for Journals by Title or ISSN
for Articles by Keywords

Publisher: Springer-Verlag   (Total: 2276 journals)

 A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

  First | 3 4 5 6 7 8 9 10 | Last

Digestive Diseases and Sciences     Hybrid Journal   (Followers: 4, SJR: 1.19, h-index: 89)
Directieve therapie     Hybrid Journal  
Discrete & Computational Geometry     Hybrid Journal   (Followers: 2, SJR: 1.269, h-index: 40)
Discrete Event Dynamic Systems     Hybrid Journal   (Followers: 3, SJR: 0.42, h-index: 32)
Distributed and Parallel Databases     Hybrid Journal   (Followers: 4, SJR: 0.766, h-index: 30)
Distributed Computing     Hybrid Journal   (Followers: 2, SJR: 1.41, h-index: 31)
DNP - Der Neurologe und Psychiater     Full-text available via subscription  
Documenta Ophthalmologica     Hybrid Journal   (Followers: 2, SJR: 0.946, h-index: 40)
Doklady Biochemistry and Biophysics     Hybrid Journal   (Followers: 2, SJR: 0.2, h-index: 10)
Doklady Biological Sciences     Hybrid Journal   (SJR: 0.248, h-index: 10)
Doklady Botanical Sciences     Hybrid Journal  
Doklady Chemistry     Hybrid Journal   (SJR: 0.272, h-index: 12)
Doklady Earth Sciences     Hybrid Journal   (SJR: 0.48, h-index: 17)
Doklady Mathematics     Hybrid Journal   (SJR: 0.345, h-index: 13)
Doklady Physical Chemistry     Hybrid Journal   (SJR: 0.299, h-index: 12)
Doklady Physics     Hybrid Journal   (Followers: 1, SJR: 0.293, h-index: 17)
Douleur et Analg├ęsie     Hybrid Journal   (SJR: 0.113, h-index: 6)
Drug Delivery and Translational Research     Hybrid Journal   (Followers: 2, SJR: 0.607, h-index: 8)
Drug Safety - Case Reports     Open Access  
Drugs : Real World Outcomes     Hybrid Journal   (Followers: 1)
Dynamic Games and Applications     Hybrid Journal   (Followers: 2, SJR: 0.481, h-index: 5)
Dysphagia     Hybrid Journal   (Followers: 108, SJR: 0.822, h-index: 52)
e & i Elektrotechnik und Informationstechnik     Hybrid Journal   (Followers: 9, SJR: 0.279, h-index: 9)
e-Neuroforum     Hybrid Journal  
Early Childhood Education J.     Hybrid Journal   (Followers: 14, SJR: 0.466, h-index: 16)
Earth Science Informatics     Hybrid Journal   (Followers: 3, SJR: 0.282, h-index: 7)
Earth, Moon, and Planets     Hybrid Journal   (Followers: 7, SJR: 0.303, h-index: 29)
Earthquake Engineering and Engineering Vibration     Hybrid Journal   (Followers: 7, SJR: 0.482, h-index: 21)
Earthquake Science     Hybrid Journal   (Followers: 8, SJR: 0.418, h-index: 9)
East Asia     Hybrid Journal   (Followers: 7, SJR: 0.18, h-index: 9)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 11, SJR: 0.362, h-index: 27)
EcoHealth     Hybrid Journal   (Followers: 3, SJR: 0.88, h-index: 26)
Ecological Research     Hybrid Journal   (Followers: 8, SJR: 0.847, h-index: 43)
Economia e Politica Industriale     Hybrid Journal  
Economia Politica     Hybrid Journal   (SJR: 0.375, h-index: 6)
Economic Botany     Hybrid Journal   (Followers: 8, SJR: 0.527, h-index: 44)
Economic Bulletin     Hybrid Journal   (Followers: 4)
Economic Change and Restructuring     Hybrid Journal   (Followers: 1, SJR: 0.264, h-index: 9)
Economic Theory     Hybrid Journal   (Followers: 13, SJR: 2.557, h-index: 34)
Economic Theory Bulletin     Hybrid Journal   (Followers: 2)
Economics of Governance     Hybrid Journal   (Followers: 2, SJR: 0.408, h-index: 14)
Ecosystems     Hybrid Journal   (Followers: 19, SJR: 1.909, h-index: 93)
Ecotoxicology     Hybrid Journal   (Followers: 9, SJR: 1.333, h-index: 56)
Education and Information Technologies     Hybrid Journal   (Followers: 115, SJR: 0.366, h-index: 16)
Educational Assessment, Evaluation and Accountability     Hybrid Journal   (Followers: 19, SJR: 0.374, h-index: 15)
Educational Psychology Review     Hybrid Journal   (Followers: 19, SJR: 2.776, h-index: 61)
Educational Research for Policy and Practice     Hybrid Journal   (Followers: 8, SJR: 0.273, h-index: 9)
Educational Studies in Mathematics     Hybrid Journal   (Followers: 14, SJR: 0.825, h-index: 32)
Educational Technology Research and Development     Partially Free   (Followers: 104, SJR: 1.785, h-index: 52)
Electrical Engineering     Hybrid Journal   (Followers: 16, SJR: 0.336, h-index: 18)
Electrocatalysis     Hybrid Journal   (SJR: 0.883, h-index: 10)
Electronic Commerce Research     Hybrid Journal   (Followers: 3, SJR: 0.582, h-index: 16)
Electronic Markets     Hybrid Journal   (Followers: 5, SJR: 0.411, h-index: 8)
Electronic Materials Letters     Hybrid Journal   (Followers: 3, SJR: 1.407, h-index: 15)
Elemente der Mathematik     Hybrid Journal   (Followers: 1)
Emergency Radiology     Hybrid Journal   (Followers: 5, SJR: 0.678, h-index: 25)
Emission Control Science and Technology     Hybrid Journal   (Followers: 1)
Empirica     Hybrid Journal   (Followers: 3, SJR: 0.319, h-index: 16)
Empirical Economics     Hybrid Journal   (Followers: 8, SJR: 0.489, h-index: 31)
Empirical Software Engineering     Hybrid Journal   (Followers: 7, SJR: 1.285, h-index: 39)
Employee Responsibilities and Rights J.     Hybrid Journal   (Followers: 3, SJR: 0.361, h-index: 15)
Endocrine     Hybrid Journal   (Followers: 7, SJR: 0.878, h-index: 57)
Endocrine Pathology     Hybrid Journal   (Followers: 2, SJR: 0.638, h-index: 31)
Energy Efficiency     Hybrid Journal   (Followers: 14, SJR: 0.732, h-index: 14)
Energy Systems     Hybrid Journal   (Followers: 12, SJR: 1.176, h-index: 7)
Engineering With Computers     Hybrid Journal   (Followers: 5, SJR: 0.433, h-index: 30)
Entomological Review     Hybrid Journal   (Followers: 3, SJR: 0.144, h-index: 5)
Environment Systems & Decisions     Hybrid Journal   (Followers: 2)
Environment, Development and Sustainability     Hybrid Journal   (Followers: 30, SJR: 0.419, h-index: 29)
Environmental and Ecological Statistics     Hybrid Journal   (Followers: 6, SJR: 0.458, h-index: 32)
Environmental and Resource Economics     Hybrid Journal   (Followers: 17, SJR: 1.632, h-index: 54)
Environmental Biology of Fishes     Hybrid Journal   (Followers: 5, SJR: 0.725, h-index: 58)
Environmental Chemistry Letters     Hybrid Journal   (Followers: 2, SJR: 0.741, h-index: 28)
Environmental Earth Sciences     Hybrid Journal   (Followers: 13, SJR: 0.724, h-index: 63)
Environmental Economics and Policy Studies     Hybrid Journal   (Followers: 5, SJR: 0.524, h-index: 4)
Environmental Evidence     Open Access   (Followers: 1)
Environmental Fluid Mechanics     Hybrid Journal   (Followers: 3, SJR: 0.437, h-index: 24)
Environmental Geochemistry and Health     Hybrid Journal   (Followers: 3, SJR: 1.013, h-index: 36)
Environmental Geology     Hybrid Journal   (Followers: 11)
Environmental Health and Preventive Medicine     Hybrid Journal   (Followers: 3, SJR: 0.522, h-index: 19)
Environmental Management     Hybrid Journal   (Followers: 33, SJR: 0.942, h-index: 66)
Environmental Modeling & Assessment     Hybrid Journal   (Followers: 11, SJR: 0.533, h-index: 31)
Environmental Monitoring and Assessment     Hybrid Journal   (Followers: 10, SJR: 0.685, h-index: 52)
Environmental Science and Pollution Research     Hybrid Journal   (Followers: 15, SJR: 0.885, h-index: 46)
Epileptic Disorders     Hybrid Journal   (SJR: 0.608, h-index: 38)
EPJ A - Hadrons and Nuclei     Hybrid Journal   (Followers: 1, SJR: 1.287, h-index: 63)
EPJ B - Condensed Matter and Complex Systems     Hybrid Journal   (Followers: 2, SJR: 0.731, h-index: 89)
EPJ direct     Hybrid Journal  
EPJ E - Soft Matter and Biological Physics     Hybrid Journal   (Followers: 1, SJR: 0.641, h-index: 62)
EPMA J.     Open Access   (SJR: 0.284, h-index: 6)
ERA-Forum     Hybrid Journal   (Followers: 3, SJR: 0.128, h-index: 3)
Erkenntnis     Hybrid Journal   (Followers: 14, SJR: 0.621, h-index: 16)
Erwerbs-Obstbau     Hybrid Journal   (SJR: 0.206, h-index: 9)
Esophagus     Hybrid Journal   (SJR: 0.311, h-index: 10)
Estuaries and Coasts     Hybrid Journal   (Followers: 7, SJR: 1.332, h-index: 67)
Ethical Theory and Moral Practice     Hybrid Journal   (Followers: 12, SJR: 0.297, h-index: 10)
Ethics and Information Technology     Hybrid Journal   (Followers: 109, SJR: 0.484, h-index: 23)
Ethik in der Medizin     Hybrid Journal   (SJR: 0.163, h-index: 6)
Euphytica     Hybrid Journal   (Followers: 7, SJR: 0.745, h-index: 64)
Eurasian Business Review     Full-text available via subscription  

  First | 3 4 5 6 7 8 9 10 | Last

Journal Cover   European Journal of Plastic Surgery
  [SJR: 0.171]   [H-I: 14]   [2 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1435-0130 - ISSN (Online) 0930-343X
   Published by Springer-Verlag Homepage  [2276 journals]
  • Extended distally based DMCA flap in combination with autologous amputate
           skin transplantation as a salvage procedure for ring avulsion injury
    • Abstract: Abstract A 23-year-old male student presented to our clinic with a traumatic complex ring avulsion of his right dominant index finger. Clinical evaluation revealed a complete distal amputation of the DIP joint with a laceration of the soft tissue at the middle phalanx and a rupture of the FDP-2-tendon far proximally. We hereby present the patient’s clinical outcome after reconstruction with a distally based extended DMCA-II flap. To our own knowledge, this is the first report of an extended distally based DMCA flap for coverage of a class IVd ring avulsion injury in combination with autologous amputate skin transplantation. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-11-14
  • Resurrection of an ALT flap with recombinant tissue plasminogen activator
           and heparin
    • Abstract: Abstract The authors present the salvage of an anterolateral (ALT) thigh flap, which was congested secondary to venous thrombosis for a period of more than 12 h. This case report details the technical steps that were employed and the evidence base behind them. Level of Evidence : Level V, therapeutic study.
      PubDate: 2015-11-14
  • Bacterial adhesion to braided surgical sutures: an in vitro study
    • Abstract: Background Surgical suture materials are accepted to be associated with a substantial proportion of surgical site infections. These infections are related with biofilm formation similar to that of other synthetic and implantable medical devices. Methods We conducted an in vitro study to investigate the bacterial adherence to different types of braided surgical sutures. The included sutures were polyglactin (Vicryl®) group (VG), rapidly absorbable polyglactin (Rapide-Vicryl®) group (RVG), nitrofurazone-coated polyglactin (Vicryl®) group (FVG), polyethylene terephthalate (Etibond®) group (EG), and natural silk (Silk®) group (SG). All sutures were cut in 1 cm length, embedded into tryptic soy broth, and then 106-CFU/ml Escherichia coli and Staphylococcus aureus were added. After the 24th and 96th hour of incubation, bacterial colonies were counted, and results were expressed as CFU/cm. Results E.coli adhesion was significantly lower in VG and significantly higher in SG compared to FVG, RVG, and EG at the 24th and 96th hour of cultivation (p < 0.05). The S.aureus adhesion results at 24th hour showed that VG had the least bacterial adhesion, and FVG had the most bacterial adhesion compared to other sutures (p < 0.05). The S.aureus adhesion results at the 96th hour of cultivation showed that bacterial adhesion on sutures was not significantly different between groups (p > 0.05). Conclusion Of all braided surgical sutures, bacterial adhesion is significantly lower in polyglactin and significantly higher in silk sutures. Nitrofurazone coverage of suture worsens S.aureus contamination of the suture. Level of Evidence: Not ratable
      PubDate: 2015-11-12
  • Infrared technology to improve efficacy of venous access in burns
    • Abstract: Background Obtaining venous access in the burn population is challenging both in the acute and elective surgical settings. In paediatric burns, this is further compounded by smaller veins, thicker subcutaneous fat and poor cooperation. The introduction of infrared technology (Accuvein®) to identify veins up to 10 mm deep has been shown to increase efficacy. It has been promoted in challenging cases. We aim to ascertain whether Accuvein® is a useful clinical tool in the context of burns population. Methods A formal service evaluation of the device was carried out prospectively during a 6-week period. User feedback questionnaires were circulated. We reviewed patient demographics, indication of use, number of attempts and skin quality. We rated user satisfaction using visual analogue scales and a free text comment section. Results Twenty-eight questionnaires were returned. We noted inclination for use of device in paediatric patients compared to adults. Ethnicity included Caucasian, Asians, Afro-Caribbean and Hispanic. Skin quality in majority was described as normal; only four patients had poor quality skin (burn scars, friable thin skin). Fifteen patients had successful first attempts. Ninety-six percent of practitioners felt that the device was useful, although 59 % required assistance initially. We noted that it was not useful in detecting veins through grafted burn sites. Conclusions Accuvein® is a useful adjunct for venous access particularly in the paediatric population. By reducing the number of attempts to obtain venous access, this saves time and improve efficacy of care. However, we noted that it is not helpful over grafted burn sites. This could be attributable to the nature of the initial burn surgery (tangential excision) rather than the thickness of overlying skin. Level of Evidence: Level IV, risk/prognostic study.
      PubDate: 2015-11-07
  • Unsuccessful vascularized fibular periosteal graft for treatment of
           femoral head osteonecrosis
    • PubDate: 2015-11-06
  • Systemic exposure to monoethylglycinexylidide in extensive tumescent
    • Abstract: Background Plastic surgery patients frequently request extensive liposuction on approximately 30 % of the total body surface area, which indicates that the total dose of lidocaine used might exceed the recommended level. Our previous study demonstrated that the risk of toxicity is low because the peak lidocaine level is below the toxic threshold (3 μg/mL). However, monoethylglycinexylidide (MEGX), the active metabolite of lidocaine, has not been measured in extensive liposuction operations. Methods Ten female patients who requested extensive liposuction were enrolled in this study. The targeted areas were divided into two segments and treated in turn for one session. Serum levels of lidocaine and MEGX were taken every 4 h during the first 24 h after the second infiltration. Results The peak lidocaine levels (1.94 ± 0.4 μg/mL) were observed after 12–20 h (16.8 ± 2.53 h), whereas the peak MEGX levels (0.67 ± 0.12 μg/mL) were observed after 16–20 h (17.6 ± 2.07 h). The peak concentrations of lidocaine plus MEGX (2.58 ± 0.47 μg/mL) were observed after 17.2 ± 2.4 h. Conclusions This study demonstrated that the risk of MEGX toxicity was as low as that of lidocaine toxicity in extensive liposuction operations. Level of Evidence: Level IV, risk / prognostic study.
      PubDate: 2015-11-06
  • The recognition of plastic surgery as a medical speciality in the European
           economic community: a 40th anniversary
    • Abstract: Abstract With the signing of the Treaty of Rome in 1957, the European Economic Community (EEC) was established. Its principal aim was to allow free mutual movement of goods, capital, services and persons. Medical doctors from the EEC countries were to obtain the right of establishment and practice in all six countries, as of January 1, 1968. In 1959, the national professional associations of doctors formed an interest group (Standing Committee) to act as discussion partner for the legislative bodies of the EEC on medical issues. The professional organisations of the medical specialists in the EEC countries formed the Union Européenne des Médecins Spécialistes (UEMS) to give advice to the Standing Committee in matters concerning specialised medicine. The UEMS established various monospecialistic sections, one for each recognised speciality, thus expressing the fact that the speciality is practised by specialists who occupy themselves solely with this one particular speciality. Because no monospecialistic section for plastic surgery was initially established, the Dutch plastic surgeons initiated efforts to have their speciality recognised, in 1964. This initiative resulted in recognition and the establishment of a ‘Section Monospécialisée de Chirurgie Plastique’ by the UEMS, in 1969. The impact of the formation of this separate section on the national status of plastic surgery in various countries has been considerable. Still, it took another 6 years before the European Council of Ministers formally recognised this speciality on June 16, 1975. The years of step-by-step efforts to obtain this recognition are memorised to commemorate its 40th anniversary. Level of Evidence: Not ratable.
      PubDate: 2015-10-31
  • Multiple perforator preserving SGAP flap for the reconstruction of sacral
    • Abstract: Background Many surgical methods have been used to repair sacral sores, including primary closure, skin grafting, local random, and muscle flaps. After the description of the gluteal perforator-based flap, the perforator-based fasciocutaneous flap became popular in lumbosacral tissue defect reconstruction. Methods Multiple perforatory preserving superior gluteal artery perforator (SGAP) flap was performed in eight patients with lumbosacral soft tissue defects from May 2014 to April 2015. Five men and three women received the operation. The causes of defects were pilonidal sinus defect in five patients and pressure ulcer in three patients. All patients were mobile and did not have any systematic diseases. Results The average age of the patients was 45 years. The follow-up period was 2 to 12 months (mean, 6 months). The size of the flap ranged from 8 × 10 to 10 × 16 cm. All flaps healed completely without any vascular problem. Only one patient suffered from dehiscence. The average operative time was 160 min (range 120–200 min). Patients were immediately allowed to lie on the operated area (but no longer than 1 h at a time for the first 48 h). They were allowed to gradually sit after 72 h. The mean time for removal of suction drains was 8 days (5–14) while mean duration of hospital stay was 7.5 days (3–14 days). Conclusions It was seen that multiple perforatory preserving SGAP flap is a safe and reliable flap. No vascular complications was seen in postoperative period. Preserving multiple perforators in SGAP flap is time-consuming and increases the necessary time for flap harvest which is the main drawback of our technique. Level of Evidence: Level IV, therapeutic study
      PubDate: 2015-10-29
  • Inferiorly based nasolabial flap for reconstruction of the moderate to
           large defects of lips following cancer resection
    • Abstract: Background Reconstruction of the lip defects following wide excision of the squamous cell cancer is challenging for the surgeon. Our aim was to define the role of the inferiorly based nasolabial flap for lip reconstruction in such cases with moderate to large size defects. Methods Lip defects were reconstructed with a unilateral or bilateral subcutaneous nasolabial flaps depending on the size of the defect following wide resection of their lip cancers. Results All the defects were reconstructed in a single stage. We achieved good lip seal and at least good function in eating and speaking. There was no entropion of the lip, and all the reconstructed lips preserved their height. Conclusion Simplicity of dissection, robust blood supply, best color match, short procedure time, and minimal donor site morbidity reinforce this flap as a useful adjunct in lip reconstruction. Level of Evidence: IV, therapeutic study.
      PubDate: 2015-10-26
  • Tripod suspension and stabilisation: an innovative splintage technique for
           closed reduction of comminuted and compound fractures of the nasal bones
    • Abstract: Background Comminuted and compound fractures of the nose pose a surgical dilemma for the treating surgeon. There is a general belief that in such cases, a secondary septorhinoplasty is often required after a closed reduction and so there is a bias towards adopting an open or modified open reduction technique in the first instance. We, however, believe that a change in the splinting strategy after a closed reduction can make use of the innate advantages of the nasal structure and avoid a lot of major surgeries and consequent discomfort and expenses. Methods Thirty-six patients with comminuted/compound fractures of the nose were enlisted in the study after due informed consent. After standard closed reduction, a new splintage technique developed by us, the ‘Tripod suspension and stabilisation technique’ was employed and kept for up to 3 weeks. The patients were then interviewed a minimum 8 weeks post splint removal to assess their levels of satisfaction regarding aesthetics and function of the nose post reduction on a visual analog scale. Results Thirty-six patients having comminuted or compound fracture nasal bone were splinted by this technique after closed reduction and followed up for subjective assessment at least 2 months later. While 95 % were quite satisfied with the aesthetic outcome and 97 % with the nasal function, only one felt the need for (and subsequently underwent) a septorhinoplasty. Conclusions Tripod suspension and stabilisation is an effective and rational technique for splintage following closed reduction of comminuted/compound fractures of nasal bones. It is convenient for patients as they can breathe through their noses and do not restrict any activity while the splints are on. It is very stable and versatile and reduces hospitalisation as no packs are required and has shown excellent long-term functional and aesthetic results thereby reducing the need for open procedures. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2015-10-24
  • Anteriorly based pudendal thigh flap for scrotal reconstruction based on
           the deep external pudendal artery (DEPA) flap
    • Abstract: Background Major scrotal skin loss represents a significant challenge for reconstructive surgeons. Although many therapeutic methods have been established for the treatment of such defects, each technique has its own advantages and disadvantages. A posteriorly based pudendal thigh fasciocutaneous flap at the perianal region has been described for reconstruction of genital organs, but an anteriorly based pudendal thigh fasciocutaneous flap has not been described for scrotal reconstruction. Aim The aim of this study was to introduce and evaluate the use of an anteriorly based pudendal thigh flap for scrotal reconstruction. Methods Twenty flaps in 15 patients with major scrotal defects were subjected to reconstruction using this flap. The etiology of scrotal loss was Fournier gangrene in all cases. Five patients each underwent bilateral and ten patient unilateral reconstructions, by the anteriorly based pudendal thigh flap, based on the deep external pudendal artery (DEPA). Results All 20 flaps survived completely. Additionally, the donor site was closed directly, and the scar was hidden in the perineal crease. The donor site healed uneventfully, as one patient required a secondary procedure for healing. Conclusion An anteriorly based pudendal thigh flap is highly reliable for coverage of major scrotal defects. This flap allows adequate coverage with excellent aesthetic appearance of the scrotum. Level of Evidence: Level II, therapeutic study.
      PubDate: 2015-10-22
  • A comparison of fasciotomy wound closure methods following extremity
           compartment syndrome at a regional trauma centre
    • Abstract: Background Extremity fasciotomy wound closure following acute compartment syndrome is often prohibited by residual swelling, producing wounds that significantly contribute to patient morbidity. The aim of this study was to assess patient and fasciotomy wound outcomes associated with dynamic closure (DYN), delayed primary closure (DPS) and split skin grafting (SSG) techniques. Methods A retrospective review of all trauma-related compartment syndrome patients managed between January 2000 and March 2010 was conducted, and a comprehensive patient and wound outcomes analysis was performed. Results DYN was employed in 109 wounds, DPS in 66 wounds and SSG in 7 wounds. DPS wounds achieved closure in a significantly shorter timescale than other methods (p = <0.05). DYN and SSG group wound closure times were comparable; however, SSG techniques were employed later post-fasciotomy. SSG patients had longer hospital stays (p = <0.05) and the lowest wound complication rate (0 %). Wound complication rates were significantly higher in the DYN (55 %) and DPS groups (15 %) (p = <0.05), and these wounds required a higher number of further surgical procedures. The need for repeated wound debridements was higher in the DYN group than any other (p = <0.05). Conclusions DPS provided the fastest method of fasciotomy wound closure and the shortest inpatient stay. DYN techniques were associated with higher wound complication rates and the need for further surgical procedures. SSG techniques were associated with low complication rates and fewer surgical procedures and, if applied earlier, could result in shorter inpatient stay. Level of evidence IV, therapeutic study.
      PubDate: 2015-10-19
  • Mucormycosis following hair transplantation: a rare complication
    • Abstract: Abstract Mucormycosis is a serious, potentially deadly fungal infection that is very rare in immuno-competent healthy patients. Mucormycosis following elective cosmetic procedures such as hair transplantation has never been reported. This case details the symptomatology, modes of diagnosis and treatment of this potentially fatal disease in a patient of hair transplantation. Level of Evidence: Level V, diagnostic study
      PubDate: 2015-10-15
  • Introducing an enhanced recovery after surgery (ERAS) pathway for regional
           lymph node dissection: clinical and financial implications
    • Abstract: Background Enhanced recovery after surgery (ERAS) protocols aim to improve patient care, reduce complication rates and shorten hospital stay following surgery. The key elements of these protocols include preoperative counselling, standardized analgesia and early mobilization. We present our experience in applying ERAS pathway for skin cancer patients requiring regional lymph node dissection (LND). Our protocol streamlines from the initial clinic consultation and perioperative management to safe discharge and regular clinic follow-up. Methods Prospective data collection of 100 consecutive patients who underwent LND, performed by the senior author, was done. Data included patient demographics, initial diagnosis, initial clinic appointment, surgery date, discharge date, number of follow-up clinics and complications. Our results were compared to the results of an audit of 50 consecutive patients managed in our department prior to the introduction of the presented protocol. Results Our ERAS pathway resulted in a shorter hospital stay and fewer complication rates. Our patients were discharged, with drains in situ. Our mean length of stay (LOS) for axillary, inguinal and neck LND was 1.18, 2 and 4.1 days, respectively. The overall LOS was 2.4 versus 9.5 days in the audited previous practice. Our complication rate was 50 % less (P = 0.002). This also resulted in substantial financial savings. Conclusions ERAS protocol for skin cancer patients requiring LND is based on multi-disciplinary team (MDT) approach. It has proven to be an efficient and safe streamlined pathway from consultation to discharge, with shorter hospital stay and satisfactory clinical outcomes as well as substantial financial savings that could be recruited in other services. Level of Evidence: Level III, risk/prognostic study.
      PubDate: 2015-10-15
  • Vacuum-assisted closure in the treatment of seroma after axillary lymph
           node dissection
    • Abstract: Abstract This paper describes a novel approach to the treatment of otherwise refractory seromas by applying vacuum-assisted closure (VAC) to the seroma cavity. Foam is inserted in the cavity thru an incision in the skin, and the VAC is applied with a continuous suction, which presumably makes the open lymph vessels collapse. When the lymphatic output declines, the size of the sponges and hereby the size of the cavity is reduced successively. We present a 74-year-old man with a malignant melanoma suffering from seroma in the axilla after an axillary lymph node dissection. The lymph production decreased after 2 days resulting in closing of the cavity and cure of the seroma. Level of Evidence: Level V, therapeutic study
      PubDate: 2015-10-14
  • Retrospective analysis of acute hand injuries in an academic tertiary
           hospital that need plastic surgeon consultation
    • Abstract: Background Hand surgery covers a major area of plastic surgery practice. To our knowledge, there is no publication directly investigating the characteristics of hand injuries that plastic surgery consultation was requested, which could be an essential information to guide the plastic surgery education programs. This study determined the features of the hand injuries presented to the plastic surgery department during a year from an academic trauma hospital in Turkey. Methods Epidemiological information of the patients with hand injuries who were admitted to the emergency department of an academic tertiary hospital and needed plastic surgery consultation was evaluated. Patients were analyzed retrospectively in terms of gender, distribution of age, occupation, mechanism of injury, cause of injury, injured soft tissue structures, and duration of hospitalization. Results One thousand and forty-three (83.7 %) of the 1246 patients included in the study were male and 203 (16.3 %) were female. The mean age of patients was 32. The most common injured structure were the tendons with a rate of 41.2 %. The tendons were followed by fractures, tissue defects, nail injuries, nerve injuries, and vascular injuries with a rate of 18.8, 16.6, 10, 8.3, and 5.3 %, respectively. The most frequent mechanism of injury was crush type (38.6 %) followed by blunt cut (26.9 %), sharp cut (25.9 %), combined (4.8 %), and avulsion injuries (3.8 %). 7.8 % of the patients with hand injuries had amputations. Conclusions Despite the limitations, our study can reflect emergency hand injuries that a plastic surgeon may be faced within a tertiary care center. By our work, a plastic surgeon will be aware of demographic features of a patient with a hand injury presented by the emergency department. Level of Evidence: Level IV, risk/prognostic.
      PubDate: 2015-10-14
  • Effect of Korean red ginseng extract on flap survival and angiogenesis in
           rat model
    • Abstract: Background Despite its poor predictability of survival, random pattern skin flap has been the most commonly used reconstructive method until recently. To overcome its shortcomings, there have been numerous pharmacologic trials and research to enhance survivability. The authors tried Korean red ginseng extract (KRGE), a well-known herb remedy for its outstanding angiogenecity and vasculogenic properties. Methods A total of 36 male SD rats weighing 300 to 350 g were used. Rats were divided into three groups, and 12 rats were distributed into each group. Group 1 was the control, where the rats were not given KRGE, group 2 contained rats given 100 mg/kg KRGE for 2 weeks, and group 3 contained rats given 200 mg/kg KRGE over the 2-week period. Skin flap survival was measured after 7 days postoperatively. Also, using micro-SPECT-CT, we evaluated vasculogenesis by direct visualization on the third postoperative day. By immunohistochemistry, we confirmed the increase of new vessel formation, and from polymerase chain reaction studies, we investigated the overproduction of numerous growth factors. Results Compared to the control group, the experimental groups showed significantly lower necrotic areas of the flap. It was possible to confirm that the oral intake of red ginseng helps flap survival in a random pattern animal model, as demonstrated by the increasing growth factor production and angiogenesis. Conclusions The results provide a valuable reference for further preclinical studies of KRGE in flap surgery and various reconstructive methods in the plastic surgical field. Level of Evidence: Not ratable.
      PubDate: 2015-10-10
  • Dual-incision approach for excision of postauricular sinus
    • PubDate: 2015-10-05
  • Surgical treatment of isolated trapezoid bone pseudarthrosis: A case
    • Abstract: Abstract Isolated trapezoid fractures are rarely observed. Clinical suspicion is necessary for a diagnosis that is usually delayed or missed. There is no consensus on whether treatment modalities should be conservative or surgical. A 20-year-old female patient complained of pain, and an MRI examination showed a non-union fracture of the trapezoid bone. Surgical treatment using a headless cannulated screw and grafting was performed for trapezoid pseudarthrosis. Clinical and radiological results were satisfactory. Level of Evidence: Level V, diagnostic study.
      PubDate: 2015-10-01
  • Use of Spongostan™ for pedicle stabilisation in head and neck
           microvascular reconstruction
    • PubDate: 2015-10-01
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2015