The options for breast reconstruction following mastectomy have greatly expanded. Current techniques include pedicle flaps and free tissue transfers. With the advent of perforator flaps, additional options have become available that have the advantage of reduced donor site morbidity. The purpose of this manuscript is to review the most common methods of breast reconstruction using autologous ti...

Objective: To share our experience with reconstruction of the head and neck defects to standardize options for such defects. Study Design: Descriptive Cross Sectional study. Setting: Burns Plastic Surgery Center, Peshawar. Period: November 2018 December 2022. Material & Methods: Data was collected from medical records about patient demographics, mechanism injury type procedures done. Defect...

An important and vital area of the head &neck entail the coverage of defects throughout the head and neck area. These defects usually covered by flaps, during the last 6 decades since the introduction of tube pedicle flap till the early sixty of the last century (Macgregor 1960) advocated his temporal fascial flap for coverage of intra oral defect after radical cancer surgey, this flap was a gr...

BACKGROUND Secondary operations of the anterior abdominal wall following breast reconstruction with abdominal flaps are sometimes performed to improve outcome. The purpose of this study was to review a single surgeon's experience with secondary abdominal wall operations following breast reconstruction with the deep inferior epigastric perforator (DIEP) and free transverse rectus abdominis muscu...

BACKGROUND: Previously, we found patient satisfaction with breast reconstruction at postoperative year 1 significantly higher in the autogenous tissue compared with the expander/implant population. But breast reconstructive procedures have different “aging” processes, and the point at which outcomes stabilize is unclear. So we evaluated patient satisfaction with breast reconstruction at postope...

OBJECTIVES Microvascular free tissue transfer within our subregion is fraught with considerable challenges. We aim to highlight our experiences gained with our first fifteen cases of microvascular free tissue transfer at the Lagos University Teaching Hospital. We believe our report will be useful to colleagues embarking on such reconstructions in similar settings. MATERIALS AND METHODS The cl...

BACKGROUND Free tissue transfer in head and neck reconstructions has a very high success rate, but thrombotic vessel occlusion is still a serious complication occurring in up to 10% of all cases. Thus, a simple, fast and reliable monitoring system for free flaps would be of advantage. OBJECTIVE The aim of this study was to investigate whether free flap monitoring by measuring perfusion-depend...

Lower limb defectsmaybe present due tovarious causes, such as infections, vascular diseases, tumor resections, and crush or avulsion injuries. If a defect in the lower extremity cannot be reconstructed with a skin graft, the choice of defect reconstruction will favor local flaps and free tissue transfers.1–5 In appropriate cases, skin graft and local flaps can be well tolerated by both patients...

Flap endonucleases (FENs), essential for DNA replication and repair, recognize and remove RNA or DNA 5'-flaps. Related to FEN specificity for substrates with free 5'-ends, but controversial, is the role of the helical arch observed in varying conformations in substrate-free FEN structures. Conflicting models suggest either 5'-flaps thread through the arch, which when structured can only accommo...

INTRODUCTION The evolving concept of free-style flaps with one or more perforators able to lend support, has been shown to have noteworthy advantages in the context of reconstructive surgery, especially in relation to the distal portion of the lower limb. Among the advantages, an analogy of the covering tissues with pre-existing ones in the compromised area, reduced morbidity of the donor site,...