background it has been reported that systemic administration of allopurinol improves cell survival. this study was aimed to evaluate effects of allopurinol on skin flaps in dogs. methods twenty dogs underwent one skin flap surgery with a 2-week interval. the first procedure was performed according to the standard protocols. the second phase was started by a 1-week pretreatment with allopurinol....

radiation-related wounds challenge surgeons in all disciplines of surgery. wound-healing complications are commonplace, and solutions for reconstruction are limited. muscle and musculocutaneous flaps have improved this situation. but the question is, does previous radiation of the muscle to be transposed affect the outcome? 143 consecutive previously irradiated patients treated with muscle or m...

there are many surgical techniques for treating gynecomastia. we report a new surgical technique in an adolescent with fatty glandular gynecomastia grade iii, who was referred from an endocrinologist to our clinic. we excised the gynecomastia with nipple repositioning utilizing the dermoglandular flap (about 1 cm thickness and 10 cm width). after one month, no complication was detected and the ...

background and aim . gingival recession as the apical migration of the gingival margin that results in exposure of the cementoenamel junction (cej) and the root surface. in this case series we aimed to demonstrate a combination technique using semilunar coronally positioned flap with free gingival graft for root coverage. materials and methods . a total of 12 healthy subjects, 25-45 years of ag...

Rhomboid release has been utilized in the reconstruction of flexion contractures. In this study a new refinement of the rhomboid subcutaneous flap with a combination of adjacent four-flap Z-plasties on both sides is presented. Satisfying functional results were obtained, keeping the rhomboid flap and the structures on the rhomboid flap in their original position. The new design of the previous ...

813 free perforator flap surgery and always have a second option in mind in case of flap failure. Further, a sufficient understanding of the wound characteristics, donor and recipient vessels, and design for insetting should precede the surgery. Lastly, the skin graft over the muscle flap is less durable than the fasciocutaneous flap and tends to form a callus. To prevent this complication, a p...

The origin of the muscolocutaneous latissimus dorsi flap dates back to 1906 when Igino Tansini, an Italian surgeon, described a procedure to reconstruct the mastectomy defect. After a detailed study of Tansini's original description and drawings, new insights about the pedicle of its compound flap have been found, showing that it has the same pedicle of the scapular flap. In the end, Tansini's ...

Figure 1: An intimal flap obstructing orifices of the arch vessels (A). Another flap was seen in the Valsalva sinus and outflow of the left ventricle (B, arrow). There was no intimal flap in the ascending aorta (C). Figure 2: Transoesophageal echocardiography showed the prolapse of the intimal flap into both the left ventricle (systolic and diastolic phase; Left, arrows) and the aortic arch (Ri...

BACKGROUND Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap. CASE A 52-year-old woman with a history of cystotomy repair at the...

Today, the DIEP flap (deep inferior epigastric artery perforator flap) is becoming most popular method of breast reconstruction after mastectomy. The next step in evolution this should be to improve its sensitivity postoperative period. Recovery reconstructed mammary gland improves quality life patients, as well restores protective function skin. In addition, tactile plays a very important role...