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Plastis Surgery

Andreas Eicken, Peter Ewert
Severe tricuspid valve (TV) dysfunction in patients with congenital heart disease (CHD) is usually treated by open heart surgery in relatively young patients. If a valve plasty is not possible, a biological valve is implanted with a limited durability. Due to valve degeneration repeated valve exchanges are necessary in these patients. To expand the lifetime of a bioprosthesis in tricuspid position percutaneous TV implantation (PTVI) was introduced recently. PTVI is a promising new catheter interventional technology...
December 2018: Cardiovascular Diagnosis and Therapy
M Lechner, K Borhanian, S Mitterwallner, R Bittner, E Klieser, G Köhler, K Emmanuel, F Mayer
Background and Objectives: The goal of the study was to evaluate retroperitoneal sarcomas with continuous growth into the scrotum through the inguinal canal with regard to diagnostic approach, surgical treatment, and outcome. The analysis is based on a comprehensively documented case and a complete systematic review of published literature. Potential pitfalls are highlighted. Methods: We describe the case of a 57-year-old male Caucasian who presented with a swelling in the right groin...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Jeong Yeop Ryu, Pil Seon Eo, Lulu Tian, Joon Seok Lee, Jeong Woo Lee, Kang Young Choi, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho
BACKGROUND: Various surgical techniques have been used to correct Tessier number 7 craniofacial cleft, which involves macrostomia, ear deformity, and hemifacial microsomia. To achieve symmetrical and satisfactory results in patients with macrostomia, the authors performed a 1-mm medial overcorrection on the cleft side and evaluated the results of this procedure. METHODS: A retrospective medical record review of patients diagnosed with Tessier number 7 craniofacial cleft from March 1999 to February 2017 was performed...
January 2019: Archives of Plastic Surgery
Kiyoshi Ito, Mitsunori Yamada, Tetsuyoshi Horiuchi, Kazuhiro Hongo
Several surgical procedures can be applied for syrinx associated with Chiari type 1 malformation; however, it remains controversial as to which approach is the most effective. Here, we evaluated the indications and limitations of foramen magnum decompression (FMD) with or without dural plasty. Forty patients with Chiari type 1 malformation were surgically treated and followed up for > 12 months. Thirty-two patients (80.0%) underwent FMD with removal of only the outer dura mater layer, while eight patients underwent FMD with dural plasty...
January 25, 2019: Neurosurgical Review
Jin-Young Kim, Jong-Hun Baek, Jae-Hoon Lee
We compared two surgical procedures for de Quervain's disease that was not responsive to conservative treatment. Group A (simple release) consisted of 38 patients and group B (Z-plasty of the retinaculum) included 36 patients. The visual analogue scale score and the Disabilities of the Arm, Shoulder and Hand Score improved significantly after surgery; there were no statistical differences in outcome between the two groups. In group A, one patient required reoperation, two had subluxations of extensor tendons and two had temporary loss of sensation in the area of the radial nerve...
January 22, 2019: Journal of Hand Surgery, European Volume
Vicente Carratalá Baixauli, Francisco J Lucas García, Cristóbal Martínez Andrade, Rogelio Carratalá Baixauli, Eva Guisasola Lerma, Fernando Corella Montoya
Peripheral injuries of the triangular fibrocartilage complex can produce pain and instability of the distal radioulnar joint (DRUJ). There are several techniques for the repair or reconstruction of these injuries, which vary depending on the location, healing capacity, and viability of the tissues, as described by the classification proposed by Atzei. In irreparable chronic injuries of the triangular fibrocartilage complex in which there are no associated chondral injuries of the DRUJ or in failures in previous repair techniques, ligament reconstruction plasty with tendon grafts, either by open surgery or assisted by arthroscopy, are the treatments of choice...
December 24, 2018: Techniques in Hand & Upper Extremity Surgery
Bin Wang, Hui Wang, Zhao Meng, Wei Liu, Ruizheng Hao, Jian Zhang, Yongxin Huo, Chao Chen, Song Jia
Objective: To investigate the effectiveness of Ilizarov technique in reconstruction of thumb function in patients with thumb degloving injury after amputation. Methods: Between June 2011 and September 2016, 9 cases of thumb degloving injury were treated with amputation and Ilizarov technology. There were 8 males and 1 female with an age of 18-52 years (mean, 34.7 years). The amputation plane was the level of the metacarpophalangeal joint in 5 cases, the level of the proximal metacarpophalangeal joint in 2 cases, and the level of the base of the proximal phalanx in 2 cases (the length of proximal phalanx was less than 1 cm)...
December 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Y B Zhou, Y Y Yan, F Yu
Objective: To investigate the clinical efficacy and operative skills of modified septum plasty in the treatment of deviated nasal septum. Method: Retrospectively analyzed the case characteristics, surgical methods, postoperative complications, VAS score and nasal resistance value of 60 patients who received nasal septum surgery. Result: The VAS score of 28 patients who underwent improved septoplasty was significantly lower than that before surgery, and the difference was statistically significant( P <0.01)...
December 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Kagami Miyaji, Shohei Miyazaki, Keiichi Itatani, Norihiko Oka, Tadashi Kitamura, Tetsuya Horai
OBJECTIVES: A novel surgical strategy using haemodynamic analyses based on virtual operations with computational simulations has been introduced for complicated pulmonary stenosis. We evaluated the efficacy of this strategy. METHODS: Six patients were enrolled. Before surgery, the optimal pulmonary arteries were constructed based on computational fluid dynamics using 3-dimensional computed tomography. Energy loss (EL, mW) and wall shear stress (WSS, Pa) were calculated...
December 6, 2018: Interactive Cardiovascular and Thoracic Surgery
Dogan Yildirim, Turgut Donmez, Halim Ozcevik, Mikail Cakir, Suleyman Demiryas, Okan Murat Akturk
Introduction: Endoscopic hernia repair integrates the advantages of tension-free preperitoneal mesh support of the groin with the advantages of minimally invasive surgery procedures. Aim: To compare outcomes between slit mesh (SM) and nonslit mesh (NSM) placement in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Material and methods: This is a retrospective study of 353 patients who underwent TEP inguinal hernia repair between January 2010 and December 2011...
December 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Yuxin Guo, Maria Cui-Ying Pang, Constance Ee-Hoon Teo, Jack Kian Chng
BACKGROUND: Surgical management of advanced head and neck tumours involving the carotid artery remains controversial with compromised survival outcomes and heightened risks of morbidity and mortality. CASE: We describe a case of a 74-year-old lady with previous T1N0M0 left tongue squamous cell carcinoma (SCC), who developed a left nodal recurrence encasing the left external carotid artery from the carotid bifurcation. She underwent an extended left radical neck dissection with carotid artery patch plasty and remains well to date, 10-months post-surgery...
November 27, 2018: Annals of Vascular Surgery
Masanori Nakamura, Takeshi Uzuka, Hiroshi Sato, Mayo Kondo, Junichi Sakata, Fumihiro Kodama, Daisuke Murai, Hiroshi Komatsu, Takao Makino, Tetsuro Kohya
OBJECTIVES: We investigated the hypothesis that early surgery for infective endocarditis (IE) attenuates the rate of death or embolic events and does not increase the rate of relapse or postoperative valvular dysfunction (PVD) at 6 months. METHODS: 21 consecutive patients who underwent surgical treatment of IE were prospectively included. We assessed 6-month postoperative clinical outcomes by comparing early surgery (Group E, surgery within 72 h) and conventional treatment (Group C)...
November 27, 2018: General Thoracic and Cardiovascular Surgery
Seiji Komatsu, Akira Shinaoka, Yoshihiro Kimata
Pterygium colli is a congenital deformity associated with malformation syndromes. Various surgical procedures have been reported, but these procedures have advantages and disadvantages. The modified posterolateral approach has been reported as a new surgical procedure for pterygium colli. However, there has been no confirmatory report. In this study, a case of pterygium colli that was treated with the modified posterolateral approach was reported.An 11-year-old girl with Turner syndrome was referred with chief complaints of web neck deformity and an abnormal hairline...
November 15, 2018: Journal of Craniofacial Surgery
Deepak Gautam, Rajesh Malhotra
BACKGROUND: Despite significant pain relief following total hip arthroplasty (THA) in patients with ankylosing spondylitis, a small subset of patients presenting with extra-articular extension contracture of hips remains unsatisfied. METHODS: We retrospectively evaluated the patients with ankylosing spondylitis who underwent simultaneous bilateral THA and had extensor tightness of both hips preoperatively. They were managed with modified Z-plasty of iliotibial band...
January 2019: Journal of Arthroplasty
Yasuhiro Chikaishi, Hiroki Matsumiya, Masatoshi Kanayama, Akihiro Taira, Yusuke Nabe, Shinji Shinohara, Taiji Kuwata, Masaru Takenaka, Soichi Oka, Ayako Hirai, Koji Kuroda, Naoko Imanishi, Yoshinobu Ichiki, Yosuke Nishimura, Fumihiro Tanaka
Introduction: Patients with undiagnosed anterior mediastinal tumors commonly undergo surgery for diagnosis and treatment. However, determining the optimal therapeutic strategy is difficult for tumors with substantial invasion, such as lesions touching the aortic arch (AA). Case presentation: A 76-year-old man of Asian descent presented to our hospital because chest computed tomography (CT) revealed an anterior mediastinal tumor. This tumor surrounded the left subclavian vein and touched the AA...
November 2018: Annals of Medicine and Surgery
Roberto Brusati, Maria Costanza Meazzini, Angela Rezzonico, Federico Biglioli, Giovanna Garattini, Valeria Marinella Augusta Battista, Luca Autelitano
The aim of this paper was to assess growth, speech, and aesthetic results at the completion of growth in patients with unilateral cleft lip and palate treated with the 2 stages Milan surgical protocol.Craniofacial growth was evaluated with cephalometric analysis and a theoretical need for orthognathic surgery.Nasolabial appearance was qualitatively assessed using the Asher McDade Aesthetic Index.Speech was assessed using the Gos.Sp.Ass '98 modified for Italian language scoring system.Burden of care was recorded in terms of number of secondary surgical procedures...
November 2018: Journal of Craniofacial Surgery
L Felli, A G Capello, S Lovisolo, F Chiarlone, M Alessio-Mazzola
Patellar instability is the pathologic condition where the patella is prone to recurrent lateral dislocation. The clinical results on large series of patients and long-term outcome of Goldthwait techniques have not been described in the literature. The aim of this systematic review is: (1) to analyze and summarize the available literature focused on Goldthwait procedure in the treatment of recurrent patellar dislocation and (2) to evaluate the clinical and functional outcomes of patients treated with this surgical procedure...
October 1, 2018: Musculoskeletal Surgery
S Cristofari, B Bertrand, S Leuzzi, K Rem, J Rausky, M Revol, M Atlan, A Stivala
In primary male to female (MTF) sex reassignment surgery (SRS), the most frequent postoperative functional complications using the penoscrotal skin technique remain neovaginal stenosis, urinary meatal stenosis and secondary revision surgery. We aimed to retrospectively analyze postoperative functional and anatomical complications, as well as secondary procedures required after MTF SRS by penile skin inversion. All patients operated on for MTF SRS, using the inverted technique, from June 2006 to July 2016, were retrospectively reviewed...
September 27, 2018: Annales de Chirurgie Plastique et Esthétique
Yuqing Yan, Yu Wang, Jin Yang, Hao Wu, Lifeng Zhang, Zhiyu Peng, Chuan Guo, Qingquan Kong
BACKGROUND: Highly upmigrated herniation can be difficult to remove using percutaneous endoscopic lumbar discectomy (PELD) and the conventional transforaminal approach. Although many surgeons have constantly explored new techniques and approaches, we still lack a more effective, convenient, and economical technique to treat highly upmigrated herniation. We have described a novel approach, the transforaminal isthmus plasty approach, for PELD to treat highly upmigrated disc herniation. CASE DESCRIPTION: A 72-year-old man with L3-L4 highly upmigrated disc herniation, who had experienced no relief after a long period of conservative treatment, underwent PELD through the transforaminal isthmus plasty approach...
December 2018: World Neurosurgery
Takatoshi Yotsuyanagi, Ken Yamashita, Makoto Yamauchi, Asuka Sugai, Shinji Kato, Ayako Gonda, Arisa Kita, Ayaka Kitada
Various techniques for correcting whistling deformities that occurred after primary surgery for cleft lip have been reported. These techniques are mainly intended to correct the lack of volume of the red lip. However, irregularity of the dry-wet lip junction (mucocutaneous junction) in the red lip has rarely been mentioned. If the wet lip is located in an exposed area, not only is the aesthetic appearance poor but also uncomfortable complications such as a crusted or bleeding lip repeatedly occur under a dry condition...
December 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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