PURPOSE: Multiple studies demonstrate that traditional submuscular tissue expander coverage offers the best protection against implant exposure but restricts lower pole expansion. Recognizing these limitations, the authors present a pectoralis major splitting approach for complete submuscular coverage in high-risk patients or those with ischemic mastectomy skin flaps. The pectoralis major muscl...

The high incidence of female obesity and weight loss has resulted in common complaints of a large, protuberant mons pubis and labia majora (outer labial lips) related to unsightly fat deposits and skin ptosis. The author presents a technique to correct the protuberant mons and pubic descent by performing a pubic lift, fat excision, and liposuction, and then tacking the superficial fibrofatty ti...

Patients with multiple failed vaginal surgeries utilizing synthetic mesh present a therapeutic challenge. We present a case of a 75-year-old woman with severe stress urinary incontinence and mesh extrusion after two failed synthetic sling surgeries. Surgical reconstruction consisted of mesh excision, urethral reconstruction with vaginal tubularization, autologous rectus fascia sling placement. ...

PURPOSE: Multiple studies demonstrate that traditional submuscular tissue expander coverage offers the best protection against implant exposure but restricts lower pole expansion. Recognizing these limitations, the authors present a pectoralis major splitting approach for complete submuscular coverage in high-risk patients or those with ischemic mastectomy skin flaps. The pectoralis major muscl...

Correspondence Rare origin of the inferior epigastric artery from an anomalous medial circumflex femoral artery Mathes & Bostwick (1977) surgically manipulated the rectus abdominis myocutaneous flap to repair defects in the anterior abdominal wall. Subsequently this flap was used in breast reconstruction (Robbins, 1981 ; Hartrampf et al. 1982) as a donor for free-tissue transfer (Bunkis et al. ...

We were very interested to read the recent study by Welk and Herschorn, and the related commentary by Steele, regarding the role of autologous rectus fascial slings for complex recurrent female stress urinary incontinence (SUI).1,2 The authors report that, on mediumterm follow-up of 33 women with previous failed continence surgery, pubovaginal sling was associated with a significant reduction i...

OBJECTIVE To present our method for anterior skull base reconstruction after oncological resections. METHODS One hundred nine patients who had undergone 120 anterior skull base resections of tumors (52 malignant [43%], 68 benign [57%]) via the subcranial approach were studied. Limited dural defects were closed primarily or reconstructed using a temporalis fascia. Large anterior skull base def...

Abstract Aim Surgical repair of a complex defect after resection Dermatofibrosarcoma protuberans. Materials-methods: protuberans, is an uncommon soft tissue tumor that involves the dermis, subcutaneous fat, and in rare cases, muscle fascia. We present 49-year-old patient diagnosed with anterior abdominal wall who underwent Mohs surgery to achieve complete resection, resulting 12cmx10cm epigastr...

' 2003 Canadian Medical Association A71-year-old diabetic man was admitted with a 2-day history of acute left lower abdominal pain. He denied any history of trauma or sport activity before admission. On examination he was normotensive and apyrexial. An exquisitely tender abdominal wall mass was felt at the left iliac fossa. The abdominal pain increased and the mass became more prominent when th...

We report a case of surgical treatment for Hallermann-Streiff syndrome in a patient with ocular manifestations of esotropia, entropion, and blepharoptosis. A 54-year-old man visited Yeouido St. Mary's Hospital complaining of ocular discomfort due to cilia touching the corneas of both eyes for several years. He had a bird-like face, pinched nose, hypotrichosis of the scalp, mandibular hypoplasia...