Effects of mechanical forces on the formation of cutaneous wounds during skin expansion and emerging therapies for wound healing and scar prevention.

OBJECTIVES: To update a possible role of cosmeceutical topic treatment to obtain a better scar. METHODS: This is a preliminary supportive study. A total of 14 patients who went to the General Hospital of Mexico City, Mexico, between May and December 2020, for breast reconstruction were included in the current study. The biopsies were carried out to the scar area of the previous I° and II° surgery. The patients were thus divided into 2 groups: those who used Cicolea cream® as a treatment supplement and those who used only petrolatum. RESULTS: Collagen fibers arranged in a regular pattern in the group treated with Cicolea compared to dispersed collagen fibers in the group treated with pure petrolatum. Furthermore, the patients who presented hypertrophic or keloid scars secondary to mastectomy, developed after insertion of breast expanders an organized scarring process, with improvement of scar if treated with Cicolea. CONCLUSION: Based on our observations, it is possible to propose that the action of the polyphenols present in the different components of Cicolea® cream leads to a better evolution of the wound healing compared to the action of petrolatum composition.

Thigh and buttock lift after massive weight loss.

BACKGROUND: Surgical and medical treatment of obesity involves a significant loss of weight (30-90 kg) during a short time (12-24 months). The technical procedures for treatment of skin excess on the thigh create scars on the posterior buttock fold and the inguinal fold. Since 1999, the authors have used a heart-shaped incision for buttock thigh lifts. METHODS: The authors have treated these regions with a two-step intervention. First, abdominal lipectomy and lipoaspiration of the internal and external face of the thigh are performed. Then after 6 months, the buttock thigh lift is performed using a heart-shaped incision traced previously in an anterior direction from the perianal region on the inguinal fold and spread the iliac crest to the intergluteal fold posteriorly. The skin dissection is performed on the scarpa aponeurosis so as not to damage the lymphatic system. RESULTS: In their experience with 15 patients, the authors had no infectious complications, or lymphorrea. The operative time was generally 3(1/2) h. The patients did not require blood transfusions and were on sick leave for 3 to 4 weeks. CONCLUSION: The surgical procedure that we propose reduces the complications and the surgical time with a good result.

Brachioplasty after massive weight loss: a simple algorithm for surgical plane.

After massive weight loss, patients experience a severe skin laxity of the arms with or without associated fat deposits. More than 20 years elapsed after the first aesthetic brachioplasty in 1954 before this problem was addressed with significant technical innovation. The current brachioplasty techniques are somewhat unpredictable and commonly associated with significant untoward results and complications including misplaced, widened, or hypertrophic scars as well as contour deformities resulting from overcorrection centrally and underresection. The authors define preoperative marking that permits reduction of overcorrection problems and makes the surgical technique easy for young surgeons. They have performed this procedure for 6 years with satisfactory results.

Orbitofacial cleft number 5: radiographic, anatomical, and histologic study of a 24-week-old fetus.

BACKGROUND: Orbitofacial clefts are caused by a congenital absence of midfacial tissues between the eye and the upper lip just medial to the corner of the mouth. As a whole, facial clefts occur with an incidence of 1.43 to 4.85 per 100,000 births. The exact incidence of these unusual orbital facial clefts is unknown. Only a few clinical cases and their treatment have been reported in the world literature, and no anatomical or histologic study has been presented. METHODS: The authors present a detailed anatomical and histologic study in a 24-week-old fetus with a right-side no. 5 orbitofacial cleft (according to Tessier's classification). RESULTS: During the anatomical dissection, it was observed that in the trigeminal Gasser ganglion on the right side there was no infraorbital branch of this nerve. Both the foramen rotundum and the infraorbital groove, where the nerve exits, were hypotrophic. CONCLUSION: After embryologic analysis of their observation, the authors propose that the orbitofacial no. 5 cleft should be considered as a tissular disruption of the face secondary to damage of the terminal branches of the maxillary nerve.

Violencia conyugal: una aproximación hacia una concepción popular / Conjugal violence: an approach toward a popular conception

Se investigó la concepción de violencia conyugal en las mujeres adheridas al Programa de "Planificación Familiar", del consultorio "Los Cstaños", perteneciente al S.M.S.S.O., durante los días 2 al 14 de enero de 1992. Se realizó un estudio de tipo descriptivo exploratorio. En el Programa de "Planificación Familiar", estan bajo control 2.800 mujeres. De este se extrajo una muestra seleccionada en forma intencionada, de 100 mujeres. En nuestra muestra en estudio, el 54% se encontraba dentro del rango de edad de 21 a 30 años, con un 43% de mujeres casadas. Se encontró un 1% de consumo de alcohol en las mujeres; y un 20% - 4% de consumo de alcohol y drogas, respectivamente en su pareja. Un 59% de las mujeres de la muestra tenia al momento del estudio menos de 3 años de vida en común con su pareja. En cuanto a los episodios de violencia conyugal, sólo un 29% de la mujeres reconoce haber experimentado algún tipo de violencia. Mientras que un 93% , realmente la recibe. Encontrándose un 92% de agresión psicológica, un 60% de agresión sexual y un 57% de agresión física. Siendo el grupo etario entre los 21 a 30 años en el cual se observó el mayor porcentaje de agresión. El propósito de este estudio fue determinar la concepción de violencia conyugal que tienen las mujeres. De los datos obtenidos de esta muestra podemos concluír que la mujer reconoce la violencia conyugal en una menor frecuencia de la que realmente recibe