Background
Thoracodorsal artery perforator (TDAP) flap and muscle‐sparing latissimus dorsi (MSLD) flap have been frequently used for axillary coverage after hidradenitis suppurativa (HS) excision. However, none showed superiority to others. This study compared both flaps to define the ideal option, highlighting flap outcomes and functional and aesthetic results.
Methods
A retrospective study was conducted to compare both flaps that were used for axillary reconstruction in nine patients with bilateral HS Hurley stage III between 2017 and 2020. Eight TDAP and 10 MSLD flaps underwent functional evaluation using shoulder abduction angle (SA); the Disabilities of the Arm, Shoulder, and Hand (DASH) score; visual analog scale (VAS) for pain; and the Dermatology Life Quality Index (DLQI) questionnaires. Aesthetic assessment included the Scar Cosmesis Assessment and Rating (SCAR) scale and arm–chest interval.
Results
The mean operating time was 194.4 ± 51.58 and 128.5 ± 31.45 min for TDAP and MSLD (p = .009), respectively. Flap complications were significantly higher in the TDAP group (p = .034). There was no significant difference between both groups regarding SA; DASH, DLQI, VAS, and SCAR scale (p > .05). The mean arm–chest interval was significantly longer in the MSLD than in the TDAP group by 6.9 mm (p = .001).
Conclusions
TDAP and MSLD are comparable versatile flaps to eradicate axillary HS with higher TDAP flap complications. Although the TDAP flap is less bulky than the MSLD flap, the MSLD flap shortens the harvesting time without a significant difference in functional outcomes and scar results.
Background: Reduction mammoplasty is one of the most commonly performed procedures in plastic surgery. Women who performed breast reduction gains relief of the symptoms associated with mammary hypertrophy and obtain good body image. The inferior pedicle Wise pattern reduction is the most common breast reduction technique. The new breast is made by stretching the skin over the parenchyma.Objective: Assessment of inferior pedicle technique was made after management large ptotic breasts.Patients and Methods: Between June 2012 and March 2017, a total of 21 patients with bilateral large ptotic breasts underwent inferior pedicle technique. Preoperatively, we measured for each patient her height, weight and body mass index (BMI) also the sternal notch-to-nipple distance.
Results:The mean age of the participants was 28 years (range: 22-45). Average height was 155.2cm, average weight was 66.4kg and the average BMI was 27.5kg/m 2 . In Egypt, women expressed bra size in numbers. The number size of bra decreased from 4-10 numbers down postoperatively (mean number: 6). These numbers were mainly subjective as many patients were not adequately evaluated for bra fitting. Reduction of up to 1500 g per side was achieved. The amount of tissue removed was between 800 and 1500g per side in all patients (mean 950 gram). The mean surgical time was about 180 minutes.
Conclusion:Inferior pedicle technique with some technical refinements was proven to be an excellent technique for breast reduction of large and ptotic breasts.
The purpose of this study was to compare the clinical outcomes of BPTB ACL reconstruction using the AMP or the TT technique for the femoral tunnel drilling. A Medline search was not ableto recognize any examination legitimately contrasting the clinical results of the AMP and the TT methods. The writing search distinguished test examines distributed from 1966 to March 2009 where in any event one gathering went through arthroscopic autologous BPTB ACLreconstructions utilizing either the AMP or the TT procedure for the femoral passage drilling.Twenty-one examinations, including a sum of 859 patients (257in the AMP and 602 in the TT gathering), were remembered for this investigation. The AMP bunch exhibited altogether before re-visitation of run and fundamentally more prominent scope of movement, Lachman test esteems, and KT-1000 arthrometer estimations. The utilization of the AMP evoked more noteworthy knee dependability and scope of movement esteems, and prior re-visitation of run contrasted with the TT technique.These results may show a likely advantage of the AMP over the TT strategy. Notwithstanding, as the advantages of the AMP were not gotten in the mid and long haul subsequent meet-ups, generally there is no authoritative proof now to infer that one procedure is better than the other. Randomized controlled preliminaries legitimately contrasting the utilization of the two procedures and long haul subsequent meet -ups will help explain which one, ifany, gives best clinical results.
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