Intestinal transplantation in composite visceral grafts or alone

Under FK 506-based immunosuppression, the entire cadaver small bowel except for a few proximal and distal centimeters was translated to 17 randomly matched patients, of whom two had antigraft cytotoxic antibodies (positive cross-match). Eight patients received the intestine only, eight had intestine in continuity with the liver, and one received a full multivisceral graft that included the liver, stomach, and pancreas. One liver-intestine recipient died after an intestinal anastomotic leak, sepsis, and graft- versus-host disease. The other 16 patients are alive after 1 to 23 months, in one case after chronic rejection, graft removal, and retransplantation. Twelve of the patients have been liberated from total parenteral nutrition, including all whose transplantation was 2 months or longer ago. The grafts have supported good nutrition, and in children, have allowed growth and weight gain. Management of these patients has been difficult and often complicated, but the end result has been satisfactory in most cases, justifying further clinical trials. The convalescence of the eight patients receiving intestine only has been faster and more trouble free than after liver-intestine or multivisceral transplantation, with no greater difficulty in the control of rejection

Intestinal transplantation in composite visceral grafts or alone

Under FK 506-based immunosuppression, the entire cadaver small bowel except for a few proximal and distal centimeters was translated to 17 randomly matched patients, of whom two had antigraft cytotoxic antibodies (positive cross-match). Eight patients received the intestine only, eight had intestine in continuity with the liver, and one received a full multivisceral graft that included the liver, stomach, and pancreas. One liver-intestine recipient died after an intestinal anastomotic leak, sepsis, and graft- versus-host disease. The other 16 patients are alive after 1 to 23 months, in one case after chronic rejection, graft removal, and retransplantation. Twelve of the patients have been liberated from total parenteral nutrition, including all whose transplantation was 2 months or longer ago. The grafts have supported good nutrition, and in children, have allowed growth and weight gain. Management of these patients has been difficult and often complicated, but the end result has been satisfactory in most cases, justifying further clinical trials. The convalescence of the eight patients receiving intestine only has been faster and more trouble free than after liver-intestine or multivisceral transplantation, with no greater difficulty in the control of rejection

ENDOSCOPY IN PLASTIC-SURGERY - AN OVERVIEW

Endoscopy is a new modality of operating that is rapidly gaining acceptance, particularly in aesthetic plastic surgery. This overview reviews the applications of endoscopy for facial aesthetic surgery, especially the forehead, as well as its applications to breast augmentation and abdominoplasty. Possibilities for future uses of endoscopy also are delineated

Endoscopic Browlift

This article presents the development and current status of endoscopic browlifting from its inception at the University of Alabama at Birmingham (UAB) to the present techniques practiced at UAB and the Ochsner Clinic in New Orleans. This article includes a review of the basic and clinical research of materials and methods, a description of the procedure, and clinical case studies

Uso de esponja cirúrgica para curativo compressivo de enxerto cutâneo Surgical sponge as a pressure dressing for skin grafts

O enxerto cutâneo é um modo efetivo para restaurar feridas. O curativo compressivo é importante para a vitalidade do enxerto. Os autores observaram que o uso de esponja cirúrgica como curativo compressivo em enxertos cutâneos é factível e aconselhável.<br>Cutaneous graft is an effective way to treat wounds. A pressure dressing is important for the vitality of such grafts. We have observed that the use of surgical sponge as a pressure dressing on cutaneous grafts is feasible and recommend its use