본문 바로가기
HOME> 저널/프로시딩 > 저널/프로시딩 검색상세

저널/프로시딩 상세정보

권호별목차 / 소장처보기

H : 소장처정보

T : 목차정보

Journal of plastic, reconstructive & aesthetic sur... 20건

  1. [해외논문]   Microneedling: Where do we stand now? A systematic review of the literature   SCI SCIE

    Ramaut, Lisa (University Hospital of Ghent, De Pintelaan 185, 9000 Ghent, Belgium ) , Hoeksema, Henk (Department of Plastic and Reconstructive Surgery –) , Pirayesh, Ali (Burn Center, University Hospital of Ghent, De Pintelaan 185, 9000 Ghent, Belgium ) , Stillaert, Filip (Amsterdam Plastic Surgery, Jan van Goyenkade 12, 1075 HP Amsterdam, The Netherlands ) , Monstrey, Stan (Department of Plastic and Reconstructive Surgery –)
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 1 - 14 , 2018 , 1748-6815 ,

    초록

    Summary Background Patients who suffer from scars or wrinkles have several therapeutic options to improve the appearance of their skin. The available treatment modalities that provide desirable results are often overtly invasive and entail a risk of undesirable adverse effects. Microneedling has recently emerged as a non-ablative alternative for treating patients who are concerned with the aesthetic changes that result from injury, disease or ageing. Objective This review aims to evaluate the current evidence in the literature on microneedling. Methods A systematic literature review was performed by searching the electronic databases PubMed and Google Scholar. The reviewed articles were analysed and compared on study design, treatment protocol, outcome parameters, efficacy measurement and results to evaluate the strength of the current evidence. Results Microneedling was investigated in experimental settings for its effects on atrophic acne scars, skin rejuvenation, hypertrophic scars, keloids, striae distensae, androgenetic alopecia, melasma and acne vulgaris. Several clinical trials used randomisation and single-blindation to strengthen the validity of the study outcome. Microneedling showed noteworthy results when used on its own and when combined with topical products or radiofrequency. When compared with other treatments, it showed similar results but was preferred due to minimal side effects and shorter downtime. Conclusion This systematic review positions microneedling as a safe and effective therapeutic option for the treatment of scars and wrinkles. The current literature does show some methodological shortcomings, and further research is required to truly establish microneedling as an evidence-based therapeutic option for treating scars, wrinkles and other skin conditions.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   Tolerance of latissimus dorsi in immediate breast reconstruction without implant to radiotherapy   SCI SCIE

    Berthet, G. (Breast Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France ) , Faure, C. (Breast Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France ) , Dammacco, M.A. (Breast Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France ) , Vermesch, C. (Breast Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France ) , Delay, E. (Plastic, Aesthetic and Reconstructive Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France ) , Ho Quoc, C. (Plastic, Aesthetic and Reconstructive Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France ) , Carrabin, N. (Breast Surgery Department, Centre Léon Bérard, 28, rue Laennec, 69373 Lyon Cedex 08, France)
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 15 - 20 , 2018 , 1748-6815 ,

    초록

    Summary Introduction Immediate breast reconstruction (IBR) improves the quality of life of patients who undergo mastectomy. The latissimus dorsi flap (LDF) method provides particularly good aesthetic results, but its tolerance to subsequent radiotherapy remains unclear. We thus sought to assess tolerance and esthetic results and satisfaction, as reported by patients who underwent IBR by LDF with or without subsequent radiotherapy. Materials and methods We performed a retrospective case–control study in a population of women who were diagnosed with breast cancer between January 1999 and January 2014 and who had mastectomies with IBR by LDF without prostheses. We paired 29 patients who needed postoperative radiotherapy to 58 control patients who did not. These patients responded to a questionnaire to evaluate tolerance and their satisfaction with the aesthetic results of the reconstruction. Results In total, 86.2% of all patients reported “very good” or “good” overall aesthetic satisfaction. Consistency was judged as “very good” or “good” by 82.7% of control patients and by 93.1% of case patients. No statistically significant differences were identified between the two groups with regard to reconstruction results. The number of surgical procedures needed did not differ significantly between the two groups. Conclusion In our study, IBR by LDF appeared to have excellent tolerance to subsequent radiotherapy, the latter having no impact on patient aesthetic satisfaction. Our results suggest that the possibility of postoperative radiotherapy should not prevent physicians from proposing this method to women who are candidates for it.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Trends in post-mastectomy breast reconstruction types at a breast cancer tertiary referral centre before and after introduction of acellular dermal matrices   SCI SCIE

    Kankam, Hadyn K.N. (Cambridge University Medical School, Cambridge, UK ) , Hourston, George J.M. (Cambridge University Medical School, Cambridge, UK ) , Fopp, Laura J. (Department of Plastic & Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK ) , Benson, John R. (Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK ) , Benyon, Sarah L. (Department of Plastic & Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK ) , Irwin, Michael S. (Department of Plastic & Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK ) , Agrawal, Amit (Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK ) , Forouhi, Parto (Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK ) , Malata, Charles M. (Department of Plastic & Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK)
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 21 - 27 , 2018 , 1748-6815 ,

    초록

    Summary Background Reconstructive breast surgery has continued to evolve over the last decade with a key change being the adoption of acellular dermal matrices (ADMs) as an adjunct for implant-based procedures. This retrospective observational study assesses the effect of ADMs on post-mastectomy reconstructive practice performed in a single institution. Methods We conducted a review of all patients undergoing breast reconstruction at a University Teaching Hospital for an 18-month period before and after adopting ADMs. Demographic, procedural and complication data for these two cohorts were compared ( χ 2 and Student's t -tests). Results A total of 264 women (336 breasts), mean age 47.5 years, were identified: 137 before and 127 after the introduction of ADM. Implant-only reconstructions increased from 16% to 52% following the adoption of ADM (p Conclusions This study showed that since ADM introduction to our centre, more breast reconstructions have been of the implant-only type with consequent reductions in the more complex and expensive autologous techniques. Implant-only procedures that incorporated ADM use had similar complication rates to those that did not.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Delaying implant-based mammary reconstruction after radiotherapy does not decrease capsular contracture: An in vitro study   SCI SCIE

    Lo Torto, Federico , Vaia, Nicola
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 28 - 29 , 2018 , 1748-6815 ,

    초록

    Summary Background Reconstructive breast surgery has continued to evolve over the last decade with a key change being the adoption of acellular dermal matrices (ADMs) as an adjunct for implant-based procedures. This retrospective observational study assesses the effect of ADMs on post-mastectomy reconstructive practice performed in a single institution. Methods We conducted a review of all patients undergoing breast reconstruction at a University Teaching Hospital for an 18-month period before and after adopting ADMs. Demographic, procedural and complication data for these two cohorts were compared ( χ 2 and Student's t -tests). Results A total of 264 women (336 breasts), mean age 47.5 years, were identified: 137 before and 127 after the introduction of ADM. Implant-only reconstructions increased from 16% to 52% following the adoption of ADM (p Conclusions This study showed that since ADM introduction to our centre, more breast reconstructions have been of the implant-only type with consequent reductions in the more complex and expensive autologous techniques. Implant-only procedures that incorporated ADM use had similar complication rates to those that did not.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Delayed erythematous skin reaction with SERI(R)-assisted direct to implant breast reconstruction   SCI SCIE

    Rolph, Rachel C.
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 29 - 31 , 2018 , 1748-6815 ,

    초록

    Summary Background Reconstructive breast surgery has continued to evolve over the last decade with a key change being the adoption of acellular dermal matrices (ADMs) as an adjunct for implant-based procedures. This retrospective observational study assesses the effect of ADMs on post-mastectomy reconstructive practice performed in a single institution. Methods We conducted a review of all patients undergoing breast reconstruction at a University Teaching Hospital for an 18-month period before and after adopting ADMs. Demographic, procedural and complication data for these two cohorts were compared ( χ 2 and Student's t -tests). Results A total of 264 women (336 breasts), mean age 47.5 years, were identified: 137 before and 127 after the introduction of ADM. Implant-only reconstructions increased from 16% to 52% following the adoption of ADM (p Conclusions This study showed that since ADM introduction to our centre, more breast reconstructions have been of the implant-only type with consequent reductions in the more complex and expensive autologous techniques. Implant-only procedures that incorporated ADM use had similar complication rates to those that did not.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Preventing the complications of tissue expansion using fat grafting under expanded skin   SCI SCIE

    Wang, Qianwen , Wang, Jiaqi
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 31 - 32 , 2018 , 1748-6815 ,

    초록

    Summary Background Reconstructive breast surgery has continued to evolve over the last decade with a key change being the adoption of acellular dermal matrices (ADMs) as an adjunct for implant-based procedures. This retrospective observational study assesses the effect of ADMs on post-mastectomy reconstructive practice performed in a single institution. Methods We conducted a review of all patients undergoing breast reconstruction at a University Teaching Hospital for an 18-month period before and after adopting ADMs. Demographic, procedural and complication data for these two cohorts were compared ( χ 2 and Student's t -tests). Results A total of 264 women (336 breasts), mean age 47.5 years, were identified: 137 before and 127 after the introduction of ADM. Implant-only reconstructions increased from 16% to 52% following the adoption of ADM (p Conclusions This study showed that since ADM introduction to our centre, more breast reconstructions have been of the implant-only type with consequent reductions in the more complex and expensive autologous techniques. Implant-only procedures that incorporated ADM use had similar complication rates to those that did not.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Anatomic and high-resolution computed tomographic angiography study of the lateral femoral condyle flap: Implications for surgical dissection   SCI SCIE

    Morsy, Mohamed (Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA ) , Sur, Yoo Joon (Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA ) , Akdag, Osman (Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA ) , Eisa, Amr (Department of Orthopedic Surgery, Assiut University Hospital, Assiut University, Assiut, Egypt ) , El-Gammal, Tarek A. (Department of Orthopedic Surgery, Assiut University Hospital, Assiut University, Assiut, Egypt ) , Lachman, Nirusha (Department of Anatomy, Mayo Clinic, Rochester, MN, USA ) , Moran, Steven L. (Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA)
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 33 - 43 , 2018 , 1748-6815 ,

    초록

    Summary Background The lateral femoral condyle (LFC) flap is a vascularized bone flap based on the superior lateral genicular artery (SLGA). Harvest technique for this flap has not yet been demonstrated. The purpose of this study was to better delineate the blood supply to the bone and skin of this flap to allow for a safe and effective harvest. Materials and methods Twenty-three lower extremities were injected with latex or a mixture of latex and barium sulfate. The SLGA was identified and dissected, documenting the course, diameter, anatomical relations, length, and branches. In the mixture group, high-resolution CT scanning was performed prior to dissection. Two additional specimens were dissected to illustrate the harvest technique. Results The SLGA originated from the popliteal artery at an average of 44.3 mm proximal to the knee joint line. The SLGA had an average diameter of 1.9 mm at origin and length of 56 mm. It coursed posterior to the femur, reaching the lateral intermuscular septum (IMS), dividing into superficial (patellar) and deep (condylar) branches, which coursed toward and gave branches to the patella and the LFC, respectively. At least one (average 1.4) septocutaneous skin perforator >5 mm emerged and ran posterior to the IMS. 3D reconstructions of the CT scans were used to confirm anatomic findings and describe a standard harvest technique. Conclusions The SLGA has consistent anatomy, adequate length, suitable diameter at origin for microvascular anastomosis, and constant perforators to bone and skin. The LFC flap provides a useful alternative to flaps from the medial knee or iliac crest.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Reconstructive microsurgical approach for the treatment of pyoderma gangrenosum   SCI SCIE

    Schwaiger, Karl (Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University (PMU), Kajetanerplatz 1, 5020, Salzburg, Austria ) , Russe, Elisabeth (Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University (PMU), Kajetanerplatz 1, 5020, Salzburg, Austria ) , Kholosy, Hassan (Department of Plastic and Reconstructive Surgery, Alexandria University, Alexandria, Egypt ) , Hladik, Michaela (Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University (PMU), Kajetanerplatz 1, 5020, Salzburg, Austria ) , Heinrich, Klemens (Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University (PMU), Kajetanerplatz 1, 5020, Salzburg, Austria ) , Weitgasser, Laurenz (Department of Plastic Surgery, Microsurgery and Reconstructive Surgery, Marien Hospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Germany ) , Schoeller, Thomas (Department of Pl) , Wechselberger, Gottfried
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 44 - 52 , 2018 , 1748-6815 ,

    초록

    Summary Introduction Pyoderma gangrenosum (PG) is a rare type of autoimmune disease that results in progressive ulcers with or without previous trauma. However, PG is not well understood to date, and its treatment therefore remains a challenge. Because of the disease's systemic characteristic and the unpredictability of the clinical course, no gold standard treatment is available, especially concerning the surgical procedures to treat pyodermic lesions. Often, PG is not recognized during routine clinical practice, and standard ulcer treatment (conservative wound care, debridement, skin grafting, and local flap coverage) is initiated; this induces an autoinflammatory response, resulting in disastrous ulcers, thereby making free flap coverage necessary. The purpose of this study was to assess the outcome of microvascular free-tissue transfer as a treatment option for extended soft-tissue defects resulting from PG. Materials and methods We retrospectively evaluated 8 cases in 5 patients suffering from PG of the lower extremity who received defect closure with a microvascular free-tissue transfer under immunosuppressive and corticosteroid therapy. Results The average patient age was 60 years; three were male, and two were female. Seven defects were covered with free gracilis muscle flap. One patient received an anterolateral thigh flap. The average defect size was 93 cm 2 . No flap loss was observed during follow-up. All patients received broad-spectrum antibiotic treatment and corticosteroids. Two patients also received infliximab. Discussion and conclusion PG once diagnosed is not a contraindication for microvascular free-tissue transfer. Multidisciplinary evaluation of each case is fundamental. All surgical treatments should be performed only with sufficient protective immunosuppression therapy. If the defect requires free flap coverage, it should be considered as a surgical option despite the potential risk of a pathergic response in PG and was a safe treatment option in all our cases. In conclusion, we share our experience regarding preoperative, intraoperative, and postoperative care of patients with PG receiving free flap surgery.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Non-living microvascular training models: Face validity of liquid latex and the challenge of structural vs. “physiological” patency assessment   SCI SCIE

    Pafitanis, Georgios
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 53 - 54 , 2018 , 1748-6815 ,

    초록

    Summary Introduction Pyoderma gangrenosum (PG) is a rare type of autoimmune disease that results in progressive ulcers with or without previous trauma. However, PG is not well understood to date, and its treatment therefore remains a challenge. Because of the disease's systemic characteristic and the unpredictability of the clinical course, no gold standard treatment is available, especially concerning the surgical procedures to treat pyodermic lesions. Often, PG is not recognized during routine clinical practice, and standard ulcer treatment (conservative wound care, debridement, skin grafting, and local flap coverage) is initiated; this induces an autoinflammatory response, resulting in disastrous ulcers, thereby making free flap coverage necessary. The purpose of this study was to assess the outcome of microvascular free-tissue transfer as a treatment option for extended soft-tissue defects resulting from PG. Materials and methods We retrospectively evaluated 8 cases in 5 patients suffering from PG of the lower extremity who received defect closure with a microvascular free-tissue transfer under immunosuppressive and corticosteroid therapy. Results The average patient age was 60 years; three were male, and two were female. Seven defects were covered with free gracilis muscle flap. One patient received an anterolateral thigh flap. The average defect size was 93 cm 2 . No flap loss was observed during follow-up. All patients received broad-spectrum antibiotic treatment and corticosteroids. Two patients also received infliximab. Discussion and conclusion PG once diagnosed is not a contraindication for microvascular free-tissue transfer. Multidisciplinary evaluation of each case is fundamental. All surgical treatments should be performed only with sufficient protective immunosuppression therapy. If the defect requires free flap coverage, it should be considered as a surgical option despite the potential risk of a pathergic response in PG and was a safe treatment option in all our cases. In conclusion, we share our experience regarding preoperative, intraoperative, and postoperative care of patients with PG receiving free flap surgery.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Motor nerve to the masseter: A pediatric anatomic study and the “3:1 rule”   SCI SCIE

    Mundschenk, Minh-Bao , Sachanandani, Neil S.
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS v.71 no.1 ,pp. 54 - 56 , 2018 , 1748-6815 ,

    초록

    Summary Introduction Pyoderma gangrenosum (PG) is a rare type of autoimmune disease that results in progressive ulcers with or without previous trauma. However, PG is not well understood to date, and its treatment therefore remains a challenge. Because of the disease's systemic characteristic and the unpredictability of the clinical course, no gold standard treatment is available, especially concerning the surgical procedures to treat pyodermic lesions. Often, PG is not recognized during routine clinical practice, and standard ulcer treatment (conservative wound care, debridement, skin grafting, and local flap coverage) is initiated; this induces an autoinflammatory response, resulting in disastrous ulcers, thereby making free flap coverage necessary. The purpose of this study was to assess the outcome of microvascular free-tissue transfer as a treatment option for extended soft-tissue defects resulting from PG. Materials and methods We retrospectively evaluated 8 cases in 5 patients suffering from PG of the lower extremity who received defect closure with a microvascular free-tissue transfer under immunosuppressive and corticosteroid therapy. Results The average patient age was 60 years; three were male, and two were female. Seven defects were covered with free gracilis muscle flap. One patient received an anterolateral thigh flap. The average defect size was 93 cm 2 . No flap loss was observed during follow-up. All patients received broad-spectrum antibiotic treatment and corticosteroids. Two patients also received infliximab. Discussion and conclusion PG once diagnosed is not a contraindication for microvascular free-tissue transfer. Multidisciplinary evaluation of each case is fundamental. All surgical treatments should be performed only with sufficient protective immunosuppression therapy. If the defect requires free flap coverage, it should be considered as a surgical option despite the potential risk of a pathergic response in PG and was a safe treatment option in all our cases. In conclusion, we share our experience regarding preoperative, intraoperative, and postoperative care of patients with PG receiving free flap surgery.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

논문관련 이미지