An 80-year-old man underwent a thoracoscopic right upper lobectomy for cT2N0 lung carcinoma. A partial anomalous drainage of the right superior pulmonary veins to the superior vena cava was discovered (Fig. 1). It was visible on computed tomography (CT) scan (Fig. 2a) and volume-rendering reconstruction (Fig. 2b). No other cardiac abnormality was found on echocardiography. Fig. 2. (a) The diagn...

Suday, Sptem er 5, 2016 congestion in abdominally based autologous breast reconstruction. Plast Reconst Surg 129(4):809–815. 2012. 2. Granzow JW, Levine JL, Chiu ES, Allen RJ. Breast reconstruction with the deep inferior epigastric perforator flap: History and an update on current technique. Journal of Plastic, Reconstructive, and Aesthetic Surgery 59:571–579, 2006. 3. Bast J, Pitcher AA, Small...

Suday, Sptem er 5, 2016 congestion in abdominally based autologous breast reconstruction. Plast Reconst Surg 129(4):809–815. 2012. 2. Granzow JW, Levine JL, Chiu ES, Allen RJ. Breast reconstruction with the deep inferior epigastric perforator flap: History and an update on current technique. Journal of Plastic, Reconstructive, and Aesthetic Surgery 59:571–579, 2006. 3. Bast J, Pitcher AA, Small...

We performed a new procedure for reconstruction of donor site of a deltopectoral (DP) flap. A 58-year-old man presented with a wide subcutaneous abscess, which was caused by acute mandibular osteomyelitis due to dental caries. On admission, the patient received a neck incision for drainage. However, necrosis of the neck skin was observed after drainage. The patient had an 8 × 10 cm skin and sof...

Breast reconstruction after mastectomy plays an active role in improving the quality-of-life (QoL) and alleviating the psychological trauma of breast cancer patients, and has become an indispensable part of the comprehensive treatment in breast cancer. However, compared with mastectomy alone, breast reconstruction also increase operative complications. The surgical, oncological outcomes, and co...

Autologous breast reconstruction using the deep inferior epigastric artery perforator (DIEP) flap has become increasingly popular because of its unique advantages. However, compared with some other forms of abdominal-based autologous reconstruction, DIEP flaps are associated with an increased risk of venous congestion. Many techniques-or lifeboats-have been introduced to diagnose and treat this...

BACKGROUND The internal mammary artery and vein is often used as a site of anastomoses in microvascular breast reconstruction. This area supports lymphatic drainage of the breast and its role in breast cancer metastasis remains unclear. We hypothesize that sampling of internal mammary lymph nodes at the time of microvascular anastomoses preparation may identify persistent or recurrent local dis...

Spontaneous perforation of the bile duct is a rare disease, and delayed diagnosis without optimal treatment can be fatal. Abdominal drainage with or without repair of perforation seems to be adequate in most case series. We report on a 10-day-old female neonate with spontaneous perforation of the bile duct over the junction of cystic duct and common hepatic duct, who recovered uneventfully with...

Perforated choledochal cysts are rare. Traditionally, they have been managed by primary T-tube choledochostomy and interval cystectomy with hepaticojejunostomy. We present here our recent experience with a case of perforated choledochal cyst, which was managed with preoperative percutaneous transhepatic cyst drainage, followed by definite surgery for choledochal cyst, cyst excision, and reconst...

BACKGROUND Donor site seroma is the most common complication after latissimus dorsi (LD) flap harvest. This study aimed to evaluate the efficacy of negative-pressure wound therapy (NPWT) in preventing donor site seroma formation after the harvest of an LD flap for breast reconstruction. METHODS In this prospective matched-pair study, 40 patients in whom an LD flap was harvested for breast rec...