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1.
BMJ Case Rep ; 17(5)2024 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-38749524

RESUMEN

The pedicled anterolateral thigh (ALT) flap has proven to be a reliable and versatile technique for the reconstruction of complex abdominal wall defects. Its robust vascular supply, large skin paddle and potential for a two-team approach make it an excellent choice for such challenging reconstructions. This case report emphasises the effectiveness of the pedicled ALT flap in managing complex abdominal wall defects, providing both functional restoration and satisfactory aesthetic results. However, careful patient selection and meticulous surgical planning remain paramount to ensure optimal outcomes.


Asunto(s)
Condrosarcoma , Recurrencia Local de Neoplasia , Procedimientos de Cirugía Plástica , Colgajos Quirúrgicos , Muslo , Humanos , Procedimientos de Cirugía Plástica/métodos , Muslo/cirugía , Condrosarcoma/cirugía , Recurrencia Local de Neoplasia/cirugía , Masculino , Pared Abdominal/cirugía , Neoplasias Óseas/cirugía , Persona de Mediana Edad , Femenino
2.
BMJ Case Rep ; 17(1)2024 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-38272514

RESUMEN

Many challenges have been described by microsurgeons in paediatric free flaps. With the advancement in microsurgical expertise, it is now possible to achieve excellent results. We present a case of a female child with car-tyre friction injury of bilateral feet with associated extradural haemorrhage who underwent emergency bilateral anterolateral thigh flap. A secondary tendon reconstruction of the left foot was performed at 6 months. No complications were observed in the postoperative period after both procedures and good functional recovery was achieved at 1 year follow-up. The problems unique to this case were the presence of head injury and bilateral extremity injury in the paediatric patient. The technical details of planning, execution, difficulties and recommendations to minimise the risk in such cases are discussed. To the best of our knowledge, this is the only case report of bilateral lower limb paediatric emergency free flap with associated head injury.


Asunto(s)
Traumatismos Craneocerebrales , Colgajos Tisulares Libres , Traumatismos de la Pierna , Procedimientos de Cirugía Plástica , Traumatismos de los Tejidos Blandos , Humanos , Femenino , Niño , Colgajos Tisulares Libres/irrigación sanguínea , Traumatismos de los Tejidos Blandos/cirugía , Extremidad Inferior/cirugía , Extremidad Inferior/lesiones , Traumatismos de la Pierna/complicaciones , Traumatismos de la Pierna/cirugía , Muslo/cirugía , Traumatismos Craneocerebrales/cirugía , Resultado del Tratamiento , Estudios Retrospectivos
4.
J Clin Exp Hepatol ; 9(5): 625-651, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31695253

RESUMEN

Hepatocellular carcinoma (HCC) is the 6th most common cancer and the second most common cause of cancer-related mortality worldwide. There are currently no universally accepted practice guidelines for the diagnosis of HCC on imaging owing to the regional differences in epidemiology, target population, diagnostic imaging modalities, and staging and transplant eligibility. Currently available regional and national guidelines include those from the American Association for the Study of Liver Disease (AASLD), the European Association for the Study of the Liver (EASL), the Asian Pacific Association for the Study of the Liver, the Japan Society of Hepatology, the Korean Liver Cancer Study Group, Hong Kong, and the National Comprehensive Cancer Network in the United States. India with its large population and a diverse health infrastructure faces challenges unique to its population in diagnosing HCC. Recently, American Association have introduced a Liver Imaging Reporting and Data System (LIRADS, version 2017, 2018) as an attempt to standardize the acquisition, interpretation, and reporting of liver lesions on imaging and hence improve the coherence between radiologists and clinicians and provide guidance for the management of HCC. The aim of the present consensus was to find a common ground in reporting and interpreting liver lesions pertaining to HCC on imaging keeping LIRADSv2018 in mind.

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