INTRODUCTION Methods allowing one to locate the position of a cutaneous perforator do not allow one to determine the boundaries of the vascularized skin. In clinical practice this causes complications in the form of marginal necrosis of the flap. AIM To examine the usefulness of thermography to assess the extent of vascularization of the skin and subcutaneous tissue by a single perforator. ...

A 70 year-old male sustained an AAD 8 years previously and was being monitored for an enlarging abdominal aortic aneurysm (AAA). A computed tomography (CT) scan confirmed an 8cm diameter AAA extending 9cm above the origin of the coeliac axis (CA). At the level of renal arteries (RAs) there was a dissection flap pressurising the false lumen. Both the RAs arose from the true lumen as did the supe...

Aim: Despite the fact that reported low recurrence rates and improvement results, optimal surgical technique for inguinal hernia repair was not found and recurrence was not eliminated. We used firstly groin innominate fascial island flap to reinforce the weak inguinal tissue for the repair. Methods: From the February 2010 to December 2010, 15 patients (13 male and 2 female) with inguinal hernia...

OBJECTIVE Barbed sutures have recently been introduced for closure of surgical incisions. These self-anchoring sutures incorporate evenly spaced barbs in a circumferential distribution along their length, facilitating knotless wound closure and even distribution of tension along the suture line. In this study, we evaluated postoperative complications associated with the use of unidirectional ba...

Preoperative imaging is essential for abdominal perforator flap breast reconstruction because it allows for preoperative perforator selection, resulting in improved operative efficiency and flap design. The benefits of visualizing the vasculature preoperatively also extend to gluteal artery perforator flaps. Initially, our practice used computed tomography angiography (CTA) to image the gluteal...

Soft-tissue reconstruction following preoperative radiotherapy and wide resection of soft tissue sarcoma remains a challenge. Pedicled and free tissue transfers are an essential part of limb sparing surgery. We report 22 cases of sarcoma treated with radiotherapy and wide excision followed by one-stage innervated free or pedicled musculocutaneous flap transfers. The resection involved the upper...

We congratulate Figus and colleagues on their series of 14 patients with DIEP flap breast reconstruction who underwent immediate (14 implants) or delayed (four implants) augmentation. We concur that implant augmentation offers an effective option for optimising the results of autologous tissue breast reconstruction but have independently taken a different approach. We would like to share our re...

BACKGROUND Abdominoperineal excision is performed in patients with locally advanced, low rectal carcinoma. Reconstruction of the dorsal vagina and perineum using the vertical rectus abdominis myocutaneous flap following extensive surgery results in favorable surgical outcome and quality of life. However, the rectus abdominis muscle, as part of the anterior abdominal wall, may develop fibrous le...

Studies were carried out in 15 normal subjects and 14 patients with idiopathic faecal incontinence to test whether a rectoanal flap valve could be responsible for maintaining faecal continence in man. Intraluminal pressures were recorded from the rectum and from three sites in the anal canal during serial increases in intra-abdominal pressure, produced by forced expiration into a sphygmomanomet...

BACKGROUND Basal cell carcinoma (BCC) greater than 5 cm in diameter is called giant basal cell carcinoma (GBCC), or super giant basal cell carcinoma if it has a diameter larger than 20 cm. Giant BCC only accounts for 0.5% of BCCs and super giant BCC is exceedingly rare. On account of their rarity, there are no established guidelines for GBCC treatment. CASE REPORT We describe a peculiar case of...