Microvascular surgery plays an important reconstructive role in the pediatric population. Successful outcomes rely on surgical technique as well as anesthesia. Regional anesthesia contributes to successful free tissue transfer through sympathetic blockade, postoperative pain control, and elimination of risks and costs associated with general anesthesia. While regional anesthesia in microsurgery...

BACKGROUND Ischemia-reperfusion (IR) injury is seen in many settings such as free flap salvage and limb replantation/revascularization. The consequences-partial/total flap loss, functional muscle loss, or amputation-can be devastating. Of the treatment options available for IR injury, hyperbaric oxygen (HBO) is the most beneficial. HBO inhibits neutrophil-endothelial adhesion through interferen...

HYPOTHESIS Treatment of fecal incontinence has been greatly improved by electrical stimulation of gracilis muscle transposed around the anal canal. Various configurations of the muscle have been used: single alpha, gamma, epsilon muscle loops, split sling, or double wrap. We report herein experimental data on muscle transformation and damage induced by the latter surgical approach. DESIGN, IN...

tum, especially in the cases of gracilis muscle transfer. Goldsmith reported eight cases of a pedicled gastric pyloric valve transposition to provide a new sphincter ani in a human being [3]. Twenty-five percent of the patients had serious complications of pelvic sepsis and transplant necrosis. Manometric studies were done preoperatively on patients with anal sphincter damage and after pyloric ...

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Syngonanthus weddellii var. gracilis Moldenke, (1973) was described very briefly based on a single collection. A careful analysis reveals that this variety has dimerous flowers, free petals of the pistillate flower and bifid stigmatic branches. It is therefore misplaced in Syngonanthus Ruhland (1900). We transfer it to Paepalanthus Mart. (1834) at the species level, as it is distinct from morph...

OBJECTIVE Treating brachial plexus injuries is a major challenge, especially lesions that are presented late, with more than 12 months of evolution. We retrospectively analyzed patients who underwent one of the possibilities for attempting to restore the function of upper limbs affected under such conditions: microsurgical transfer of the gracilis muscle for elbow flexion. METHODS Eight patie...

High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. To our knowledge this is first case in which rectourethral fistula secondary to HIFU was repaired with buccal mucosa graft (BMG) over a harvest bed of gracilis flap. This ca...

UNLABELLED This study was designed to assess the efficacy of gracilis muscle transposition in repairing recto-vaginal and rectourethral fistula. All patients had fecal diversion as a preliminary or concurrent step to fistula repair. Success was defined as healed fistula after stoma closure. RESULTS Six females and four males underwent gracilis muscle transposition from 1999 to 2006. Gracilis ...