Backup Procedure

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The Experts below are selected from a list of 39 Experts worldwide ranked by ideXlab platform

C H Lin - One of the best experts on this subject based on the ideXlab platform.

Omer Ozkan - One of the best experts on this subject based on the ideXlab platform.

  • free tensor fascia lata perforator flap as a Backup Procedure for head and neck reconstruction
    Annals of Plastic Surgery, 2006
    Co-Authors: O K Coskunfirat, Omer Ozkan
    Abstract:

    Free tissue transfer is an essential part of the head and neck reconstruction. Despite several flap options, free perforator flaps have become very popular for head and neck. Anterolateral thigh perforator flap has multiple advantages among other options and is preferred by most of the reconstructive microsurgeons. Besides its advantages, sometimes it is impossible to harvest an anterolateral thigh perforator flap, and the surgeon has to shift to another option. Between January 2002 and June 2005, 5 tensor fascia lata perforator flaps were used for head and neck reconstruction because anterolateral thigh perforator flap could not be elevated due to absence or insufficient musculocutaneous perforators. Only 1 flap was reexplored and salvaged by redoing the venous anastomosis. All flaps survived without any other problem. Donor sites were covered by split-thickness skin grafts in 4 patients and closed directly in 1 of them. Doppler examination is important in planning of anterolateral thigh perforator; if the signals of the perforators are absent or very weak, the surgeon can shift to another flap. This decision may also be made during the operation when insufficient perforators are seen. Based on our experience, tensor fascia lata perforator flap is a safe alternative when anterolateral thigh perforator harvest is not possible. Tensor fascia lata perforator flap can be harvested from the same anatomic region with almost same morbidity.

Motohiro Hashiyama - One of the best experts on this subject based on the ideXlab platform.

  • management of undifferentiated sarcoma of the liver including living donor liver transplantation as a Backup Procedure
    Journal of Pediatric Surgery, 2009
    Co-Authors: Hideaki Okajima, Yuki Ohya, Kwang Jong Lee, Hidekazu Yamamoto, Katsuhiro Asonuma, Yuko Nagaoki, Kazunori Ohama, Masahiko Korogi, Tadashi Anan, Motohiro Hashiyama
    Abstract:

    We present the cases of 3 children with huge undifferentiated sarcoma of the liver who were treated with surgical excision including liver transplantation as an option and adjuvant chemotherapy. All 3 patients were males aged 10, 13, and 15 years old. The size of the tumor was 10, 15, and 20 cm in diameter, respectively. The youngest patient is disease free and doing well 43 months after resection. The 13-year-old patient presented with tumor rupture and underwent operation. The primary tumor and the ruptured tissue fragments were removed and he was given postoperative chemotherapy. The patient is disease free and doing well 52 months after surgery. The oldest patient had an unresectable tumor in the hilar region. Preoperative chemotherapy was given but later discontinued owing to severe side effects. He underwent living donor liver transplantation followed by postoperative chemotherapy. The patient had recurrent tumor 24 months after transplantation that was excised at reoperation. He is doing well and is disease free 18 months after the second Procedure. Complete removal of the tumor including total hepatectomy and transplantation when indicated and suitable pre- and/or postoperative chemotherapy is an effective treatment for children with undifferentiated sarcoma of the liver.

Masao Tanaka - One of the best experts on this subject based on the ideXlab platform.

  • laparoscopic choledochotomy for bile duct stones
    Journal of Hepato-biliary-pancreatic Surgery, 2002
    Co-Authors: Shuji Shimizu, Kazunori Yokohata, Kazuhiro Mizumoto, Koji Yamaguchi, Kazuo Chijiiwa, Masao Tanaka
    Abstract:

    In the era of laparoscopic surgery, treatment strategies for common bile duct stones remain controversial. Laparoscopic choledochotomy is usually indicated only when transcystic duct exploration is not feasible. However, laparoscopic choledochotomy provides complete access to the ductal system and has a higher clearance rate than the transcystic approach. In addition, primary closure of the choledochotomy with a running suture and absorbable clips facilitates the Procedure. Therefore, to avoid postoperative biliary stenosis, all patients with bile duct stones can be indicated for choledochotomy, except for those with nondilated common bile duct. Placement of a C-tube also provides access for the clearance of possible retained stones by endoscopic sphincterotomy as a Backup Procedure. C-tube placement, in contrast to T-tube insertion, is advantageous in terms of a relatively short hospital stay. In conclusion, laparoscopic choledochotomy with C-tube drainage is recommended as the treatment of choice for patients with common bile duct stones.

Andres Rodriguez Lorenzo - One of the best experts on this subject based on the ideXlab platform.

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