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Biomedical subjects

D Gahankari

Publications and source records attributed to D Gahankari.

9 recordsLinked to original sources

Avulsion of vascular anastomosis in free-flap breast reconstruction.

We report a case of anastomotic avulsion following a free deep inferior epigastric perforator (DIEP) flap reconstruction immediately after mastectomy for carcinoma of the breast. This occurred on the 5th postoperative day when the patient was allowed a shower and abducted her shoulders to wash her hair. The aim of this report is to make readers aware of such a possibility, and we suggest exercising caution in early mobilisation of the upper limb after free-flap breast reconstruction.

Adult↗

Flexor carpi radialis opponensplasty.

Although numerous opponensplasties are described, the options are limited when the median and ulnar nerves and the flexor tendons are injured. We describe a new tendon transfer using the previously injured flexor carpi radialis combined with a fascia lata graft for opponensplasty in a patient who had a wrist injury resulting in division of all his flexor tendons, except flexor carpi ulnaris, and the median and ulnar nerves.

Accidents, Occupational↗

Z-plasty template: an innovation in Z-plasty fashioning.

Although Z-plasty is one of the basic skills in the armamentarium of a plastic surgeon, one is rarely found using a protractor to measure the exact angles. Two types of simple gadgets are described here to fashion Z-plasties with desired (fixed or variable) angles useful in various types of Z-plasties. These gadgets are made from transparent plastic sheets. They can be sterilized by formalin vapor or ethylene oxide gas. Since they are pliable, they can be adapted to the contours on the body. These are found to be particularly useful in cases where asymmetrical Z-plasties are needed.

Anti-Infective Agents↗

Extended subgaleal fascia--pericranial temporalis flap for skull base reconstruction.

An extended subgaleal fascia pericranial flap based on the temporalis muscle is described. The flap receives its vascular nourishment from the arteries supplying the temporalis muscle and from the superficial temporal artery. The long length of the flap and the ease of its rotation was used effectively to close anterior skull basal defects.

Craniotomy↗