4 research outputs found
Laparoscopic trashiatal esophagectomy with gastric lift for complex esophageal stricture. A case report
<p><strong>Background</strong></p><p>Esophageal stricture is the abnormal narrowing of the esophageal lumen, of variable etiology, clinical manifestations with timely identification is important to initiate the diagnostic/therapeutic approach that requires endoscopy, biopsies, progressive esophageal dilations. Complex strictures are asymmetric, with diameter ≤ 12 mm, do not allow the pass of an endoscope, and are usually candidates for surgical management by laparoscopic transhiatal esophagectomy, which has good results with lower rate of complications and early incorporation of daily activities.</p><p> </p><p><strong>Keywords: </strong>Esophageal stricture, esophagectomy.</p>
Glabellar flap as treatment in nasal resection of basal cell carcinoma. A case report
<p><strong>Background</strong></p><p>Basal cell carcinoma is the most common type of skin cancer, occurring mainly in the face and neck region. The main risk factor is related to exposure to UVB radiation waves, related to the intensity and duration of sun exposure. The most common picture is a pearly elevation with translucent margins, being more common in the nose and neck. A biopsy is necessary as well as total resection with margins of 2-5mm.</p><p> </p><p><strong>Keywords: </strong>Basal cell carcinoma, Head and neck reconstruction.</p>
Advancement flap after a lumbar "extensive Bowen´s disease" resection. A case report
<p><strong>Background</strong></p><p>Bowen's disease (BD) is an in‑situ squamous cell carcinoma (SCC) of epidermis. The incidence is high in Caucasians (1.42/1000), sun‑exposed sites are commonly affected, head and neck (44%) as the most common site followed by lower extremity (29.8%), upper extremity (19.8%), and trunk (6.5%). Most commonly BD presents as a slow‑growing, well‑demarcated, erythematous, scaly patch or plaque. Lesions with dimensions more than 3 cm are known as "extensive Bowen's Disease"[1]. In most of the classic BD, dermoscopy may be sufficient to establish diagnostic and therapeutic options. When there is any doubt and the clinical settings resemble other skin lesions that impose different treatment from BD, histological assessment may be the next logical step. After removing the lesion with safety margins, sometimes, reconstruction procedures are needed in order to cover the skin defect [2].</p><p> </p><p><strong>Keywords: </strong>Bowen's disease, local flap.</p>
Breast reconstruction after prothesis-related mycobacterial infection. A case report
Background
Nontuberculous mycobacteria, isolated mainly from soil or water, are pathogens best recognized for their association with clinical infections in immunocompromised hosts. However, nontuberculous mycobacteria can also affect surgical wounds of all sorts. Complications range from wound issues to poor cosmetic results, nerve damage, and implant failure. Postoperative complications are not only physically, also psychologically, and financially damaging to the patient[1].
Keywords: mycobacterial infection, breast reconstruction