RESUMO
Topical negative pressure (TNP) has been introduced in complex surgical reconstruction and difficult wound healing, having proven to be effective in both drainage of wound secretions and calling for a new, sterile granulating tissue. In the last 15 years many reports have been focusing on TNP in different surgical specialties (orthopedic surgery in exposed fractures, general surgery in eventration, cardiothoracic surgery in sternal dehiscences, plastic surgery in difficult wounds and pressure sores). The authors report their personal experience being among the first Units to use TNP systematically in Italy.
Assuntos
Procedimentos de Cirurgia Plástica/instrumentação , Procedimentos de Cirurgia Plástica/métodos , Cicatrização , Desenho de Equipamento , Humanos , Pressão , VácuoRESUMO
A large mass in the right orbit, causing proptosis, ptosis of the right upper eyelid, and limitation to eye movements, was surgically removed from a 51-year-old woman suffering from Paget's bone disease (PBD). Histologically, a giant cell tumor of the bone (osteoclastoma) was diagnosed. No bony involvement was apparent either operatively, microscopically, or on preoperative computed tomographic scans. The neoplasm has not recurred in a 3-year follow-up. In addition to the fact that osteoclastoma complicating PBD is rare, the extraskeletal origin of the tumor is a matter of interest and can be tentatively explained by an unusually powerful systemic stimulus acting on circulating osteoclast precursors. HUM PATHOL 31:1527-1531.
Assuntos
Tumor de Células Gigantes do Osso/patologia , Neoplasias Orbitárias/patologia , Osteíte Deformante/patologia , Neoplasias de Tecidos Moles/patologia , Feminino , Tumor de Células Gigantes do Osso/diagnóstico por imagem , Tumor de Células Gigantes do Osso/etiologia , Tumor de Células Gigantes do Osso/cirurgia , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Neoplasias Orbitárias/diagnóstico por imagem , Neoplasias Orbitárias/etiologia , Neoplasias Orbitárias/cirurgia , Osteíte Deformante/complicações , Osteíte Deformante/diagnóstico por imagem , Neoplasias de Tecidos Moles/diagnóstico por imagem , Neoplasias de Tecidos Moles/etiologia , Neoplasias de Tecidos Moles/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Authors describe clinical and anatomo-pathological features of a case of oleoma of the left knee, repaired with success through the rotation of a muscular flap of lateral gastrocnemius and application of dermo-epidermal graft. Postoperative follow-up was regular; prompt healing and morpho-functional restoration of involved structures was complete.
Assuntos
Granuloma de Corpo Estranho , Articulação do Joelho , Veículos Farmacêuticos/efeitos adversos , Idoso , Granuloma de Corpo Estranho/etiologia , Granuloma de Corpo Estranho/patologia , Granuloma de Corpo Estranho/cirurgia , Humanos , Artropatias/etiologia , Artropatias/patologia , Artropatias/cirurgia , Articulação do Joelho/patologia , Articulação do Joelho/cirurgia , MasculinoRESUMO
Two patients presented with multicystic lymphatic malformations of the penis. These were congenital and progressive, and both were successfully treated by excision after injection of methylene blue.