China
Africa
Explore chapters and articles related to this topic
Breast Thermography
Published in James Stewart Campbell, M. Nathaniel Mead, Human Medical Thermography, 2023
James Stewart Campbell, M. Nathaniel Mead
Surgical procedures for reduction mammoplasty involve transplanting the areola and nipple for a better appearance post-surgery. If the nerves to the nipple and areola are not carefully preserved during surgery, these areas will have no sympathetic fibers to initiate vasoconstriction. The denervated areolae and nipples will remain warm (Figure 9.26). More advanced plastic surgery techniques now preserve the areolar nerves, retaining the nipple vasoconstriction reflex. An alternative procedure is to remove the areola and nipple completely, tattooing faux areolae on the breast and constructing “nipples” by bunching skin with a special suture technique. The tattoos, once healed, generally cannot be visualized in thermographic images.
Topical negative-pressure wound therapy: emerging devices and techniques
Published in Expert Review of Medical Devices, 2020
Raymund E. Horch, Ingo Ludolph, Wibke Müller-Seubert, Katharina Zetzmann, Theresa Hauck, Andreas Arkudas, Alexander Geierlehner
Apart from the abovementioned NPWT applications, multiple other fields of application for different wound situations almost independent of the anatomic location are described. The recent development of portable negative-pressure dressings such as the PICO (Smith and Nephew Medical Ltd) or the Nanova (KCI) enables an extension of NPWT applications to the outpatient setting [95]. Such a single-use NPWT system consists of a small portable and light weight pump without an exudate canister [95]. It can be used for open and closed small to medium-sized wounds with low or moderate levels of exudate. A recently published randomized controlled trial showed lower wound infection rates and fewer cases of wound dehiscence using the PICO system compared to standard postoperative wound care after bilateral breast reduction mammoplasty [96].
TIGR matrix for implant-based breast reconstruction – a long-term resorbable mesh
Published in Expert Review of Medical Devices, 2018
Giulio Cuffolo, Nicholas C Holford, Kaiyumars Contractor, Alexandra Tenovici
The study was retrospective in design and included two secondary reconstructions and six reduction mammoplasties with the results. Their results are not reported according to procedure performed as only a cumulative incidence is given. The reduction mammoplasty does not incorporate an implant and would be expected to have a lower risk of complications, potentially diluting the outcomes for implant reconstruction. The planned follow-up period was not achieved and though no patients were lost to follow-up, the follow-up period ranged from 0 to 43 months, raising the possibility that patients with complications within 3 months of surgery could have been missed.
Negative-pressure wound therapy – does it lower the risk of complications with closed wounds following breast surgery?
Published in Expert Review of Medical Devices, 2020
This was a prospective randomized controlled comparative study that included 32 patients. The patients were all undergoing a bilateral superomedial pedicle Wise-pattern breast reduction mammoplasty based at a single center. Exclusion criteria included any known medical condition that would impact wound healing including radiotherapy, keloid formation, or use of steroids.