Assuntos
Traumatismos Abdominais/cirurgia , Parede Abdominal/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos/inervação , Ferimentos por Arma de Fogo/complicações , Traumatismos Abdominais/etiologia , Adulto , Feminino , Seguimentos , Humanos , Escala de Gravidade do Ferimento , Músculo Esquelético/inervação , Músculo Esquelético/cirurgia , Medição de Risco , Resultado do Tratamento , Cicatrização/fisiologiaRESUMO
A 38-year-old man developed an infection that led to necrosis of the abdominal wall after perforation of a gastric ulcer. A split-thickness skin graft over the abdominal viscera was used to achieve temporary primary closure. After full systemic and local stabilisation, it was reconstructed with a free innervated latissimus dorsi myocutaneous flap.
Assuntos
Parede Abdominal/cirurgia , Retalhos Cirúrgicos/inervação , Adulto , Humanos , Masculino , Úlcera Péptica Perfurada/cirurgia , Peritonite/cirurgia , Polipropilenos , Úlcera Gástrica/complicações , Telas CirúrgicasAssuntos
Neoplasias da Mama/radioterapia , Lesões por Radiação , Úlcera Cutânea , Parede Torácica/lesões , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Lesões por Radiação/etiologia , Lesões por Radiação/cirurgia , Transplante de Pele , Úlcera Cutânea/etiologia , Úlcera Cutânea/cirurgia , Retalhos Cirúrgicos , Parede Torácica/cirurgiaRESUMO
Since the initial description of the dorsal ulnar artery fasciocutaneous flap by Becker and Gilbert in 1988 many modifications have been introduced to allow more versatility to the flap. The authors describe the dissection technique of an osteofasciocutaneous flap based on the dorsal ulnar artery and present a clinical case where this flap has been used to reconstruct a bone defect of the fifth metacarpal. Up to one third of the outer cortex of a long bone is supplied by the periosteal arterioles. This permits the inclusion of a small amount of ulnar cortical bone in the dorsal ulnar flap to reconstruct compound defects of the hand. The essential precaution is not to disrupt the continuity formed by the posterior border of the ulna, the periosteum, bony attachments of the flexor carpi ulnaris and extensor carpi ulnaris muscles, fascia and the skin. This flap allows the transposition of optimal soft tissue coverage to the hand with vascularised bone preserving the main arteries to the hand.
Assuntos
Traumatismos por Explosões , Transplante Ósseo/métodos , Metacarpo/lesões , Retalhos Cirúrgicos , Ulna/transplante , Adulto , Humanos , Masculino , CicatrizaçãoRESUMO
Since the presentation of the tuberous breast deformity by Rees and Aston in 1976, many surgical procedures have been developed, but the correction of such a deformity still remains a surgical challenge. The authors report the last cases treated in the Department of Plastic and Reconstructive Surgery of São João Hospital-Porto and discuss about the ideal procedure which should be used according to the type of deformity. They emphasize the periareolar approach and the good results obtained by the Liacyr Ribeiro technique.