INTRODUCTION Previous work has demonstrated the efficacy of vacuum-assisted closure (VAC) in the treatment of poststernotomy local wound infections, compared to historical treatment protocol. The negative pressure has been found to protect wounds against contamination, prevent wound fluid retention, increase blood flow, and increase rates of granulation tissue formation. For this study, a retro...

Aim The aim of this study was to evaluate spontaneous closure of the interincisive diastema in a group of patients, using a new surgical technique for the treatment of upper lip frenulum hypertrophy. Study design A triangular flap was lifted, rotated and sutured across the midline. A primary intention healing and positioning of the flap allowed minimal tissue contractures. Materials and methods...

Sacrococcygeal pilonidal disease is a common inflammatory process affecting young adults. This is mostly seen in sacrococcygeal region. There are multiple factors, which can basically be divided into mainly two, as congenital (such as a result of fusion failure, deeper localized natal cleft) and acquired (such as local infection) factors1,8. Non-operative and operative strategies are mainly use...

BACKGROUND Atelectasis is commonly encountered in patients undergoing rectus abdominus tissue transfer. Primary closure of the anterior rectus sheath may contribute to this process. Augmentation of the closure with mesh may decrease the incidence of Atelectasis. METHODS In this retrospective review 32 patients with preoperative and postoperative augmentation were compared to 23 who had primar...

Purpose We aimed to compare skin closure techniques, standard (intermittent mattress) and continuous subcuticular sutures, following Limberg flap procedure. Methods From July 2013 to July 2015, 92 patients with sacrococcygeal pilonidal disease were prospectively randomized into 2 groups consisting of 46 patients for both. Patients underwent sinus excision and closure with Limberg flap; contin...

Method In the period 2011-2014, we performed allogeneic bone graft transplantation in 10 patients with extensive poststernotomy defect of the chest wall. In 9 cases we used sternal graft, while in 1 case calva bone graft was used. Prior to the transplant, each patient underwent vacuum assisted closure treatment of the wound and general antibiotic therapy. Thorax and the graft stabilization was ...

BACKGROUND To evaluate the intensity of pain, swelling and trismus after the removal of impacted lower third molars comparing two different suture techniques of the triangular flap: the complete suture of the distal incision and relieving incision and the partial suture with only one suture knot for closure of the corner of the flap and the closure of the distal incision, without suturing the r...

IMPORTANCE No consensus exists as to the best technique, or techniques, to optimize wound healing, decrease pharyngocutaneous fistula formation, and shorten both hospital length of stay and time to initiation of oral intake after salvage laryngectomy. We sought to combine the recent experience of multiple high-volume institutions, with different reconstructive preferences, in the management of ...

BACKGROUND A thinned anterolateral thigh (ALT) flap is often harvested to achieve optimal skin resurfacing. Several techniques have been described to thin an ALT flap including an adipocutaneous flap, an adipofascial flap and delayed debulking. METHODS By systematically reviewing all of the available literature in English and French, the present manuscript attempts to identify the common surg...