Fingertip amputations are injuries commonly seen by family physicians. The classification of fingertip injuries corresponds with the normal anatomy of the tip of the digit. There are three zones of injury; the V-Y plasty technique is used to repair zone II injuries. The plane of the injury can be described as dorsal, transverse or volar. The dorsal and transverse planes lend themselves to the u...

Ear piercing is a well-established cultural and fashion-related practice from ancient times. Most people do not realize the common complications involved: contact dermatitis, keloid formation, infection, lobular tissue loss from trauma, and tearing of the earlobe, most commonly from repeated mechanical stress from heavy earrings. Torn earlobes are also referred to as cleft or split earlobes. Sp...

PURPOSE We evaluated medium-term results of the left-sided maze procedure using cryoablation in patients with valvular heart disease. METHODS We retrospectively evaluated 111 patients with valvular heart disease who underwent the cryosurgical left-sided maze procedure. The mean follow-up period was 36.8 ± 24.9 months, and the mean duration of atrial fibrillation was 5.6 ± 6.0 years. The prima...

BACKGROUND Chronic actinic cheilitis is actinic keratosis located on the vermilion border. Treatment is essential because of the potential for malignant transformation. OBJECTIVE To evaluate the aesthetic and functional results of vermilionectomy using the classic and W-plasty techniques in actinic cheilitis. In the classic technique, the scar is linear and in the W-plasty one, it is a broken...

A 54-year old man underwent redo mitral valve (MV) plasty because of recurrent mitral regurgitation (MR). Intraoperative transoesophageal echocardiography revealed severe MR and turbulent flow at the left ventricular (LV) outflow tract associated with systolic anterior motion of the MV. Various medical treatments, additional surgical correction, and atrial and right ventricular pacing had faile...

Method From December 1998 to December 2013 we performed symmetric volume-reduction plasty of the left atrium (LA) in 104 patients with mitral valve disease using a technique we developed: we began the superior suture on the top of LA, above the line between the superior pulmonary veins; the right and left sutures were begun more laterally than the ostium of the inferior pulmonary veins, while o...

OBJECTIVE To report the authors' experience with hepatic vein reconstruction and plasty in living donor liver transplantation for adult patients. SUMMARY BACKGROUND DATA A right liver graft without the middle hepatic vein (MHV) trunk (modified right liver graft) can cause severe congestion of the right paramedian sector. However, the need for MHV reconstruction has not been fully recognized. ...

Objective. To determine the most costeffective treatment for phimosis. Design. The costs of three treatment strategies for treating phimosis were evaluated using a decision-tree analysis. Three therapeutic approaches were considered: circumcision, preputial plasty (the use of plastic surgical techniques to enlarge the preputial opening without removing tissue), and topical therapy with steroids...

penoscrotal transposition (pst) is a rare anomaly of the external genitalia that can be complete or incomplete while incomplete type is more common. various surgical methods are described for correction of incomplete pst. modified glenn anderson’s method is commonly used. this method is known to cause major penile lymphoedema following surgery. various modifications have been described to prese...