RESUMO
We present the repair of trophic ulcers on both elbows in a patient with Werner's syndrome. There is little information in the surgical literature about the repair of ulcers in patients with this rare entity. The technique used for coverage of the left elbow was an adipofascial turnover flap and on the right elbow an "extended" lateral arm island flap. We analyze the superior result of the latter technique and its advantages over other alternatives. It is a one-stage procedure that is reasonably easy and safe; it avoids elbow and shoulder stiffness; it avoids sacrifice of a principal artery or muscle; the donor site can be closed directly; and the padding obtained is optimum. With the "extended" dissection, we can obtain an additional advance to cover the elbow defect.
Assuntos
Úlcera Cutânea/etiologia , Úlcera Cutânea/cirurgia , Retalhos Cirúrgicos , Síndrome de Werner/complicações , Adulto , Cotovelo , Feminino , Humanos , Resultado do TratamentoRESUMO
An unusual case of lightning injury is shown. Flash-over current caused the fusion of a silver necklace producing a linear full thickness burn in the neck and chest with the silver welded throughout the wound.
Assuntos
Queimaduras por Corrente Elétrica/etiologia , Lesões Provocadas por Raio/complicações , Lesões do Pescoço , Traumatismos Torácicos/etiologia , Adulto , Humanos , Lesões Provocadas por Raio/terapia , Masculino , PrataRESUMO
A one-stage repair of hypospadias with a bipaddled preputial island flap is described. Although the bilaminar island flap has been described before, the technique reported contains some variations. Sixteen cases are reported with good functional and aesthetic results. The complications were two stenoses (one with a simultaneous fistula) at the proximal anastomosis of the urethroplasty. All flaps survived and no meatal strictures were encountered with this technique.
Assuntos
Hipospadia/cirurgia , Pênis/cirurgia , Retalhos Cirúrgicos/métodos , Uretra/cirurgia , Anastomose Cirúrgica/métodos , Criança , Pré-Escolar , Seguimentos , Humanos , Hipospadia/patologia , Masculino , Pênis/patologia , Complicações Pós-Operatórias , Estreitamento Uretral/etiologiaRESUMO
The coverage of posterior elbow defects after debridement of burns is usually done by skin flaps from adjacent chest or abdomen in a two-stage operation. Other possibilities are local flaps and free-tissue transfer. A proximally based radial forearm flap for the cover of a 5-day-old burn is presented. It is considered to be indicated in large defects of the posterior surface of the elbow, including several centimetres of the triceps tendon.
