We presented 59 fingertip injury cases that we treated and followed up. Among the 59 patients, 50 were male and 9 were female. The methods we chose for reconstruction were as follows: repairing by a skin graft (n:3), a V-Y advancement flap (n:17), a cross-finger flap (n:19), a thenar flap (n:5), an abdominal interpolation flap (n:8) and infraclavicular flap (n:2). We performed 35 operations und...

Abdominoplasty flap dissection is one of the longest and most tiring parts of this operation. In our experience, the dissection of the subcostal areas and midlines of postbariatric patients is more difficult and requires a greater level of assistance for the retraction of the abdominoplasty flap. Therefore, we used a breast pocket dissector that is catalogued under the name MacCollum and Dingma...

Objective: Despite major advances in imaging techniques, correct diagnosis of acute aortic dissection is frequently missed. Although as many as one-third of acute cases of aortic dissection involve the abdominal aorta, emergency physicians rarely suspect this lethal disease in patients presenting with abdominal pain. Transabdominal sonography is typically employed by emergency physicians, but t...

BACKGROUND Transverse rectus abdominis myocutaneous (TRAM) flap reconstruction after mastectomy in breast cancer patients has become one of the milestones in breast reconstruction. There are several techniques that have been used in an attempt to minimize untoward complications. We present the whole muscle with partial sheath-sparing technique that focuses on the anatomy of arcuate line and the...

OBJECTIVES Donor site seroma formation is a common occurrence following abdominal free flap breast reconstructions. Although such seromas usually resolve spontaneously after a few weeks or months, we recently encountered 3 patients with abdominal seromas persisting for up to 2 years postoperatively. We therefore investigated possible predisposing factors in our patient group. METHODS Patients...

Case summary Cranial ventral midline hernias, most often congenital, can be associated with other congenital abnormalities, such as sternal, diaphragmatic or cardiac malformations. A 4-year-old multiparous queen with a substernal hernia was admitted for evaluation of a mammary mass. During CT examination, a bifid sternum, the abdominal hernia containing the intestines, spleen, omentum, three fe...

This animal was presented with a large-sized infiltrative lipoma in the abdominal wall that had been noted for 4 years. This lipoma was confirmed by histological examination from a previous biopsy, and the infiltrative features were identified by a computerized tomography scan. The surgical removal created a large-sized abdominal defect that was closed by a combination of latissimus dorsi and e...

RESULTS: We identified 132 patients who underwent 186 abdominally based free flaps. 70 patients (104 breast reconstructions) had a prior history of abdominal surgery. 57 patients (73 breast reconstructions) had no prior abdominal surgeries. Five patients underwent simultaneous gynecologic surgery at the time of their free flap harvest; these patients were excluded from analysis. The groups were...

San Antonio, Texas Background: Promoted by reports of decreased donor-site morbidity, deep inferior epigastric perforator (DIEP) flaps have gained significant popularity. Increasing body mass index is associated with poor outcomes in breast reconstruction using traditional techniques. The authors aimed to define complications with increasing body mass index among patients undergoing DIEP flap b...

BACKGROUND Although multiple strategies for autologous breast reconstruction exist, a vertical midline scar in the abdominal wall as a result of previous laparatomy or abdominoplasty represents a major surgical challenge. To date, little research has been conducted on the regeneration potential of the abdominal wall's superficial vascular, perforator and choke vessel system after surgery using ...