Abstract:
:Primary amputation in vascular trauma should be rare in the absence of prolonged ischemia, massive soft-tissue loss, and multiple fractures. Repair of the artery and vein, soft-tissue coverage, and rigid skeletal fixation is associated with an excellent limb salvage rate. Fasciotomy should be performed in cases with compartmental syndrome, and in complex injuries the use of temporary intravascular shunts is recommended for better overall patient management.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Khalil IM,Livingston DHsubject
Has Abstractpub_date
1986-10-01 00:00:00pages
711-22issue
4eissn
0094-1298issn
1558-0504journal_volume
13pub_type
杂志文章,评审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...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::Recent developments in the management of breast cancer, including axillary sentinel lymph-node biopsy, as well as the inability to reliably detect micrometastatic disease in the axillary lymph nodes either preoperatively or intraoperatively, and the increasing use of both postmastectomy radiation therapy and neoadjuva...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2006.11.006
更新日期:2007-01-01 00:00:00
abstract::Osteoradionecrosis (ORN) of the mandible is a severe complication that follows ionizing radiation therapy in patients undergoing treatment for head and neck cancers. The occurrence of ORN usually implies other coexisting problems and should not be thought of as a "bone only" defect. For treatment to be effective, all ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 00:00:00
abstract::Marked technical improvements in the surgical management of craniosynostosis have come hand-in-hand with refinements in anesthesia, intensive care, and radiographic image analysis. At the beginning of the second century of the care of these patients, we now have a variety of sophisticated options that represent safer,...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-07-01 00:00:00
abstract::Total mastectomy is an effective operation for patients who are candidates for a prophylactic mastectomy. This operation removes a larger percentage of breast tissue than subcutaneous mastectomy. The cosmetic results of total mastectomy with immediate reconstruction compare favorably with those of subcutaneous mastect...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract::The transconjunctival approach to lower lid blepharoplasty provides access for both fat resection and transposition to soften tear trough deformities and correct infraorbital fat herniation. Overall, there is a paradigm shift that has focused more on enhancing lower lid-cheek shape and contour and preserving orbital v...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.09.001
更新日期:2015-01-01 00:00:00
abstract::I believe that if one follows the precautions outlined, including a time-tested surgical technique and thorough clinical history and physical examination, the operation of blepharoplasty should prove to be one of the most gratifying aesthetic operations. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1978-01-01 00:00:00
abstract::This article discusses the use of Radiesse; a semisolid, cohesive subdermal injectable implant. Through direct and invaluable experience gained over time, plastic surgeons will decide which areas of the face may best be suited for Radiesse and which may be appropriate for other fillers. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2006.08.002
更新日期:2006-10-01 00:00:00
abstract::This article assesses the current state of the art of tissue engineering and its applications in dentistry, especially in the reconstruction and repair of orofacial tissues, including bone and oral mucosa, for the restoration of function and improved cosmetics. The article discusses at length the tissue engineering of...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::Advances in tissue engineering provide an increased level of understanding of the mechanical and chemical stimuli that regulate tissue responses. Oral tissue engineering can be applied to recreate missing osseous or dental structures or correct orofacial deformities, changing the patient's smile, midfacial height, and...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00080-4
更新日期:2003-10-01 00:00:00
abstract::The vascular anatomy of perforators varies between individuals; thus, accurate preoperative assessment of perforators is essential for safely planning perforator flaps. Perforator computed tomographic angiography (P-CTA) with multidetector-row computed tomography (MDCT) is one of the best available methods to precisel...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.09.004
更新日期:2017-01-01 00:00:00
abstract::The anesthetic management of pediatric patients for plastic surgical procedures requires close cooperation and understanding between the surgeon and anesthesiologist. Success depends upon avoidance of psychological trauma, establishment and maintenance of a secure airway, and adequate access to the vascular system. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1985-01-01 00:00:00
abstract::The accepted method of treatment for acute, contaminated, upper extremity wounds is serial débridement and delayed closure. Emergency free tissue transfer challenges these concepts by advocating radical débridement and early closure of these wounds. The use of emergency free tissue transfer in the upper extremity allo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract::An 18-month experience with an endoscopically assisted "closed" technique of modified transblepharoplasty lower lid and midface rejuvenation is presented. In the modified approach, preseptal dissection in the body of the lower lid is eliminated to decrease the incidence of septal scarring and lower lid retraction. The...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract::Great progress has been made in both the basic science and the clinical knowledge base used in orbital reconstruction. With this, increasing complex orbital reconstructive problems are better managed. The diagnosis, treatment plan, and the actual reconstruction have evolved to a higher level. Several areas of progress...
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::Developing standardized outcomes and algorithms of treatment is a constantly evolving task. This article examines four variables in this process: cleft type, operative technique, surgical experience, and timing. Input from international cleft lip and palate programs regarding techniques and treatment modalities provid...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::In summary, the commonest late physical complications of the burn injury have been reviewed and an approach to their management described. An understanding of the pathophysiology of the conditions is invaluable in planning one's approach to these problems. The techniques to control and correct chronic wound and hypert...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1977-10-01 00:00:00
abstract::Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, ni...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.12.007
更新日期:2016-04-01 00:00:00
abstract::Over the past 3 years the authors have used modified minimally invasive endoscopic techniques in the surgical correction of craniosynostosis. For selected patients, these techniques offer an alternative to traditional techniques, minimizing postoperative morbidity and the need for cranial banding. Long-term follow-up ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2004.03.007
更新日期:2004-07-01 00:00:00
abstract::Identifying the position, course, and caliber of the dominant perforator is extremely valuable in the preoperative study for perforator surgery. Besides reliability, the ideal technique should offer low cost and high availability and reproducibility. It should be fast, easy to interpret, and free of morbidity. Multide...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2011.03.004
更新日期:2011-04-01 00:00:00
abstract::The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.08.009
更新日期:2019-01-01 00:00:00
abstract::The author discusses implementation of suction-assisted lipectomy in Japan and describes his experience in coping with the complications of this procedure over the past four years. Included are patient selection, preoperative testing, operative procedure, as well as complications. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-07-01 00:00:00
abstract::Flap prefabrication and prelamination are evolving, new techniques that are useful in reconstructing complex defects of the head and neck. Flap prefabrication involves the introduction of a new blood supply by means of a vascular pedicle transfer into a volume of tissue. After a period of neovascularization, this volu...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::The authors discuss how, in performing an endoscopic brow lift, meticulous surgical technique, adherence to anatomic dissection planes, and direct visualization used at key points in the procedure enable a safer, more-complete dissection and a better outcome. Anatomy as it relates to the procedure is discussed. Patien...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.06.004
更新日期:2013-01-01 00:00:00
abstract::We are in a state of evolution in long-term hair removal. Safe and effective technology is now available. Lasers will always become smaller, faster, and perhaps more effective. For those interested in offering this procedure, evidence indicates that we are beyond the experimental phase. The treating physician should c...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract::This article is a review of cost considerations and outcomes pertaining to the use of acellular dermal matrices (ADMs) in reconstructive and aesthetic breast surgery. The history of the use of ADMs in breast surgery and all case series describing outcomes and use of ADM in breast reconstructive and aesthetic surgery a...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.02.007
更新日期:2012-04-01 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::This article presents the clinical features of a spectrum of pigmented lesions. It begins with benign lesions that may be confused with melanocytic nevi, such as lentigines, seborrheic keratoses, and dermatofibromas. The next section focuses on the various types of melanocytic nevi, including congenital, blue, and Spi...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 00:00:00
abstract::Aesthetic rhinoplasty in the non-Caucasian patient is a challenging operation, even to the experienced rhinoplastic surgeon used to operating on Caucasians. Only by thoroughly understanding the anatomic differences between the Caucasian and non-Caucasian nose can the plastic surgeon effectively manipulate the various ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1987-10-01 00:00:00
abstract::Many large-diameter myelinated axons in spinal dorsal roots contain carbonic anhydrase activity, whereas few small-diameter ventral root axons stain for this enzyme. This differential localization of carbonic anhydrase in sensory and motor nerve fibers is indicative of the potential of carbonic anhydrase histochemistr...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00