摘要:

After elective surgery, 28 patients with 40 wounds were enrolled in a controlled clinical study to assess the effects of two different dressings on incisional healing. Patients served as their own control with one-half of each incision covered with an impregnated gauze (Xeroform) and the other half of the incision covered with a thin occlusive hydrocolloid dressing (DuoDerm Extra Thin CGF). All wounds were evaluated 2 to 3 days, 7 to 10 days, 4 weeks, and 7 months postoperatively. None of the incisions segments showed any evidence of infection. At the time of suture removal, the hydrocolloid dressing's ability to contain exudate, protect the wound, and facilitate mobility and personal hygiene were rated higher compared with the gauze-type dressing (p < 0.001, for all variables). At the 4-week visit, both the patient and the surgeon rated the scar segments covered with the hydrocolloid dressing better with respect to color, evenness, and suppleness (p ≤ 0.04, for all variables). These differences were no longer apparent 7 months after surgery.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Glomus tumors are uncommon, benign soft tissue tumors that can occur in a familial or sporadic pattern. Only 15 pedigrees have been reported to date. We report a family with three generations developing multiple glomus tumors of the skin. Although controversy exists over pattern of inheritance, review of the published pedigrees plus this additional one suggests an autosomal dominant inheritance with incomplete penetrance and variable expressivity.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Facial lipodystrophy is a relatively rare disease and very little has been reported concerning the reconstruction of this facial deformity compared with Romberg's disease. In this article we report a new surgical procedure using a double paddle radial forearm dermis-fat free flap. By using this unique flap, we could reconstruct soft tissue defects on both cheeks in a one-stage operation using one flap. In the previous conventional procedure, two flaps are required for the reconstruction of bilateral defects on the face. Therefore, we also made a comparison between our flap and the conventional flap with regard to their advantages and disadvantages. Although this is a limited experience, we think using this flap is a preferable method of treating facial lipodystrophy.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Ablative surgery to completely eradicate cancer may injure or necessitate ligation of major vessels. Unplanned necrosis of intact adjacent tissues and/or organs may result due to insufficient blood supply. We report a case in which a free inferior rectus abdominis musculocutaneous flap was successfully used as a bridge flap. Reconstruction of a soft tissue defect as well as revascularization of an ischemic organ (the tongue) was simultaneously achieved with a single flap transfer. To the best of our knowledge, this is the first report of a free inferior rectus abdominis musculocutaneous flap used successfully as a bridge flap.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Accurate assessment of lower extremity blood flow is critical in selecting appropriate therapy for patients with peripheral vascular disease and nonhealing wounds. Although physical examination provides an idea about the extent and significance of the disease, further evaluation, including both noninvasive and invasive studies, is routinely obtained. Appropriate studies will provide valuable information about the location and severity of disease, the need for revascularization before definitive wound coverage, and the likelihood of wound healing. A brief overview of vascular laboratory tests, highlighting the values and limitations of each, is presented here.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Several approaches for repair of diastasis recti during abdominoplasty and repair of rectus sheath defect during transverse rectus abdominis musculocutaneous flap harvest have been described. Although these have generally been effective, we feel our procedure to be advantageous. The method presented is quick, easy, and efficient. In addition, because a looped (double), monofilament suture is used, a stronger, more aesthetic repair is accomplished. This technique has been used in 39 patients over a 25-month period. No recurrences of diastasis recti and no hernias have been observed. Furthermore, all patients remain without complaint.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Annals of Plastic Surgeryhas published a series of original articles from Russia over the past several months. Dr. Dabb has been invited to share his impressions of our Russian colleagues as the next to the last of this series is published.

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1994

数据来源: OVID