A case of toxic shock syndrome after an immediate breast reconstruction with a transverse rectus abdominis musculocutaneous flap is reported. Details of the case and a brief review are presented.

Breast Neoplasms↗

PubMed1995

Modification of the gluteus maximus musculocutaneous flap.

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Buttocks↗

PubMed1994

Re: Secondary reconstruction of abdominal wall defects associated with exstrophy of the bladder.

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Abdominal Muscles↗

PubMed1994

A simplified two-step approach to nipple-areola reconstruction.

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Female↗

PubMed1993

Volar dislocation of the metacarpophalangeal joint of the thumb.

A rare case of volar dislocation of the metacarpophalangeal joint of the thumb is reported. Open reduction was necessary to correct the deformity.

Humans↗

PubMed1993

Retroperitoneal approach to lumbosacral defects.

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Aged↗

PubMed1992

Noncompression unicortical miniplate osteosynthesis of mandibular fractures.

The use of transoral noncompression unicortical miniplates in treating 42 consecutive patients with 64 displaced mandibular fractures (excluding subcondylar) was reviewed. Titanium miniplates (Wurzburg) were used for fixation. The principles set forth by Champy and colleagues, with two plates for body and symphyseal fracture fixation and one plate superiorly along the oblique ridge for angle fractures, were performed. Intermaxillary fixation was not used postoperatively. Results compared favorably with other forms of treatment with no evidence of postoperative malocclusion, with an overall complication rate of 3%. The advantage of no external incision, avoidance of intermaxillary fixation, and normal postoperative incisal opening and occlusion make this technique our treatment of choice.

Adolescent↗

PubMed1990

Necrotizing fasciitis of the total abdominal wall after sterilization by partial salpingectomy. Case report and review of literature.

A case of necrotizing fasciitis with full-thickness loss of the entire abdominal wall is reported after an uncomplicated sterilization by bilateral partial salpingectomy through a minilaparotomy incision in a healthy young patient. Salvage was accomplished by early wide surgical debridement and multiple reconstructive procedures.

Abdominal Muscles↗

PubMed1990

Total abdominal wall reconstruction.

Total abdominal wall loss results in a difficult reconstructive problem. To obtain stable, durable soft-tissue coverage and restore fascial integrity, a number of reconstructive techniques are frequently required. Use of these techniques can achieve a functional and cosmetically acceptable reconstruction.

Abdominal Muscles↗

PubMed1985

Influence of oxygen-derived free radical scavengers on ischemic livers.

It has been hypothesized that the formation of oxygen-derived free radicals may play an important part in ischemically induced tissue injury. Using a canine ischemic liver model, we have assessed the role of two oxygen-free radical scavengers, catalase (CAT) and superoxide dismutase (SOD), used alone and in combination, on the recovery of ischemic livers. Liver ischemia was induced in adult mongrel dogs by cross-clamping of the portal vein and hepatic artery for 40 min. Hepatectomy was then performed, and livers were tested in an isolated perfusion model with 500 ml of an albumin-mannitol solution at 37 degrees C for 3 hr. Liver function tests were performed hourly during the perfusion period. Biopsies and 99m-Tc-HIDA scans were also done at the end of perfusion. Livers in group 1 (n = 6) served as controls and were not pretreated prior to ischemic injury. Livers in group 2 (n = 6), group 3 (n = 6), and group 4 (n = 6) were pretreated, respectively, with CAT (5000 U/kg), SOD (5000 U/kg), and SOD and CAT in combination (5000 U/kg) each. The results indicated that the oxygen-derived free radical scavengers, CAT and SOD, were able to provide partial protection against the free radicals accumulated during ischemic damage. These studies offer some potential avenues for the protection of livers prior to and after transplantation.

Alkaline Phosphatase↗