Postnatal examination of fetal appendages is important because this information may help predict perinatal outcome. We present a case of a red streak along the entire umbilical vein after a cesarean section due to non-reassuring fetal status. The pathological findings revealed an umbilical cord with dilated vascular changes and mild funisitis. Because the dilated change was intense in the umbil...

The distally based sural island flap was first described by Masquelet, et al., in 1992. It is a skin island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to demonstrate that it can be applied in coverage of difficult wound in the lower third of the leg. We treated nine patients with nine distally based sural island flaps. All the flaps survived, most of the fla...

A 25-year-old pregnant female presented at term to her local district general hospital in Madagascar after 28 hours of labour, having travelled 30km on foot. On initial assessment, compound presentation involving the hand was discovered, with prolapse of an extended forearm of the foetus. The forearm was swollen with signs of venous congestion. Vaginal delivery was clearly not appropriate and e...

BACKGROUND To assess the prevalence and factors associated with the occurrence of cracked nipples in the first month postpartum. METHODS This was a cross-sectional study nested in a cohort of mothers living in Feira de Santana, state of Bahia, northeastern Brazil. Data from 1,243 mother-child dyads assessed both at the maternity ward and 30 days after delivery were analyzed. The association b...

We present a newly developed electromechanical sensor with automated calibration for strain-gauge plethysmography (filtrass) and compare it to a conventional mercury-in-Silastic strain-gauge plethysmograph (MSG). Fluid filtration capacity (K(f)) and isovolumetric venous pressure (Piv) of the limb were assessed noninvasively with both devices in 29 healthy volunteers. We found significantly high...

Free-flap surgery has become a routine procedure in breast reconstruction. The microvascular surgical anastomosis remains one of the technically sensitive aspects of free-tissue transfers. Between December 2006 and September 2007, 12 anastomoses were performed with a venous coupling device from Synovis. There were no free-flap failures. Venous congestion occurred in only one case and was manage...

815 Plast Surg 1998;51:431-5. 2. Hallock GG. The medial sural(MEDIAL GASTROCNEMIUS) perforator local flap. Ann Plast Surg 2004;53:501-5. 3. Innocenti M, Menichini G, Baldrighi C, et al. Are there risk factors for complications of perforator-based propeller flaps for lower-extremity reconstruction? Clin Orthop Relat Res 2014;472:2276-86. 4. Kosutic D, Pejkovic B, Anderhuber F, et al. Complete ma...

The traditional theories believe that vacuum constriction devices (VCD) is the mechanism through a suction chamber promoting penile blood engorgement and maintaining tumescence with a constriction band. For that mechanical nature of the device, many authors and patients consider the devices are passive engorgement, lack of spontaneous erections, and only rely on the constriction bands to preven...

The concentration-time profile, therapeutic, and persistent efficacy of a single subcutaneous injection of cattle with a long-acting (LA) formulation of ivermectin at a concentration of 630microg/kg of body weight were determined against Rhipicephalus (Boophilus) microplus. Ivermectin sera concentration in treated cattle increased to 13.0ppb within 1d after treatment, and peaked at 26.2ppb at 1...