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Biomedical subjects

A S Goddio

Publications and source records attributed to A S Goddio.

15 recordsLinked to original sources
PubMed1992

Suction lipectomy: the gold triangle at the neck.

Cervical suction lipectomy is a simple procedure that poses no technical problems. Evaluation of the amount of fat to remove is easy since the deposit is superficial and the skin considerably more supple than over the body. Although postoperative changes may be slow to develop, the skin usually exhibits outstanding adaptability in this area and this adaptability improves over time. On the basis of these favorable features occurring in the same location, a cervical gold triangle can be defined. In this area, where excellent results can be expected, indications of suction-assisted lipectomy can be very broad.

Aged↗
PubMed1992

[Cutaneous retraction. Data from liposuction and other clinical procedures].

The remarkable capacity of the skin to stretch is used in the skin expander technique. In parallel, the skin is also able to retract, which is very useful for the plastic surgeon. This ability to retract may open the road for new techniques. Suction lipectomy, which allows removal of large volumes of fat without skin resection, is a privileged technique for the study of retractability characteristics. This study compares the pre and postoperative conditions in 392 cases of body liposuction and 108 cases of cervicofacial liposuctions, to determine the factors which influence skin retraction. It appears that age and the total amount of fat removed have an incidence on the time needed to obtain the final result. However the treatment site emerges as a determinant factor on the potential of the skin to retract postoperatively. In practice, the skin elasticity appears to be very different in different treatment sites, and considerable variations can even be observed between two neighbouring regions. In the neck and cheeks the skin seems considerably more retractable than in other sites, and we can trace the boundaries of the optimal retractability for the liposuction: "the golden triangle at the neck". The considerable plasticity of the skin overlying the neck contrasts with the poor ability of facial skin to retract. On the body, the skin resumes its previous form in the vast majority of patients (90%). These data, derived from a liposuction study, may be compared with other clinical observations.(ABSTRACT TRUNCATED AT 250 WORDS)

Burns↗
PubMed1991

Skin retraction following suction lipectomy by treatment site: a study of 500 procedures in 458 selected subjects.

I identified 500 suction lipectomy procedures involving sites on the body and in the cervicofacial region in 458 selected patients and studied the influence of treatment site on postoperative skin retraction by comparing preoperative and postoperative skin condition. Postoperative skin condition was evaluated first in the immediate postoperative period (second or third day); then at a more remote date (after at least 2 months of follow-up). On the body, restoration of the preoperative condition of the skin was obtained in 94.6 percent of treatment sites in the immediate postoperative period; after a longer follow-up, this proportion was 87.9 percent because of delayed development of modifications. The time interval needed to obtain a stable result increased with increasing age, regardless of the nature of this result, as well as with the total amount of fat removed. On the neck, liposuction improved or even eliminated preexisting skin looseness, and this improvement was even more noticeable as follow-up increased. The neck thus appears as the site of choice for suction lipectomy. On the face, in contrast, favorable results deteriorated over time, a finding that leads me to advocate combination with a face-lift whenever ptosis is present. Thus treatment site obviously has a substantial impact on the potential of the skin for retracting postoperatively.

Abdomen↗
PubMed1990

[Brachioplasty. New technique].

A new brachioplasty technique is proposed, designed to correct ptosis without excision. It is based on rolling a de-epithelialised flap around from behind and sliding it underneath the anterior margin of the incision of the arm, recreating the roundness of the arm and a firmer consistency. This technique has been used in 12 patients so far, with a follow-up ranging from 8 months to 4 years. No cases of postoperative edema have been observed, but one case of hyperesthesia appeared for a period of 2 months. The main preoccupation is scar sequelae, which must limit the operation to patients clearly aware of the possibility of healing complications.

Aged↗
PubMed1989

Liposuction: optimizing factors.

Two aspects of liposuction procedures are discussed as ways of improving results. First, to help with the efficiency of fat removal several technical points are considered, especially the freedom and the facility of performing the liposuction procedure with a syringe without the aid of an aspirator. Surgeons are showing a growing interest with this new method. New and practical material that allows a reduced number of necessary manipulations is described. Second, we stress the importance of drainage, especially in relation to the resumption of activity which is much quicker due to the absence of postoperative bruising. When using drainage, the final result can be obtained as early as the second or third day.

Drainage↗
PubMed1989

A new technique for brachioplasty.

A new technique for brachioplasty is proposed, aiming at correction of ptosis without excision. It is based on rolling a deepithelialized flap around from the rear and sliding it underneath the inside frontal skin of the arm, recreating the roundness of the arm and a firmer consistency. This technique has been utilized in 12 patients so far, with a follow-up ranging from 8 months to 4 years. No postoperative edema were observed, but one case of hyperesthesia appeared for a period of 2 months. The main preoccupation is scar sequelae, which must limit the intervention to patients clearly aware of the possibility of healing complications.

Aged↗
PubMed1977

[Surgical treatment of primary hyperlipoproteinemia].

The authors report 4 cases of hyperlipemia and show the great benefit which results from ileal exclusion when there is an atherogenic risk. The considerable reduction in total lipid, cholesterol, triglycerides, and prebeta-lipoproteins is constant together with clarification of the serum. In one case, angina pectoris regressed considerably, as did arteritis of the lower limbs (unlimited walking became possible, oscillometry in the leg improved from 2 to 7). Surgery is indicated whenever by lack of will power, the diet and medical treatment cannot be followed, when social and economic conditions make proper medical treatment impossible, or when the latter has failed. The existence of arterial lesions, cardiac or cerebral complications makes surgery even more urgent. Gall-stones were observed in gall bladder. The authors raise the problem of oxalate stones. Only type II familial hyperlipemia in homozygotes should be excluded: and end-to-side portacaval anastomosis seems to be preferable.

Adult↗