9 research outputs found
Mechanically Induced VasospasmâEvaluation of Spasmolytic Efficacy of 10 Pharmaceutical Agents Using Laser Speckle Contrast Imaging
Reconstruction of wide soft tissue defects with extended anterolateral thigh perforator flap turbocharged technique with anteromedial thigh perforator
The bilobed arterialized venous free flap for simultaneous coverage of 2 separate defects of a digit
We report a case of a 17-year-old patient who sustained
multiple finger contusions on the left hand. After thorough debridement,
the volar and dorsal defects of the middle finger were covered
simultaneously with bilobed arterialized venous free flap from the
left forearm. The flap was composed of 2 paddles, which were
connected by a subcutaneous bridge containing a subcutaneous
venous network. The subdermal plexus in the bridge was interrupted
with no impairment of blood supply to the second cutaneous paddle.
The flap survived completely with only temporary mild venous
congestion. Excellent functional and cosmetic result was reached.
We consider bilobed arterialized venous free flap as a useful optio
Evaluation of early dynamic splinting versus static splinting for patients with transposition of the extensor carpi radialis longus to the extensor pollicis longus.
The effect of blood around a flap pedicle on flap perfusion in an experimental rodent model.
New technique of total phalloplasty with reinnervated latissimus dorsi myocutaneous free flap in female-to-male transsexuals
From December 2001 to September 2005, the technique
of total penile reconstruction with a reinnervated free latissimus
dorsi myocutaneous flap was used in 22 patients (24â38 years old)
with gender dysphoria. These patients were followed up for at least
11 months (range, 11â44 months). All flaps survived. Complications
include hematoma (7 cases), vascular thrombosis (2 cases),
partial necrosis (1 case), excessive swelling of the neophallus (3
cases), and skin graft loss at the donor site (1 case). Of the 19
patients included in the final evaluation, the transplanted muscle was
able to obtain contraction in 18 (95%) cases and 8 patients (42%)
had sexual intercourse by contracting the muscle to stiffen and move
the neopenis. The described technique of neophalloplasty proved to
be a reliable technique and the muscle movement in the neophallus
can be expected in almost all cases. The muscle contraction in the
neophallus leads to âparadoxâ erectionâstiffening, widening, and
shortening of the neopenis, which allows for sexual intercourse in
some patients. Subsequent reconstruction of the urethra is possible