The most common occurred long-term stoma complication is parastomal hernia (PH). The incidence of this complication reaches 50% and, according to Goligher, the parastomal hernia is an inevitable consequence in a certain percentage of all cases of stoma formation. The factors that may affect the incidence of parastomal hernia include the site of stoma, particularly its position relative to the r...

1Division of Plastic and Reconstructive Surgery, 2The Hernia Center, 3Department of Surgery, Greenville Hospital System University Medical Center, Greenville, South Carolina, USA Correspondence: Dr James L Fowler, Division of Plastic and Reconstructive Surgery, Department of Surgery, 701 Grove Road, Greenville, South Carolina 29605, USA. Telephone 864-455-7886, fax 864-455-1320, e-mail jfowler@...

while the sarcoma was being resected. This resulted in a shorter operative time, less blood loss, and a faster postoperative recovery. Finally, the arc of rotation of the ORAM flap was preferable to that of the ALT flap, which would have required a ‘U-turn’ to project the flap into the scrotum. It is critical to repair the fascial defect at and around the deep and superficial ring of the inguin...

Abstract Aim show our technique for abdominal wall graft retrieval minimizing warm ischemia time. Material and methods a video report of an (full-thickness) from female brain death donor. Results better perfusion with lower picnosis in the studied cells. Lower tissue damage both full-thickness isolated fascia grafts. Surgical technique: An “house-flap” incision is done as opposed to conventiona...

Perforator flaps allow the transfer of the patient's own skin and fat in a reliable manner with minimal donor site morbidity. For breast reconstruction, the abdomen typically is our primary choice as a donor site. The deep inferior epigastric perforator (DIEP) flap remains our first choice as an abdominal perforator flap and has become a mainstay for the repair of mastectomy defects. It allows ...

METHODS: Mongrel female dogs (17.4±2.2 kg) were assigned to control (n=3) and treatment group (n=11). Bilateral gracilis muscles were dissected and detached from proximal and distal insertions with neurovascular pedicles, and transferred to pubic area as bilateral cavernosa. The urethra was reconstructed by scrolling the skin attached to the left gracilis flap. The outer layer of the penis was ...

A 37-year-old nulligravid woman presented with a 2-year history of uterine prolapse along with mixed incontinence. Gynecological examination confirmed third degree cystocele and uterine prolapse. Renal ultrasonography showed enlarged kidneys and marked dilation of the bilateral pelvicalyceal system. She was hospitalized and a ring pessary was inserted after bladder catheterization. Her preopera...

A. Canaganayagam, B.D.S., F.D.S.R.C.S. (ED.), AM. Professor of Oral Surgery, Faculty of Dentistry, University of Malaya, Kuala Lumpur. muscle that extends from the front of the chest to the humerus. 3 It arises from three heads, the upper from the medial half of the front of the clavicle, the second head from the anterior surface of the sternum and upper six costal cartilages, forming the bulk ...

PURPOSE Gait impairment due to encephalopathy and neuropathy has been reported in carbon monoxide (CO) intoxication. Heterotopic ossification (HO) as a cause of gait impairment after CO intoxication has never been reported. In this study we report a patient with HO after CO intoxication. CASE REPORT A 21 year-old woman developed HO after CO intoxication, which resulted in progressive difficul...

A Spigelian hernia (or lateral ventral hernia) is a hernia through the spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. So far, about 1000 cases have been reported worldwide. These hernias are difficult to diagnose as they do not present with a subcutaneous swelling and have high risk of going for strangulation. We ...