complex renal artery aneurysm. ex vivo repair and reimplantation introduction: True incidence of renal artery aneurysms is unknown but it has been estimated to be around 1%. They are usually asymptomatic and diagnosed through imaging studies done for other medical reasons. Those that are more than 2 cm in diameter or any aneurysm in pregnant women should be treated because of an elevated risk of rupture. We present a case of a man with a complex 2.5 cm renal artery aneurysm, successfully treated with ex vivo repair and reimplantation by a multidisciplinary team.
Double DIEP flap for lower extremities reconstructionintroduction: A soft tissue defect considering the extent, location, depth and involved structures can be a complex task, leading to search for unusual reconstructive alternatives. case report: Puerperal woman, 21 years, previously healthy, admitted for septic shock and skin necrosis of both extremities secondary to purpura fulminans. Escharectomy was performed and the final defect was 27% of total body surface, corresponding to necrotic areas of both superior and lower extremities. Is remarkable the presence of musculocutaneous perforating vessels thrombosis and segmental muscular necrosis in legs and interosseous muscles necrosis in hands. In upper extremity coverage was performed with dermoepidermal grafts. To cover peroneal malleolus and feet dorsum, whereas there were no regional or local alternatives, we realize a double DIEP flap. Flap elevation of bilateral DIEP flap was performed simultaneously for two surgical teams. The patient had no complications and was discharged with complete soft tissue coverage.key words: Double DIEP flap, lower limb reconstruction, microsurgery.
Experience using turn over fl ap in patients at the Hospital del Trabajador de Santiago: a valid alternative Background: The plastic surgeon is frequently faced with need of choosing from a variety of local and distant fl aps for the coverage of diffi cult wounds. In 1981, Thatte described a local fl ap consisting in a random pattern deepithelialized fl ap adjacent to the lesion rotated in 180° with a dermoepidermal graft to cover the fl ap and donating zone. Objective: To present the experience of the Plastic Surgery and Burns Unit of the Hospital del Trabajador de Santiago with the use of this fl ap. Material: Retrospective study of 16 Turn Over fl aps in 15 patients. Results: The complications recorded were 1 case of graft loss and 2 partial lost of the fl ap. We didn't observe complications directly related to the fl ap. Conclusions: This type of fl ap is another therapeutic alternative in certain cases. Rate Base: Length = 1:2 is appropriate to ensure irrigation.
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