An unusual scalp swelling.
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Acid Phosphatase↗
Biomedical subjects
C E Koshy
Publications and source records attributed to C E Koshy.
Placement of sutures in tendon repairs.
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Humans↗
Prophylactic mastectomy, oophorectomy, hysterectomy, and immediate transverse rectus abdominis muscle flap breast reconstruction in a BRCA-2-negative patient.
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BRCA2 Protein↗
A simple method of decreasing the morbidity of split-thickness skin graft donor sites.
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Bandages↗
Lower abdominal wall reconstruction using the anterior thigh fasciocutaneous flap.
Full thickness defects of the lower abdominal wall are uncommon. They can occur in congenital abdominal wall defects, acute trauma and following resection of soft tissue tumours. In reconstruction of defects not amenable to primary closure, three problems need to be addressed: (i) the fascial layer needs to be reconstructed; (ii) stable and sensate skin coverage is needed as the lower abdominal waistline area is subject to pressure; (iii) it is desirable to restore the contour of the abdominal wall. We present a case with a large area of radiation dermatitis and recurrence of a malignant ovarian tumour in the lower abdominal wall. After en bloc resection the 25 x 6 cm lower abdominal defect was reconstructed with a sensate anterior thigh fasciocutaneous flap. The vascular supply was reliable and the outcome was good. The reasons for using this fasciocutaneous flap in preference to the other options are discussed.
Abdominal Muscles↗
Pectoralis major myocutaneous flap.
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Graft Survival↗
A five year review of islanded distally based fasciocutaneous flaps on the lower limb.
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Humans↗
Facial contour reconstruction in localised lipodystrophy using free radial forearm adipofascial flaps.
Unilateral facial contour deformities in two patients with localised lipodystrophies were reconstructed with free radial forearm adipofascial flaps. At follow-up of 5 and 4 years there is no significant downward gravitation, and the flaps have maintained their integrity and bulk. Both the patients have had significant improvement in their self-consciousness of appearance. Since the donor site was closed primarily, a linear forearm scar remains the only donor site morbidity.
Adipose Tissue↗