The authors present a new technique in surgically treating hidradenitis suppurativa (HS), a debilitating skin condition. In HS, surgical treatment is often the best option because of the high recurrence rates despite extensive medical treatment. A commonly successful surgical method is using skin flaps after excision of the affected area. A superficial inferior epigastric artery flap is demonst...

Whereas truncal (central) adiposity is strongly associated with the insulin resistant metabolic syndrome, it is uncertain whether this is accounted for principally by visceral adiposity (VAT). Several recent studies find as strong or stronger association between subcutaneous abdominal adiposity (SAT) and insulin resistance. To reexamine the issue of truncal adipose tissue depots, we performed c...

This study aims to explore the anatomical characteristics and clinical application of a medial tarsal free venous flap. We identified communicating venous systems in deep and superficial layers of anatomical specimens and tissue sections of the skin and subcutaneous tissue of the medial tarsal region. Based on this anatomical feature, we designed and cut free venous flaps in the medial tarsal r...

Vaginal defects can either be congenital or acquired due to tumor or trauma. The reconstructions are aimed in producing a good physical and functional result with the least donor site morbidity. The pudendal thigh flap is a sensate fasciocutaneous flap based on the terminal branch of the superficial perineal artery, the continuation of the internal pudendal artery. Although various flaps have b...

BACKGROUND Dissection of the superficial temporal artery (STA) is often required in preparation for a bypass procedure. Traditionally, dissection of the STA involves a direct cutdown on the artery after marking the course of the artery on the skin with the help of a Doppler ultrasound probe. OBJECTIVE We describe a method that takes advantage of the position of the STA superficial to the temp...

The distal third of the tibia, ankle and heel area is difficult to reconstruct. For small to medium size defects, local flaps are often an easier alternative than free flap. In lower limb surgery, the sural flap is based on this principle and this flap is becoming increasingly popular. The distally based superficial sural artery flap, first described as a distally based neuro skin flap by masqu...

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...

OBJECTIVES To study the clinical anatomy of the transversalis fascia (TF) and to explore the intertransversalis fascia approach in urologic laparoscopic operations (ULOs). DESIGN Prospective study. SETTING Two academic hospitals. OTHER PARTICIPANTS Data from 1217 urologic laparoscopic or open operations and 10 laparoscopic hernia repairs were analyzed between January 1, 2009, and April 30...

The modern reader and author need to be aware of possible ambiguities and misunderstandings stemming from different meanings of the word "fascia" because the general meaning of the term can be so vague as to imply little more than some form of connective tissue. "Fascia" encompasses both loose and dense, superficial and deep, and multiple- and single-layered connective tissues. To foster commun...

Introduction Most patients after either superficial or total parotidectomy develop facial deformity and Frey syndrome, which leads to a significant degree of patient dissatisfaction. Objective Assess the functional outcome and esthetic results of the superiorly based sternocleidomastoid muscle (SCM) flap after superficial or total parotidectomy. Methods A prospective cohort study for 11 patient...