El signo de Leser-Trélat es una erupción súbita y de veloz crecimiento de cuantiosas queratosis seborreicas secundarias a una neoplasia interna. Estas pueden estar relacionadas con prurito y acantosis nigricans. Las neoplasias asociadas frecuentemente al signo de Leser-Trélat son los adenocarcinomas gástricos, de colon y mama, representado en menor cantidad por linfomas, carcinoma de células escamosas y malignidades hematológicas. Siendo el signo de Leser-Trélat una dermatosis paraneoplásica infrecuente, se presenta un caso de una paciente de 76 años con cáncer de mama avanzado asociado a este signo.
In this report, we present a rare case of solid silicone implant displacement to the contralateral side after aesthetic gluteal augmentation, a phenomenon that has never been reported before in the literature. A 29-year-old woman with a history of gluteal augmentation 9 months previously and soft tissue infection presented for a consultation due to 3 days of sudden progressive pain in the right gluteus with erythema and edema, without a history of trauma. Displacement of the left gluteal implant to the right gluteal pocket was shown by magnetic resonance imaging. Because the patient refused implant removal, the decision was made to perform capsulotomy, to reconstruct the gluteal pockets, and to preserve the implants. The patient showed a satisfactory early and late postoperative course. Possible causes of this complication include poor surgical technique, with insufficient tissue preservation to keep the pockets apart, and the presence of seroma or hematoma that favored an infectious process, thereby leading to deterioration of the dissected soft tissues with dehiscence of the wound favoring the displacement of the implant.
Microsurgery training is a compulsory requirement in most surgical residency programs around the world. The aim of this paper is based on the importance of microsurgery techniques as a fundamental tool in the development of complex procedures in diverse medical and surgical specialties. Moreover, microsurgery training requires, besides surgical skills, the development of dexterities regarding the use of magnification devices such as surgical loupes and microscope. These devices are expensive and frequently inaccessible tools. Additionally, lack of time, infrastructure, restricted access, and adequate equipment by the surgeons are important problems that must be addressed [2,3]. Nowadays, mobile devices like smartphones, laptops, and tablets have impacted industries such as engineering, metrology, telecommunications, agriculture, and health sciences, becoming an important tool for monitoring, learning, and clinical diagnosis, among others in the medical field [4,5]. The link between mobile devices' gadgets and high definition cameras with zoom enhances, illumination, and video recording has allowed their uses as magnification tools for microsurgery training [6-9]. Additionally, portable electronic devices (PEDs) have been used in the surgical field for scanning and mapping applications for flaps through near-infrared spectroscopy for the evaluation of the rate of intraoperative permeability. This has been helpful to the clinical practice of surgeons using these devices. We performed an exhaustive scientific literature review
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