Research Articles (Plastic and Reconstructive Surgery)

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    Breast reconstruction during the COVID-19 pandemic in resource-limited settings
    (GMS, 2021) Al-Benna, Sammy; Gohritz, Andreas
    The coronavirus disease 2019 (COVID-19) is a novel, rapidly changing pandemic. It has affected specialized medical services in unprecedented ways. Surgical decision making, always the most important aspect of care has taken on an added layer of complexity in the face of the COVID-19 pandemic. Therefore, recommendations for breast reconstruction during COVID-19 remain challenging and unclear. This article reviews the impact of the COVID-19 pandemic and suggests potential approaches that could be considered in the absence of validated strategies in breast reconstruction.
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    Considerations for breast reconstructive surgery in South Africa during the COVID-19 pandemic
    (Medpharm, 2020-09) Al-Benna, S.; Gohritz, A.
    ENGLISH ABSTRACT: The coronavirus disease 2019 (COVID-19) pandemic has added a layer of complexity to surgical decision making particularly for complex reconstructive oncological surgery. In the absence of data on which to base validated strategies for breast reconstruction in the South African context, this article discusses the current trends in management and potential approaches which could be employed
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    Impact of COVID-19 on surgical registrars' education and training
    (Medpharm Publications, 2020) Al-Benna, S.
    The coronavirus disease 2019 (COVID-19) pandemic has affected all aspects of medical practice in unprecedented ways. It has already produced significant changes within most hospitals, including, cancellation of elective procedures, decreased volume of acute care surgery, and cancellation of lectures and educational conferences to adhere to social distancing recommendations. This article focuses on the effects of the COVID-19 pandemic on surgical registrars, their education and training and proposes ideas on how to get through this major disruption.
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    Improving the longevity and results of mastopexy and breast reduction procedures : reconstructing an internal breast support system with biocompatible mesh to replace the supporting function of the ligamentous suspension
    (Springer Open, 2011-10) Van Deventer, Petrus V.; Graewe, Frank R.; Wuringer, Elisabeth
    The reasons for recurrent ptosis in mastopexy and breast reduction procedures are twofold. First, available surgical techniques do not reconstruct the normal breast anatomy responsible for maintaining breast shape. Second, in many instances the techniques rely on atrophied tissue to provide long-term support. The discovery in 1997 of the ligamentous suspension (the supporting system of the breast) gave rise to the concept that reconstruction of this anatomical structure was needed to ensure a sustained postoperative result. Applying the latest knowledge regarding the structural and vascular anatomy of the breast in the surgical technique and utilizing material other than atrophied breast tissue enabled us to prevent the recurrence of breast ptosis. Methods A surgical technique was developed to replace the supportive function of a failed ligamentous suspension in 112 patients with ptotic breasts. This was done by reconstructing an internal breast-supporting system (IBSS) with biocompatible mesh. Results Satisfactory breast shape, nipple projection, and upper breast fullness was obtained with this technique in mastopexy patients with moderate-sized ptotic breasts. In patients with larger breasts good results were obtained with a simultaneous breast reduction. The longest follow-up is 6 years 3 months. Conclusions With this technique recurrent breast ptosis can be prevented in mastopexy and breast reduction procedures. The results are such that it eliminates the need for silicone prostheses to obtain satisfactory upper-breast fullness. The surgical technique is especially indicated in patients with skin of poor quality or patients with high expectations.
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    Injuries to the skin of the male external genitalia in Southern Africa
    (Health and Medical Publishing Group (HMPG), 1975) Malherbe, W. D. F.
    The more common injuries to the skin of the male external genital organs are described; some of these mutilations are unique to the African continent. The extent of trauma ranges from small penile skin defects after circumcision to complete avulsion of the skin of the penis and scrotum. The techniques of reconstruction are described.