Objective To evaluate the appearances of ultrasound in bacterial endophthalmitis. Methods Thirty patients with endo-ophthalmitis (in 30 eyes) were examined by ultrasound and pathology, and their appearances were compared. Results All appearance in 30 patients (in 30 eyes) with endo-phthalmitis showed the turbidly of punctiform, fine particle, mass in ultrasound and bacterium, leukocytic infihrate,the patch of tissue in pathology. And two ways was correspond to diagnosis endophthalmitis. Conclusions Ultrasound can be used as an effective method to diagnose endophthalmitis.

Objective:To evaluate the quality status of lithium carbonate tablets and lithium carbonate sustained-release tablets. Methods:The samples were examined in accordance with the statutory standard,and the exploratory studies were carried out. The results were statistically analyzed. Results:In accordance with the statutory standard,among 120 batches of samples, only one was unqualified in dissolution,and the others were qualified. The qualified rate was 99. 2% . Conclusion:The quality of the most products meets the current standard and the quality evaluation standard needs to be improved.

Objective:To establish the protein content determination method respectively by Folin-Ciocalteu method and Coomass-ie brilliant blue binding method for mannatide oral solution and compare the results. Methods:The limit of detection, linearity, accu-racy, repeatability, recovery and content of Folin-Ciocalteu method and Coomassie brilliant blue binding method were investigated. Re-sults:As for Folin-Ciocalteu method, the limit of detection was 0. 2 μg, the range of linearity was 0-112. 0 μg(r=0. 9990), the av-erage recovery was 105. 2%(RSD=1. 9%), the RSD of accuracy was less than 1%, and the content result of three batches of samples was 47. 45, 58. 34 and 40. 99 μg·ml-1, respectively. As for Coomassie brilliant blue binding method, the limit of detection was 0. 8 μg, the range of linearity was 0-99. 6 μg(r=0. 9980), the average recovery was 102. 0%(RSD=2. 7%), the RSD of accuracy was less than 1%, and the protein content of samples was not detected out by the method. Conclusion:Folin-Ciocalteu method can be used to determine the protein content in mannatide oral solution reliably and efficiently.

Objective:To establish the protein content determination method respectively by Folin-Ciocalteu method and Coomass-ie brilliant blue binding method for mannatide oral solution and compare the results. Methods:The limit of detection, linearity, accu-racy, repeatability, recovery and content of Folin-Ciocalteu method and Coomassie brilliant blue binding method were investigated. Re-sults:As for Folin-Ciocalteu method, the limit of detection was 0. 2 μg, the range of linearity was 0-112. 0 μg(r=0. 9990), the av-erage recovery was 105. 2%(RSD=1. 9%), the RSD of accuracy was less than 1%, and the content result of three batches of samples was 47. 45, 58. 34 and 40. 99 μg·ml-1, respectively. As for Coomassie brilliant blue binding method, the limit of detection was 0. 8 μg, the range of linearity was 0-99. 6 μg(r=0. 9980), the average recovery was 102. 0%(RSD=2. 7%), the RSD of accuracy was less than 1%, and the protein content of samples was not detected out by the method. Conclusion:Folin-Ciocalteu method can be used to determine the protein content in mannatide oral solution reliably and efficiently.

Objective To explore the correlation between thyroid nodules and uric acid levels and to find their gender differences.Methods A total of 68 056 subjects in a regional medical physical examination center of Shanxi Province from January 2013 to June 2015 were enrolled in this study.All the participants′ general information and parameters were recorded.Thyroid nodules were detected by color Doppler ultrasonography.Results The total prevalence of thyroid nodule was 35.5%, 30.7% in males and 40.0% in females.The prevalence of single nodule was 50.1%, and multiple 49.9%.Compared with no nodule group, thyroid nodule group tended to be older, with higher BMI, and with a worse metabolic status(all P<0.01).The uric acid levels were lower[(352.37±78.14 vs 357.70±77.51) μmol/L, P<0.01] in thyroid nodule group in male and higher[(260.22±61.91 vs 253.91±59.18) μmol/L, P<0.01] in female.Conclusion Thyroid nodules may be associated with metabolism and inflammation.In males, hyperuricemia group had lower, while in females, hyperuricemia ones were with a higher prevalence of thyroid nodules.

Objective: To investigate the application and therapeutic effect of external tissue expansion-assisted autologous fat grafting for delayed breast reconstruction. Methods: Patients began wearing the BRAVA negative pressure system 8 hours a day for recipient tissue expansion for one month before the fat grafting procedure. After fat grafting, BRAVA was recommended to be worn 8 hours a day from postoperative 48 hours to one month. The interval of each fat grafting procedure was 2.5 to 3.0 months. The procedures were repeated until the completion of breast reconstruction. Water-jet assisted liposuction and subcutaneous release of scars were also performed during surgery. Results: From January 2013 to November 2016, 29 patients were followed up for 12 to 58 months, with average of 31.6 months. 28 patients completed the external tissue expansion-assisted autologous fat grafting breast reconstruction. Completion required 1 to 6 procedures, with average of 3.4 procedures. The total initial fat fill volume for each breast was ranged from 200 to 1 000 ml, with average of 583.7 ml. The initial fat fill volume for each breast was ranged from 92.5 to 243.7 ml per operation, with average of 173.8 ml. One patient underwent latissimus dorsi myocutaneous flap breast reconstruction after 3 fat grafting procedures. 8 patients completed the inframammary fold reconstruction, 3 patients underwent breast lift, 1 patient underwent lipofilling augmentation for the contralateral side. Postoperative satisfaction rate was 82.8% in patients and 75.9% in surgeon. Complication statistics: 5 cases of palpable nodules which recognized as fat necrosis (17.2%), one case of nontuberculous mycobacterial infection (3.4%) and one case of locoregional cancer recurrence (3.4%). Conclusions External tissue expansion-assisted autologous fat grafting is a minimally invasive procedure for breast reconstruction. Satisfactory results could be obtained for most of the patients who would like to choose fat grafting and have enough fat deposit in other parts of the body.

Objective:Introducing clinical application, planning strategy, and surgical tips of bipedicled deep inferior epigastric perforator (DIEP) flaps in delayed breast reconstruction.Methods:A retrospective study of patients who underwent delayed breast reconstruction using bipedicled DIEP flaps from April 2015 to April 2019 at the facility of the authors was carried out. Preoperative CT angiograph was performed for evaluation of deep inferior epigastric perforators. Intraoperative indocyanine green angiography was performed for real-time flap perfusion assessment. Baseline data, information of mastectomy and adjuvant therapy, surgical details, and follow-up records were reviewed and collected for statistical analysis.Results:A total of 31 patients were enrolled, with years of 43.0 on average (range, 30 to 55). Among them 16 patients received radiotherapy (51.6%), 9 patients had lower abdominal scars due to previous surgery (29.0%), 2 patients had body mass index (BMI) lower than 20 kg/m 2(6.5%). Measurements of flaps ranged from 20 cm×8 cm to 20 cm×38 cm. The operative time was 593±94 minutes. Of the 31 flaps enrolled, 24 were DIEP/DIEP flaps, 6 were DIEP/SIEA flaps, one was SIEA/SIEA flap. Intraflap anastomoses were performed in 6 flaps. The other 25 flaps were anastomosed to separate recipients. There was no flap loss encountered. Marginal necrosis of the flap happened in one patient, fat liquefaction of the donor site occurred in four patients, which was treated with conservative debridement. Patients were followed up for 13 months on average (range, 10 to 60 months). No long-term complication was observed during the follow-up. All patients reported satisfying aesthetic outcomes. Conclusions:Bipedicled DIEP flaps provide sufficient tissue quantity and reliable blood supply. Patients with severe breast deficiency, lacking lower abdominal fat, or having abdominal midline scars were appropriate to perform this type of flaps for delayed breast reconstruction.

Objective:To introduce the efficacy and surgical experience of barbed sutures in wound closure of abdominoplasty.Methods:A prospective study of patients who underwent abdominoplasty in Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College from August to December 2021 was carried out. Barbed sutures and corresponding techniques were used for wound closure. These patients were included in the study group. Also, patients who underwent abdominoplasty from January to Jule 2021 and did not use barbed sutures were retrospectively included in the control group. Baseline data, surgical details, and follow-up records were reviewed and collected for statistical analysis. Normal distribution measurement data were expressed as Mean±SD, and independent sample t-test was used for comparison between the two groups. Count data were expressed as cases (%) and analyzed by Chi-square test or Fisher exact test. Results:Twenty female patients aged 31-51 years old with body mass index (BMI) of (23.2±2.5) kg/m 2 were included in the study group, followed up for 6-8 months. The control group included 18 female patients, aged 32-55 years old, with BMI of (23.9±3.7) kg/m 2, and were followed up for 6-12 months. The abdominoplasty incision length of the study group was (36.5±4.5) cm and that of the control group was (35.0±3.4) cm, and there was no statistical significance between the two groups ( P>0.05). The closure time of the study group was (51±7) min, significantly shorter than that of the control group [(98±15) min]( P<0.01). In the study group, 2 patients [10.0%(2/20)] had delayed wound healing caused by incision fat liquefaction. In the control group, delayed wound healing occurred in three patients (3/18), which was caused by incision fat liquefaction (1 case) and suture extrusion (2 cases). There was no significant difference in postoperative wound complication rates between the two groups ( P>0.05). The Vancouver scar scale at three-month follow-up was scored (5.9±1.3) in the study group, (5.6±1.2) in the control group, with no significant difference ( P>0.05). The follow-up visits observed no abdominal wall bulge, hernia, or hypertrophic scar. All patients reported satisfying aesthetic outcomes. Conclusion:Barbed sutures significantly shorten the wound closure time in abdominoplasty. The described closure technique is safe and beneficial for efficiency.

Breast augmentation using polyacrylamide hydrogel (PAHG) was widely used in China. We present the first case of delayed breast inflammation after 2019 novel coronavirus(2019-nCoV) infection in a patient who recieved breast augmentation with PAHG 20 years ago, without any other predispositions. The 45-year-old female patient complained of severe breast swelling and pain three weeks after 2019-nCoV infection. The swelling extended from the upper clavicle to the upper abdomen. Delayed inflammation reaction was diagnosed, followed by emergency surgery. During the surgery, the injected material was observed to gush out in a form of greenish and thin paste, with a foul odor. The wound had extensive diffuse oozing and hemoglobin decreased significantly. The patient was discharged one week after surgery. During a three-month follow-up, she experienced weakness and fatigue with no complications. There are still many unknown areas of the impact of 2019-nCoV on human foreign bodies and immune system, which is diverse and complex. Reporting various possible symptoms and mechanisms is conducive to improving the level of awareness and intervention of plastic surgeons.

Breast augmentation using polyacrylamide hydrogel (PAHG) was widely used in China. We present the first case of delayed breast inflammation after 2019 novel coronavirus(2019-nCoV) infection in a patient who recieved breast augmentation with PAHG 20 years ago, without any other predispositions. The 45-year-old female patient complained of severe breast swelling and pain three weeks after 2019-nCoV infection. The swelling extended from the upper clavicle to the upper abdomen. Delayed inflammation reaction was diagnosed, followed by emergency surgery. During the surgery, the injected material was observed to gush out in a form of greenish and thin paste, with a foul odor. The wound had extensive diffuse oozing and hemoglobin decreased significantly. The patient was discharged one week after surgery. During a three-month follow-up, she experienced weakness and fatigue with no complications. There are still many unknown areas of the impact of 2019-nCoV on human foreign bodies and immune system, which is diverse and complex. Reporting various possible symptoms and mechanisms is conducive to improving the level of awareness and intervention of plastic surgeons.