Day 1 :
Shandong Provincial Hospital, China
Fanjun Meng has his expertise in plastic and reconstructive surgery. The Modified Subcutaneous Buried Horizontal Mattress Suture he proposed in the paper is a new technique to close the tensioned wound. In vitro study and clinic practice, it is proved to be an efficient technique to reduce the tension of the wound and to prevent scarring postoperation of the large skin lesion excision.
Background: Wound tension reduction is still a challenge to surgeons. Over the years, many techniqueshave been proposed to avoid this issue. In this paper, we present a new suture technique.
Objectives: To investigate the tension-reduction effectiveness of the modified subcutaneous buried horizontal mattress suture compared with the vertical buried mattress suture technique.
Methods: Two suture techniques, the vertical buried mattress suture (group A) and the modified subcutaneous buried horizontal mattress suture (group B), were performed on paired samples of symmetrical skin flaps. An equal pulling force was applied to each paired sutured flap, and the dehiscences of the samples in the two groups were compared. Then, after the periodic mechanical pulling force was recorded, the dehiscences were compared again.
Results: The dehiscences of the vertical buried mattress suture samples(group A) were much wider than their corresponding samples. Modified subcutaneous buried horizontal mattress suture samples (group B) remained well closed with no or minimal dehiscence, under various
Division of Plastic Surgery, Keck School of Medicine U.S.C.
Keynote: Heterotopic Ossification in Spinal Cord Injury Patient is a challenge to the plastic surgeon.
Time : 10:00 -10:30
Dr. Rubayi is a fully trained plastic surgeon from the U.K. and U.S.A. During the last 36 years he is practicing reconstructive plastic surgery in burn and spinal cord injury patient presented with wounds and pressure ulcers, and hip joint involved with infection and H.O.
Heterotopic Ossification is a devastating disease in many patients with primary diagnosis of spinal injury, brain injury, and burn injury. Twenty percent of SCI patients develop this abnormal pathological calcification around their joints and muscles, which will eventually end in multiple complication to the patient, example restricted range of motion to the joints which may end in complete anklyosis, developing pressure ulcer which is secondary to abnormal fixation of the hip joints and the pelvis. To summarize the end result is tremendous changes in the quality of patient life. Nowadays the plastic surgeon involve in the management of many diseases which may involve different specialities. The advancement of reconstructive surgery has helped to apply this management of the H.O. disease. The Author will present a comprehensive presentation of the pathological manifestation and surgical management with post-operative management to prevent recurrence of the disease.