Acta Chirurgiae Plasticae

No abstract text is available yet for this article.

BACKGROUND: Groin flaps have been used as pedicled and free flaps by plastic surgeons for time immemorial. The superficial circumflex iliac artery perforator (SCIP) flap has evolved from the groin flap in which the entire skin territory of the groin flap can be harvested based on the perforators of the superficial circumflex iliac artery (SCIA) and only a part of the SCIA can be taken along with. The pedicled SCIP flap can also be utilized in a large number of cases which is described in our article...

The formation of a seroma after abdominoplasty is one of the most common complications faced by plastic surgeons. A 59-year-old man underwent lipoabdominoplasty and developed a large subcutaneous seroma that persisted for 7 months. Percutaneous sclerosis with talc was performed. We present the first report of chronic seroma after lipoabdominoplasty successfully treated with talc sclerosis.

The periorbital plastic surgery, especially upper and lower blepharoplasty is a very common surgical procedure. Usually the preoperative finding is typical, the surgery routine without unexpected surprises and postoperative course is smooth, quick and without complications. However, periorbital area can also be the source of unexpected findings and peroperative surprises. In this article we present a rare case of a specific disorder - adult onset orbital xantogranuloma in a 37-year-old woman who was treated for recurrences of facial adult orbital xantogranuloma by surgical excisions at the Department of Plastic Surgery, University Hospital Bulovka...

It is a challenge to define the ideal timing for revision surgery following an infected cranioplasty. Both healing of infected bone and preparedness of soft tissue must be considered. There is no gold standard regarding the timing of revision surgery and a lot of studies have contradictory findings. Many studies recommend waiting for 6-12 months to reduce reinfection risks. This case report highlights that delay in revision surgery for an infected cranioplasty is a useful and rewarding modality...

During the period of 1960s and 1970s, a new alloplastic material - Wichterle gel - was introduced in the field of plastic surgery. In 1961, a Czech scientist, prof. Otto Wichterle, had developed, along with his research team, a hydrophilic gel made of polymers, which fulfilled the high standards for prosthetic materials due to its hydrophilic, chemical, thermal and shape stability that provided a better tolerance in the body compared with other hydrophobic gels. Plastic surgeons had started to use the gel for breast augmentations and reconstructions...

BACKGROUND: Lower limb defects may be present due to various causes including infections, vascular diseases, tumor resections, and crush or avulsion injuries. Management of lower leg defects is a complex problem, especially when they are large with deep soft tissue loss. These wounds are difficult to be covered with local skin flaps, distant skin flaps or even conventional free flaps because of the compromised recipient vessels. In such cases, the vascular pedicle of the free flap could be anastomosed to the recipient vessels of the contralateral healthy leg temporarily and then divided after adequate neo-vascularization of the flap from the wound bed...

Lymph node transfer has recently become one of the popular techniques for surgical treatment of lymphedema. We aimed to evaluate postoperative donor site numbness and other complications in patients who underwent supraclavicular lymph node flap transfer to treat lymphedema with preservation of the supraclavicular nerve. From 2004 to 2020, 44 cases of supraclavicular lymph node flap were reviewed retrospectively. In the donor area, sensorial evaluation was clinically done with the postoperative controls. Among them 26 had no numbness at all, 13 had short-term numbness, two had numbness for > 1 year and three had numbness for > 2 years...

BACKGROUND: Vascularized lymph node transfer (VLNT) is a relatively well-established microsurgical treatment for lymphedema that is especially beneficial for advanced cases in which lymphovenous anastomosis is not indicated due to lymphatic vessel sclerosis. When VLNT is performed without a skin paddle, such as a buried flap, the possibilities for postoperative monitoring are limited. The aim of our study was to evaluate the use of ultra-high-frequency color Doppler ultrasound with 3D reconstruction in a pedicled axillary lymph node flap...

INTRODUCTION: Surgery is the primary treatment modality for oral squamous cell carcinoma. The purpose of the surgical procedure is complete removal of the tumor with a sufficient margin of healthy tissue in its surroundings. Resection margins represent an important factor for planning further treatment and for estimation of the disease prognosis. Resection margins can be divided into negative, close and positive. Positive resection margins are considered a prognostically unfavorable factor...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

Scalp necrosis following a cranioplasty and subsequent exposure of the implant is a dreaded complication and needs to be treated promptly. Conventionally, implant removal is often advised to prevent delayed infection. We present a case of a scalp necrosis following cranioplasty using a titanium mesh for a patient who had undergone glioma excision and radiation therapy. Using a latissimus dorsi free muscle flap, we salvaged the implant. Patient had a persistent dural leak which was addressed by a pedicled extended forehead flap and suction drain under the latissimus dorsi flap...

Hibernomas are soft tissue tumors derived from remnants of brown fat. They are rare masses that can have variable presentations ranging from incidental asymptomatic masses to pain due to nerve compression. We present the case of a 52-year-old male presenting with an atypical lipomatous mass on ultrasound and magnetic resonance imaging. The mass was excised and sent for pathology with the result being a hibernoma. We should be vigilant in the treatment of such tumor presentations as they may be a low grade liposarcoma in disguise...

The authors present a technique of bilateral breast reconstruction in case series of 5 patients, allowing simultaneous harvest of both latissimus dorsi myocutaneous flaps. Three patients underwent bilateral immediate reconstruction after prophylactic mastectomy. One patient underwent a delayed reconstruction, in 1 patient latissimus dorsi myocutaneous flap was used after prophylactic mastectomy and reconstruction with implants followed by bilateral necrosis of the skin flaps. The described technique enables safe breast reconstruction in one procedure...

INTRODUCTION: The problem of the replacement after manubrial resection can be solved standardly through a pedicled pectoralis major muscle flap (PMMF) defect coverage, harvested thought an accessory incision. We recently established an alternative and easier harvesting technique, also in critical cases (patients with recurrent tumor and after radio-chemotherapy), that improves aesthetic outcome and allows harvesting an adequate muscle flap for an optimal chest wall coverage. MATERIAL AND METHODS: A single center retrospective analysis between 2017 and 2020 was performed...

INTRODUCTION: Artificial skin replacements were developed to cover defects in general surgery or after burns. Their main indication in oncologic surgery is secondary resection of appropriate margins in skin tumors after incomplete primary excision. This is contraindicated in sarcomas where only wide excision is indicated. The aim of the study is to show rare possible indications for temporary skin closure (TSC) in extremity soft tissue sarcomas (STS). MATERIALS AND METHODS: Out of 594 patients with extremity STS treated surgically at the Department of Orthopedics, University Hospital Bulovka, Prague, since 2014, we evaluated those with TSC concerning their indications...

INTRODUCTION: The temporoparietal fascia flaps (TPFF) have been widely used to cover the framework in auricular reconstructions. However, flap harvesting is mostly done by open surgery which may be easier but often results in bad scarring and hair loss. We would like to present a series of cases using endoscopic-assisted flap harvesting techniques with only one single cosmetic auricular incision. PATIENTS AND METHODS: Prospective studies from June 2018 to September 2021 on patients who underwent single-stage total auricular reconstruction using autologous costal cartilage and porous polyethylene (PPE) framework...

BACKGROUND: Extravasation is the movement of fluid outside its conduit into the extracellular tissue, possibly leading to a local inflammatory reaction, compartment syndrome, tissue necrosis, and full thickness skin loss at the affected area. To prevent these complications, early recognition, referral and treatment of an extravasation injury is of utter importance. CASE REPORT: We present a case, illustrating an extravasation injury into the breast managed by a renovated surgical technique - emergency evacuation low-pressure suction (EELS)...

BACKGROUND: Reconstruction of upper and lower extremity defects can be challenging. Especially in distal parts, relatively thin flaps are needed not to interfere with the function or aesthetic appearance of the extremity. The superficial circumflex iliac artery perforator (SCIP) flap represents a powerful but still not so commonly used tool for this kind of reconstruction. In this article, we present several cases of the use of the SCIP flap for extremity defect coverage. CASE SERIES: We present five cases (three men and two women) of upper or lower extremities defect coverage with a SCIP flap performed between January and June 2021 at our department...