INTRODUCTION: Direct to implant (DTI) breast reconstruction offers the obvious advantages of shortening the reconstructive process and reducing costs. In our practice, DTI has evolved from dual-plane (DP) to prepectoral (PP) implant placement. Prepectoral reconstruction offers additional benefits of elimination of pectoralis muscle animation deformity and potential reduction in postoperative pa...

BACKGROUND The intra-operative three-dimensional (3D) structure of tissue organs and laparoscope motion are the basis for many tasks in computer-assisted surgery (CAS), such as safe surgical navigation and registration of pre-operative and intra-operative data for soft tissues. METHODS This article provides a literature review on laparoscopic video-based intra-operative techniques of 3D surfa...

The aim of this study was to elucidate the risk factors for cerebrospinal fluid (CSF) rhinorrhoea following transsphenoidal surgery and discuss its prevention and treatments. We retrospectively reviewed 474 consecutive cases of pituitary adenoma treated with 485 transsphenoidal surgical procedures from January 2008 to December 2011 in our department. We analysed the incidence of intra- and post...

PURPOSE: Breast reconstruction is uniquely personal with many options available for patients and surgeons to consider. Among the methods of autologous breast reconstruction, abdominal based free flaps (ABFFs) including the transverse rectus abdominis myocutaneous (TRAM), deep inferior epigastric perforator (DIEP), and superficial inferior epigastric artery (SIEA) flaps are the most common, with...

C-arm computed tomography for axially long fieldof-view is an important extension to the current C-arm 3D imaging capability and can be crucial in some intra-operative cases. Recently, a novel data acquisition geometry, i.e., the EllipseLine-Ellipse trajectory, was proposed for this new technique. It has been shown that this trajectory satisfies mechanical motion constraints of a C-arm system a...

Massive irreparable rotator cuff tears are difficult to treat. Although several treatment options exist, none provides superior long-term results. There is no consensus on optimal surgical technique. Superior capsular reconstruction is an operative treatment option aimed at restoring native biomechanics of the glenohumeral joint by providing a restraint to superior subluxation. Partial rotator ...

Facial artery musculomucosal flaps (FAMM) are frequently utilised to restore medium-sized abnormalities after surgical removal of oral malignancies. This case series provides an overview how patients chosen for FAMM flap surgery, the operative anatomy, procedure, and benefits in reconstruction.

Post-mastectomy reconstruction is performed using implant-based or autologous techniques. Many women refuse or are poor candidates for implant-based reconstruction. We previously described a single-stage autologous technique that was most applicable in obese women with significant ptosis that made use of the mastectomy skin flap and subcutaneous tissue to reconstruct a breast mound. Here, we ex...

A 57-year-old man presented with persistent hyperparathyroidism following primary parathyroidectomy. A four-dimensional computed tomography scan with three-dimensional reconstruction showed two parathyroid glands (one right and one left) and anatomic variation from previous surgery. Revision surgery was performed revealing the parathyroid glands as expected from the preoperative three-dimension...