Scand J Plast Recons
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Scand J Plast Recons · Jan 2002
Intraoperative expansion of skin around large congenital naevi with foley catheter balloons: 11 new cases.
Tissue expansion allows reconstruction of large cutaneous defects with adjacent skin, similar in appearance and type, without using skin grafts or multiple, regional, distant, or microsurgical flaps. Conventional expansion produces a greater increase in surface and length than intraoperative expansion, but it has several disadvantages and should be reserved for closing problematic defects. There is considerable controversy about the relative effects of intraoperative expansion and undermining on the tensions of closing wounds, although immediate expansion is commonly used particularly in head and neck reconstruction. ⋯ We have chosen multiple Foley catheter balloons, because of their availability and low cost, to repair 11 limb defects after excision of large naevi. The wounds are easy to close, primarily, and postoperative results are good. Dark pigmentation scars are the most common possible complications.
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Scand J Plast Recons · Jan 2002
Case ReportsBasal cell carcinoma of the penis and scrotum with cutaneous metastases.
A 75-year-old man presented with a multicentric basal cell carcinoma (BCC) of the penis and scrotum with skin metastases. The lesion was large, affecting the whole shaft, the scrotum, and the public and inguinal areas. ⋯ This site is extremely rare (we know of 24 cases described) but seems to metastasis widely. Surgery is the best treatment option in these cases, and must be aggressive, considering the particular biological behaviour of BCC of the genital region.
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Scand J Plast Recons · Sep 2001
Randomized Controlled Trial Clinical TrialRole of pre-emptive analgesia in reduction mammaplasty.
Pre-emptive analgesia is an antinociceptive treatment that prevents altered central excitability from high intensity noxious stimuli. The aim of this study was to evaluate the efficacy of pre-emptive analgesia in patients due to have elective breast reduction that usually requires drugs for postoperative pain control. ⋯ Analgesic requirements were recorded. There was a statistically significant difference between groups in the amount of additional pain control required during the early postoperative period, which suggests that pre-emptive analgesia reduces pain after reduction mammaplasty.
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Scand J Plast Recons · Sep 2000
Case ReportsIsolated tuberculous tenosynovitis of the flexor tendon of the fourth finger of the hand. Case report.
A 21-year-old woman presented with a painful swelling of her palm which prevented her from fully extending her fourth finger. Magnetic resonance imaging showed synovial thickening around the flexor tendon and fluid in the tendon sheath. The mass was excised and histopathological examination showed tuberculosis. She had a six-month course of antituberculous treatment and was perfectly well three years later.