General Surgery

Ultraviolet B Phototherapy

Jun 23, 2019 by in General Surgery Comments Off on Ultraviolet B Phototherapy

Keywords Phototherapy, Narrowband UV-B, UV therapy, Psoriasis, Excimer laser   Key points • Phototherapy with UV light can be used in the treatment of several cutaneous disorders. • Phototherapy is…

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Overview of Psoriasis

Jun 23, 2019 by in General Surgery Comments Off on Overview of Psoriasis

Keywords Psoriasis, Plaque psoriasis, Clinical subtypes, Pustular psoriasis, Nail psoriasis, Comorbidities   Key points • Today, psoriasis is a global disease causing significant impairment in quality of life, disfiguring morbidity,…

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Nerve transfers

Jun 15, 2019 by in General Surgery Comments Off on Nerve transfers

Synopsis ■ Nerve injuries are often devastating, with associated pain and impaired function. ■ Motor nerve injuries must be managed expeditiously, because regenerating axons must reach target muscle prior to…

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Back reconstruction

Jun 15, 2019 by in General Surgery Comments Off on Back reconstruction

Synopsis ■ Reconstruction of the soft tissues of the back at first may seem to be a daunting task compounded by large wounds, unfamiliar and segmental anatomy, radiation, hardware, and…

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Cleft lip repair

Jun 15, 2019 by in General Surgery Comments Off on Cleft lip repair

Synopsis Unilateral lip repair Principles of unilateral cleft lip repair ▪ Presurgical nasoalveolar molding. ▪ Modification of surgical techniques. ▪ Mohler rotation incision. ▪ Mucosal flaps for nasal floor reconstruction,…

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Lower extremity reconstruction

Jun 15, 2019 by in General Surgery Comments Off on Lower extremity reconstruction

Synopsis ■ The reconstructive surgery for the lower extremity has evolved from a staged approach to proving best solutions for functional and cosmetic outcome. ■ This chapter covers the classical…

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Facelift

Jun 15, 2019 by in General Surgery Comments Off on Facelift

Synopsis ▪ Age-related changes occur in all layers of the face, including skin, superficial fat, SMAS, deep fat, and bone. ▪ Patients presenting for facial rejuvenation surgery are usually middle-aged…

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Reduction mammaplasty and gynecomastia

Jun 15, 2019 by in General Surgery Comments Off on Reduction mammaplasty and gynecomastia

Synopsis ▪ Macromastia, or mammary hypertrophy, is a disease process which can result in physical and psychological symptoms. ▪ Macromastia symptoms rarely improve without surgical intervention, which typically results in…

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Chest reconstruction

Jun 15, 2019 by in General Surgery Comments Off on Chest reconstruction

Synopsis ▪ Rigid chest wall support may be achieved with mesh, acellular dermal matrix, or autogenous material such as tensor fascia lata (TFL). Of these, alloplastic mesh is most prone…

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Local flaps for facial coverage

Jun 15, 2019 by in General Surgery Comments Off on Local flaps for facial coverage

Synopsis ▪ Always consider the defect when planning a flap. ▪ Assess availability and laxity of local tissue. ▪ Rob Peter to pay Paul but only if Peter can afford…

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