OBJECTIVE This article serves to review latissimus dorsi myocutaneous flap as an option for breast reconstruction postmastectomy. Since the introduction of the latissimus dorsi myocutaneous flap in the late 1970s, its use has always been as a secondary technique, particularly after the development of the transverse rectus abdominus myocutaneous flap in the 1980s. METHODS A literature review o...

The cohort of patients was divided into four groups of thirty patients: • Group A: Patients submitted to the left breast reconstruction with tissue expander and implant after modified radical mastectomy • Group B: Patients submitted to the left breast reconstruction with expander and implant after skin/nipple sparing mastectomy • Group C: Patients submitted to subglandular breast augmentation •...

BACKGROUND Post-pneumonectomy syndrome (PPS) is a rare syndrome characterized by trachea-bronchial stenosis and severe dyspnea. In this study, we retrospectively evaluated the clinical outcomes in patients who underwent placement of tissue expanders for PPS. METHODS Data from patients who underwent placement of tissue expanders for PPS were analyzed for preoperative characteristics, surgical ...

Primary skin closure after surgery for club foot in children can be difficult especially in revision operations. Between 1990 and 1996 a soft-tissue expander was implanted in 13 feet before such procedures. Two were primary operations and 11 were revisions. A standard technique was used for implantation of the expander. Skin augmentation was successful in 11 cases. There was failure of one expa...

BACKGROUND In 2008, the authors' institution adopted a policy requiring that all patients, regardless of preoperative risk, receive both sequential compression devices and a single preoperative subcutaneous 5000 unit injection of heparin. A previously published 12-year review at this same institution before this policy demonstrated a 1.5% 30-day postoperative incidence of hematoma in primary au...

BACKGROUND The aim of unilateral breast reconstruction after mastectomy is to craft a natural-looking breast with symmetry. The latissimus dorsi (LD) flap with implant is an established technique for this purpose. However, it is challenging to obtain adequate volume and satisfactory aesthetic results using a one-stage operation when considering factors such as muscle atrophy, wound dehiscence a...

A 13-month-old boy underwent placement of a tissue expander in the subgaleal plane in the forehead. The indication for skin expansion was a large congenital melanocytic nevus involving the forehead and glabella. Serial inflations of the expander were performed in the plastic surgery clinic using sterile equipment. Alcohol was used to prepare the skin overlying the injection port. Three months f...

The goal of this manuscript is to establish a novel computational model for skin to characterize its constitutive behavior when stretched within and beyond its physiological limits. Within the physiological regime, skin displays a reversible, highly nonlinear, stretch locking, and anisotropic behavior. We model these characteristics using a transversely isotropic chain network model composed of...