The Experts below are selected from a list of 9129 Experts worldwide ranked by ideXlab platform

Jill E Winlandbrown - One of the best experts on this subject based on the ideXlab platform.

  • the use of autologous platelet rich plasma platelet gel and autologous platelet poor plasma fibrin glue in cosmetic surgery
    Plastic and Reconstructive Surgery, 2001
    Co-Authors: Harvey Plosker, Jill E Winlandbrown
    Abstract:

    The purpose of this study was to evaluate a new technique of harvesting and preparing autologous platelet gel and autologous fibrin glue (body glue) and to evaluate their effectiveness in stopping capillary bleeding in the Surgical Flaps of patients undergoing cosmetic surgery. A convenience sample of 20 patients ranging from 25 to 76 years of age undergoing cosmetic surgery involving the creation of a Surgical flap were included in the study. The types of Surgical procedures included face lifts, breast augmentations, breast reductions, and neck lifts. Platelet-poor and platelet-rich plasma were prepared during the procedure from autologous blood using a compact, tabletop, automated autologous platelet concentrate system . The platelet-poor and platelet-rich plasma were combined with a thrombin-calcium chloride solution to produce autologous fibrin glue and autologous platelet gel, respectively. Capillary bed bleeding was present in all cases and effectively sealed within 3 minutes following the application of platelet gel and fibrin glue. The technique for making the solution and for evaluating its effectiveness in achieving and maintaining hemostasis during cosmetic Surgical procedures is described. Autologous platelet gel and fibrin glue prepared by the automated concentrate system are compared with autotransfusor-prepared platelet gel and Tisseel (Baxter Healthcare Corp.), a commercially prepared fibrin sealant preparation. (Plast. Reconstr. Surg. 107: 229, 2001.)

  • the use of autologous platelet rich plasma platelet gel and autologous platelet poor plasma fibrin glue in cosmetic surgery
    Plastic and Reconstructive Surgery, 2001
    Co-Authors: Daniel Man, Harvey Plosker, Jill E Winlandbrown
    Abstract:

    The purpose of this study was to evaluate a new technique of harvesting and preparing autologous platelet gel and autologous fibrin glue (body glue) and to evaluate their effectiveness in stopping capillary bleeding in the Surgical Flaps of patients undergoing cosmetic surgery. A convenience sample of 20 patients ranging from 25 to 76 years of age undergoing cosmetic surgery involving the creation of a Surgical flap were included in the study. The types of Surgical procedures included face lifts, breast augmentations, breast reductions, and neck lifts. Platelet-poor and platelet-rich plasma were prepared during the procedure from autologous blood using a compact, tabletop, automated autologous platelet concentrate system (SmartPReP, Harvest Autologous Hemobiologics, Norwell, Mass.). The platelet-poor and platelet-rich plasma were combined with a thrombin-calcium chloride solution to produce autologous fibrin glue and autologous platelet gel, respectively. Capillary bed bleeding was present in all cases and effectively sealed within 3 minutes following the application of platelet gel and fibrin glue. The technique for making the solution and for evaluating its effectiveness in achieving and maintaining hemostasis during cosmetic Surgical procedures is described. Autologous platelet gel and fibrin glue prepared by the automated concentrate system are compared with autotransfusor-prepared platelet gel and Tisseel (Baxter Healthcare Corp.), a commercially prepared fibrin sealant preparation.

Qun Yao - One of the best experts on this subject based on the ideXlab platform.

  • ulnar artery perforator flap of the middle part of forearm with blood vessel anastomosis for repair of finger skin and soft tissue defects
    Chinese Journal of Hand Surgery, 2018
    Co-Authors: Qun Yao, Yongjun Rui, Yong Hua, Gang Zhao
    Abstract:

    Objective To evaluate the clinical effects of the ulnar artery perforator flap in the middle segment of forearm for repair of finger skin and soft tissue defect of fingers. Methods From January 2013 to February 2015, 8 patients with finger skin and soft tissue defects were treated by free transplantation of the ulnar artery perforator flap in the middle segment of forearm. The follow-up was performed at 3, 6 and 12 months postoperatively. The patients' satisfaction of the skin Flaps and the return to work were investigated. The postoperatively tactile sensation, temperature sensation and two-point discrimination of the skin Flaps were examined. Results All the Flaps were survived uneventfully. All the wounds in donor sites achieved primary healing. Flap second-stage debulking was performed in 1 case. After a follow-up period of 12 months, all the patients were satisfied with the appearance of the repaired fingers. 6 patients returned to the original job. The ratio of the injured side to the healthy side of the total active motion (TAM) was 0.73±0.16 at 3 months postoperatively, 0.85±0.13 at 6 months postoperatively and 0.92±0.15 at 12 months postoperatively. All the patients recovered the skin flap pain, temperature and light touch sensation at 6 months after the operation. According to the upper extremity function evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association, the results were graded as excellent in 4 cases, good in 3 cases, and fair in 1 case. Conclusion The ulnar artery perforator flap in the middle segment of forearm has the advantages of constant position of the perforating branch and reliable blood supply. The postoperative recovery of the shape and function is good, and it is suitable for repair of small hand wound. Key words: Surgical Flaps; Finger injuries; Ulnar artery; Tissue transplantation

  • modified free flap based on the descending branch of ulnar artery above wrist cutaneous branch for coverage of soft tissue defect of the finger
    Chinese Journal of Hand Surgery, 2014
    Co-Authors: Qun Yao, Kui-shui Shou, Yongjun Rui, Yuzhou Liu, Gang Zhao, Jiandong Zhou, Hong Zhang
    Abstract:

    Objective To investigate the feasibility of a modified technique of harvesting the flap based on the descending branch of ulnar artery above-wrist cutaneous branch and evaluate its clinical results in repairing soft tissue defect of the fingers.Methods From November 2008 to November 2011,30 patients with soft tissue defect of the fingers were treated with the above mentioned flap.The modified method was to design the flap based on the precise projection of ulnar artery above-wrist cutaneous branch.Part of the ulnar artery was also included in the vascular pedicle for blood vessel anastomosis.The area of the Flaps ranged from 2.0 cm × 4 cm to 4.5 cm × 7.0 cm.Results Complete survival was achieved in 29 Flaps uneventfully.Distal necrosis occurred in 1 flap,which was managed by debridement and skin graft.Secondary flap plasty was done in 2 cases.Postoperative follow-up period ranged from 6 to 24 months.The outcomes were graded as excellent in 27 cases,good in 2 cases,fair in 1 case according to the functional assessment criteria for upper extremities issued by the Hand Society of the Chinese Medical Association,achieving a 96.6％ good and excellent rate.Two-point discrimination of the Flaps was 8 to 12 mm.Conclusion The flap based on the descending branch of ulnar artery above-wrist cutaneous branch can be used satisfactorily to repair soft tissue defect of the finger.The modified method can effectively improve the safety of the procedure,which is beneficial to the promotion of use of the flap. Key words: Surgical Flaps;  Finger injuries;  Ulnar artery

  • Application of island flap pedicled with digital artery dorsal cutaneous branch for dorsal skin defect of the same finger
    Chinese Journal of Hand Surgery, 2012
    Co-Authors: Xiao Zhou, Kui-shui Shou, Yongjun Rui, Qun Yao
    Abstract:

    Objective To investigate the therapeutic effect of transferring island flap pedicled with digital artery dorsal cutaneous branch for dorsal skin defect at the same finger.Methods From January 2008 to February 2010,12 cases of skin defect at the dorsum of the finger were treated with an island flap from the same finger pedicled with digital artery dorsal cutaneous branch.Among them 7 cases were treated with antegrade advancement flap,while 5 cases were treated with reverse island flap.Results All Flaps survived completely.Both the donor and recipient sites achieved primary wound healing.Ten cases were follow-up for 6 to 24 months after the operation.The Flaps had good texture and color match.Two-point discrimination of the advancement Flaps was 8 to 10 mm,while 2-point discrim nation of the reverse Flaps was 10 to 12 mm.According to the criteria for functional assessment by total action motion (TAM),8 cases were regarded as having excellent results,1 case good result and 1 case fair result.Conclusion Island flap pedicled with digital artery dorsal cutaneous branch is an ideal procedure for treating dorsal skin defect at the same finger. Key words: Surgical Flaps;  Finger injuries;  Surgical procedures,operative;  Dorsal finger

Yongjun Rui - One of the best experts on this subject based on the ideXlab platform.

  • ulnar artery perforator flap of the middle part of forearm with blood vessel anastomosis for repair of finger skin and soft tissue defects
    Chinese Journal of Hand Surgery, 2018
    Co-Authors: Qun Yao, Yongjun Rui, Yong Hua, Gang Zhao
    Abstract:

    Objective To evaluate the clinical effects of the ulnar artery perforator flap in the middle segment of forearm for repair of finger skin and soft tissue defect of fingers. Methods From January 2013 to February 2015, 8 patients with finger skin and soft tissue defects were treated by free transplantation of the ulnar artery perforator flap in the middle segment of forearm. The follow-up was performed at 3, 6 and 12 months postoperatively. The patients' satisfaction of the skin Flaps and the return to work were investigated. The postoperatively tactile sensation, temperature sensation and two-point discrimination of the skin Flaps were examined. Results All the Flaps were survived uneventfully. All the wounds in donor sites achieved primary healing. Flap second-stage debulking was performed in 1 case. After a follow-up period of 12 months, all the patients were satisfied with the appearance of the repaired fingers. 6 patients returned to the original job. The ratio of the injured side to the healthy side of the total active motion (TAM) was 0.73±0.16 at 3 months postoperatively, 0.85±0.13 at 6 months postoperatively and 0.92±0.15 at 12 months postoperatively. All the patients recovered the skin flap pain, temperature and light touch sensation at 6 months after the operation. According to the upper extremity function evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association, the results were graded as excellent in 4 cases, good in 3 cases, and fair in 1 case. Conclusion The ulnar artery perforator flap in the middle segment of forearm has the advantages of constant position of the perforating branch and reliable blood supply. The postoperative recovery of the shape and function is good, and it is suitable for repair of small hand wound. Key words: Surgical Flaps; Finger injuries; Ulnar artery; Tissue transplantation

  • application of v y advanced flap pedicled with posterior perforator from medial malleolus for small skin defect at achilles tendon region
    Chinese journal of plastic surgery, 2014
    Co-Authors: Xiao Zhou, Ming Yu Xue, Yongjun Rui, Li Qiang
    Abstract:

    Objective To investigate the therapeutic effect of V-Y advanced flap pedicled with posterior perforator from medial malleolus for small skin defect at achilles tendon region.Methods From Mar.2011 to Sep.2012,7 cases with small skin defect at achilles tendon region were treated by V-Y advanced flap pedicled with posterior perforator from medial malleolus.The Flaps was 6.0 cm × 3.0 cm-9.0 cm × 4.5 cm in size.The defects at the donor sites were closed directly.Results All Flaps survived completely.7 cases were followed up for 6-8 months after operation.The Flaps had good texture and color match.The function of ankle was normal.All patients were satisfied with postoperative function and shape.Conclusion It is an ideal reconstruction method for skin defect at achilles tendon region with V-Y advanced flap pedicled with posterior perforator from medial malleolus.It is easily performed with low risk and short recovery time. Key words: Achilles tendon;  Defect;  Surgical Flaps

  • modified free flap based on the descending branch of ulnar artery above wrist cutaneous branch for coverage of soft tissue defect of the finger
    Chinese Journal of Hand Surgery, 2014
    Co-Authors: Qun Yao, Kui-shui Shou, Yongjun Rui, Yuzhou Liu, Gang Zhao, Jiandong Zhou, Hong Zhang
    Abstract:

    Objective To investigate the feasibility of a modified technique of harvesting the flap based on the descending branch of ulnar artery above-wrist cutaneous branch and evaluate its clinical results in repairing soft tissue defect of the fingers.Methods From November 2008 to November 2011,30 patients with soft tissue defect of the fingers were treated with the above mentioned flap.The modified method was to design the flap based on the precise projection of ulnar artery above-wrist cutaneous branch.Part of the ulnar artery was also included in the vascular pedicle for blood vessel anastomosis.The area of the Flaps ranged from 2.0 cm × 4 cm to 4.5 cm × 7.0 cm.Results Complete survival was achieved in 29 Flaps uneventfully.Distal necrosis occurred in 1 flap,which was managed by debridement and skin graft.Secondary flap plasty was done in 2 cases.Postoperative follow-up period ranged from 6 to 24 months.The outcomes were graded as excellent in 27 cases,good in 2 cases,fair in 1 case according to the functional assessment criteria for upper extremities issued by the Hand Society of the Chinese Medical Association,achieving a 96.6％ good and excellent rate.Two-point discrimination of the Flaps was 8 to 12 mm.Conclusion The flap based on the descending branch of ulnar artery above-wrist cutaneous branch can be used satisfactorily to repair soft tissue defect of the finger.The modified method can effectively improve the safety of the procedure,which is beneficial to the promotion of use of the flap. Key words: Surgical Flaps;  Finger injuries;  Ulnar artery

  • Digital artery dorsal cutaneous branch flap antegrade transfer for coverage of dorsal skin defect of the same finger
    Chinese Journal of Hand Surgery, 2013
    Co-Authors: Xiao Zhou, Kui-shui Shou, Yongjun Rui, Zheng Chen
    Abstract:

    Objective To investigate the treatment results of transferring vascular network flap pedicled on digital artery dorsal cutaneous branch for covering long and narrow dorsal skin defect of the same finger.Methods From January 2011 to February 2012,9 cases with long and narrow skin defect at the dorsum of the finger were treated with digital artery dorsal cutaneous branch vascular network flap from the same finger.The Flaps measured from 3.5 cm × 1.2 cm to 1.0 cm × 0.8 cm.Donor site defect was repaired with full thickness shin graft.Results All Flaps survived completely.Six cases were follow-up for 3 to 15 months postoperatively while 3 cases were lost to follow-up.The Flaps had good texture and color match.There was no bulkiness of the Flaps.The Flaps had good circulation.Two-point discrimination of the Flaps was 12 to 18 mm.Conclusion Transfer of digital artery dorsal cutaneous branch vascular network flap from the same finger is a simple and effective method for treating long and narrow dorsal skin defect of the same finger. Key words: Finger injuries;  Surgical Flaps;  Reconstruction

  • Application of island flap pedicled with digital artery dorsal cutaneous branch for dorsal skin defect of the same finger
    Chinese Journal of Hand Surgery, 2012
    Co-Authors: Xiao Zhou, Kui-shui Shou, Yongjun Rui, Qun Yao
    Abstract:

    Objective To investigate the therapeutic effect of transferring island flap pedicled with digital artery dorsal cutaneous branch for dorsal skin defect at the same finger.Methods From January 2008 to February 2010,12 cases of skin defect at the dorsum of the finger were treated with an island flap from the same finger pedicled with digital artery dorsal cutaneous branch.Among them 7 cases were treated with antegrade advancement flap,while 5 cases were treated with reverse island flap.Results All Flaps survived completely.Both the donor and recipient sites achieved primary wound healing.Ten cases were follow-up for 6 to 24 months after the operation.The Flaps had good texture and color match.Two-point discrimination of the advancement Flaps was 8 to 10 mm,while 2-point discrim nation of the reverse Flaps was 10 to 12 mm.According to the criteria for functional assessment by total action motion (TAM),8 cases were regarded as having excellent results,1 case good result and 1 case fair result.Conclusion Island flap pedicled with digital artery dorsal cutaneous branch is an ideal procedure for treating dorsal skin defect at the same finger. Key words: Surgical Flaps;  Finger injuries;  Surgical procedures,operative;  Dorsal finger

Harvey Plosker - One of the best experts on this subject based on the ideXlab platform.

  • the use of autologous platelet rich plasma platelet gel and autologous platelet poor plasma fibrin glue in cosmetic surgery
    Plastic and Reconstructive Surgery, 2001
    Co-Authors: Harvey Plosker, Jill E Winlandbrown
    Abstract:

    The purpose of this study was to evaluate a new technique of harvesting and preparing autologous platelet gel and autologous fibrin glue (body glue) and to evaluate their effectiveness in stopping capillary bleeding in the Surgical Flaps of patients undergoing cosmetic surgery. A convenience sample of 20 patients ranging from 25 to 76 years of age undergoing cosmetic surgery involving the creation of a Surgical flap were included in the study. The types of Surgical procedures included face lifts, breast augmentations, breast reductions, and neck lifts. Platelet-poor and platelet-rich plasma were prepared during the procedure from autologous blood using a compact, tabletop, automated autologous platelet concentrate system . The platelet-poor and platelet-rich plasma were combined with a thrombin-calcium chloride solution to produce autologous fibrin glue and autologous platelet gel, respectively. Capillary bed bleeding was present in all cases and effectively sealed within 3 minutes following the application of platelet gel and fibrin glue. The technique for making the solution and for evaluating its effectiveness in achieving and maintaining hemostasis during cosmetic Surgical procedures is described. Autologous platelet gel and fibrin glue prepared by the automated concentrate system are compared with autotransfusor-prepared platelet gel and Tisseel (Baxter Healthcare Corp.), a commercially prepared fibrin sealant preparation. (Plast. Reconstr. Surg. 107: 229, 2001.)

  • the use of autologous platelet rich plasma platelet gel and autologous platelet poor plasma fibrin glue in cosmetic surgery
    Plastic and Reconstructive Surgery, 2001
    Co-Authors: Daniel Man, Harvey Plosker, Jill E Winlandbrown
    Abstract:

    The purpose of this study was to evaluate a new technique of harvesting and preparing autologous platelet gel and autologous fibrin glue (body glue) and to evaluate their effectiveness in stopping capillary bleeding in the Surgical Flaps of patients undergoing cosmetic surgery. A convenience sample of 20 patients ranging from 25 to 76 years of age undergoing cosmetic surgery involving the creation of a Surgical flap were included in the study. The types of Surgical procedures included face lifts, breast augmentations, breast reductions, and neck lifts. Platelet-poor and platelet-rich plasma were prepared during the procedure from autologous blood using a compact, tabletop, automated autologous platelet concentrate system (SmartPReP, Harvest Autologous Hemobiologics, Norwell, Mass.). The platelet-poor and platelet-rich plasma were combined with a thrombin-calcium chloride solution to produce autologous fibrin glue and autologous platelet gel, respectively. Capillary bed bleeding was present in all cases and effectively sealed within 3 minutes following the application of platelet gel and fibrin glue. The technique for making the solution and for evaluating its effectiveness in achieving and maintaining hemostasis during cosmetic Surgical procedures is described. Autologous platelet gel and fibrin glue prepared by the automated concentrate system are compared with autotransfusor-prepared platelet gel and Tisseel (Baxter Healthcare Corp.), a commercially prepared fibrin sealant preparation.

Xiao Zhou - One of the best experts on this subject based on the ideXlab platform.

  • clinical application of modified bilobed chimeric thoracoacromial artery perforator flap for reconstruction of hypopharyngeal defect with anterior neck skin loss
    Chinese journal of otorhinolaryngology head and neck surgery, 2018
    Co-Authors: Dajiang Song, Xiao Zhou, Yixin Zhang, Xiaowei Peng, Bo Zhou, Chunliu Lyu, Yuanyuan Tang, Wen Peng, Huangxing Mao, Zeyang Liu
    Abstract:

    Objective To evaluate the efficacy of modified bilobed chimeric thoracoacromial artery perforator (TAAP) flap for the reconstruction of hypopharyngeal defect with anterior neck skin loss. Methods Between May 2013 and September 2015, modified bilobed chimeric TAAP flap was used to reconstruct complex oncologic hypopharyngeal defects in 7 patients, including 6 males and 1 female. Patients′ age ranged from 28 to 65 years old (mean age 50±3.4 years old). The size of hypopharyngeal defect ranged from 5.5 cm×3.5 cm to 12.0 cm×4.5 cm, and the size of anterior neck defect ranged from 8.0 cm×4.0 cm to 10.0 cm×4.0 cm. Results The size of TAAP flap was from 6.5 cm×4.0 cm to 13.0 cm×5.0 cm.The size of pectoralis major flap was from 8.0 cm×4.5 cm to 11.0 cm×5.0 cm. The length of pedicle was 6.5-8.5 cm.The distance from pivot point of flap to central point of recipient site was 7.0-9.5 cm.All Flaps survived thoroughly, the donor site was closed directly in all cases.The mean hospital stay ranged from 14 to 19 days (mean 15.5 days). The follow-up was 14, 15, 20, 18, 30, 25 and 38 months respectively.Patient possessed good appearance of neck Surgical sites, and oral diet was restored in all patients.No recurrence, fistula, stenosis/stricture, dehiscence, or swelling occurred, only with scars left on the donor sites, and pectoralis major muscle function was completely preserved in all patients. Conclusions Modified bilobed chimeric TAAP flap is a good choice for the reconstruction of hypopharyngeal defect with anterior neck skin loss. Key words: Surgical Flaps; Reconstructive Surgical procedures; Thoracoacromial artery

  • application of v y advanced flap pedicled with posterior perforator from medial malleolus for small skin defect at achilles tendon region
    Chinese journal of plastic surgery, 2014
    Co-Authors: Xiao Zhou, Ming Yu Xue, Yongjun Rui, Li Qiang
    Abstract:

    Objective To investigate the therapeutic effect of V-Y advanced flap pedicled with posterior perforator from medial malleolus for small skin defect at achilles tendon region.Methods From Mar.2011 to Sep.2012,7 cases with small skin defect at achilles tendon region were treated by V-Y advanced flap pedicled with posterior perforator from medial malleolus.The Flaps was 6.0 cm × 3.0 cm-9.0 cm × 4.5 cm in size.The defects at the donor sites were closed directly.Results All Flaps survived completely.7 cases were followed up for 6-8 months after operation.The Flaps had good texture and color match.The function of ankle was normal.All patients were satisfied with postoperative function and shape.Conclusion It is an ideal reconstruction method for skin defect at achilles tendon region with V-Y advanced flap pedicled with posterior perforator from medial malleolus.It is easily performed with low risk and short recovery time. Key words: Achilles tendon;  Defect;  Surgical Flaps

  • Digital artery dorsal cutaneous branch flap antegrade transfer for coverage of dorsal skin defect of the same finger
    Chinese Journal of Hand Surgery, 2013
    Co-Authors: Xiao Zhou, Kui-shui Shou, Yongjun Rui, Zheng Chen
    Abstract:

    Objective To investigate the treatment results of transferring vascular network flap pedicled on digital artery dorsal cutaneous branch for covering long and narrow dorsal skin defect of the same finger.Methods From January 2011 to February 2012,9 cases with long and narrow skin defect at the dorsum of the finger were treated with digital artery dorsal cutaneous branch vascular network flap from the same finger.The Flaps measured from 3.5 cm × 1.2 cm to 1.0 cm × 0.8 cm.Donor site defect was repaired with full thickness shin graft.Results All Flaps survived completely.Six cases were follow-up for 3 to 15 months postoperatively while 3 cases were lost to follow-up.The Flaps had good texture and color match.There was no bulkiness of the Flaps.The Flaps had good circulation.Two-point discrimination of the Flaps was 12 to 18 mm.Conclusion Transfer of digital artery dorsal cutaneous branch vascular network flap from the same finger is a simple and effective method for treating long and narrow dorsal skin defect of the same finger. Key words: Finger injuries;  Surgical Flaps;  Reconstruction

  • Application of island flap pedicled with digital artery dorsal cutaneous branch for dorsal skin defect of the same finger
    Chinese Journal of Hand Surgery, 2012
    Co-Authors: Xiao Zhou, Kui-shui Shou, Yongjun Rui, Qun Yao
    Abstract:

    Objective To investigate the therapeutic effect of transferring island flap pedicled with digital artery dorsal cutaneous branch for dorsal skin defect at the same finger.Methods From January 2008 to February 2010,12 cases of skin defect at the dorsum of the finger were treated with an island flap from the same finger pedicled with digital artery dorsal cutaneous branch.Among them 7 cases were treated with antegrade advancement flap,while 5 cases were treated with reverse island flap.Results All Flaps survived completely.Both the donor and recipient sites achieved primary wound healing.Ten cases were follow-up for 6 to 24 months after the operation.The Flaps had good texture and color match.Two-point discrimination of the advancement Flaps was 8 to 10 mm,while 2-point discrim nation of the reverse Flaps was 10 to 12 mm.According to the criteria for functional assessment by total action motion (TAM),8 cases were regarded as having excellent results,1 case good result and 1 case fair result.Conclusion Island flap pedicled with digital artery dorsal cutaneous branch is an ideal procedure for treating dorsal skin defect at the same finger. Key words: Surgical Flaps;  Finger injuries;  Surgical procedures,operative;  Dorsal finger