Servicio de Cirugia Plastica

San Nicolás de los Arroyos, Argentina

Servicio de Cirugia Plastica

San Nicolás de los Arroyos, Argentina
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Ferri Folch B.,Servicio de Ginecologia y Obstetricia | Argudo Pechuan A.,Servicio de Ginecologia y Obstetricia | Gomez Romero L.,Servicio de Cirugia General y del Aparato Digestivo | Miranda Gomez L.,Servicio de Cirugia Plastica | Ruiz Ripoll F.,Servicio de Ginecologia y Obstetricia
Progresos de Obstetricia y Ginecologia | Year: 2015

Introduction: Various causes of inflammatory breast disease have been described and sometimes a differential diagnosis is required to rule out breast carcinoma. Case report: A 63-year-old woman with a history of cirrhosis had an enlarged left breast, erythema, and edema. Antibiotic treatment produced no improvement. The results of ultrasound, mammography and biopsy were negative. Finally, the process was diagnosed as a decompensation of cirrhosis, despite its unilateral manifestation. The process resolved with diuretic therapy. Conclusion: The differential diagnosis of breast disease is sometimes extremely difficult. Some diseases require rapid treatment due to their poor prognosis. The case presented here illustrates how every possible cause of the entity and the patient's medical history should be considered because they could influence or even cause the process. © 2015 SEGO.

Sesman A.,Servicio de Cirugia Plastica | Lecona H.,Bioterio Instituto Nacional Rehabilitacion Cd
International Journal of Morphology | Year: 2013

The aim of our research was to create an osteogenic unit in the skulls of athymic mice; however, the first challenge we faced was to find sufficient and adequate data that would allow us to determine the morphological, immunohistochemical and microtopographical characteristics that could be used as normality standards in athymic mice skulls and, hence, a reference in the event of achieving the formation of de novo bone using the osteogenic unit we proposed. Knowing the normal bone morphology in the skull of athymic mice was a necessary precondition to develop subsequently an osteogenic unit possessing the Osteogenesis, Osteoinduction and Osteoconductivity that could be compared versus those in the normal bone during its formations and remodeling processes. Therefore, we conducted a pilot study to determine bone morphological characteristics in the skull of athymic mice by means of specific histological staining: hematoxylin-eosin and Von Kossa, for osteoid tissue and mineralized bone, and Masson Tri-chrome for ossified areas. We also use immunohistochemistry to detect bone formation markers: alkaline phosphatase resulting from osteoblastic activity stimulation, type 1 collagen a bonematrix structural protein; Osteopontine, a protein specifically synthesized by osteoblasts that favors cell proliferation and remodeling in bone defects; Osteocalcine, a peptide hormone produced by osteoblasts during bone formation; and, Runx 2, a transcription factor expressed by stem cells which stimulates bone differentiation. Likewise, we used electron microscopy on the newly formed tissue to determine the presence of organic deposits, such as calcium, phosphate and magnesium in bone tissue.

Chavannea U.,Carrera de Especialista en Dermatologia UBA | Chavannea U.,Hospital General Of Agudos Jose Maria Penna | Carbia S.,Servicio de Dermatologia | Carbia S.,Hospital General Of Agudos Jose Maria Penna | And 6 more authors.
Prensa Medica Argentina | Year: 2010

Dermatofibrosarcoma protuberans (DFSP) is a sarcoma of the dermis, of low frequency and intermediate malignancy, because of it's low percentage of metastasis. In its earlier stages it might be confused with benign tumors and lead to an incomplete resection. The treatment of choice is the conventional surgery with wide margins or the micrographic surgery of Mohs. Recently the Imatimib has demonstrated good results, being reserved to non-resected tumors or metastasis. We presents a case. An update is made.

Marti Toro E.,Xarxa Hospitalaria Of Manresa | Rubio Murillo J.M.,Xarxa Hospitalaria Of Manresa | Sanchez Ponte A.,Xarxa Hospitalaria Of Manresa | Lopez Ojeda A.,Servicio de Cirugia Plastica | And 2 more authors.
Cirugia Plastica Ibero-Latinoamericana | Year: 2012

Breast reconstruction has been in evolution in the last few years with the appearance of new techniques like autologous fat grafting and acellular dermal matrix. We present a complex case of breast reconstruction after the failure of the first surgery. We analyze the different performed techniques, that should be familiar for all breast surgeons. Lipofilling allows minimize the local effects of radiotherapy and make tissues thicker. Acellular dermal matrix makes possible an extra coverage of the lower pole of the breast implant and guarantees safer expansion. Sometimes, simple surgical techniques allow rescue complicated cases with low morbidity and less tissue sacrifice.

Polanco D.,Servicio de Cirugia Plastica | Manzanedo I.,Servicio de Cirugia General y Aparato Digestivo | el Bouayadi L.,Hospital Of Getafe | Nunez G.,Servicio de Cirugia Plastica | Tartas A.,Servicio de Cirugia General y Aparato Digestivo
Revista Chilena de Cirugia | Year: 2010

Extra mammary Paget disease is rare and mostly affects perianal and vulvar zones, in patients of both sexes and from the sixth decade of life. We report a 66 years old woman with a vulvar Paget disease, subjected to a vulvectomy. Two years later, a pruriginous and erythematous plaque appeared in the perianal region. The pathological study informed an extra mammary Paget disease. The patient was subjected to a perianal excision and the correction of the surgical defect in a second intervention. After one year of follow up, there is no evidence of disease relapse.

Marre D.,University of Navarra | Gantz J.T.,Hospital Padre Hurtado | Villalon J.,Hospital Padre Hurtado | Roco H.,Servicio de Cirugia Plastica | Roco H.,Hospital Of La Fuerza Aerea Of Chile
Revista Chilena de Cirugia | Year: 2016

Nowadays most plastic surgery units worldwide perform breast reconstruction and hence basic updated knowledge in the topic is mandatory for every plastic surgeon and trainee. Breast reconstruction may be performed either immediately after mastectomy or in a delayed fashion. Each of these timings has its advantages and drawbacks and albeit there are a number of factors influencing the decision to perform one or another, probably the most important one has to do with the delivery of radiotherapy. In this sense, while in patients who are candidates for post mastectomy radiation, a delayed reconstruction is strongly recommended, in those without adjuvancy, immediate reconstruction is a very good alternative. In general terms, breast reconstruction techniques fall into one of three groups: those using alloplastic materials only; those performed with autologous tissue only; and those using a combination of both alloplastics and autologous tissue. Again the administration of radiotherapy, as well as patient and surgeon-related factors, play a fundamental role when choosing anyone technique. Finally, during the last years there has been growing interest and evidence on the use of acellular dermal matrices for breast reconstruction, which have expanded the armamentarium of techniques available for these patients. The following paper aims to provide an updated review on breast reconstruction regarding timing of reconstruction, techniques available, the influence of radiotherapy and the use of acellular dermal matrices. © 2016, Sociedad de Cirujanos de Chile. All Rights Reserved.

Diego Polanco M.,Servicio de Cirugia Plastica | Jose Fernandez-Canamaque R.,Servicio de Cirugia Plastica | Isabel Ortega C.,Servicio de Cirugia Plastica | Ernesto Castillo G.,Hospital Universitario Of Getafe
Revista Chilena de Cirugia | Year: 2010

Background: Mammary reconstruction after surgery for breast cancer can be performed with free abdominal flaps such as DIEP (deep inferior epigastric perforator), TRAM (transverse rectus abdominis musculocutaneus) y SIEA (superficial inferior epigastric artery). Aim: To report our experience with the use of magnetic resonance angiography to plan mammary reconstruction. Material and Methods: The superficial epigastric vascular axis and the connections between the superficial and deep axis were explored with magnetic resonance angiography in 25 patients aged 32 to 63 years. Dominant perforating arteries (those with the greater caliber and predominant distribution through adipose tissue), were localized. Their intramuscular trajectory and that of the deep epigastric artery were also studied. The findings of magnetic resonance were compared with those of intraoperative Doppler ultrasound examination dissection during operation. Results: There was a 100% concordance between magnetic resonance findings and those of intraoperative Doppler. However in two patients a perforating artery with an adequate caliber was missed with magnetic resonance. Conclusions: Magnetic resonance angiography is useful in the planning of mammary reconstruction with epigastric flaps.

Moretti E.A.,Servicio de Cirugia Plastica | Gallo S.,Servicio de Cirugia Plastica | Huck W.,Servicio de Cirugia Plastica
Cirugia Plastica Ibero-Latinoamericana | Year: 2011

The aim of this paper is to present the results of 2 different techniques chosen by the authors for the treatment of inverted nipples. The selection of the procedures is in relation of the simplicity and the short learning curve. We analyzed the results of the 2 techniques, indications, complications and long-term results.

The role of the palate depends on the synchronous action of the superior constrictor of the pharynx and the muscles of the palate, specially the levator muscle of the soft palate and the uvula, that contract against the posterior pharyngeal wall. We propose an uvuloplasty in cleft palate where half hypotrophic part of cleft uvula is resected, lefting the most similar half to normality joined to the soft palate, rather than resecting half of each one and putting them together in the midline. We present a total of 936 cases, collected between 1995 and 2006. The surgical procedure was resection of an hemiuvula, leaving the more natural looking sutured to the soft palate of unresected hemiuvula. The mean age of our patients was 14 months (6 to 20 months). Complications (4%) were: bleeding 3% and wound dehiscence 1%. We believe that natural look supports the parents who observe the presence of the uvula and so, are motivated to attend appointments for language rehabilitation; the presence of an hemiuvula not interfere with function palate for talking.

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