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Biomedical subjects

A Raurell

Publications and source records attributed to A Raurell.

9 recordsLinked to original sources
PubMed2004

Multicentric extra-abdominal desmoid tumours.

Despite their classification as benign, desmoid tumours are difficult to diagnose and manage. They are prone to recurrence and resection can be debilitating. Rarely, synchronous or metachronous multicentric desmoid tumours occur and may require further excision. Therefore, early detection of recurrence and multicentric tumours is vital. We present a case of metachronous desmoid tumours, and review the literature to propose a treatment pathway.

Adult↗
PubMed2003

Autologous free tissue breast reconstruction using the internal mammary perforators as recipient vessels.

Perforator flaps have become popular for autologous free tissue breast reconstruction because they reduce the donor site morbidity. It is possible to apply the this principle to the recipient site. We present our experience of using the perforating vessels from the internal mammary artery and vein as recipient vessels for autologous free tissue breast reconstruction flaps in 21 out of 54 consecutive cases (39%). We discuss the technique and its advantages.

Anastomosis, Surgical↗
PubMed2002

V-Y advancement flap and composite graft for alar-groove reconstruction.

A one-stage procedure combining a V-Y advancement flap with a composite graft for the reconstruction of alar-lobule and alar-groove defects is described. After tumour resection, a V-Y flap is advanced and retained at the level of the piriform margin to fill the dead space. To provide vascular support to the composite graft and to recreate the alar groove the advancing edge of the flap is de-epithelialised. In the same stage the composite graft is harvested and placed into the alar defect. A series of 12 patients underwent this procedure, with good results.

Aged↗
PubMed2002

Lymphoedema of the eyelids.

Lymphoedema of the eyelids interfering with vision can be a very debilitating condition. The aetiology is frequently unknown. Successful treatment by debulking and skin grafting has been described in a few cases. We present a case of sudden onset of massive bilateral eyelid oedema, which was treated using staged debulking without skin grafting. However, the cosmetic result was poor in comparison with skin grafting, suggesting that skin grafting may be a better way of treating this difficult problem.

Blepharoplasty↗
PubMed2000

Free tissue transfer in patients with systemic lupus erythematosus.

Systemic lupus erythematosus is a non-organ specific, autoimmune disease characterised by antinuclear antibodies and vasculitis. This may manifest itself with areas of cutaneous necrosis which may require extensive excision and reconstruction. Major areas of skin and soft tissue loss may require coverage with either local or microvascular free tissue transfer. This presents potential difficulties in patients with generalised vasculitis. We present the case of a professional cellist with extensive soft tissue loss in her dominant hand, successfully reconstructed with a free latissimus dorsi muscle flap, treated with peri- and postoperative anticoagulation and corticosteroids.

Adult↗
PubMed1993

Digital anaesthesia through the flexor tendon sheath at the palmar level.

Sixty five patients with various traumatic lesions of the fingers have been operated on under digital anaesthesia using 3 ml of 2% Mepivacaine injected into the flexor tendon sheath. The anaesthesia was adequate for surgery in all instances except in one patient. No complications were encountered with this technique. The authors studied the mechanism of action by dissecting a cadaveric hand after injecting a tracer (Methylene blue) in place of the local anaesthesia, suggesting, but not proving, that anaesthesia is achieved by blocking the nerve in the area of the injection.

Anesthesia, Local↗