Download the Free Unbound MEDLINE PubMed App to your smartphone or tablet.
Available for iPhone, iPad, iPod touch, and Android.
Handchirurgie, Mikrochirurgie, plastische Chirurgie [journal]
- [Model Aeroplanes: A not to be Ignored Source of Complex Injuries.] [JOURNAL ARTICLE]
- Handchir Mikrochir Plast Chir 2013 Nov 13.
With the incidence of work-related injuries decreasing, we continue to observe an unchanged trend in leisure-related accidents. As in any other hobby, model flying devices bear the risk for accidents among builders and flyers ranging from skin lacerations to complicated and even life-threatening injuries. The fast-moving razor-sharp propeller blades predominantly cause trauma to the hands and fingers resulting in typical multiple parallel skin injuries also affecting structures deep to the dermis (e. g., tendons, vessels and nerves). The resultant clinical management involves complex reconstructive surgical procedures and prolonged rehabilitative follow-up. Improving the legal framework (e. g., warnings by the manufacturer) on the one hand, providing informative action and sensitising those affected on the other, should form a basis for an altered prevention strategy to reduce model flying device-related injuries in the future.
- [Training in Aesthetic Surgery at a University Clinic - The "Munich Model"] [JOURNAL ARTICLE]
- Handchir Mikrochir Plast Chir 2013 Oct 21.
Aesthetic surgery is regarded as one of the 4 pillars of plastic surgery. To assure safety in this field of surgery, a structured and well guided surgical training is indispensable. However, during the specialist training for plastic and aesthetic surgery, plastic aesthetic interventions are often carried out in low numbers only. Objective of the present study was the development, implementation and evaluation of a new training concept in aesthetic surgeryOver a period of 2 years, 304 aesthetic operations were performed in the fields of body contouring, breast surgery and facial surgery as an "educational surgery". Educational surgeries were performed by resident surgeons under the guidance of experienced specialists and under favourable financial conditions. As indicator for safety of the interventions, the incidence of complications was recorded and assessed.Out of a total of 304 operations included in the study 47.7% were performed as an educational surgery. In the fields of body contouring and breast surgery, the majority of interventions (51.3% and, respectively, 53%) were carried out as educational surgeries. In aesthetic surgeries of the face only 28.4% were educational surgeries. In 4.9% of all cases complications occurred. The incidences of complications were approximately the same in the educational surgeries (5.5%) and in the surgeries carried out by experienced specialists (4.4%), showing no significant difference.The presented training concept aims at ensuring high quality in patient care by structure and quality of surgical training. Our data give evidence that a structured training of residents in the field of aesthetic surgery is possible without loss in quality. We expect that -sufficient surgical education and the associated quality will consequently contribute to keep aesthetic surgeries a domain of plastic surgery and to prevent these procedures from being taken over by other surgical disciplines.
- The French Initiated FESUM - Historical Development, Experience and Perspectives. [JOURNAL ARTICLE]
- Handchir Mikrochir Plast Chir 2013 Oct 8.
FESUM is an association dedicated to management, research and education of hand trauma. Created by surgeons in 1979, it is now accepted by the national and regional health administrations. The first goal of FESUM is to apply strict guidelines for specialized hand trauma centers. These guidelines are verified on site by 2 FESUM surgeons, and re-checked every 3 years. Patients are selected to be directed to the FESUM cen-ters following very simple recommendations: every severe trauma must be addressed to and accepted by FESUM centers, 24/7. Seemingly less severe lesions such as deep palmar lacerations must also be systematically explored in FESUM centers to ensure patients have the best opportunity for treatment. Prevention is also a very important part of FESUM activities. The FESUM prevention campaigns are currently focused more specifically on daily life trauma, that represents 2/3 of the total injuries and is very poorly managed by authorities.·
- [Benign subcutaneous emphysema caused by a bellows mechanism of the first interdigital space]. [English Abstract, Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):311-3.
We report 2 cases of subcutaneous emphysema after stab wounds of the first interdigital space. The first diagnosis of a gas gangrene was not confirmed. We hypothese an air incorporation caused by a bellows mechanism. An escape of the air may not be possible due to an one-way valve mechanism. The aim of this report is to describe criteria to distinguish benign emphysema from emphysema caused by infection.
- [Reconstruction of a broad infected defect zone of the distal part of the radius by tractionosteogenesis]. [English Abstract, Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):306-10.
We report about a reconstruction of a broad infected defect zone by tractionosteogenesis and following implantation of a graft from the iliac crest and a plate fixation at the distal part of the radius after a gunshot injury by a high-velocity bullet.
- [Case report: acute carpal tunnel syndrome with prolapse of the median nerve]. [English Abstract, Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):303-5.
We report a case of an 80-year-old woman with an acute carpal tunnel syndrome. This was based on an acute episode of chondrocalcinoses and accompagnied by a prolaps of the median nerve into a gap of the forearm fascia as result of a cut injury in childhood.
- [Clawing of the ring and little fingers due to mechanical compression of the deep branch of the ulnar nerve at the end of Gyuon's canal by a lipoma]. [Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):300-2.
- [Idiopathic palmar vein thrombosis of the fingers - rare but relevant]. [English Abstract, Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):297-9.
Idiopathic thrombosis of palmar finger veins is rare and women suffer from it almost exclusively. Synovial cysts, epidermoid inclusion cysts, giant cell tumours and haemangiomatous lesions should be considered in the process of diagnosis. We present a 56-year-old woman with idiopathic and symptomatic thrombosis of palmar finger veins. Using the palmar approach the painful veins were identified and excised completely. An uncomplicated wound healing has followed with completely unrestricted and painless range of motion. Surgical excision of the finger vein thrombosis should be considered if there is continuing pain.
- [The operative treatment of a bowstring phenomenon of the thumb in childhood: case report and literature review]. [English Abstract, Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):293-6.
The operative treatment of a congenital trigger thumb comprises splitting the A1 pulley under conditions of hand surgery. One complication is cutting through the A2 pulley. In this case a bowstring phenomenon will result.We report about the reconstruction of the A2 pulley by using a transosseous fixed tendon strip for a now 7-year-old boy with an impressive bowstring phenomenon with profound impairment of thumb function and power after surgery of a trigger thumb at the age of 2 years.The iatrogenic splitting of the A2 pulley during the operative treatment of a congenital trigger thumb and the treatment of the resulting bowstring phenomenon are not sufficiently reflected at the literature. In adulthood, several different methods of pulley reconstruction are described.In our opinion this technique is a safe and easy option to reconstruct the A2 pulley without expensive fibre anchors and enables a broad replacement without compromising extension tendons. Also outdated bowstring phenomenons are sufficiently stabilised. A good hand function with full preservation of finger flexibility and power is ensured as well.
- [The hidradenocarcinoma of the wrist - an extremely rare malignant carcinoma: case presentation and literature review]. [English Abstract, Journal Article]
- Handchir Mikrochir Plast Chir 2013 Oct; 45(5):287-92.
Hidradenocarcinomas are rare, yet highly malignant tumors of eccrine sweat gland origin. Due to its locally aggressive growth and likelihood for metastasis it should be considered as a differential diagnosis especially in case of suspicious intraoperative findings. We report the case of a 73-year-old female patient presenting with a hidradenocarcinoma of the wrist. Treatment of hidradenocarcinomas is similar to the treatment of sarcomas: The first step is an incisional biopsy and obtaining an expert second opinion on the histopathological diagnosis as well as staging. The second step is a clear margin resection of the tumor and the plastic-surgical reconstruction. A long-term follow-up is mandatory to detect potential recurrence or metastasis.