bDepartment of Clinical Pharmacology and Epidemiology, Mario Negri Sud Foundation, Santa Maria Imbaro, Italy.
    Sometimes, diagnostic excision of a primary melanoma would already necessitate skin grafting or transposition skin flaps, especially in areas with an esthetic or functional importance. The utility of sentinel lymph node biopsy (SLNB) after skin reconstruction is controversial. We carried out a single-institution retrospective case-control study. Read More

    A Wise Surgical Approach for Reconstruction of Postburn Axillary Contractures and Versatility of Perforator Flaps.
    J Burn Care Res 2017 May 31. Epub 2017 May 31.
    From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Muğla Sıtkı Koçman University, Turkey; and †Gülhane Military Hospital-Ankara, Turkey.
    Postburn axillary adduction contractures should essentially be released for adequate shoulder function. Many methods have been described for this purpose. However, use of perforator flaps prevents harm to the underlying muscle and provides thin, pliable skin flaps. Read More

    Impact of groin flap ischemia-reperfusion on red blood cell micro-rheological parameters in a follow-up study on rats.
    Clin Hemorheol Microcirc 2017 May 24. Epub 2017 May 24.
    Background: Flap hypoperfusion or ischemia-reperfusion (I/R) may occur during preparation-transposition procedures and by postoperative thrombotic complications. Behind the microcirculatory disturbances micro-rheological alterations are also supposed.

    Objective: We aimed to investigate the groin flap I/R with following-up micro-rheological parameters. Read More

    The Transposition Flap for the Reconstruction of Lower Cutaneous Lip Defects.
    J Drugs Dermatol 2017 Apr;16(4):385-387

    The lower cutaneous lip is a highly visible and functionally sensitive unit, and numerous factors must be considered when deciding on the optimal repair for defects in this area. The transposition flap represents an excellent option in the reconstruction of larger lower cutaneous lip defects. We describe the use of random pattern transposition flaps for the repair of lower lateral cutaneous lip defects. Read More


    Chest Wall Reconstruction Without Prosthetic Material.
    Thorac Surg Clin 2017 May 1;27(2):165-169. Epub 2017 Mar 1.
    Division of Thoracic Surgery, The Ohio State University Wexner Medical Center, Doan N-847, 410 West 10th Avenue, Columbus, OH 43210, USA. Electronic address:
    The surgical resection of primary and secondary tumors involving the chest wall often requires reconstruction with prosthetic and soft tissues, such as muscle flaps. There are situations when a soft tissue reconstruction of the chest wall is preferable. Prosthetic material can become infected and require reoperation for removal of the infected material. Read More

    Guitar-String Suture to Facilitate Closure of a Finger-like Flap for Reconstruction of the Nose.
    Actas Dermosifiliogr 2017 Sep 27;108(7):657-664. Epub 2017 Mar 27.
    Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, España. Electronic address:
    Introduction: The basic principle of a lobed or finger-like transposition flap is that, after covering the defect with the transposed tissue, the donor site is closed primarily. With large defects, a second lobe may be added to the flap if primary closure of the area left by the first lobe is not possible. The flap can often be made to adapt to the defect, but this maneuver, in combination with primary closure of the adjacent tissue, can sometimes produce excessive tension and compromise the blood supply. Read More

    Retrospective Study (2009-2014): Perineal Hernias and Related Comorbidities in Bitches.
    Top Companion Anim Med 2016 Dec 14;31(4):130-133. Epub 2016 Nov 14.
    Department of Surgery, Small Animal Surgery Services, Veterinary Hospital, School of Veterinary Medicine and Animal Science, University of São Paulo (FMVZ/USP), Sao Paulo, Brazil.
    Retrospective study based on data extracted from medical records of dogs diagnosed with perineal hernia between 2009 and 2014; medical records of bitches were selected for further analysis to determine the prevalence of perineal hernias in bitches and to investigate potential comorbidities. Perineal hernia was diagnosed in 182 dogs (174 males and 8 females; 96% and 4%, respectively). Surgical correction was performed in 6 bitches. Read More

    Biochemical Effects of Exercise on a Fasciocutaneous Flap in a Rat Model.
    JAMA Facial Plast Surg 2017 Jul;19(4):303-310
    Department of Otolaryngology-Head and Neck Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
    Importance: An overwhelming amount of data suggest that cardiovascular exercise has a positive effect on the mind and body, although the precise mechanism is not always clear.

    Objective: To assess the clinical and biochemical effects of voluntary cardiovascular exercise on pedicled flaps in a rodent model.

    Design, Setting, And Participants: Eighteen adult Sprague-Dawley male rats were randomized into a resting animal group (RAG) (n=9) and an exercise animal group (EAG) (n=9) for 14 days (July 23, 2013, through July 30, 2013). Read More

    Perforator-based flaps for the treatment of burn scar contractures: a review.
    Burns Trauma 2017 27;5. Epub 2017 Feb 27.
    Burn Center and Department of Plastic, Reconstructive, and Hand Surgery, Red Cross Hospital, Vondellaan 13, 1942 LE Beverwijk, The Netherlands.
    Patients with burn scars often experience functional problems because of scar contractures. Surgical treatment may be indicated for those burn scar contractures. If the contractures are small and linear, the contraction bands can be treated with local transposition flaps like the Z-plasty. Read More

    A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique.
    Med Sci Monit 2017 Feb 26;23:1033-1042. Epub 2017 Feb 26.
    Division of Plastic Surgery, Gaziantep University, Gaziantep, Turkey.
    BACKGROUND We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. MATERIAL AND METHODS In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Read More

    Treatment of rectovaginal fistula with gracilis muscle flap transposition: long-term follow-up.
    Int J Colorectal Dis 2017 Jul 16;32(7):1029-1032. Epub 2017 Feb 16.
    Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.
    Purpose: Rectovaginal fistulas are difficult to treat completely, especially when patients present with a history of multiple surgeries and radiation therapy. We aimed to evaluate the efficacy of gracilis muscle flap transposition to treat rectovaginal fistula.

    Methods: We performed a retrospective chart review of all gracilis muscle transposition cases and other procedures between January 2009 and July 2016. Read More

    Transseptal access with crossing multiple incisions for improved pedicle control and septum preservation: "How I do it".
    Am J Rhinol Allergy 2017 Mar 15;31(2):139-141. Epub 2017 Feb 15.
    Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan.
    Introduction: Recently, the surgical management of nasal tumors has been greatly influenced by advanced endoscopic techniques. To achieve complete endoscopic resection of large obstructing nasal tumors, a sufficient corridor for adequate exposure is also required. In the Japanese language, TACMI means "master expert," and herein we describe an endoscopic technique with novel elements that we term transseptal access with crossing multiple incisions (TACMI). Read More

    Head and neck reconstruction with pedicled flaps in the free flap era.
    Acta Otorhinolaryngol Ital 2016 Dec;36(6):459-468
    Department of Surgery and Translational Medicine, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Italy.
    Nowadays, the transposition of microvascular free flaps is the most popular method for management of head and neck defects. However, not all patients are suitable candidates for free flap reconstruction. In addition, not every defect requires a free flap transfer to achieve good functional results. Read More

    [Treatment of recurrent Dupuytren's disease].
    Orthopade 2017 Apr;46(4):342-352
    Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
    Background: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Read More

    Surgical approach for ulcerated locally advanced breast cancer. A single Center experience: a retrospective study.
    Ann Ital Chir 2017 ;88
    Aim: The aim of our retrospective study is to analyze surgical possibilities for the extended LABC in those cases not suitable for a neoadjuvant chemotherapy step and to consider various reconstruction techniques.

    Material Of Study: Between 2009 and 2015 we enrolled 11 patients, admitted to the Emergency Department, presenting ulcerated LABC that needed palliative surgical demolitive procedures because of bleeding and anemia and in which was necessary to use natural tissues transposition or synthetic substitutes for the reconstruction of the skin flaps.

    Results: The mean follow up was 12 months. Read More

    Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations.
    Gynecol Oncol 2017 03 14;144(3):558-563. Epub 2017 Jan 14.
    Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic.
    Objective: To describe the technique and report experiences with pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after extensive pelvic procedures.

    Methods: Surgical technique of MRAM harvest and transposition is carefully described. The patients in whom pelvic floor reconstruction with MRAM after either infralevator pelvic exenteration and/or extended lateral pelvic sidewall excision was carried out were enrolled into the study (MRAM group, n=16). Read More

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