Background/Objectives: The DIEP flap is among the preferred techniques in autologous breast reconstruction due to better long-term outcomes, including higher satisfaction and more natural breast shape compared to implant-based breast reconstruction. With the rise in genetic testing, bilateral DIEP reconstructions are becoming more common, though they carry a higher risk of complications. This study aims to compare the risks between unilateral and bilateral procedures to improve surgical decision-making. Methods: A retrospective, single-center review was conducted on female patients who underwent DIEP flap breast reconstruction between January 2018 and May 2024. The study included patients with complete medical records and follow-up data, excluding those with incomplete records. Patient characteristics, operative details, and complications were thoroughly analyzed, with donor site complications assessed per patient and recipient site complications per breast. Results: During the study, 141 DIEP flaps were performed on 114 women, with 87 unilateral and 27 bilateral reconstructions. Age and BMI were similar between groups. However, chemotherapy was more common in the bilateral group (85% vs. 47%, p = 0.0011). Operative time was significantly longer in bilateral procedures (650 vs. 460 min, p < 0.0001). There were no statistically significant differences in recipient and donor site complications across groups. The hospital stay was significantly longer in the bilateral group (11 vs. 8.8 days, p = 0.024). Conclusions: Bilateral and unilateral DIEP flap breast reconstructions have similar complication and early take-back rates.
- Publikační typ
- časopisecké články MeSH
Onkologické ochorenie kože zostáva významným problémom verejného zdravia a predstavuje značnú záťaž pre systém zdravotnej starostlivosti na celom svete. Vzhľadom na vysokú mieru výskytu, ktorá neustále zvyšuje náklady na zdravotnú starostlivosť, existuje naliehavá potreba uprednostniť zlepšenie preventívnych programov zameraných na boj proti tomuto rastúcemu problému. Posilnenie preventívnych opatrení je prvoradé pri zmierňovaní záťaže, ktorú v systéme zdravotnej starostlivosti predstavuje onkologické ochorenie kože. Podporovaním povedomia o rizikových faktoroch, presadzovaním postupov včasnej detekcie a podporovaním správania bezpečného pred UV žiarením, umožňuje práve správna prevencia podniknúť proaktívne kroky na ochranu zdravia kože. Popisovaný prípad sa zaoberá 70-ročným pacientom prijatým k odstráneniu nádorovej lézie v nazálnom regione a následnú rekonštrukciu defektu posuvným V-Y lalokom k jeho uzatvoreniu.
Skin cancer remains a significant public health concern, imposing a substantial burden on healthcare systems worldwide. With its high incidence rates continuously driving up healthcare costs, there is a pressing need to prioritize the improvement of preventive programs dedicated to combating this growing problem. Enhancing preventive measures is paramount in alleviating the strain placed on healthcare systems by skin cancer. By promoting awareness of risk factors, advocating for early detection practices, and encouraging UV-safe behaviors, preventive initiatives empower individuals to take proactive steps in safeguarding their skin health. The case discusses a 70-years old patient who came for excision of cancerous lesion in the nasal area followed by reconstruction with V-Y advancement flap for closure of the defect.
- MeSH
- bazocelulární karcinom * chirurgie MeSH
- chirurgické laloky MeSH
- chirurgie nosu metody MeSH
- lidé MeSH
- mezioborová komunikace MeSH
- nádory kůže * chirurgie prevence a kontrola MeSH
- nádory nosu chirurgie MeSH
- senioři MeSH
- služby preventivní péče klasifikace metody MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- kazuistiky MeSH
Hidradenitis suppurativa (HS) je ťažko diagnostikovateľné ochorenie, ktoré často nereaguje na konvenčnú liečbu, čo spôsobuje, že terapia a manažment sú pre lekárov veľmi náročné. Možnosti liečby sa môžu líšiť v závislosti od štádia ochorenia. U každého pacienta sa doporučuje správna edukácia zahrňujúca možnosti konzervatívnej liečby, psychosociálnu podporu, možnosti tlmenia bolesti a ošetrenie supurujúcich prejavov s aplikáciou vhodného krytia. Zhľadiska minimalizácie recidív má svoje nezastupiteľné miesto chirurgická terapia a to v každom štádiu ochorenia. Multidisciplinárny prístup zahŕňajúci najmä dermatológa a plastického chirurga je kľúčom k rýchlej optimálnej kontrole ochorenia.
Hidradenitis suppurativa (HS) is difficult to diagnose and often refractory to conventional treatment which make its treatment and management very challenging for clinicians. The treatment option can vary according to the stage of the disease. For each patient, proper education is recommended, including options for conservative treatment, psychosocial support, options for pain relief, and treatment of suppurative manifestations with the application of appropriate wound coverage. To achieve minimal recurrence, surgical therapy has its place at every stage of the disease. A multidisciplinary approach including mainly dermatologist and plastic surgeon is key to prompt optimal disease control.
BACKGROUND: This study aims to pioneer in evaluating women's representation in plastic surgery innovations, focusing on mammary prosthesis devices' inventorship. Despite growing gender parity in the field, women's involvement in innovation remains underexplored. This is especially crucial, as the predominant recipients of these innovative technologies are women, urging a necessity for broader female engagement in pioneering surgical advancements. METHOD: Patents under the "A61F2/12: Mammary prostheses and implants" classification between the dates January 1, 2011, to December 31, 2020, were identified using Google Patents Advanced. Inclusion criteria included patents (not designs) in English and applications (not grants), with no litigation limitations. Data collected included ID, title, assignee (categorized as industry, academic, private, individual), inventors, and dates (priority, filing, and publication). Sex of inventors was identified with the literature validated gender API, with manual resolution of unresolved genders or with ga_accuracy scores of less than 75%. Data were analyzed using 2-tailed Student t tests, χ2 analysis, and Pearson correlation coefficient (significance set at P ≤ 0.05). RESULTS: Of the more than 130,000 plastic surgery patents in English identified between the 10-year period, 1355 were classified as A61F2/12. A total of 374 unique patents were included for analysis (841 duplicates were removed, and 140 patents were excluded because of non-English character author names). There was a significant increase in patents over the decade (from 15 in 2011 to 88 in 2020, R2 = 0.74, P < 0.05), with a decrease in number of inventors per patent (R2 = 0.12, P < 0.05). Of the 1102 total inventors, 138 were female (11.2%), with a 4-fold increase in representation over the decade (R2 = 0.58, P < 0.05), including increase in patents filed with a woman first inventor (0%-14.8%). Women were equally likely to be first 3 inventors versus middle to last inventors (12.8% vs 11.1%, respectively). CONCLUSIONS: Over a decade, mammary device innovations rose significantly. Although women inventors' representation improved, it remains disproportionate compared with women in residency/practice. Hence, interventions should aim to align inventor representation with training ratios, through institutional optimization, reducing gender segmentation, and enhancing funding opportunities.
- MeSH
- lidé MeSH
- plastická chirurgie * MeSH
- prsní implantáty * MeSH
- zákroky plastické chirurgie * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Bazocelulárny karcinóm (basal cell carcinoma, BCC) je najčastejším kožným tumorom u jedincov so svetlou pokožkou s neustále narastajúcou celosvetovou incidenciou. Pacienti s BCC predstavujú narastajúcu záťaž pre systém zdravotnej starostlivosti, práve aj z dôvodu ich vysokého výskytu čím sa neustále zvyšujú náklady na poskytovanú zdravotnú starostlivosť. Je preto veľmi dôležité pracovať na neustálom zlepšovaní preventívnych programov venujúcich sa problematike a riešeniu rastúceho problému rakoviny kože.
Basal cell carcinoma (BCC) is the most common skin tumor in fair-skinned people with a constantly increasing worldwide incidence. Patients with BCC represent a great burden on the health care system, because of their high incidence, which constantly increases the costs of the provided health care. It is therefore very important to work on the continuous improvement of preventive programs dedicated to the issue and solving the growing problem of skin cancer.
- Klíčová slova
- Limbergův lalok,
- MeSH
- bazocelulární karcinom * chirurgie MeSH
- chirurgické laloky MeSH
- lidé MeSH
- plastická chirurgie metody MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- kazuistiky MeSH
leur-de-Lis abdominoplastika je chirurgický zákrok, který nabývá na popularitě zejména mezi pacienty po bariatrických operacích. Významný úbytek hmotnosti často vede k nadbytku kůže, což může způsobovat psychický a fyzický dyskomfort. Tento speciální typ abdominoplastiky odstraňuje přebytečnou kůži jak horizontálně, tak vertikálně. Vzhledem k tomu, že tradiční abdominoplastika řeší dominantně horizontální přebytek tkáně, technika Fleur-de-Lis je výhodná pro pacienty s rozsáhlejším problémem. Přestože nese určitá rizika, správná příprava a předoperační plánování mohou tato rizika minimalizovat. Výsledkem je nejen zlepšení fyzického komfortu, ale také zvýšení sebevědomí pacienta. Tento zákrok tak výrazně přispívá ke zlepšení kvality života u lidí, kteří podstoupili bariatrickou operaci a potýkají se s následky rychlého úbytku hmotnosti.
The Fleur-de-Lis abdominoplasty is a surgical procedure that is becoming increasingly popular, especially among patients who have undergone bariatric surgery. Significant weight loss often leads to excess skin, which can cause physical and psychological discomfort. This specialized type of abdomino- plasty removes excess skin both horizontally and vertically. Since traditional abdominoplasty dominantly addresses horizontal excess tissue, the Fleur-de-Lis technique is advantageous for patients with more extensive issues. Although it carries certain risks, proper preoperative preparation and careful planning can minimize these risks. The result is not only an improvement in physical comfort but also an increase in the patient‘s self-confidence. This procedure thus significantly enhances the quality of life for individuals who have undergone bariatric surgery and are dealing with the aftermath of rapid weight loss.
Gynekomastia môže byť spôsobená širokou škálou možných etiológií vrátane tumoru, niektorých liekov, obezity, hypogonadizmu, androgénovej rezistencie alebo tyreotoxikózy. Prezentujeme pacienta s gynekomastiou, ktorá vznikla na základe pravidelného užívania lieku bikalutamid po onkologickom ochorení prostaty. U pacienta išlo o dlhoročný sprievodný prejav užívania tohto lieku, nárast prsníkov mu spôsoboval výrazný diskomfort, preto sme pristúpili k chirurgickej intervencii, obojstrannej mastektómii v kombinácii s liposukciou. Zároveň prezentujeme prehľad ďalších možných vybraných liekov, pri ktorých sa preukázal vplyv na vývoj gynekomastie.
Gynecomastia, the enlargement of male breast tissue, is usually caused by hormonal imbalances between estrogen and testosterone levels. However, it can also be caused by a multitude of factors, such as tumors, obesity, hypogonadism, androgen insensitivity syndrome, thyrotoxicosis, or the use of numerous medications. As an example, we present a patient with gynecomastia which developed after a long-term treatment with bicalutamide for prostate cancer. Due to this adverse effect of his medication, our patient experienced significant anxiety and discomfort in his daily life. Therefore, a bilateral mastectomy in combination with liposuction was chosen for his treatment. Since drug-induced gynecomastia contributes to almost a quarter of all gynecomastia cases, we provide an overview of various other medications responsible for this condition.
- Klíčová slova
- bicalutamid,
- MeSH
- gynekomastie * chemicky indukované chirurgie MeSH
- lidé MeSH
- mastektomie MeSH
- nádory prostaty farmakoterapie MeSH
- nežádoucí účinky léčiv MeSH
- nitrily škodlivé účinky terapeutické užití MeSH
- protinádorové látky terapeutické užití MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- kazuistiky MeSH
