Aim: To evaluate the functional and aesthetic results of one-stage penile reconstruction (phalloplasty) using an island anterolateral thigh flap Patients and methods: Twelve male patients (age 16 to 43 years) were treated with a penile reconstruction admitted to plastic & reconstructive surgery unit of Bahawal Victoria Hospital Bahawalpur and Sheikh Zayed Hospital, Rahim Yar Khan from November ...

BACKGROUND External hemipelvectomy is associated with high post operative morbidity and a poor functional outcome. We aim to explore a reconstruction technique to improve function and post operative appearance for patients who undergo external hemipelvectomy. CASE PRESENTATION We present a Case where extensive cancer involvement of pelvis and femur was managed with a novel surgical technique,...

BACKGROUND The aim of this study was to determine the efficacy of lateral intercostal artery perforator-based adipofascial free flaps for facial reconstruction in patients with facial soft tissue deficiency. METHODS We conducted a retrospective study of five consecutive patients diagnosed with facial soft tissue deficiency who underwent operations between July 2006 and November 2011. Flap des...

Most postmastectomy defects are reconstructed by use of lower abdominal-wall tissue either as a pedicled or free flap. However, there are some contraindications for using lower abdominal flaps in breast reconstruction, such as inadequate soft-tissue volume, previous abdominoplasty, lower paramedian or multiple abdominal scars, and plans for future pregnancy. In such situations, a gluteal flap h...

In the 1990s, skin island flaps supplied by the vascular axis of sensitive superficial nerves, like the sural and saphenous nerves, were introduced. Flaps supplied by the superficial peroneal nerve accessory artery (SPNAA), however, are still not commonly used. The aim of this study is to understand the anatomical structure of the SPNAA and its perforators in the anterior intermuscular septum, ...

BACKGROUND Fascial free flaps have been widely used for reconstruction of the hand because they are thin. However, studies reporting objective data regarding the advantages of this approach are lacking. Thus, we report our experience with such flaps. METHODS Forty-five cases of fascial free flaps between November 2006 and March 2014 were reviewed. Nine cases involving reconstructed dorsal or ...

Background: Recent advances in burn care have significantly improved the survival rate of patients with extensive injuries, placing greater emphasis on reconstruction to improve long-term outcomes scar deformities. Anterior and lateral neck contractures are common after injuries; they limit range motion, complicate airway management create significant cosmetic Traditional methods been used rele...

Figure 1. Anterolateral thigh flap forehead reconstruction with area venous congestion before application of " leech condo. "

To the editor: A 15-year-old boy presented to the emergency department with a sharp pain localized in the right inguinal area associated with tingling on the lateral aspect of his right thigh. The pain started immediately after he kicked a ball during a football game. At that time, he was unable to continue his activity. Palpation produced localized tenderness at the right anterior superior ili...

Harlequin ichthyosis (HI) is a rare congenital disease that primarily affects the skin. Its complications include syndactyly, which can cause severe constriction. Surgical release thought to be helpful, but details remain unclear due lack of data. We share our 5-year experience patient with HI successful outcomes from five syndactyly operations involving division, local flap interposition, and ...