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Advanced autologous tissue flaps for whole breast reconstruction
Published in Steven J. Kronowitz, John R. Benson, Maurizio B. Nava, Oncoplastic and Reconstructive Management of the Breast, 2020
Steven J. Kronowitz, John R. Benson, Maurizio B. Nava
All patients undergo vascular imaging with magnetic resonance angiography or computerized tomographic angiography. Imaging is essential for planning this procedure because it is extremely important to know exactly where the primary perforator enters the flap. This point (or points) is designated by coordinates determined by the radiologist and confirmed by reviewing the imaging study. The coordinates of the perforators are established according to specific landmarks. The main perforators are identified in their vertical orientation by their distance caudal to the most inferior point of the infra-gluteal crease. Its distance from the midline establishes the perforator’s horizontal orientation. This gives the surgeon two points of reference. With the patient prone, these points can be located with a tape measure and marked. The marked points of the perforators are then confirmed with a Doppler signal.
Breast
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
The skin paddle is orientated transversely over the upper part of the muscle in the proximal third of the medial thigh; the anterior extent ends before the long saphenous vein whilst posteriorly it can go to the middle of the gluteal crease.
Neurogenic bladder
Published in Brice Antao, S Irish Michael, Anthony Lander, S Rothenberg MD Steven, Succeeding in Paediatric Surgery Examinations, 2017
From the list above, choose the most likely pathophysiological mechanism for the clinical presentations outlined below. Each choice may be used once, more than once, or not at all. A 5-year-old child presenting with a history of diurnal urgency and frequency, constipation and asymmetrical gluteal crease.A 10-year-old child presenting with incontinence of urine following encephalomyelitis.
Helix Thigh Lift. A Novel Approach to Severe Deformities in Massive Weight Loss Patients
Published in Journal of Investigative Surgery, 2022
Luigi Losco, Ana Claudia Roxo, Carlos Weck Roxo, Alessandro de Sire, Alberto Bolletta, Roberto Cuomo, Luca Grimaldi, Emanuele Cigna, Carlos del Pino Roxo
The gluteal crease was marked; that was the uppermost extent of the excised tissue. The caudal extent of tissue resection was the middle transverse thigh fold. The marked saddlebag was pinched to simulate skin closure with no undermining. The surgical markings were tapered upwards over the anterolateral region of the thigh in order to obtain a tension-free wound closure while achieving a pleasing contour with a fold-targeted excision. On the medial aspect, a pinch test was used to assess the amount of skin excess. The pinching maneuver outlined the direction to connect the anterior to posterior markings. The anterior medial excision was tapered toward, but did not reach the inguinal crease (it stopped about 2–3 cm distally) (Figures 1 and 2 and see Video, Supplemental Digital Content 1, in which the senior author outlines the surgical markings of a helix thigh lift, and the intraoperative key steps are shown.).
Prevention of Fat Embolism in Fat Injection for Gluteal Augmentation, Anatomic Study in Fresh Cadavers
Published in Journal of Investigative Surgery, 2018
Guillermo Ramos-Gallardo, David Orozco-Rentería, Pablo Medina-Zamora, Eduardo Mota-Fonseca, Leonel García-Benavides, Jesus Cuenca-Pardo, Livia Contreras-Bulnes, Ana Rosa Ambriz-Plasencia, Jesus Aaron Curiel-Beltran
An evaluation of an ideal buttocks should consider the relationship with the hip, the legs, and the lower back. A ratio of 0.65 between the hip and the waist should be proposed in the anterior view. In the lateral view, a prominent gluteal crease should be used [17, 18]. We should keep in mind that liposuction or any plastic surgery procedure is not a substitute for a healthy lifestyle. We know that there is some benefit to metabolism, but if we do not discuss thisbenefit with patients, they are at risk to suffer from chronic metabolic diseases [19].