Acta Chirurgiae Plasticae

The hand is a unique structure in human body performing complex activities of daily life making it prone to injuries. While operating on zone VI extensor tendon injury, a surprising entity was observed. The extensor digitorum to the right index finger was absent. This is an extremely rare entity in the literature. Also, all previous studies on the extensor digitorum are cadaveric. Our findings are first of its kind intraoperative, incidental, and confirmed on MRI. Thus, it becomes a case report of special worth mentioning in literature.

Surendrakumar B. Patil

Sukhen Doshi

Mayank Bhasin

An extremely rare case of absent extensor digitorum communis of the right index finger

右食指指总伸肌缺失的极其罕见病例

Smoking poses a risk to flap viability, with nicotine being a major contributor to the formation of free radicals. Allopurinol, known for its antioxidant properties, has been shown to enhance tissue survival in ischemic conditions by reducing the production of reactive oxygen species (ROS). This study aims to assess the impact of allopurinol on the viability and success of skin flaps in Wistar rats exposed to nicotine.

Indah Gitaswari

Agus Roy Rusly Hariantana Hamid

I Gusti Putu Hendra Sanjaya

Gede Wara Samsarga

Anak Agung Wiradewi Lestari

I Wayan Niryana

I Made Darmajaya

Systemic allopurinol administration reduces malondialdehyde, interleukin 6, tumor necrosis factor α, and increases vascular endothelial growth factor in random flap Wistar rats exposed to nicotine

系统性别嘌呤醇给药可降低尼古丁暴露的随机皮瓣Wistar大鼠的丙二醛、白细胞介素6、肿瘤坏死因子α，并增加血管内皮生长因子

Skin malignancy is one of the most common reasons for seeking out a plastic surgery clinic. This article presents an overview of the therapeutic results at Department of Plastic and Aesthetic Surgery Brno and includes an algorithm according to which we proceed in the treatment of patients with skin malignancy.

Iveta Ferkodičová

Zdeněk Dvořák

Karolína Svobodová

Tomáš Výška

Pavel Novák

Igor Stupka

Zdeněk Bednařík

Algorithm of skin malignancies therapy at Department of Plastic and Aesthetic Surgery in Brno and achieved results

布尔诺整形与美容外科皮肤恶性肿瘤治疗算法及取得的结果

Isolated musculocutaneous nerve injuries occur rarely due to their anatomical location. We present our patient with a musculocutaneous nerve injury in a motorcyclist.

Adam Hora

Michal Makeľ

Adam Whitley

David Kachlík

Radek Kaiser

Isolated musculocutaneous nerve injury in a motorcyclist – a case report

摩托车手孤立性肌皮神经损伤——病例报告

Reconstruction of large soft tissue foot defects were considered a difficult issue due to weight-bearing function of the foot. The reconstruction becomes more difficult when both plantar and dorsal soft tissues are involved. The options for the reconstruction were variable, in 2016 Hao Wu et al. presented a combined flap for coverage of combined fore-foot plantar and dorsal soft tissue defects. We used combined flaps in two cases and present our experience in this article.

Amr El-Sayed

Waleed Riad Saleh

Yasser Farouk Ragheb

Abdul Aziz Moncef

Alhussein Ahmed

Free medial plantar flap connection with a posterior tibial artery flap and its modification for combined dorsal and plantar foot defects – two case reports

自由足底内侧皮瓣与胫后动脉皮瓣联合修复足背及足底复合缺损的改良术式——两例报告

Maxime De Fré

Aadil Khan

Theodore Nanidis

Francesca Ruccia

Registrar-to-registrar insights – essential tips for aspiring microsurgeons on early independent DIEP flap reconstructions

注册机构间的见解——有志于显微外科的医生在早期独立进行DIEP皮瓣重建的关键提示

Successful engraftment of skin grafts highly depends on the quality of the wound bed. Good quality of blood vessels near the surface is critical to support the viability of the graft. Ischemic, irradiated scar tissue, bone and tendons will not have the sufficient blood supply. In such situations flaps are to be resorted. However, the flaps also need to have good vascularity over the limbs. The introduction of dermal substitutes has provided a novel method for repairing various severe skin defects. These substitutes act as dermal regenerative templates, which facilitate dermal reconstruction and regeneration. This study was done to ascertain the effectiveness of these substitutes in the treatment of complex wounds. Between January 2022 and June 2023, 20 patients who had complex wounds, which could not be treated with simple skin grafting and who were treated with collagen and elastin matrix and split skin grafting (SSG) were retrospectively studied. The percentage of SSG take as per the records was noted at a 10-day post-operative period. Patient characteristics, comorbidities, duration and outcomes of the treatment were noted. Twenty patients were included in the study. The minimum size of the ulcer was 5 × 4 cm (area of 20 cm2) and the maximum size of the ulcer was 15 × 15 cm (225 cm2). Average take of skin graft was 93.7% at 10th post-operative day. Recurrence at 6 months was nil. The scar quality was assessed by patient and observer at 3 months and 6 months post-operatively. The lower-limb ulcers with compromised surrounding tissue are complex. The major goal in these cases is to do simple surgery and prevent recurrence. The collagen and elastin matrices provide structural support for cellular infiltration, which helps maximize a SSG take and a stable long-term scar.

K N Manjunath

V Nisarga

M S Venkatesh

Parasuramulu Sanmathi

Shivalingappa Shanthkumar

Efficacy of collagen and elastin matrix in the treatment of complex lower extremity wounds

胶原蛋白和弹性蛋白基质在治疗复杂下肢伤口中的疗效

Julia Bartková

Christos Tsagkaris

Bohumil Bakalář

From pixels to pain relief – virtual reality’s therapeutic landscape in burn care

从像素到缓解疼痛——虚拟现实在烧伤护理中的治疗前景

Introduction: The aim of this study was to assess the long-term impact and potential effectiveness of our specialized acellular dermal matrix (ADM) in a two-stage breast reconstruction process. Objective: Opinions regarding the use of ADMs are currently divided. While their positive contribution to reconstructive breast surgery is evident, the results of studies vary depending on specific procedures, patient selection, and techniques employed. Material and methods: In a retrospective study conducted between January 2015 and October 2023, it was examined a cohort of patients who underwent delayed two-stage breast reconstruction with the addition of ADM prepared by Central Tissue Bank (CTB) the Burn and Reconstructive Surgery Department University Hospital Ružinov. Our primary focus was on the occurrence of significant postoperative complications during both the initial and subsequent reconstruction periods, taking into account patients’ medical history, comorbidities, and adjuvant therapy. Results: We examined a total of 46 patients (49 breasts) who underwent two-stage breast reconstruction. The average age of the patients was 46 and the average BMI was 23.1. The average length of outpatient follow-up for female patients was 32 months. We observed a total of 4 cases of capsular contracture, ranging from grade I to grade III, with 2 cases requiring surgical revision through capsulotomy and implant exchange. Postoperative complications, such as infection and dehiscence leading to expander/implant loss, occurred in one case. The occurrence of seroma was noted in 3 cases. Complications were more frequently observed in the group of patients with post-radiation chest changes and comorbidities such as diabetes or hypertension, and in patients with a lower BMI than the group’s average (23.1). In the group of patients who were smokers, we did not observe an increased rate of complications, with the exception of wound dehiscence in cases where there was no expander exposure. Conclusion: In experienced hands, ADM prepared by CTB and used in delayed two-stage breast reconstruction, can be beneficial as an adjunct to prosthetic breast reconstruction while also reducing costs.

Martina Chotárová

Dominika Mitevová

Filip Čaniga

Rastislav Trška

Drahomír Palenčár

Delayed two stage breast reconstruction with acellular dermal matrix

使用脱细胞真皮基质进行延迟两阶段乳房再造

Filip Raška

Lukáš Vacek

Břetislav Lipový

High-voltage electrotrauma – unmasking the threat of early anaerobic infection

高压电创伤——揭示早期厌氧感染的威胁

ISSN	0001-5423, 1805-4404
h-index	21

Publication Information	Publisher: Galen Prague，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1959，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%

Acta Chirurgiae Plasticae

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