1/29. Cutaneous angioleiomyoma.Leiomyomas are smooth-muscle tumors that may be encountered in the practice of podiatric medicine when they affect the arrector pili muscles or the smooth muscle of a vessel wall. In the present case, the lesion was located on the heel, an area with no hair growth; this further supports the diagnosis, as the most likely origin of the lesion was the smooth muscle of a blood vessel. Vascular leiomyomas show a greater predilection for the lower extremities than their superficial counterparts. Surgical excision is the treatment of choice for these benign lesions, whose prognosis is excellent. When a patient presents with a painful mass in the lower extremity, the diagnosis of leiomyoma should be considered.- - - - - - - - - - ranking = 1keywords = blood vessel, vessel (Clic here for more details about this article) |
2/29. Multiple hemangiomas of the foot: a case report.Although hemangiomas are common soft tissue tumors, it rarely involves the feet. We are reporting a forty-seven-year-old female with multiple hemangiomas of her left foot without pain. During surgery there were seven well-defined masses that were totally excised after ligation of penetrating vessels. The microscopic investigation revealed mixed-type (capillary and cavernous) hemangioma. We had not experienced any recurrence after two years follow up period.- - - - - - - - - - ranking = 0.069942437632207keywords = vessel (Clic here for more details about this article) |
3/29. blue toe syndrome: a rare complication of acute pancreatitis.CONTEXT: blue toe syndrome is an unusual complication of acute pancreatitis. It is characterized by tissue ischemia secondary to cholesterol crystal or atherothrombotic embolization leading to the occlusion of small vessels. Clinical presentation can range from a cyanotic toe to a diffuse multiorgan systemic disease that can mimic other systemic illnesses. CASE REPORT: Here we describe a young male who developed this complication after acute alcoholic pancreatitis.- - - - - - - - - - ranking = 0.069942437632207keywords = vessel (Clic here for more details about this article) |
4/29. Free gluteal artery perforator flap with a short, small perforator.The introduction of supermicrosurgery has led to the development of a new gluteal perforator flap nourished only by a musculocutaneous perforator of the superficial gluteal artery system. This flap has a perforator that is short (3-4 cm in length) and small (less than 1 mm). The successful transference of a free gluteal perforator flap for the coverage of soft-tissue defects in the foot and face in two patients is described in this article. With this flap, deeper and longer dissection for a pedicle vessel is unnecessary, flap elevation time is shorter, thinning of the flap with primary defatting and creation of an adiposal flap with customized thickness for tissue augmentation are possible, the donor site is in a concealed area with minimal donor site morbidity, and application of the flap as a scarred flap for previous operations in the gluteal region is possible. The disadvantages of this flap are necessity of dissection for a smaller perforator and of anastomosis of small-caliber vessels of less than 1.0 mm.- - - - - - - - - - ranking = 0.13988487526441keywords = vessel (Clic here for more details about this article) |
5/29. Symmetrical peripheral gangrene: association with noradrenaline administration.The syndrome of symmetrical peripheral gangrene is characterised by distal ischaemic damage in two or more extremities, without large vessel obstruction. Four patients with bilateral pedal ischaemia are described and their haemodynamic profiles presented. In all four cases the syndrome developed in association with noradrenaline administration, sepsis and DIC, despite a high cardiac output and a low calculated systemic vascular resistance index. Early treatment with epoprostenol was instituted in the final case and was successful.- - - - - - - - - - ranking = 0.069942437632207keywords = vessel (Clic here for more details about this article) |
6/29. Supercharged reverse-flow sural flap: a new modification increasing the reliability of the flap.The management of soft-tissue defects in the lower third of the leg and foot presents a considerable problem because of composite tissue defects, inadequate and tight local tissue for reconstruction, and poor circulation. Although the reverse sural flap is frequently preferred and is fairly reliable, some complications arising from the circulation may be encountered in large flaps or in diabetic patients. In the present study, we developed a new modification by supercharging the sural flap to reduce venous congestion and edema and to increase the reliability of the flap. We treated 3 patients (2 men and 1 woman) by utilizing a supercharged reverse sural flap. All flaps survived and healed uneventfully. We also suggest a new and more distinctive classification for supercharging and turbocharging, which defines the vessel type to be anastomosed and the relationship of the vessel to be anastomosed with the main vessel to the flap.- - - - - - - - - - ranking = 0.20982731289662keywords = vessel (Clic here for more details about this article) |
7/29. Microsurgical reconstruction: experience with free fascia flaps.Microsurgical reconstruction can often benefit from the thin, pliable, and vascular characteristics of free fascia flaps. Investigation to identify donor sites and to maximize reliability of these flaps continues. Microfil injections of the thoracodorsal artery confirm the ability to use the fascia overlying the serratus anterior muscle as a free flap based on this vessel. We have used this flap in distal extremity wounds in 4 patients with one failure (venous thrombosis). Free fascia flaps from other donor sites have been used in 9 patients in a variety of locations (head and neck, hand, and extremity) with excellent results. We conclude that when thin, well-vascularized tissue is required for reconstructive purposes, the skin-grafted free fascial flap provides excellent durable coverage with minimal donor site complications.- - - - - - - - - - ranking = 0.069942437632207keywords = vessel (Clic here for more details about this article) |
8/29. Idiopathic neurotrophic feet in Blacks: a pathological study.The pathological findings in tissues obtained from 6 patients with idiopathic neurotrophic feet are described. The salient features were those of a neuropathy characterized by gross demyelinization and marked changes in the distal blood vessels. The vascular changes included medial and intimal hypertrophy with luminal narrowing. It is proposed that both the neural and the vascular changes were secondary to chronic alcoholism.- - - - - - - - - - ranking = 0.93005756236779keywords = blood vessel, vessel (Clic here for more details about this article) |
9/29. Osteocutaneous flap from the big toe for repair of osteomyelitis of the second toe.The free vascularized osteocutaneous flap from the big toe has been offered as a solution for the reconstruction of the distal phalanx of the fingers. As another important application of this flap, it is recommended that the flap pedicled with the plantar vessels can easily cover the defect involving the bone of the second toe.- - - - - - - - - - ranking = 0.069942437632207keywords = vessel (Clic here for more details about this article) |
10/29. Reverse-flow posterior tibial island flap: preliminary report of a new fasciocutaneous flap.Septocutaneous vessels constitute an important source of skin circulation in the leg and form the basis of various fasciocutaneous flaps that have useful clinical applications. In 1978, Goufan and Baogui described a flap from the forearm based on the radial artery (Chinese forearm flap). With this in mind, the reverse-flow posterior tibial fasciocutaneous flap (Thai leg flap, or TLF) was designed and successfully transferred clinically to cover lower leg and foot defects in 2 patients. The factors that permit a distally based flap to be raised in the lower leg against the direction of the venous valves, and the backflow of arterial blood, are also described. The versatility, advantages, and disadvantages of this new flap in the reconstruction of defects of the lower leg and foot are discussed.- - - - - - - - - - ranking = 0.069942437632207keywords = vessel (Clic here for more details about this article) |
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