American Journal of Surgical Research and Reviews


FACIAL FAT GRAFTING IN RECONSTRUCTIVE MAXILLOFACIAL SURGERY

Research Article of American Journal of Surgical Research and Reviews Facial Fat Grafting in reconstructive maxillofacial surgery Luigi Clauser, MD, DMD1*, Floria Bertolini, MD2 1Unit of Maxillo-Facial Surgery, Istituto Stomatologico Italiano, 20122 Milano, Italy. 2Dermatological Clinic, Scrovegni Med.Srl, 35131 Padova, Italy. Aim: Facial Fat Grafting(FFG) was first described in the early 20th century but for many years remained a relatively underused technique due to the unreliability of long-term volume expansion and retention. FFG was initially used as a technique to improve facial aesthetics. Over the years the technique  has evolved into more complex reconstructive and regenerative procedures and new clinical applications. Methods: In the last two decades the indications of FFG have been extended into cranio-maxillofacial reconstructive surgery. This includes post-traumatic soft tissue defects,  aesthetics,congenital and other postsurgical volume deficits. Results: While several approaches were suggested for fat harvesting and grafting, the results were rather unsatisfactory due to the degeneration of many adipocytes that occurred during these manipulations. The technique of autologous fat transfer has then been perfectioned becoming an augmentation-regenerative process that can be used to treat a wide range of difficult and challenging reconstructive problems. The procedure  described herein has been performed in different patients with various pathology sequelae with sactisfactory morpho-aesthetic results and a low complication rate. Conclusion: FFG can be used in any facial area where is lack,of soft tissue or where there is scarring,producing natural and long-lasting results. Mesenchymal stem cells represent a great tool in regenerative medicine because of their ability to differentiate into a variety of specialized cells. However more definitive studies are still needed in order to answer specific questions regarding the best technique to be used and the role of ADSC’s.Clinical cases with volume paucity or deficiencies are presented with a long-term outcome in augmentation and regeneration. Keywords: Facial fat grafting; ...

SHORTTERM FOLLOW UP OF EVLA: COMPLICATIONS AND MANAGEMENTS, A SINGLE CENTER EXPERIENCE OF BANGLADESH

Research Article of American Journal of Surgical Research and Reviews SHORTTERM FOLLOW UP OF EVLA: COMPLICATIONS AND MANAGEMENTS, A SINGLE CENTER EXPERIENCE OF BANGLADESH Shantonu Kumar Ghosh, MS (CV&TS), Fellowship in vascular surgery1*, Md Mokhlesur Rahman, MS (CV&TS), Fellowship in vascular surgery1, Sultan Mahmud, MS (CV&TS)1, Md Mushfiqur Rahman, MS (CV&TS)1, Sarif Shammirul Alam, Diploma in Anesthesiology2, Alpana Majumder, Fellowship Trainee in Field Epidemiology3, Md Moynul Islam, Trainee in CVS1, SM Minhajul Hasan Chowdhury, MS (CV&TS)1, Md Shamim Reza, MS (CV&TS)1 1Department of Vascular Surgery, 2Department of Anesthesiology, National Institute of Cardiovascular Diseases, Sher-e-Bangla Nagar, Dhaka, Bangladesh. 3Institute of Epidemiology, Disease Control and Research, Mohakhali, Dhaka, Bangladesh. Dodd and Cockett defined varicose veins, saying “a varicose vein is one which has permanently lost its valvular efficiency.” [1] Varicose veins constitute a progressive disease, remission of the disease does not occur, except after pregnancy and delivery. [2] The first documented reference of varicose veins was found as illustrations on Ebers Papyrus dated 1550 B.C. in Athens. [3]Greek philosopher Hippocrates (460-377 B.C.) described the use of compressive bandages and was advisor of small punctures in varicose veins. First patient who underwent operation for his varicose vein appears to be Canus Marius, the Roman tyrant. Giovanni Rima (1777-1843) introduced mid thigh ligation of the saphenous vein. Ligation of the sapheno-femoral junction as it is practiced today was first described by John Homans in his paper in 1916. [2] The Mayo Brothers, postulating that there would be additional benefit in removing the saphenous vein, pursued excision of the GSV through an incision extending from the groin to below the knee. The final technologic leap was introduction of the intraluminal stripper by Babcock. [2] In the era of minimally invasive surgery, the first documented case of Endovenous Laser Ablasion was published in 1999 using 810 ...

COEXISTENCE OF FIVE TYPES OF INTRACRANIAL HEMORRHAGIC LESIONS AFTER BRAIN INJURY IN A YOUNG ADULT

Case Report of American Journal of Surgical Research and Reviews Coexistence of five types of intracranial hemorrhagic lesions after brain injury in a young adult Diop Abdoulaye1*, Yves Arbara2, Momar Code Ba3, Seydou Boubacar Badiane3 1Neurosurgery unit at the regional hospital center of Ziguinchor, Senegal. 2Radiology Department of the Ziguinchor regional hospital center, Senegal. 3Neurosurgery Department of the FANN Teaching Hospital Center, Senegal. Posttraumatic intracranial hemorrhage is an entity frequently encountered in neurosurgical daily practice. These haemorrhagic lesions are classified according to their location as: extradural haematoma, acute subdural haematoma, intraparenchymal haemorrhage, subarachnoid haemorrhage and contusion. A brain scan is the key examination for the diagnosis. The simultaneous presence of these hemorrhagic lesions in a single traumatic brain injury is rare. We are reporting an unusual case of a 24-year-old who suffered from a brain injury due to road traffic accident, and whose brain CT scan showed five types of post-traumatic intracranial lesions. He benefitted from medical treatment and neurological surveillance. The evolution was favorable with a setback of the signs of intracranial hypertension. The follow-up brain CT scan performed one month after the trauma showed a complete resorption of the lesions. Keywords: Intracranial hemorrhagic lesions; Traumatic brain injury; Brain CT scan; Young adult ...

INCISIONAL HERNIA IN PREGNANCY A SILENT BUT POTENTIAL FATALITY – CASE REPORT

Case Report of American Journal of Surgical Research and Reviews INCISIONAL HERNIA IN PREGNANCY A SILENT BUT POTENTIAL FATALITY - CASE REPORT Jombo SE*1, Emejulu CI 2, Obi RA1, Onwusulu DN1, Iloh AA2, Ilikannu SO1 1Department of Obstetrics and Gynaecology, FMC, Asaba 2General Surgery Unit,   Department of Surgery, FMC, Asaba. Rupture of incisional hernia, with consequent emergency laparotomy and repair, is an uncommon complication of pregnancy. The risk to the mother and baby is enormous. We present an un-booked 29 year old G4P2+1 (1- alive) with one previous caesarean section at 29 weeks of gestation. She had a huge anterior abdominal wall incisional hernia with gravid uterus as content. She was admitted on conservative management on account of abdominal pain and preterm contractions, but subsequently developed spontaneous rupture from an ulcer with bowel evisceration. She had emergency laparotomy and repair but unfortunately had unavoidable bowels injury as they were morbidly adherent to the anterior abdominal wall with injury necessitating resection and re-anastomosis with caesarean section. The neonate suffered early neonatal death. The presence of ulceration may be a predictor of adverse maternal and foetal outcome Keywords: Incisional hernia in pregnancy, ulceration, emergency laparotomy, bowel resection and anastomosis, caesarean section ...

Dr. Karol Szyluk
District Hospital of Orthopedics and Trauma Surgery. b41-940 Piekary Śląskie, Bytomska 62 str. POLAND

Dr. Can SARICA
Consultant (Neurosurgery), Adiyaman University School Of Medicine, Department Of Neurosurgery, Adiyaman

Dr. Pallavi Kamra
Pediatrician, Clinicas del Camino Real, Camarillo, CA

Dr. RAÚL GONZÁLEZ-GARCÍA
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Avenida de Elvas s/n, 06080, Badajoz (Spain)

Dr Amanjot Kaur Riar
Brigham and Women’s Hospital- Harvard Medical School, Department of Medicine, Harvard New Research Building USA

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1.Lima L.F.A., Santos G.A.S., Santana J.F, França L.C, Ramos L.V.S, Maia C.S.A Dentist Surgeon Conduct With Diabetic Patients.American Journal of Surgical Research and Reviews, 2018, 1:3 
2.Albuquerque, S.S.A, Santos, L.C.V, Souza, M.C.C, Carvalho, M.E.P.S, Accioly, C.C, Albuquerque, E.N.Perception and Expression of Emotions: Psychological Intervention With Hospitalized Patients With Diabetis in a Surgical Clinic.American Journal of Surgical Research and Reviews, 2018, 1:5 

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American Journal of Surgical Research and Reviews (ISSN:2637-5087; DOI:10.28933/AJSRR) is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Surgical Research and Reviews (Indexing information).

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American Journal of Surgical Research and Reviews

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