First experience of endoscopic implantation of tissue expanders in plastic and reconstructive surgery

Шаробаро, В. И.; Moroz, V.Y.; Starkov, Y.G.; Strekalovsky, V. P.

doi:10.1007/s00464-003-9049-1

Cited by 23 publications

(13 citation statements)

References 17 publications

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“…Hence, there have been efforts to locate the incision further away from the expander pocket, while preserving the benefits of operating under direct vision. Sharobaro et al (5) suggested creating the pocket and placing the expander through a distant, small incision under endoscopic vision. They were able to accomplish shorter expansion time, low complication rates, and excellent wound healing of primary and postreconstructive wounds, demonstrating the benfits of distant incision placement.…”

Section: Discussionmentioning

confidence: 99%

“…Insertion of a balloon expander via a remote incision and using endoscopic techniques for the placement of the expanders is one alternative that has been shown to decrease postoperative complications. A more recent study that investigated the endoscopic approach demonstrated reduced time of expansion, time of hospitalization and patient discomfort (5). However, the costs and technological requirements associated with this technique are significant, which is a limiting factor in its widespread adoption.…”

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confidence: 99%

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Distant blunt forceps dissection in tissue expander insertion: A novel technique

Weissman¹,

Hundeshagen²,

Bank³

2016

J Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Distant blunt forceps dissection in tissue expander insertion: A novel technique

Weissman¹,

Hundeshagen²,

Bank³

2016

J Plastic Surgery

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“…Therefore, we think this technique should be reserved for large, poor-quality burn alopecia. Recently, to overcome the drawbacks of scalp expansion surgery, various innovate techniques, such as supragaleal expansion, 22 sequential scalp expansion without interval, 23 endoscopic implantation of expanders, 24 and scalp expansion using self-filling osmotic tissue expanders, 25 have been introduced. We believe these new techniques can make scalp expansion surgery a more useful and reliable method for reconstruction of burn alopecia in the future.…”

Section: Annals Of Plastic Surgery • Volume 65 Number 3 September 2010mentioning

confidence: 99%

An Algorithmic Approach for Reconstruction of Burn Alopecia

Jeong¹,

Koo²,

Han³

et al. 2010

Annals of Plastic Surgery

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Although various methods for reconstruction of burn alopecia have been described in case reports and small case series, a comprehensive comparison of these methods has not been performed. The purpose of this study was to assess the appropriateness of the clinical indications for the various reconstructive methods for burn alopecia and suggest an algorithm for individualized reconstruction. A review of 83 patients who underwent reconstruction for burn alopecia between 1995 and 2007 was conducted. Demographics, associated injuries, preoperative findings, surgical techniques, and postoperative complications were collected. From these data, we classified reconstructive methods based on the area, the scar quality, and the location of the burn alopecia, and investigated the clinical outcomes. Reconstructive methods included hair grafting (n = 13), scalp reduction (n = 21), scalp extension (n = 14), and scalp expansion (n = 37). Hair grafting was mainly performed for reconstruction of small, good-quality burn alopecia located in the frontal or parietal area. Scalp reduction was primarily used in small or medium burn alopecia in which scar quality was good or moderate. Scalp extension was mainly performed for reconstruction of medium- and moderate-quality burn alopecia; scalp extension was particularly successful in the vertex region. Scalp expansion was the reconstructive procedure of choice for large, poor-quality burn alopecia. Twenty-eight (33.7%) patients experienced surgical complications and most of the complications were related to alloplastic implants used in scalp extension and expansion. The reconstructive method should be tailored to the conditions of the burn alopecia. Because scalp extension and expansion are associated with a high rate of complications, the authors recommend the use of these methods for large, poor-quality burn alopecia. On the other hand, hair grafting and scalp reduction are more appropriate treatment options for relatively small, good-quality burn alopecia.

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“…Die durchschnittliche Komplikationsrate bei Expanderimplantationen wird in der Literatur zwischen 5 und 39 %, vereinzelt bis zu 70% angegeben [11,14,26]. Typische Komplikationen bei konventioneller Technik der Expanderimplantation sind unter anderem Hämatombildung bei Nachblutung und Infektion des Expanders sowie Expanderleckage und Hautperforation [5,25].…”

Section: Diskussionunclassified

Der Einsatz des Ballondissektors in der Expanderchirurgie: Zehn Jahre Erfahrung in der plastischen und rekonstruktiven Chirurgie

Oestreich¹,

Flügel²,

Raab³

et al. 2006

Handchir Mikrochir plast Chir

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The use of the space maker is a scar-sparing technique. Time of operation and overall duration of expansion are reduced. Patient comfort is clearly improved. The negligible costs of a space maker are compensated by the cost reduction due to shorter operating time, fewer outpatient contacts and a low complication rate. The indications for the use of balloon dissectors are the expansion of skin (scar correction after burns, trauma, tumour), breast reconstruction and augmentation, and the prefabrication and rapid intraoperative expansion of musculocutaneous flaps.

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First experience of endoscopic implantation of tissue expanders in plastic and reconstructive surgery

Abstract: The advantages of the endoscopic implantation of tissue expanders are a reduction in expansion time, a shorter hospital stay, less patient discomfort, and the prevention of complications (hematoma, seroma, infection, wound dehiscence).

Cited by 23 publications

References 17 publications

Distant blunt forceps dissection in tissue expander insertion: A novel technique

Distant blunt forceps dissection in tissue expander insertion: A novel technique

An Algorithmic Approach for Reconstruction of Burn Alopecia

Der Einsatz des Ballondissektors in der Expanderchirurgie: Zehn Jahre Erfahrung in der plastischen und rekonstruktiven Chirurgie

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