Abdominal-based free flaps are commonly used for breast reconstruction, and the internal mammary or thoracodorsal vessels are typically used as recipient sites. Conversely, free tissue transfer is less commonly used for chest wall reconstruction in the setting of chest wall recurrence, in part, because of a paucity of recipient vessels. Here, we describe a case of a 68-year-old female smoker wi...

Although advances in microsurgery have increased success rates of autologous breast reconstruction, microvascular thrombosis still remains a major concern as a cause of flap failure. At present, no evidence-based guidelines on pharmacological prevention of microvascular thrombosis exist. This study investigates the effect of acetylsalicylic acid on the incidence of microvascular complications i...

BACKGROUND Venous thromboembolism (VTE) risk models including the Davison risk score and the 2005 Caprini risk assessment model have been validated in plastic surgery patients. However, their utility and predictive value in breast reconstruction has not been well described. We sought to determine the utility of current VTE risk models in this population and the VTE rate observed in various meth...

BACKGROUND Skin Sparing Mastectomy (SSM) and immediate breast reconstruction has become increasingly popular as an effective treatment for patients with breast carcinoma. The aim of this study was to evaluate the clinical outcome of skin sparing mastectomy in early breast cancer at a single population-based institution. METHODS Records of ninety-five consecutive patients with operable breast ...

To cite: Hanafiah M, Alhabshi SMI, Mahin AH. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201281 DESCRIPTION We present a case with images of a 50-year-old woman who was initially presented with Paget’s disease of the right breast. She then underwent a wide local excision and nipple removal of the affected breast followed by transverse rectus abdominis my...

Our purpose in this study is to develop a scheme to segment the rectus abdominis muscle region in X-ray CT images. We propose a new muscle recognition method based on the shape model. In this method, three steps are included in the segmentation process. The first is to generate a shape model for representing the rectus abdominis muscle. The second is to recognize anatomical feature points corre...

Abstract Aims Botulinum Toxin A (BTA) is widely used in complex abdominal wall reconstruction (CAWR). It temporarily paralyses the oblique muscles allowing medialisation of rectus sheath and decreases tension on closure. This analysis presents use BTA management ‘open abdomen’ (OA). Methods Retrospective series patients with OA where was conjunction AbtheraTM negative pressure wound therapy (NP...