Salvage of infected vascular bypass grafts continues to present one of the most complex reconstructive algorithms for both vascular,and plastic surgeons.Graft infection necessitates graft explantation and extra-anatom...Salvage of infected vascular bypass grafts continues to present one of the most complex reconstructive algorithms for both vascular,and plastic surgeons.Graft infection necessitates graft explantation and extra-anatomic bypass,most often with additional synthetic material.These multiply comorbid patients suffer long periods of convalescence in the ICU with attendant bed-rest,ventilator dependency and sepsis.The omentum is an established and effective source of intra-abdominal coverage for gastrointestinal and urological anastomoses,as well as vascular graft coverage.The omentum is also an established method for coverage of extra-abdominal pathology and as a free flap it may be used in any location.However,its use as a pedicled flap for extra-abdominal reconstruction has hitherto been largely limited to chest wall reconstruction.展开更多
Aim: Our goal was to ascertain if there was a role for larger breast implants in breast reconstruction. Methods: Patients that underwent mastectomy and implant-based breast reconstruction were identified and reviewed....Aim: Our goal was to ascertain if there was a role for larger breast implants in breast reconstruction. Methods: Patients that underwent mastectomy and implant-based breast reconstruction were identified and reviewed. Results: Of the total specimens, 92 (14.7%) weighed more than 800 g with a mean weight of 1140 g (range 803 to 2177 g). Of the patients with these larger specimens, 45 (48.9%) selected the largest available implants (800 mL implants) for their reconstruction. Conclusion: There are patients undergoing mastectomy and implant-based breast reconstruction who are unable to have reconstruction to their native breast volume because of the current implant-volume restrictions.展开更多
文摘Salvage of infected vascular bypass grafts continues to present one of the most complex reconstructive algorithms for both vascular,and plastic surgeons.Graft infection necessitates graft explantation and extra-anatomic bypass,most often with additional synthetic material.These multiply comorbid patients suffer long periods of convalescence in the ICU with attendant bed-rest,ventilator dependency and sepsis.The omentum is an established and effective source of intra-abdominal coverage for gastrointestinal and urological anastomoses,as well as vascular graft coverage.The omentum is also an established method for coverage of extra-abdominal pathology and as a free flap it may be used in any location.However,its use as a pedicled flap for extra-abdominal reconstruction has hitherto been largely limited to chest wall reconstruction.
文摘Aim: Our goal was to ascertain if there was a role for larger breast implants in breast reconstruction. Methods: Patients that underwent mastectomy and implant-based breast reconstruction were identified and reviewed. Results: Of the total specimens, 92 (14.7%) weighed more than 800 g with a mean weight of 1140 g (range 803 to 2177 g). Of the patients with these larger specimens, 45 (48.9%) selected the largest available implants (800 mL implants) for their reconstruction. Conclusion: There are patients undergoing mastectomy and implant-based breast reconstruction who are unable to have reconstruction to their native breast volume because of the current implant-volume restrictions.
