phyllodes tumors are biphasic fibroepithelial neoplasms of the breast. while the surgical management of these relatively uncommon tumors has been addressed in the literature, few reports have commented on the surgical approach to tumors greater than ten centimetres in diameter – the giant phyllodes tumor. we report a case of giant breast tumors and discuss the techniques utilized for pre-operat...

Background: Nowadays combined high tibial osteotomy and ACL reconstruction is accepted as a safe and effectivesurgery for patients with symptomatic varus osteoarthritis and anterior knee instability; however, the source of varusdeformity is sometimes the femoral bone. No studies have reported concomitant ACL reconstruction and distal femoralosteotomy in ACL-deficient knees wit...

BACKGROUND Pain in the immediate post-operative period after anterior cruciate ligament (ACL) surgery, apart from an unpleasant experience for the patient, can act as a barrier for static quadriceps contractions and optimum execution of the initial rehabilitation protocol resulting in slow recovery and a later return to full function for a sportsperson. There is no report in the literature comp...

INTRODUCTION: Microsurgical abdominally-based breast reconstruction (MABR) typically entails an inpatient length of stay between three to five days. However, most payors reimburse for only the first two hospital days after routine mastectomy regardless of the breast reconstruction method. Moreover, free flap take-back and salvage rates both drop drastically after 48 hours resulting in rapidly r...

Objectives. To compare reconstructive techniques, operative times, duration of hospitalization, and need for subsequent flap revisions between reconstructive approaches to lateral skull base defects. Study Design. Case series with chart review. Setting. Tertiary academic referral center. Subjects. Patients (n = 31) undergoing reconstruction of composite lateral skull base defects from 2002 to 2...

Acquisition geometries for tomographic reconstruction are usually densely sampled in order to keep the underlying linear system used in iterative reconstruction as well-posed as possible. While this objective is easily enforced in imaging systems with gantries, this issue is more critical for intra-operative setups using freehand-guided data sensing. This paper investigates an incremental metho...

Background The aim of this study was to develop an effective surgical site infection (SSI) prediction model in patients receiving free-flap reconstruction after surgery for head and neck cancer using artificial neural network (ANN), and to compare its predictive power with that of conventional logistic regression (LR). Materials and methods There were 1,836 patients with 1,854 free-flap recon...

BACKGROUND Fractures of the distal third of the leg are increasingly common and are often handled by open reduction and internal fixation. Exposure and infection of internal hardware could occur, especially after high energy traumas, requiring hardware removal and delayed soft tissue reconstruction. Nevertheless immediate soft tissue reconstruction without internal hardware removal is still pos...

OBJECTIVES Coronary endarterectomy has been shown to be an effective adjunctive technique of revascularization for diffuse coronary artery disease. A long arteriotomy and reconstruction of the left anterior descending artery (LAD) are occasionally required for complete extraction of the atherosclerotic plaque. The aim of this study was to examine early and late results of this technique and com...

BACKGROUND The resection of large oropharyngeal tumors traditionally involves a lip-splitting mandibulotomy for adequate margin visualization and free flap reconstruction of the surgical defect. Transoral robotic surgery (TORS) has emerged as a technique that can resect large and complex oropharyngeal tumors, avoiding a lip-splitting approach. The aim of this study is to compare the lip-splitti...