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Overview

Abdominal wall reconstruction

Indications: • Trauma.• Tumour: Desmoid, Dermatofibrosarcoma protuberans.• Radiation.• Infection: Gas gangrene, ...

Abdominal wall reconstruction

Abdominal wall reconstruction   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
169 words

... wall reconstruction Indications: • Trauma . • Tumour: Desmoid , Dermatofibrosarcoma protuberans . • Radiation . • Infection: Gas gangrene , Necrotizing fasciitis . • Iatrogenic: Incisional hernia . • Congenital: Omphalocoele , Gastroshisis , Prune belly syndrome . Management of acute loss: After aggressive debridement, avoid closure under tension and avoid raising flaps acutely. Cover viscera with synthetic mesh. Objectives: Cover abdominal contents, prevent herniation and restore the appearance. When direct closure is not...

Abdominal wall reconstruction

Abdominal wall reconstruction  

Reference type:
Overview Page
Indications:• Trauma.• Tumour: Desmoid, Dermatofibrosarcoma protuberans.• Radiation.• Infection: Gas gangrene, Necrotizing fasciitis.• Iatrogenic: Incisional hernia.• Congenital: Omphalocoele, ...
Mesh

Mesh  

Reference type:
Overview Page
• Used for Abdominal wall reconstruction. Most commonly used as an inlay graft attached to the fascial edges. Also used retrorectus placing the mesh in the space between rectus abdominus ...
Incisional herniation

Incisional herniation   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
32 words

...herniation • Associated with infection, dehiscence, age, obesity, malnutrition, steroids. • Transverse incisions have the lowest rate of herniation. Lateral traction on the recti increases the protrusion. See Abdominal wall reconstruction...

Desmoid tumour

Desmoid tumour   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
65 words

...from the musculo-aponeurotic layers to the torso. • Usually females in 30–50s, often after pregnancy. • They are histologically benign, but locally invasive. • Treat by full thickness abdominal wall resection. • Even after aggressive surgery, local recurrence occurs in up to 40% of patients. • Adjuvant RT may reduce recurrence. See Abdominal wall reconstruction...

Prune belly syndrome

Prune belly syndrome   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
65 words

...belly syndrome Also called Eagle–Barrett syndrome. • Seen in newborn boys. • Get absent abdominal wall muscles, cryptorchism, and dilated urinary tract. • The muscle deficiency may be limited to one area. • The abdomen is wrinkled and with growth looks more like a pear. • Surgery is required to correct urogenital problems and muscle deficiency may require muscle flaps. See Abdominal reconstruction...

Gastroschisis

Gastroschisis   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
110 words

...closure if it doesn’t produce too high intra-abdominal pressure. Otherwise slowly close on Teflon sheets. See Abdominal wall reconstruction...

Rectus femoris flap

Rectus femoris flap   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
116 words

...third, 10 cm below ASIS. • A secondary supply is located 2 cm below the primary supply. Reconstruction: • Elevate through a lateral thigh incision. • After transposition, approximate vastus lateralis and medialis. • Good for reconstructing the lower abdominal wall. The tip reaches between the xiphoid and umbilicus. • The mutton chop flap is an extended rectus femoris myocutaneous flap. • Get slight weakness of knee extension. See Abdominal wall reconstruction . See Pressure sores...

Mesh

Mesh   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
96 words

...• Used for Abdominal wall reconstruction . Most commonly used as an inlay graft attached to the fascial edges. Also used retrorectus placing the mesh in the space between rectus abdominus and peritoneum. • Marlex: polypropylene. first used in the Vietnam War for open abdominal wounds. 100% extrusion rate with a graft over the mesh, but useful in the short term and less extrusion with flaps over the mesh. • Prolene: lower extrusion rate, but still around 40%. Greater pliability. • Gortex: fewer adhesions. • Vicryl: absorbed by 8 weeks. Provides...

Tensor fascia lata flap

Tensor fascia lata flap   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
129 words

...being the line, which joins the ASIS to the patella. Develop the plane between TFL and sartorius. Incise the medial border of the fascia and expose the pedicle. See Abdominal wall reconstruction...

Omphalocoele

Omphalocoele   Reference library

A-Z of Plastic Surgery

Reference type:
Subject Reference
Current Version:
2009
Subject:
Medicine and health, Surgery
Length:
97 words

...and chorion commonly contains liver and midgut. • The defect develops during the 6–12th week of gestation when the midgut passes out of the abdomen. Defects range from those around the umbilicus to those extending to the xiphoid and pubis. It is not a hernia. See Abdominal wall reconstruction , Gastroshisis...

Breast Cancer

Breast Cancer   Reference library

The Oxford Encyclopedia of Latinos and Latinas in the United States

Reference type:
Subject Reference
Current Version:
2005
Subject:
History, Regional and National History
Length:
2,703 words

...(760) 344-5019 www.cancerlinks.com/mujeres Gilda's Club Worldwide Support group and education (bilingual). (888) GILDA-4-U www.gildasclub.org Wellness Community Support groups, education, and other services (bilingual). (888) 793-WELL www.thewellnesscommunity.org gluteal, abdominal, or hip areas.) After local treatment and systemic therapy, the patient is followed for five years for continued remission (absence of cancer) or recurrence of cancer (in the soft tissue of the breast, scars, or other parts of the body). Research on breast cancer treatment...

Interpretation of Evidence

Interpretation of Evidence   Reference library

The Oxford Encyclopedia of Ancient Egypt

Reference type:
Subject Reference
Current Version:
2005

...idealization of the rulers, demonstrating an ideology-based opposition between royal and nonroyal (private). It appears to exist between the elite and nonelite, too. In Old Kingdom tomb scenes there are presented several physical deformities (varying from baldness to abdominal hernias), as well as transient and dangerous moments (fighting boatmen falling overboard into the water with lurking crocodiles). Yet in the scenes the seemingly immobile, watching tomb owner is never in danger. Even an opposition in degrees of danger between domestic and wild...

What Is a Mammal?

What Is a Mammal?   Reference library

The Encyclopedia of Mammals (3 ed.)

Reference type:
Subject Reference
Current Version:
2007
Subject:
Science and technology, Life Sciences
Length:
16,212 words
Illustration(s):
8

...shed by both ovaries into a double‐horned (bicornuate) uterus. There the developing embryo spends 12–28 days, gaining nourishment from its yolk sac and “uterine milk” secreted by glands in the uterine walls. The early embryo (blastocyst) rests in a shallow depression in the uterine wall, its vascular yolk sac (chorion) in contact with the slightly eroded wall of the mother's uterus. This point of contact allows limited diffusion between maternal and fetal blood and is called a chorio‐vitelline placenta (the chorio‐allantoic placenta in bandicoots is discussed...

United States of America

United States of America   Reference library

The Continuum Complete International Encyclopedia of Sexuality

Reference type:
Subject Reference
Current Version:
2010
Subject:
Social sciences, Society and culture
Length:
234,746 words
Illustration(s):
2

...dates from the late 19th century and Robert Abbe 's pioneering use of skin grafts for construction. • The surgical precursor to the current rectosigmoid vaginoplasty was reported in 1904 (Baldwin/Ann.Surg.) • Bogoras, a Russian surgeon, first used the tubed abdominal flap for phallic reconstruction in 1936 . • Throughout the early and middle 20th century, various behavioral scientists contributed to the descriptive literature. [By the late 1940s, pioneering endocrinologist and world-acclaimed “Father of Transsexualism,” Harry Benjamin , M.D., working in...

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