Abstract:
:This technique has evolved over 13 years and has been associated with very few mesh-related complications. A recently reported study of 65 consecutive patients with a mean follow-up of 47.4 months reported a hernia rate of 1.5% (1 of 65) and an incidence of mesh-related infection of 1.5% (1 of 65). It appears that the use of polypropylene (Marlex mesh) offers the reconstructive surgeon several advantages, including elevation of the entire rectus flap, thereby preserving the entire blood supply to the rectus muscle. Second, the interrupted suture technique surrounding the mesh allows for greater distribution of force and diminishes the risk of fascial dehiscence. Therefore, one can obtain a tighter, narrower abdomen to achieve an improved aesthetic abdominal result. The TRAM flap breast reconstruction should not only yield a fine reconstructed breast but also deliver an aesthetic abdominal contour improvement that represents a significant benefit to the patient undergoing this procedure.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Bucky LP,May JW Jrsubject
Has Abstractpub_date
1994-04-01 00:00:00pages
273-7issue
2eissn
0094-1298issn
1558-0504journal_volume
21pub_type
杂志文章abstract::The principle objective of presurgical nasoalveolar molding (NAM) is to reduce the severity of the initial cleft deformity. This enables the surgeon and the patient to enjoy the benefits associated with a repair of a cleft deformity that is of minimal severity. Retraction of the premaxilla, presurgical elongation of t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/S0094-1298(03)00140-8
更新日期:2004-04-01 00:00:00
abstract::Wetting solutions play a crucial role in traditional lipoplasty by reducing blood loss in the aspirate and diminishing postoperative ecchymosis and edema. From the inception of ultrasound-assisted lipoplasty a "wet environment" has been considered essential for efficient fat emulsification and for control of thermal s...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-01 00:00:00
abstract::The "marriage" or union of aggressive truncal liposuction with modified abdominoplasty techniques has been applied by the authors to treat patients with abdominal deformities marked by lower abdominal skin excess, abdominal muscle laxity, and excess adipose tissue on the abdominal wall and in adjacent contours. In the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2004.03.014
更新日期:2004-10-01 00:00:00
abstract::The goal in breast reduction surgery is to reduce volume but at the same time to maintain circulation, sensation and breast feeding potential. A dermoglandular or central pedicle is the most likely to achieve all three. The superior pedicle is reserved mainly for very small reductions or mastopexies, but the author st...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(02)00004-4
更新日期:2002-07-01 00:00:00
abstract::Frontoethmoidal meningoencephaloceles constitute a well-defined clinical entity with remarkable epidemiologic peculiarities, being very prevalent in Southeast and Southern Asia, but relatively rare in Western Europe, Japan, Australia, and North America. They do not show an increased risk of recurrence in siblings and ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofro...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::Treacher Collins syndrome is a complex congenital malformation. The most important manifestations of this syndrome are hypoplastic or absent malar bone, centrofacial over-projection, eyelid coloboma, and micrognathia. This article presents an approach to re-establish the right centrofacial proportions through "flatten...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract::The challenge to understand reflex sympathetic dystrophy/complex regional pain syndrome may require a better understanding of the complex relationship between the central and peripheral nervous systems. There is no comprehensive hypothesis that clearly explains the etiology and no uniformly successful treatment method...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2005.07.002
更新日期:2005-10-01 00:00:00
abstract::Every surgeon should be acutely cognizant of the importance of the evaluation and treatment of bleeding abnormalities. Dependence upon a normal platelet and clotting system is a requirement for surgery. Significant emphasis should always be placed on a detailed history and physical examination. Routine laboratory eval...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::The primary goal of engineering cartilage as a therapeutic approach is to restore the physiological conditions of an affected or defective tissue in the body. Cartilage tissue is distributed widely in the human body and possesses an organization related to the specific demand of a particular anatomical region. In sele...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00070-1
更新日期:2003-10-01 00:00:00
abstract::Pre-expanded perforator flaps, a combination of tissue expansion with perforator flaps, are emerging as another landmark of plastic surgery. This flap inherits the characteristics of both perforator flaps and expanded flaps, making it a highly versatile option in reconstructive surgery. However, the definition of the ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.09.008
更新日期:2017-01-01 00:00:00
abstract::Incision placement in patients undergoing augmentation mammaplasty is an important element of the overall strategic plan of the procedure. Whatever incision location is chosen, access to the breast must be sufficient to afford accurate dissection of the pocket, to allow easy insertion of the implant, and to provide fo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2008.07.004
更新日期:2009-01-01 00:00:00
abstract::An understanding of the biology of soft-tissue sarcomas and knowledge of refined techniques of adjuvant therapy have allowed limb-sparing procedures to become predominant in the management of these tumors. Immediate bony reconstruction with prosthetic implantation has met with consistent success largely because of the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::This article covers many issues of particular interest to the care of the child who presents to the emergency department with a traumatic wound. General concepts regarding the staffing of an emergency department, staff qualifications, and their consultation patterns are reviewed. Issues pertaining to the management of...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract::Seroma formation is one of the major postoperative complications of abdominoplasty. Progressive tension sutures have been proposed as an adjunct procedure to combat this problem. Apart from being a simple addition to abdominoplasty, the sutures also eliminate other complications, such as postoperative drains, and incr...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.03.004
更新日期:2010-07-01 00:00:00
abstract::All unilateral clefts of the lip are not alike. The deficiencies that exist, especially in the lateral lip element, can vary considerably. Because of these differences, it is unreasonable to expect one technique of repair to satisfy all situations. In more difficult complete unilateral cleft lip deformity, the Z-plast...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 00:00:00
abstract::Nearly 20% of malignant melanoma in the human body occurs in the head and neck. Most studies divide the sites of origin of malignant melanoma in the head and neck into the following areas: the face, the scalp and neck, the external ear, and the eyelid or medial or lateral canthal area. Sixty-five percent of malignant ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2009.08.005
更新日期:2010-01-01 00:00:00
abstract::Although the cause of the midfacial anomalies in Apert syndrome is still elusive, a great experience has accrued in the management of these physically and psychologically handicapping deformities. An interdisciplinary approach that includes input from an orthodontist, pediatric dentist, and oral and maxillofacial surg...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency of revisions can be reduced. With that in mind, we reviewed all revisions in a ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2008.07.001
更新日期:2009-01-01 00:00:00
abstract::Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.03.003
更新日期:2010-07-01 00:00:00
abstract::The advent of acellular dermal matrices (ADMs) has changed the way implant reconstruction is performed and has opened the door to muscle-sparing techniques that can be performed as an NSM (nipple-sparing mastectomy) with DTI (direct to implant) with excellent cosmesis and less patient morbidity. The article discusses ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2017.08.004
更新日期:2018-01-01 00:00:00
abstract::Neurofibromatosis of the skull base is a syndrome that may occur in an isolated fashion or as a component of Von Recklinghausen disease. This article discusses the clinical features of neurofibromatosis, diagnostic methods, and surgical treatment. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-07-01 00:00:00
abstract::The aesthetic and functional reconstruction of the orbital and periorbital anatomy poses a complex challenge to the reconstructive surgeon. Four clinical cases are illustrated regarding the restoration of contour, and coverage of vital structures following tumor resections. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract::Reconstructive surgery of the nasolacrimal duct, or dacryocystorhinostomy, can be performed via an external or endonasal approach. For almost a century external dacryocystorhinostomy was the gold standard for correction of lacrimal duct obstruction. The endonasal approach became a safe surgical procedure using endosco...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2009.02.002
更新日期:2009-07-01 00:00:00
abstract::Advances in the management of the pediatric hypospadias patient have greatly improved his outcome. This article discusses the many facets of nursing care of the pediatric hypospadias patient. Preoperative teaching and postoperative care are defined and explored. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 00:00:00
abstract::The dysplastic nevus, both the sporadic and familial type, has a significant association with melanoma of the skin. The congenital nevus, which ranges in size from less than 1 cm to a giant hairy nevus, are treated primarily for aesthetic reasons and, in the giant variety, are also treated as a prophylaxis against the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
abstract::The specialized tissue requirements or dorsal and palmar skin are analyzed and options for full-thickness replacement outlined in detail. Thoughtful and accurate preoperative planning is the key to success. Dorsal coverage with a variety of pedicled and free fasciocutaneous flaps are quite satisfactory. Palmar coverag...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00
abstract::The temporal fossa, zygomatic arch, and malar-midface should be considered jointly when augmentation of the temporal area or reduction of the zygomatic arch are to be carried out. These anatomic areas relate so closely to one another that altering one affects the other. In addition, augmentation of the malar-midface a...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::This article outlines the experience of authorities on emerging techniques in plastic surgery that are discussed within this issue, such as mesotherapy and lipodissolve, Russian threads, radiofrequency, and "laser lipo." Readers are invited to analyze the findings and determine whether there is something that could ap...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2008.11.004
更新日期:2009-04-01 00:00:00
abstract::Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autolog...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.12.005
更新日期:2017-04-01 00:00:00