Reconstructive Surgery - Science topic

i'm interested in the results of reconstructive surgery of the perineum post-trauma (obstetrical and rape).

Globally, the results reported in studies are encouraging, especially good anovulvar reconstruction (anatomic) and fecal continence. however, in most of the studies they are subjective...... Is there a standard tool for assessing these two components?

Dear all,

I am currently searching for a topic to write my thesis on but to no avail. Preferably I would like the argument to be centered around plastics and reconstructive surgery since it is a specialty I would like to pursue after medical school.

The topics that interest me the most in plastic and reconstructive surgery are :

- Wound healing

- Vascularised Composite grafts

- Craniofacial surgery

Regarding these topics, I would like to know what within these arguments are trending questions.

Among children sufering from aero-disgestive conditions, it is incresasingly common to use surgical procedures as a treatment. My review of the literature is that the population is unclear. Do you have better sources than I've been able to find?

Surgeons who treat patients with vulvar malignancy should be aware of the serious defect (Fig) following radical vulvectomy, which need immediate reconstruction.

Numerous vascularized flaps have been designed and validated for obliterating the dead space and closing the vulvoperineal skin defect. But the reconstructive surgery with flaps is somewhat like a way that rob Peter to pay Paul.

I had systematically searched the relevant articles in Pubmed with the search strategy and selection criteria “vulvar malignancies”; “vulva”, “vulvar”, “vulval”;“vulvectomy” ; “vulvar reconstruction” combined with“vulvovaginal reconstruction”; “quality of life”, no paper regarding the procedure of vulvar transplantation was found.

Is it possible to perform allogeneic vulvar transplantation with anastomosis of the internal pudendal artery aiming at recovering an acceptable cosmetic appearance.

Thank you for your attention.

A 17 year old male presented with psychotic symptoms, trichotillomania and intellectual disability and likely FASD . On routine CT scan he was found to have a large fibro- osseous growth extending from the pterigoid process , sphenoid sinus to zygomatic bone, which was asymptomatic. He also was born with atrial septal defect and had reconstructive surgery. What would be the etiopathology of such finding and what would be it’s prognosis.

A 59-yr-old male, a victim of an road traffic accident, sustained polytrauma, undergone multiple sessions of definitive and reconstructive surgeries and now waiting in the ward for another surgical session. One of his dehiscent wound is on continuous suction and causing a little pain. He can not sleep at night without introducing a Diclofenac suppository. He has to take about 400 suppositories within last 3 months! What is the explanation and remedies please?

Patients who do not fit the hearing aids and have bad results of reconstructive surgery and who want to test BAHA.

Hi,

I want to do experiment with splinted wound model in rats.

What kind of glue do  you use to stick silicone disks? Do these disks still on skin as long as 2 week?

Thank you.

Autologous bone grafts

Xenografts

Allografts

I have done microneedling for 19 years and I always apply vitamin A, C and E to the skin immediately after the treatment. I have never seen a reaction ever and my experience covers about 2000 personal cases and in excess 10,000 when including my associates using the same regime.   The product we use is Environ vitamin ACE Oil which has no added preservatives, colourants or perfumes.  This is the same oil as used by Zeitter et al in their research at Hannover Medical School to test needling skin at weekly intervals.   In their research the vitamin A,C E oil vastly increased the magnitude of the result.

Which of the following breast reconstruction flaps has the best outcome? TRAM flap, Muscle sparing free TRAM flap, DEIP free flap?

I would like to do renal doppler ultrasonography after abdominal insufflation with carbon dioxide but the hyperechoic gas inside the abdominal cavity makes this procedure impracticle. I would like to share the experience of anyone who has successfuly conducted intraoperative renal ultrasonography during laparascopy to overcome this problem.

Dr.Davoud Kazemi

Prune belly's babies survived with abdominal wall muscular weakness and disfigurement, and which age we can reconstruct their abdomen? and is it feasible to use mesh for strengthening of their muscles? and which type of mesh is suitable?  

Children with previous repair of hypospadias by skin graft will continue to suffer at adulthood from hairy and short urethra and penile bending during erection.

What is the best technique to resolve such problem

I am currently working on my thesis and I am looking for more detailed articles about the surgical procedures used in hands and fingers re-plantations.

An elderly woman who complained of progressive ulcero-nodular lesion eroding the lower palpebra and the palpebral conjunctiva.. Duration 5 years. No lymph nodes were palpable, hearing was good, no vertigo, no diabetes, mild hypertension was told.

This issue is very controversially or undiscussed at all in the pertinent literature. On the one hand this kind of surgery may last for hours, and on the other hand this prophylaxis is not commonly used in children. What is your approach and practical experience ?

I do a research on the subject so if anyone can help me i would be grateful! 

Tibial posterior transfer or nerve repair?

Nerve Gaps