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  • Original Article

    Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

    Mohamed Maher , Maria Chasapi , Milind Dalal
    Aim: To demonstrate an algorithmic approach to hypospadias repair with the aid of the surgical microscope as a teaching aid, as well as an ergonomic tool. Methods: One hundred and two patients were operated on between 2009 and 2013, all by the senior surgeon (M Dalal). This is a retrospective review of results in the case series. The procedures used were one stage repair with no incision of the urethral plate, or the two stage Bracka repair. Results: Fifty-six patients underwent the one stage procedure and 46 patients underwent the two stage Bracka repair. Early complication rate was 4.9%...
    Published on: 27 Apr 2017
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  • Case Report

    Resolution of 2nd, 3rd or 4th interdigital space incomplete, simple syndactyly using a random vascularity flap

    Heriberto Garza de la Llave , Yusef Jiménez Murat , Alejandro Ángel Corona Figueroa
    Syndactyly consists of a variable fusion of soft tissue or of bone in adjacent fingers. This has important aesthetic and functional impacts on the development of the child due to the abnormal appearance of the hand. When the 1st web space is affected, it compromises grasp and development of the clamp function. Affliction of the 2nd, 3rd or 4th webspaces hinder the independent movement of the fingers adjacent to it. Current syndactyly release techniques have inherent disadvantages such as the use of skin from both the interdigital halves of the syndactylized fingers, the need to skin graft...
    Published on: 27 Apr 2017
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  • Original Article

    The experience performing extended abdominoplasty in massive weight loss patients

    Maria A. Bocchiotti , Elisabetta Adelaide Baglioni , Stefano Bruschi , Luca Spaziante , Erind Ruka
    Aim: The post-bariatric patients who undergo torsoplasty often incur postoperative complications that dilate their recovery time. The authors propose the technique of extended abdominoplasty, described in 2012 for aesthetic torso remodeling, in post-bariatric patients in order to reduce complications and hospitalization time. Methods: The authors performed 21 extended abdominoplasties and compared them with 21 torsoplasties in post-bariatric patients during a 1-year period. Data studied was age, gender, duration of the procedure, blood loss, complications and hospitalization duration....
    Published on: 21 Apr 2017
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  • Letter to Editor

    Management of complications of Medpor® implants in rhinoplasty

    Kapil Agrawal , Raghav Shrotriya
    Published on: 30 Mar 2017
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  • Review

    Multipotency and secretome: the mechanisms behind the regenerative potential of adipose-derived stem cells

    Doruk Orgun , Hiroshi Mizuno
    The use of stem cells for regenerating damaged organs and tissues which are unable to heal on their own is a widely studied field in plastic and reconstructive surgery as well as medicine in general. Among various stem cell types, adipose-derived stem cells (ASCs) are especially considered to be an ideal stem cell population for several clinical situations. These cells could be harvested from fat with relatively less invasive methods with high yield rates. ASCs have proved to be worthy of more research to understand the mechanisms behind their regenerative abilities. However, it remains...
    Published on: 22 Mar 2017
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  • Original Article

    Pressures secondary to circumferential digital dressings in clay models

    Han Joon Kim , Kun Hwang
    Aim: With little manipulation, compression bandages placed circumferentially around the digit can be rolled up the digit, creating a tourniquet effect. The aim of this study was to elucidate the pressures induced by self-adherent bandages applied circumferentially around the fingers. Methods: After fabricating various clay finger models using the live finger as a model, the pressure of each self-adherent bandage was measured at the level of the proximal phalanx. Two different self-adherent bandages were applied with variables of different levels of tightness, number of wraps, and whether...
    Published on: 22 Mar 2017
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  • Case Report

    Unilateral rhinophyma: report of a case and review

    Scott Walter , Steven Krueger , Jonathan Ho , Kavitha K. Reddy
    Rhinophyma is a less-common subtype of rosacea that presents as thickened skin with enlarged sebaceous glands that may progress to large bulbous growths with dilated pores on the nose. Rhinophyma can lead to morbidity aesthetically and sometimes functionally. The prevalence of rosacea ranges from 1% to 20%. The exact pathogenesis is not known, but potential factors include altered circulation, changes in microorganisms and/or alterations in immunity. Here the authors present a unique case where a patient presented with unilateral rhinophyma: a presentation warranting work up to rule out...
    Published on: 22 Mar 2017
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  • Original Article

    A study of correlation between prosthetic breast reconstruction, antibiotic prophylaxis and surgical wound drains

    Emanuele Rampino Cordaro , Nicola Zerbinati , Alice Garzitto , Daria Almesberger , Michela Francescon , Raffaele Rauso , Mario Cherubino , Pier Camillo Parodi
    Aim: The primary aim of this investigation into the correlation between prosthetic breast reconstruction, antibiotic prophylaxis and surgical drains was to determine whether the short-term prophylaxis recommended in the current guidelines is in fact able to sterilize the peri-prosthetic pocket in patients undergoing prosthetic breast reconstruction via tissue expansion, permanent implant placement, or Becker implants, as well as augmentation to correct symmetry. Methods: A total of 96 women who had undergone prosthetic breast reconstruction surgery were considered. Patients were recruited...
    Published on: 28 Feb 2017
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  • Editorial

    Portraits of two innovative plastic surgeons in the National Portrait Gallery

    Kun Hwang
    Published on: 22 Feb 2017
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  • Original Article

    Early muscle reinnervation by means of end-to-side neurorrhaphy in an experimental model

    Araceli Pérez , Rafael Reynoso , Rosa M. Romero , Angélica González , Jorge Ochoa , Dulce H. Gutiérrez , Damián Palafox
    Aim: The aim of the study was to provide early muscular reinnervation to avoid muscle atrophy and functional loss in an experimental model. Methods: Fifty rats were divided into five groups. In group 0 (control group) only nerve dissection was performed. Total peroneal nerve section was performed in the remaining groups. Immediate end-to-end neurorrhaphy (EEN) was made in group 1. In group 2, an end-to-side neurorrhaphy (ESN) was performed from the tibial nerve to the peroneal nerve. In group 3, a direct EEN, plus an ESN, were used as a nerve graft as a bridge from the donor nerve (tibial);...
    Published on: 22 Feb 2017
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  • Letter to Editor

    Five “Ds” of plastic surgery

    Preethitha Babu , Ravi Kumar Chittoria , Sudhanva Hemanth Kumar , Senthil Kumaran Marimuthu , Elan Kumar Subbarayan , Konda Sireesha Reddy , Vinayak Chavan , Devi Prasad Mohapatra , Meethale Thiruvoth Friji , Dinesh Kumar Sivakumar
    Published on: 19 Jan 2017
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  • Original Article

    Thermal distribution and response in Q-switched ruby laser treatment for oculodermal melanosis (Nevus of Ota)

    David Cheong Chon Fok , Cheng-Jen Chang , Yun-Liang Su , Shu-Ying Chang , Yen-Chang Hsiao , Kuen Ting , Wen-Shiung Lin , Kuen-Tasnn Chen , Shih-Feng Chen
    Aim: A clinically useful treatment laser must generate stable and precise energy of low diffusivity. This study assessed the photothermal response of a Q-switched ruby laser (QSRL) in the treatment of oculodermal melanosis (Nevus of Ota). Methods: A two-year retrospective review of 40 patients with oculodermal melanosis treated with a QSRL (λ = 694 nm, pulse duration = 25 ns, 3 mm spot size, energy density 6-10 J/cm2) was performed. Demographics included an age range of 18-54 years (mean 28) and a gender distribution of 25 females and 15 males. The values recorded from real-time infrared...
    Published on: 19 Jan 2017
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  • Case Report

    In vivo degradation of poly L-lactic D-lactic acid and tri-methylene carbonate sheets in orbital reconstruction

    Kun Hwang , Hyung Mook Kim
    This study was conducted to evaluate changes in the composition of a poly-L-lactic D-lactic acid and trimethylene carbonate (PLDLA-TMC) sheet after insertion into the human body. A 35-year-old woman had an orbital fracture that was reconstructed using a PLDLA-TMC sheet. During iliac bone grafting for enophthalmos 190 days after the insertion, the sheet was removed and analyzed using gel permeation chromatography and Fourier transform infrared spectroscopy. The weight average molecular weight decreased (from 151,000 Da to 10,000 Da), as did the number average molecular weight (from 15,600 Da...
    Published on: 19 Jan 2017
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  • Original Article

    Improvements in the cervical angle and anthropometric distances using elasticum suspension

    Seong Kee Kim , Kun Hwang , Hun Kim , Young Rok Kim , Yeop Na
    Aim: This study aims to characterize the effects of elastic facelifts using the elasticum suspension technique on the cervical angle and anthropometric distances. Methods: Forty-six patients underwent surgery. Two 4-5 mm incisions a few centimetres apart were made at sideburn. Through blunt dissection, the deep temporal fascia was approached. An elastic thread (Elasticum®) was anchored to this fascia. A 1.0 cm incision was made just in front of the earlobe. The elastic thread was anchored to the tympanoparotid fascia. Jano needle was passed under the skin surface, as determined by the depth...
    Published on: 23 Dec 2016
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  • Topic: Advanced Wound Management and Prospects

    Preliminary evidence using negative pressure wound therapy to achieve limb salvage for the ischemic diabetic foot

    Joe Chi-Cheng Fang , Yu-Tsung Chen , Yin-Shuo Chang , Jen-Hsiang Shen , Min-Ling Chen , Chang-Cheng Chang
    Aim: Negative pressure wound therapy (NPWT) in diabetic foot ulcers (DFU) has been discussed in several studies, but without a focus on peripheral arterial disease (PAD), which is a common comorbidity. This study aims to investigate the feasibility of NPWT in the treatment of DFU with PAD in regards to limb salvage and the clinical course. Methods: The authors retrospectively collected patients with DFU and PAD diagnosed with either Doppler ultrasound or angiography as the PAD study group. Patients with DFU but no PAD were enrolled as the non-PAD comparison group. NPWT was applied to both...
    Published on: 20 Dec 2016
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  • Topic: Advanced Wound Management and Prospects

    Clinical pathway for an efficient wound care center

    Yu-Tsung Chen , Chang-Cheng Chang
    Published on: 20 Dec 2016
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  • Original Article

    Non-invasive focused ultrasound for abdominal circumference reduction: does it really work?

    Eric Barel , Abraham Amir , Asaf Olshinka , Dean Ad-El
    Aim: Non-invasive body contouring is a promising modality. However, due to a lack of good evidence-based data, the mechanism by which contouring occurs remains unclear. The purpose of this study was to evaluate the effect of treatment with the Contour I™ ultrasound system (Ultrashape®, Syneron®, Israel) on abdominal circumference and to compare 2 power levels for efficacy and safety. Methods: A prospective, self-controlled double-blind design was used. Thirty-six women, aged 30-45 years, were randomized to receive treatment with the Contour I at high or low acoustic outputs in 3 successive...
    Published on: 14 Dec 2016
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  • Original Article

    Full retroauricular skin and fascia expansion in microtia reconstruction: a single center experience of 166 cases

    Ji-Hua Wang , Ting Tang , Yong-Jing He , Ying-Jia Zhang , Yun Yang
    Aim: Ear reconstruction is a challenge for plastic and reconstructive surgeons. The ear requires sufficient skin coverage and a three-dimensional (3D) cartilage framework. In this paper, the authors present their 10-year experience in microtia reconstruction using tissue expansion and an autogenous rib cartilage framework. Methods: Ear reconstruction was performed in 3 operative stages. During the first procedure, a 50-80 mL kidney or cylinder-shaped expander was implanted deep to the subcutaneous fascia of the retroauricular mastoid region. Over a period of 3-5 months, the expander was...
    Published on: 30 Nov 2016
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  • Original Article

    The extended running W-plasty: an additional tool for simultaneous reduction of the hypertrophied labia minora and redundant clitoral hood

    Hamdy A. Elkhatib
    Aim: The extended running W-plasty technique using the W-plasty principle is a modification of the conventional technique. The use of this technique was utilized for simultaneous reduction of the protuberant labia minora and the redundant clitoris. Methods: Twenty-three patients presented to the plastic surgery clinic between 2008 and 2015 with the complaints of protuberant and enlarged labia minora in conjunction with a hypertrophied clitorial hood. The extended running W-plasty was performed in all patients. Surgery was performed under general anesthesia as an outpatient procedure with a...
    Published on: 22 Nov 2016
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  • Original Article

    Development and assessment of a cutaneous tissue stretch device as a novel scar therapy

    Jonathan Kanevsky , Joshua Vorstenbosch , Julian Diaz-Abele , Tyler Safran , Markus Prinz , Youssef Tahiri , Mirko Gilardino , Satya Prakash
    Aim: Scar prevention and reduction is an area of therapeutic opportunity and unmet medical need. With no current effective scar therapy, patients are often disappointed in their appearance post surgery and re-present to surgeons, only to be turned away. The purpose of this study was to develop and test a device that produces intermittent parallel stretch on new scars and to analyze its potential to reduce scarring. Methods: Mice were randomized into 5 scar stretch treatment groups: 1 control, 1 sham, and 3 stretch models (0.5×, 1×, or 2× device strength) and treated for 10 days. Scars were...
    Published on: 15 Nov 2016
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