Surgical Techniques Development

7 pages, 2413 KiB

Open AccessEditor’s ChoiceCase Report

by Ei Ei Naing, Khin Thandar Myint and Roberto Roddi

Surg. Tech. Dev. 2023, 12(1), 53-59; https://doi.org/10.3390/std12010004 - 8 Mar 2023

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Lacrimal gland prolapse is an important diagnosis to consider in patients with lateral upper eyelid fullness. Prolapse of the lacrimal gland is the descent of the lacrimal gland into the upper eyelid. It can result in blepharoptosis and a bulging “frog-eyed” appearance. This is a case report of lacrimal gland prolapse in a 19-year-old female patient treated by suture repositioning of the glands in an outpatient surgical setting. We report on non-recognition of the prolapse and in the absence of essential surgical correction, in addition to the aesthetic disorders often reported, worsening of functional symptoms such as epiphora with major discomfort. Prolapse in young patients has not been reported in the international literature consulted, E&OE. Full article

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10 pages, 945 KiB

Open AccessEditor’s ChoiceSystematic Review

Hyperbaric Oxygen Therapy in Plastic, Aesthetic, and Reconstructive Surgery: Systematic Review

by Mariana Ríos-Gómez, Viviana Gómez-Ortega, Cesar Cardona and Jose A. De la Hoz-Valle

Surg. Tech. Dev. 2023, 12(1), 43-52; https://doi.org/10.3390/std12010003 - 20 Feb 2023

Cited by 1 | Viewed by 4369

Abstract

Introduction: Hyperbaric oxygen therapy (HBOT) has been used over the past six decades to treat multiple conditions. This systematic review aims to identify and evaluate the clinical outcomes of hyperbaric oxygen therapy in the field of plastic, reconstructive, and aesthetic surgery, found in the literature from the year 2000 to the present. Methods: A systematic review of the literature focused on the conceptual and methodological aspects of the PRISMA Declaration. The search for clinical trials focused on the results of hyperbaric therapy in plastic, reconstructive, and cosmetic surgery. The Newcastle–Ottawa scale suggested by the Cochrane manual was applied to each study. The study was carried out with a defined protocol and was registered in PROSPERO, with code CRD42022301261. Results: From the 170 articles identified, 6 were selected. Five of them showed that hyperbaric oxygen therapy favored the reduction of the size of skin ulcers and increased the formation of granulation tissue (two trials; p < 0.05), increased the partial pressure of transcutaneous oxygen in patients with free flaps (one trial; p < 0.001), reduced perfusion in keloid scarring disorder (one trial; p < 0.01), and accelerated both the fading of melanin pigmentation and the decrease in age spot size (one trial; p < 0.05). The methodological quality was moderate in all cases because there was no blinding method reported. One study failed to find differences in flap survival, time to resolution of venous congestion, resolution of edema, and postoperative recovery period (p > 0.05). Conclusions: Hyperbaric oxygen therapy has been increasingly used in the field of plastic and reconstructive surgery, and has shown potential benefits in promoting wound healing, reducing the risk of infection, and improving the survival of tissues used in reconstructive procedures. Further research with more rigorous clinical trials is needed to fully understand the efficacy and optimal use of this therapy in the field of plastic and reconstructive surgery. Full article

(This article belongs to the Special Issue At the Frontiers of Plastic and Aesthetic Surgery)

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9 pages, 4060 KiB

Open AccessEditorial

Surgical Strategy for the Treatment of Facial Clefts

by Roberto Roddi, Aung Lwin Oo, Ernesto Pepe, Ei Ei Naing and Shalom Biak Hlei Sung

Surg. Tech. Dev. 2023, 12(1), 34-42; https://doi.org/10.3390/std12010002 - 25 Jan 2023

Cited by 1 | Viewed by 5304

Abstract

Craniofacial clefts have an incidence of 1/700 [...] Full article

(This article belongs to the Special Issue At the Frontiers of Plastic and Aesthetic Surgery)

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33 pages, 76907 KiB

Open AccessEditor’s ChoiceReview

Upper-Abdominal Cytoreduction for Advanced Ovarian Cancer—Therapeutic Rationale, Surgical Anatomy and Techniques of Cytoreduction

by Geetu Bhandoria, Aditi Bhatt, Sanket Mehta and Olivier Glehen

Surg. Tech. Dev. 2023, 12(1), 1-33; https://doi.org/10.3390/std12010001 - 21 Dec 2022

Cited by 2 | Viewed by 6755

Abstract

Cytoreductive surgery (CRS) is the cornerstone of treating advanced ovarian cancer. Approximately 60–70% of patients with advanced ovarian cancer will have involvement in the upper abdomen or the supracolic compartment of the abdominal cavity. Though the involvement of this region results in poorer survival compared, complete cytoreduction benefits overall survival, making upper-abdominal cytoreduction an essential component of CRS for advanced ovarian cancer. The upper abdomen constitutes several vital organs and large blood vessels draped with the parietal or visceral peritoneum, common sites of disease in ovarian cancer. A surgeon treating advanced ovarian cancer should be well versed in upper-abdominal cytoreduction techniques, including diaphragmatic peritonectomy and diaphragm resection, lesser omentectomy, splenectomy with or without distal pancreatectomy, liver resection, cholecystectomy, and suprarenal retroperitoneal lymphadenectomy. Other procedures such as clearance of the periportal region, Glisson’s capsulectomy, clearance of the superior recess of the lesser sac, and Morrison’s pouch are essential as these regions are often involved in ovarian cancer. This manuscript covers the surgical anatomy of the upper abdomen, the techniques and therapeutic rationale of upper-abdominal cytoreduction, and specific measures for perioperative management of these patients. The main focus is the description of various peritonectomies and regional lymphadenectomies. Full article

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Surg. Tech. Dev., Volume 12, Issue 1 (March 2023) – 4 articles

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