abstract   the perfect method for breast reconstruction would be safe, reliable, reproducible, applicable to all patients, and would have no donor site morbidity. the ideal reconstructed breast would provide symmetric, permanent, and natural results. there has been development and refinement of autogenous methods of breast reconstruction throughout the literature. the tram flap remains the most...

When flap failure occurs in bilateral breast reconstruction, surgeons need to deal with the situation effectively in order to optimize the prosthetic reconstruction and to make the bilateral reconstruction successful [1]. A 46-year-old woman underwent bilateral mastectomy for breast cancer. Axillary dissection, a skin graft from the abdomen, and postmastectomy radiotherapy were also performed o...

BACKGROUND Breast reduction is one of the most commonly performed plastic surgery procedures. Many approaches to breast reduction have been described, including inverted-T and vertical scar techniques and various types of dermoglandular pedicle for the nipple. OBJECTIVE This study compares the outcomes of patients undergoing vertical scar medial pedicle versus inferior pedicle inverted-T scar...

Our experience of 90 hepatectomies (HE) and examinations of 64 cadaver livers resulted in the elaboration of a simplified technique for the exposure of hepatic pedicles (HP) and the rapid selective ligation without significant normothermal ischemia of the retained parts of the liver. The method comprises 4 consecutive steps: 1) a superficial T-shaped incision of Glisson's capsule at the site of...

BACKGROUND Pedicle transverse rectus abdominus myocutaneous (pTRAM) flaps remain the most common method of autologous tissue breast reconstruction. Using pTRAM flaps, complications often arise postoperatively, secondary to inadequate circulation. Tissues from distant angiosomes are associated with poorer perfusion, but this differs among patients. Many modalities have been used to reduce the ri...

UNLABELLED Autologous tissue transfer, in addition to replacing tissue that was lost during injury or surgery, offers women an excellent option to improve cosmetic appearance and self-confidence following mastectomy due to breast cancer. However, flap necrosis is a complication in obese patients undergoing this procedure. We created a mouse model to study the flap-related complications that lea...

BACKGROUND This report describes the methodological approach and clinical application of a minimally invasive intervention to treat lumbar spinal stenosis (LSS). METHODS Thirty-four patients with LSS underwent fluoroscopically guided transforaminal epidural dry needling using a specially designed flexed Round Needle. The needle was inserted 8-12 cm lateral to the midline at the level of the s...

in the LIMA-SVB. We believe that a valveless segment is preferable, and the diameter of the SVG should match the LIMA as closely as possible. In the ongoing prospective-randomized clinical trial AMI-PONT (ClinicalTrials.gov NCT01585285 [5], CIHR funded), we are assessing whether the LIMA-SVB patency is not inferior to the conventional CABG strategy combining a separated LIMA graft to the LAD an...