Reconstructive Surgical Procedures

Publication Title: 
Qualitative Health Research

Three cases of pediatric surgical body modification--limb lengthening, normalization of genitalia, and craniofacial surgery--are considered through the moral language used by those who experience these surgeries. This language has been described as altruistic individualism. Decision making remains individualist, but it also shows considerable concern for others; egoism is complementary with altruism. The altruistic individualist is one of many incompatible identities that are predicted and described by the figure of the cyborg.

Author(s): 
Frank, Arthur W.
Publication Title: 
Der Anaesthesist

BACKGROUND: Surgical treatment of patients under local anaesthesia is quite commonly restricted by limited compliance from the patient. An alternative to treatment under pharmacological sedation or general anaesthesia could be the application of medical hypnosis. With this method, both suggestive and autosuggestive procedures are used for anxiolysis, relaxation, sedation and analgesia of the patient.

Author(s): 
Hermes, D.
Trübger, D.
Hakim, S. G.
Sieg, P.
Publication Title: 
Plastic Surgical Nursing: Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses

Hypnotic induction and relaxation strategies are discussed as helpful resources for plastic surgery nurses in providing optimal patient care. An overview of the history and context of these strategies is provided along with descriptions of specific techniques to assist patients to relax when receiving potentially painful procedures. The techniques discussed include mindful focus, focused breathing, body scan, progressive relaxation, and guided imagery. Additional resources are provided for nurses seeking further training.

Author(s): 
Hildebrand, Lee E.
Anderson, Rebecca C.
Publication Title: 
Singapore Medical Journal

Post-traumatic severe patella infera and intra-articular adhesion may lead to a severe knee stiffness. We report a 29-year-old man, a muslim prayer leader, who had a previous knee injury. He presented with knee movement from ten degrees to 30 degrees, patellar infera with a length of patella to length of patellar tendon ratio of 2:5, and severe knee arthrofibrosis. He underwent incision of the patella ligament and open arthrofibrosis release, leaving a tendon gap and skin defect of 5 cm. Reconstruction was successfully done using a free vascularised composite tensor fascia lata flap.

Author(s): 
Sulaiman, A. R.
Halim, A. S.
Azman, W. S.
Eskandar, H.
Publication Title: 
International Angiology: A Journal of the International Union of Angiology

Primary lymphedema can be managed safely as one of the chronic lymphedemas by a proper combination of DLT with compression therapy. Treatment in the maintenance phase should include compression garments, self management including the compression therapy, self massage and meticulous personal hygiene and skin care in addition to lymph-transport promoting excercises. The management of primary lymphedema can be further improved with proper addition of surgical therapy either reconstructive or ablative.

Author(s): 
Lee, B.
Andrade, M.
Bergan, J.
Boccardo, F.
Campisi, C.
Damstra, R.
Flour, M.
Gloviczki, P.
Laredo, J.
Piller, N.
Michelini, S.
Mortimer, P.
Villavicencio, J. L.
International Union of Phlebology
Publication Title: 
Voprosy Kurortologii, Fizioterapii, I Lechebnoĭ Fizicheskoĭ Kultury

This paper describes for the first time the combined treatment of the patients who underwent plastic surgery for the correction of cosmetic defects in the form of grade II and III senile atrophy of the skin in conjunction with complicated neuropathies of the facial nerve. The essence of the proposed combined treatment consists in using lymphatic drainage massage, medicinal electrophoresis of a nivalin solution, multichannel electrostimulation, and microcurrent therapy with bipolar pulsed currents.

Author(s): 
Lazarenko, N. N.
Gerasimenko, M. Iu
Publication Title: 
Journal of Burn Care & Research: Official Publication of the American Burn Association

Special emphasis is placed on the clinical management of facial scarring because of the profound physical and psychological impact of facial burns. Noninvasive methods of facial scar management include pressure therapy, silicone, massage, and facial exercises. Early implementation of these scar management techniques after a burn injury is typically accepted as standard burn rehabilitation practice, however, little data exist to support this practice.

Author(s): 
Parry, Ingrid
Sen, Soman
Palmieri, Tina
Greenhalgh, David
Publication Title: 
British Journal of Clinical Pharmacology

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT: The efficacy of homeopathy is still under debate and a recent meta-analysis recommended further randomized double-blind clinical trials to identify any clinical situation in which homeopathy might be effective. WHAT THIS STUDY ADDS: The complex of homeopathy tested in this study (Arnica montana 5 CH, Bryonia alba 5 CH, Hypericum perforatum 5 CH and Ruta graveolens 3 DH) is not superior to placebo in reducing 24 h morphine consumption after knee ligament reconstruction. AIMS: The efficacy of homeopathy is still under debate.

Author(s): 
Paris, A.
Gonnet, N.
Chaussard, C.
Belon, P.
Rocourt, F.
Saragaglia, D.
Cracowski, J. L.
Publication Title: 
Chest

BACKGROUND: Unilateral phrenic nerve injury often results in symptomatic hemidiaphragm paralysis, and currently few treatment options exist. Reported etiologies include cardiac surgery, neck surgery, chiropractic manipulation, and interscalene nerve blocks. Although diaphragmatic plication has been an option for treatment, the ideal treatment would be restoration of function to the paralyzed hemidiaphragm. The application of peripheral nerve surgery techniques for phrenic nerve injuries has not been adequately evaluated.

Author(s): 
Kaufman, Matthew R.
Elkwood, Andrew I.
Rose, Michael I.
Patel, Tushar
Ashinoff, Russell
Saad, Adam
Caccavale, Robert
Bocage, Jean-Philippe
Cole, Jeffrey
Soriano, Aida
Fein, Ed
Publication Title: 
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale

INTRODUCTION: Calvarial bone graft is widely used in cranio-maxillo-facial surgery. But the main sequel is an unsightly depression of the donor site. Reconstruction of the donor site using biomaterial could decrease this depression. The aim of this retrospective study was to evaluate the tolerance of biomaterials and the esthetic result of reconstruction. PATIENTS AND METHODS: During a 24-month period, 18 patients were reconstructed with Hydroset™ cement after calvarial bone harvesting. They were followed up for 24 months.

Author(s): 
Da Costa, G.
Goga, D.
Sury, F.
Laure, B.
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