Acta Chirurgiae Plasticae

Inset Techniques for the DIEP Flap: What Improves Aesthetic Outcomes?

2023-12-02T11:05:08+00:00

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The Top 10 AI Tools for Academic Surgeons Right Now

2024-02-07T03:26:37+00:00

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The development of aesthetic surgery in the Czech Republic: the situation before the Covid pandemic, during the pandemic, and expected changes in the practice of aesthetic surgery in the post-Covid period

2023-09-21T08:34:12+00:00

Coronavirus (COVID-19) was first reported in December 2019 in Wuhan, China. The rapid and initially "invisible" spread of the virus has led to many changes and reactions, including in the medical and healthcare fields. There has been a gradual postponement of surgical procedures in the health sector, and many other measures have been taken to lighten the health system. However, in the context of these changes, it is not entirely clear how this situation has affected the aesthetic industry. In the Czech Republic, the aesthetic sector was subject to different measures and restrictions than other health sectors. Thus, this study focused on aesthetic surgery in the Czech Republic as a model representative to understand how the pandemic has affected or influenced this sector. The research findings are based on an online questionnaire survey, and some of the results are supported by statements from in-depth qualitative interviews with aesthetic surgeons conducted after the pandemic. The study aimed to map the situation among Czech aesthetic surgeons/surgeons and their professional careers before the pandemic, the changes in their professional life within the set scenario during the pandemic, the expected changes after the pandemic measures, and a current look back at the whole situation.

Reports on Vascular Catheter-associated Thromboembolic Events in a Burn Unit: a gap in the literature?

2023-12-11T22:13:02+00:00

Indwelling intravascular catheters are important tools in the care of critically ill patients, however they have an inherent risk of infection or thromboembolic events. Reports on catheter associated thromboembolic events in Burn Units are rare, despite it is well recognized that burn patients bear an increased baseline risk for thromboembolic events.

We describe two catheter-associated thromboembolic complications in burn patients in a Burn Unit and the morbidity associated with these events.

Patients with endovascular catheters in Burn Units may be at increased risk for severe thromboembolic events associated with intravascular catheters, but specific guidelines for prevention and management of these patients are still missing.

Congenital isolated juvenile xanthogranuloma of the sole: unique case report in a newborn

2023-11-10T11:17:25+00:00

Background:

JXG (Juvenile Xanthogranuloma) is a rare, benign non-LC (Langerhans cell) histiocytosis that primarily affects the skin, with only occasional extracutaneous manifestations. These lesions usually appear during early childhood and tend to resolve on their own without any treatment.

Case Summary:

This paper describes a case of a child diagnosed with a solitary juvenile xanthogranuloma on the sole of their foot, which gradually increased in size. The biopsy revealed diffuse sheets of histiocytes in the dermis admixed with lymphocytes, eosinophils, and Touton giant cells consistent with JXG. Initially, a wait-and-see approach was taken, but as the lesion did not resolve and began to impact the child's mobility, it required surgical excision.

Conclusion:

While congenital juvenile xanthogranuloma typically resolves spontaneously and does not require surgical intervention, exceptions may arise, such as in this case where functional impairment was present.

Double right triangular shape full-thickness skin grafts technique for short rectangular or square shape donor site defect.

2024-01-01T16:39:09+00:00

Full-thickness skin grafts are essential tools for reconstructive surgery. Rectangular or square secondary defect usually occurs after performing a cross finger flap or homodigital island flap. With the traditional fusiform ellipse design, trimming out the excess graft tissue is necessary. Double right triangular shape full-thickness skin grafts are designed to correct the problem.