The deep inferior epigastric perforator (DIEP) flap is considered to be the gold standard for autologous breast reconstruction. This study evaluates the outcome of unilateral DIEP flap reconstructions, comparing university with a community hospital setting. A total of 77 unilateral DIEP flaps were performed at one university hospital and two community hospitals by the same two surgeons. Outcome...

Introduction Hemipelvectomy with immediate reconstruction with prosthetic devices for the surgical treatment of malignant tumors is an invasive procedure with many possible complications such as wound breakdown, seroma, hematoma and infection.The treatment of an exposed hip implant in these cluster of patient is extremely challenging and the literature shows how negative pressure wound therapy ...

Restoring midfacial defects following the resection of head and neck tumors is difficult in terms achieving oral facial reconstruction rehabilitation. As surgical techniques for free tissue transfer develop, maxillary palatal defect becomes easier more practical, dental implant placement can be achieved using bone flaps. Scapular flaps have several advantages defects, including anatomical simil...

Nipple-areolar complex (NAC) reconstruction is the final step in the long journey of breast reconstruction for mastectomy patients. Successful NAC reconstruction depends on the use of appropriate surgical techniques that are simple and reliable. To date, numerous techniques have been used for nipple reconstruction, including contralateral nipple sharing and various local flaps. Recently, it has...

Page 16 REVIEW OF RHOMBOID FLAPS AND THEIR MODERN MODIFICATIONS Figures 1a 1c. Steps employed in the Limberg flap. A B C Introduction Following the formation of a surgical defect, a closure type is chosen to suit the surrounding tissue characteristics and defect size. While primary closure is often the first choice, simple suturing may not be sufficient to appropriately close the defect. Size i...

The reconstruction of facial surgical defects is usually challenging for the dermatologic surgeon. Three different cases of facial defects in which tunneled island flaps were used are reported. In 2 cases, wide defects involving the nasal dorsum and ala were repaired using a nasolabial island flap tunneled through the lateral side of the nose. A tunneled island glabellar flap was used for media...

Autologous microvascular breast reconstruction is widely accepted as a key component of breast cancer treatment. There are two basic donor sites; the anterior abdominal wall and the thigh/buttock region. Each of these regions provides for a number of flaps that are successfully utilised in breast reconstruction. Refinement of surgical technique and the drive towards minimising donor site morbid...

CONTEXT A common complication, related to the use of nasogastric tube during the 1st day of life, is the necrosis of the columella. Esthetic damage in the early age typically leads to a healing request with very high result expectations. AIMS We aimed to develop and use an innovative surgical technique. SETTINGS AND DESIGN We used our technique in four cases. SUBJECTS AND METHODS Our tech...

In the last years, propeller flaps have become an appealing option for coverage of a large range of defects. Besides having a more reliable vascular pedicle than traditional flap, propeller flaps allow for great freedom in design and for wide mobilization that extend the possibility of reconstructing difficult wounds with local tissues and minimal donor-site morbidity. They also allow one-stage...

BACKGROUND/AIM Since their introduction in 1991, propeller flaps are increasingly used as a surgical approach to loss of substance. The aim of this study was to evaluate the indications and to verify the outcomes and the complication rates using this reconstructing technique through a literature review. MATERIALS AND METHODS A search on PubMed was performed using "propeller flap", "fasciocuta...