To investigate the feasibility and safe zone of S1-4 for sacral screw placement, a total of 62 adult patients spiral computed tomography images of pelvis were analyzed and reconstructed using Mimics version 15.0 software. The safe zone of the pedicle screws were calculated, the entry points of sacral pedicle at S1-S4 were determined, and the screw trajectory, length, width and angle was measure...

In this presentation of 2 consecutive cases of symptomatic juvenile breast hypertrophy in Ghana, we review the patient presentation, workup, and discuss outcomes following a combined technique of inferior pedicle stump with free nipple graft reduction mammoplasty. Surgical goals for treatment of gigantomastia were 2-fold: to resect adequate tissue to obtain symptomatic relief with improved qual...

background current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (tram) flaps over pedicled tram flaps, broadening indications for its use in high risk patients. this study compared perfusion analysis of free muscle-sparing versus pedicle tram flaps in vivo in the peri-operative and late post-operative periods. methods the spy-elite system using indocyan...

M oday, M arch 7, 2017 reduction (SPAIR) mammaplasty. This technique utilizes an inferior pedicle, circumvertical skin resection pattern, and purse-string peri-areolar closure to achieve a stable and aesthetic breast shape. Late breast distortion from seroma formation is rare complication than may occur after an initially satisfactory result. Contraction of the seroma cavity may cause the surro...

M oday, M arch 7, 2017 reduction (SPAIR) mammaplasty. This technique utilizes an inferior pedicle, circumvertical skin resection pattern, and purse-string peri-areolar closure to achieve a stable and aesthetic breast shape. Late breast distortion from seroma formation is rare complication than may occur after an initially satisfactory result. Contraction of the seroma cavity may cause the surro...

Objective: Oncoplastic surgery was developed to allow for large tumor excision and immediate breast reconstruction with the goal of optimal breast shape and symmetry. Although initially used in women who underwent lumpectomy for breast malignancy, these techniques can be useful for cosmetic issues caused by benign breast disease. We describe a modification of an inferior pedicle with Wise-patte...

The preservation of sensitivity within the nipple-areola complex is of paramount importance to patients presenting for reconstructive and aesthetic breast procedures. Previous attempts to measure sensation in the breast before and after surgery have relied primarily on the Semmes-Weinstein monofilament test, which is an imprecise study that measures the logarithm of force necessary to bend a se...

BACKGROUND Although several studies have been published documenting the safety of laser-assisted breast reduction, they have involved only small numbers of patients. OBJECTIVE The authors conducted a retrospective chart review of a series of 367 consecutive patients who underwent inferior pedicle laser-assisted breast reduction surgery at a single outpatient facility from 1995 through 2004. ...