Figure 1: An intimal flap obstructing orifices of the arch vessels (A). Another flap was seen in the Valsalva sinus and outflow of the left ventricle (B, arrow). There was no intimal flap in the ascending aorta (C). Figure 2: Transoesophageal echocardiography showed the prolapse of the intimal flap into both the left ventricle (systolic and diastolic phase; Left, arrows) and the aortic arch (Ri...

BACKGROUND Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap. CASE A 52-year-old woman with a history of cystotomy repair at the...

Today, the DIEP flap (deep inferior epigastric artery perforator flap) is becoming most popular method of breast reconstruction after mastectomy. The next step in evolution this should be to improve its sensitivity postoperative period. Recovery reconstructed mammary gland improves quality life patients, as well restores protective function skin. In addition, tactile plays a very important role...

Venous congestion in a free deep inferior epigastric perforator flap threatens the viability of the flap and can lead to eventual flap loss. We describe a novel technique for flap salvage by anastomosing the ipsilateral superficial inferior epigastric vein to a venae comitantes of the deep inferior epigastric pedicle. When recognized intraoperatively, venous congestion can be relieved immediate...

A local transposition flap can be used to close a large donor defect. This is a medially based transposition flap. Although the flap is randomly patterned in design, there is a rich supply of cutaneous perforators in this region of the trunk. These include anterior perforators from the internal thoracic artery, perforators from the superior and inferior epigastric arcades that can communicate a...

introduction: advanced lip carcinomas can invade adjacent structures. performing surgery for these cancers will lead to defects in this anatomically and functionally important area and will cause post-op difficulties such as drooling, speech alterations and aesthetic considerations, if not properly managed. case report: in this study, we will introduce a radial forearm free flap with palmaris l...

Pedicle damage is a rare complication of latissimus dorsi (LD) flap breast reconstruction. We report a case of accidental avulsion of the vascular pedicle of a totally autologous (extended) LD flap during immediate breast reconstruction in a patient who had previously undergone contralateral breast reconstruction with a pedicled TRAM flap based on the opposite superior epigastric vessels. The i...

Leukotrienes are potent inflammatory mediators synthesized from arachidonic acid (AA) predominately by cells of myeloid origin. The synthesis of these lipids is believed to be dependent not only on the expression of the enzyme 5-lipoxygenase (5-LO), which catalyzes the first steps in the synthesis of leukotrienes, but also on expression of a nuclear membrane protein termed the 5-LO-activating p...

PURPOSE To evaluate the safety and efficacy of a novel LASIK flap patient interface (PI) cone with our reported digital analysis and compare for potential differences with the standard metal and glass PI in flap parameters when used with the Alcon/WaveLight FS200 femtosecond laser. PATIENTS AND METHODS Thirty-six consecutive LASIK patients (72 eyes) subjected to a bilateral femtosecond assist...

We devised a new flap using the palmar cutaneous branch of the superficial radial artery proximally and anastomosed with a cutaneous perforator of the superficial palmar arch distally. We named our flap "the volar glabrous palmar flap." The flap was used both as a free flap and as a reverse-flow island flap. Thirty-six patients with volar hand defects (24 digits, 7 palms, and 5 first web space)...