The purpose of this study si to introduce a new method to reduce the postoperative complication of augmentation mammoplasty, and to evaluate its usefulness and results. Twenty five patients underwent endoscopically assisted transumbilical subpectoral augmentation mammoplasty designed by authors from November 1995 to May 1997, for 1 1/2 years and were followed up from 6 months to 2 years. We made subpectoral pocket for saline filled mammary implant via umbilical incision, under the endoscopic guidance and could get successful results except 1 complication. One complication was breast asymmetry, recently. We could not found any article about transumbilical augmentation mammoplasty, recently. We could not found any article about transumbilical augmentation advantages of endoscopically assisted transumbilical subpectoral augmentation mammoplasty. (1) inconspicuous scar. (2) low capsular contracture rate. (3) preservation of nerve innervation of upper arm and breast. (4) reducing of hematoma occurrence rate due to the possibility of natural drainage into the tract of abdomen and umbilicus. We concluded that endoscopically assisted transumbilical subpectoral augmentation mammoplasty was a new excellent method to take the advantages of transumbilical approach and subpectoral implantation, and to reduce the postoperative complication rate. Furthermore we think that it overcome the disadvantages of the transumbilical submammary augmentation mammoplasty.
Abdomen ; Arm ; Breast ; Cicatrix ; Contracture ; Drainage ; Female ; Hematoma ; Humans ; Mammaplasty* ; Postoperative Complications ; Umbilicus

The purpose of this study is to introduce a new method to reduce the donor morbidity of radial forearm free flap using ulnar forearm flap, and to evaluate its usefulness and results. 6 patients underwent radial forearm free flap designed by authors and we repaired radial forearm flap donor defect using ulnar forearm flap following ablative surgery for oropharyngeal cancers from June 1995 to February 1997. Radial forearm flap was designed just proximal to wrist crease, and its vascular pedicle was placed in the center of flap. Donor defect was repaired with V-Y fashion closure using ulnar artery axial pattern fasciocutaneous flap. Mean closing time of donor site was 30 minutes. and mean healing period of donor site was 10 days. There was no difficulty in closure. All donor sites healed completely without complication. Limitation of motion was not noticed in the wrist and forearm. We conclude that repair of radial forearm flap donor defect using ulnar forearm flap is new excellent method to prevent the prominent scar of forearm in cases of conventional skin graft for donor defect, and provide rapid healing of wound with low risk of complication
Cicatrix ; Forearm* ; Free Tissue Flaps* ; Humans ; Oropharyngeal Neoplasms ; Skin ; Tissue Donors* ; Transplants ; Ulnar Artery ; Wounds and Injuries ; Wrist

The purpose of this study is to introduce a new method to reduce the donor morbidity of radial forearm free flap using ulnar forearm flap, and to evaluate its usefulness and results. 6 patients underwent radial forearm free flap designed by authors and we repaired radial forearm flap donor defect using ulnar forearm flap following ablative surgery for oropharyngeal cancers from June 1995 to February 1997. Radial forearm flap was designed just proximal to wrist crease, and its vascular pedicle was placed in the center of flap. Donor defect was repaired with V-Y fashion closure using ulnar artery axial pattern fasciocutaneous flap. Mean closing time of donor site was 30 minutes. and mean healing period of donor site was 10 days. There was no difficulty in closure. All donor sites healed completely without complication. Limitation of motion was not noticed in the wrist and forearm. We conclude that repair of radial forearm flap donor defect using ulnar forearm flap is new excellent method to prevent the prominent scar of forearm in cases of conventional skin graft for donor defect, and provide rapid healing of wound with low risk of complication
Cicatrix ; Forearm* ; Free Tissue Flaps* ; Humans ; Oropharyngeal Neoplasms ; Skin ; Tissue Donors* ; Transplants ; Ulnar Artery ; Wounds and Injuries ; Wrist

No abstract available.