The use of digital imaging in the assessment of skin lesions.
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Biomedical subjects
Publications and source records attributed to S J Southern.
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A 3-year-old boy presented with a 3 x 3 cm dermoid cyst in the midline of the anterior chest wall. This was successfully removed, using an endoscopic-assisted technique, through a single incision placed in the anterior axillary fold, avoiding the need for a mid-sternal incision. This technique and its application to paediatric soft-tissue surgery are discussed.
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Certain patients requesting breast reconstruction may be described as having a high-risk chest wall with regard to implant loss and well-documented high complication rates. Such patients have a combination of one or more of the following: previous chest wall radiotherapy, heavy smoking, and thin, tethered chest wall flaps. If autologous transfer is not appropriate for such patients then reconstruction may be difficult. In this specific patient group the assistance of endoscopy has been used to raise the latissimus dorsi muscle to cover an expander placed within an endoscopically created chest wall pocket. The first 12 consecutive cases using this technique are discussed, showing an expander loss rate of 8% for the primary implant placement.
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We present an easily constructed devise, which allows the testing and comparison of microsurgical apparatus, providing a numerical result for statistical analysis. It also enables the trainee microsurgeon to practise basic microsurgical skills in a safe environment. Construction and uses are discussed.
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Explore the source record for details and available documents.
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The potential benefits of harvesting the rectus abdominis muscle endoscopically are great. To date no simple, reliable method has been developed for harvest based on the inferior epigastric artery and transferred to the living patient. We have devised a simplified endoscopically assisted method of harvest on a cadaveric model that adds speed and the advantage of a grossly intact sheath to other published methods. It has been used successfully in a clinical situation. Two-portal access and triplanar dissection are the key points in this method.
An easy to make skin model has been developed using commonly available materials. It allows simple wound closure to be practised safely on a medium which attempts to simulate the properties of soft tissue.