http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Lymphedema Fat Graft: An Ideal Filler for Facial Rejuvenation
Nicoli, Fabio,Chilgar, Ram M.,Sapountzis, Stamatis,Lazzeri, Davide,Yeo, Matthew Sze Wei,Ciudad, Pedro,Nicoli, Marzia,Lim, Seong Yoon,Chen, Pei-Yu,Constantinides, Joannis,Chen, Hung-Chi Korean Society of Plastic and Reconstructive Surge 2014 Archives of Plastic Surgery Vol.41 No.5
Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and postoperative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was $7.2{\pm}0.5$, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of $8.5{\pm}0.7$ and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.
Lymphedema Fat Graft: An Ideal Filler for Facial Rejuvenation
Fabio Nicoli,Ram M. Chilgar,Stamatis Sapountzis,Davide Lazzeri,Matthew Yeo Sze Wei,Pedro Ciudad,Marzia Nicoli,Seong Yoon Lim,Pei-Yu Chen,Joannis Constantinides,Hung-Chi Chen 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.5
Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has manyimportant properties. Over the past few years, significant research has been performed toidentify an ideal tissue to implant as a filler. Because of its unique composition, fat harvestedfrom the lymphedema tissue is an interesting topic for investigation and has significantpotential for application as a filler, particularly in facial rejuvenation. Over a 36-monthperiod, we treated and assessed 8 patients with lymphedematous limbs who concurrentlyunderwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and postoperativesatisfaction questionnaire survey and a histological assessment of the harvested LFfat. The overall mean general appearance score at an average of 6 months after the procedurewas 7.2±0.5, demonstrating great improvement. Patients reported significant improvementin their skin texture with a reading of 8.5±0.7 and an improvement in their self-esteem. Thisstudy demonstrates that LF as an ideal autologous injectable filler is clinically applicable andeasily available in patients with lymphedema. We recommend the further study and clinicaluse of this tissue as it exhibits important properties and qualities for future applications andresearch.
Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision
Nicoli, Fabio,Ciudad, Pedro,Lim, Seong Yoon,Lazzeri, Davide,D'Ambrosia, Christopher,Kiranantawat, Kidakorn,Chilgar, Ram M,Sapountzis, Stamatis,Sacak, Bulent,Chen, Hung-Chi Korean Society of Plastic and Reconstructive Surge 2015 Archives of Plastic Surgery Vol.42 No.4
Due to the fact that it reliably results in positive outcomes, lymph node flap transfer is becoming an increasingly popular surgical procedure for the prevention and treatment of lymphedema. This technique has been shown to stimulate lymphoangiogenesis and restore lymphatic function, as well as decreasing infection rates, minimizing pain, and preventing the recurrence of lymphedema. In this article, we investigate possible additional benefits of lymph node flap transfer, primarily the possibility that sentinel lymph nodes may be used to detect micrometastasis or in-transit metastasis and may function as an additional lymphatic station after the excision of advanced skin cancer.
Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision
Fabio Nicoli,Pedro Ciudad,Seong Yoon Lim,Davide Lazzeri,Christopher D’Ambrosia,Kidakorn Kiranantawat,Ram M. Chilgar,Stamatis Sapountzis,Bulent Sacak,Hung-Chi Chen 대한성형외과학회 2015 Archives of Plastic Surgery Vol.42 No.4
Due to the fact that it reliably results in positive outcomes, lymph node flap transfer is becoming an increasingly popular surgical procedure for the prevention and treatment of lymphedema. This technique has been shown to stimulate lymphoangiogenesis and restore lymphatic function, as well as decreasing infection rates, minimizing pain, and preventing the recurrence of lymphedema. In this article, we investigate possible additional benefits of lymph node flap transfer, primarily the possibility that sentinel lymph nodes may be used to detect micrometastasis or in-transit metastasis and may function as an additional lymphatic station after the excision of advanced skin cancer.
Bora Keum,Nicoli Elena,Hye-Sung Won,Seham M. Khan,Sang Hoe Koo,Han Dong-Gun,Lee Jun-Woo,BYUN Hae Cheol,You-sun Ko,Yu Ya-Nan,Ji Sang-Gyu,Kang Joon Mo,Young-Cheong Kim,Sang-Woo Park,Hyun-Suk Shim,Joo My 대한장연구학회 2018 Intestinal Research Vol.16 No.1
Background/Aims: Colonoscopic surveillance is currently recommended after polypectomy owing to the risk of newly developed colonic neoplasia. However, few studies have investigated colonoscopy surveillance in Asia. This multicenter and prospective study was undertaken to assess the incidence of advanced adenoma based on baseline adenoma findings at 3 years after colonoscopic polypectomy. Methods: A total of 1,323 patients undergoing colonoscopic polypectomy were prospectively assigned to 3-year colonoscopy surveillance at 11 tertiary endoscopic centers. Relative risks for advanced adenoma after 3 years were calculated according to baseline adenoma characteristics. Results: Among 1,323 patients enrolled, 387 patients (29.3%) were followed up, and the mean follow-up interval was 31.0±9.8 months. The percentage of patients with advanced adenoma on baseline colonoscopy was higher in the surveillance group compared to the non-surveillance group (34.4% vs. 25.7%). Advanced adenoma recurrence was observed in 17 patients (4.4%) at follow-up. The risk of advanced adenoma recurrence was 2 times greater in patients with baseline advanced adenoma than in those with baseline non-advanced adenoma, though the difference was not statistically significant (6.8% [9/133] vs. 3.1% [8/254], P =0.09). Advanced adenoma recurrence was observed only in males and in subjects aged ≥50 years. In contrast, adenoma recurrence was observed in 187 patients (48.3%) at follow-up. Male sex, older age (≥50 years), and multiple adenomas (≥3) at baseline were independent risk factors for adenoma recurrence. Conclusions: A colonoscopy surveillance interval of 3 years in patients with baseline advanced adenoma can be considered appropriate. (Intest Res 2018;16:126-133)
Algeri Paola,Nicoli Elena,Rota Sonia Maria,Caruso Orlando,Manfredini Cinzia,Buzzi Antonella 대한산부인과학회 2018 Obstetrics & Gynecology Science Vol.61 No.1
We reported a case of secondary abdominal pregnancy with placental implantation into the fallopian tube, diagnosed at 16 weeks, in a woman admitted to the emergency room complaining of syncopal attacks. The best approach would be termination of the pregnancy, taking into consideration the high risk to the mother and the low possibility of alive and healthy birth. We had to perform an urgent surgical intervention due to the fact that the patient was in a clinically unstable condition, which was related to hemoperitoneum. If placental implantation is on abdominal organs or vessel the best approach would be to ligate the cord and to leave placenta in situ. Taking into consideration the place of placental implant, the removal of the fallopian tube with the placenta was the safest approach in this case. The best and most acceptable form of treatment would be individualized in case of rare form of ectopic pregnancy.
Davide Lazzeri,Georg M. Huemer,Fabio Nicoli,Lorenz Larcher,Talal Dashti,Luca Grassetti,Qingfeng Li,Yixin Zhang,Giuseppe Spinelli,Tommaso Agostini 대한성형외과학회 2013 Archives of Plastic Surgery Vol.40 No.1
Background The aim of this investigation was to systematically review the current literature to provide the best data for indications, outcomes, survival, and complication rates of pedicled propeller perforator flaps for upper body defects. Methods A comprehensive literature review for articles published from January 1991 to December 2011 was performed using the PubMed, Medline, and Cochrane Databases. Articles without available full-text, single case reports or papers with excessive missing data were excluded. Papers reporting pedicle-perforator (propeller) flaps used for lower extremity reconstruction were excluded from meta-analysis. Results From the initial 1,736 studies our search yielded, 343 studies qualified for the second stage of selection. Of 117 full-text reports screened, 41 studies, met the definitive inclusion and exclusion criteria. Of the selected 41 articles, 26 were case series, original papers or retrospective reviews and were included, whereas 15 were case report papers and therefore were excluded. Two hundred ninety-five propeller flaps were reported to have been used in a total of 283 patients. Indications include repair of trauma-induced injuries, post-trauma revision surgery, cancer resection, chronic infection, pressure sores, and chronic ulcers with a major complication rate (3.3%) comparable to that of free flaps. No specific exclusion criteria for the procedure were presented in the studies reviewed. Conclusions Pedicled propeller flaps are a versatile and safe reconstructive option that are easy and quick to raise and that provide unlimited clinical solutions because of the theoretical possibility of harvesting them based on any perforator chosen among those classified in the body.
Lazzeri, Davide,Huemer, Georg M.,Nicoli, Fabio,Larcher, Lorenz,Dashti, Talal,Grassetti, Luca,Li, Qingfeng,Zhang, Yixin,Spinelli, Giuseppe,Agostini, Tommaso Korean Society of Plastic and Reconstructive Surge 2013 Archives of Plastic Surgery Vol.40 No.1
Background The aim of this investigation was to systematically review the current literature to provide the best data for indications, outcomes, survival, and complication rates of pedicled propeller perforator flaps for upper body defects. Methods A comprehensive literature review for articles published from January 1991 to December 2011 was performed using the PubMed, Medline, and Cochrane Databases. Articles without available full-text, single case reports or papers with excessive missing data were excluded. Papers reporting pedicle-perforator (propeller) flaps used for lower extremity reconstruction were excluded from meta-analysis. Results From the initial 1,736 studies our search yielded, 343 studies qualified for the second stage of selection. Of 117 full-text reports screened, 41 studies, met the definitive inclusion and exclusion criteria. Of the selected 41 articles, 26 were case series, original papers or retrospective reviews and were included, whereas 15 were case report papers and therefore were excluded. Two hundred ninety-five propeller flaps were reported to have been used in a total of 283 patients. Indications include repair of trauma-induced injuries, post-trauma revision surgery, cancer resection, chronic infection, pressure sores, and chronic ulcers with a major complication rate (3.3%) comparable to that of free flaps. No specific exclusion criteria for the procedure were presented in the studies reviewed. Conclusions Pedicled propeller flaps are a versatile and safe reconstructive option that are easy and quick to raise and that provide unlimited clinical solutions because of the theoretical possibility of harvesting them based on any perforator chosen among those classified in the body.