Journal of plastic, reconstructive & aesthetic surgery : JPRAS最新文献

Liposuction is one of the most common aesthetic procedures worldwide. Although primarily cosmetic, the effect of liposuction on lipid and carbohydrate metabolism is of interest due to the dynamic role that adipose tissue plays in these processes. However, this effect is not fully understood. In this study, the impact of massive liposuction procedures (aspiration of more than 5 L volume) from the abdomen and flanks on biochemical parameters, including Leptin, Adiponectin, Resistin, and Insulin, was analysed. Twenty-two candidates were recruited, and the mentioned parameters were measured and compared with their postoperative concentrations three months after the procedure using the Enzyme-Linked Immunosorbent Assay (ELISA) technique. We found a significant reduction (p value <0.001) in postoperative measurements of Leptin, Resistin, and Insulin, alongside a significant (p value <0.001) increment in Adiponectin levels. These findings indicate a positive impact of the liposuction procedure on lipid and carbohydrate metabolism. The analysis of our study observations suggests that liposuction surgery could play a role in improving metabolism and may serve as a beneficial adjunct in addressing metabolic disorders when combined with diet, exercise, and lifestyle modifications.

A growing number of patients are presenting to NHS hospitals with post-operative complications following cosmetic surgery and non-surgical procedures performed in the UK. A retrospective cross-sectional review of electronic records in patients presenting with cosmetic surgery/procedure complications was conducted at a London hospital across 17 months, and a patient survey was used to establish motivations for treatment. 96% of surgical patients presenting with complications had their procedure performed abroad, with the majority performed in Turkey (73%). 67% of non-surgical patients had their procedure performed in the UK; 22% were BBLs. Total cost of complications was estimated at £110,690.00. Cheaper cost was the motivating factor for four of seven respondents to the survey in seeking procedures abroad. Going forward, it is important to educate the public on the dangers of cosmetic tourism, and we urge the government to bring about legislative change to improve regulation in a highly unregulated non-surgical market within the UK.

The incidence of keratinocyte carcinoma (KC) is rising globally, significantly burdening healthcare resources. Treatment options include medical treatment, non-invasive procedures, and surgery, each associated with their distinct benefits and risks. With advanced treatment, the procedures become increasingly invasive for the patients and expensive for the society. This nationwide cohort study examined the current surgical treatment trends for KC, including factors influencing the likelihood of undergoing reconstructive surgery. We retrieved data on all first-time incidences of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) that were treated at a Danish hospital in the calendar years 2007-2021, corresponding to 34,205 patients with BCC and 17,625 patients with SCC. Descriptive statistics were used to study the development of reconstructive surgery, and the associations between demographic factors, tumor-related factors, and comorbidity, and the use of reconstructive procedures were analyzed using multivariable logistic regression. Among the patients, 26% with BCC and 35% with SCC received reconstructive surgery as part of their surgical treatment. The volume of surgical treatment increased with time, but the proportion of reconstructive procedures for surgically treated KC decreased in the study period. The likelihood of undergoing reconstructive surgery was higher for men and increased with age. Patients with BCC and high comorbidity burden or those who stayed in assisted living facilities were less likely to undergo reconstructive surgery. This was not the case for patients with SCC. The rapid increase in surgical treatment for KC at Danish hospitals, with a notable increase in reconstructive procedures, reflects the global development in KC cases and highlights the continued need for tailored management strategies.

Background: Type II lunate has an extra facet with the hamate. This difference alters the biomechanics of the midcarpal joint, influencing the development of scapho-trapezio-trapezoid (STT) arthritis. We aimed to investigate whether, in patients with trapeziometacarpal (TMC) osteoarthritis (OA), involvement of the STT joint is associated with the lunate type.

Methods: A retrospective review was performed on 121 patients (mean age of 69 years) diagnosed with TMC OA. The lunate type was classified based on the presence of the facet detected on computed tomography images. The incidence of STT OA between patients with type I and II lunates was compared. A multivariate analysis was performed on factors associated with STT OA, such as age, sex, TMC OA severity, TMC joint stability, and the lunate type.

Results: 40.5% (n = 49) of wrists had type I lunate, and 59.5% (n = 72) had type II lunate. STT joint involvement was more common in type I lunate than type II lunate (26.5% vs. 8.3%, p = 0.007). Multivariate analysis indicated that age, stable TMC joint, and type I lunate were independently associated with OA involvement of the STT joint.

Conclusion: In patients with TMC OA, STT joint involvement was more common in type I lunate, contrary to the general population, where type II lunate is more common. Since STT OA is a source of pain after debridement, partial and complete trapeziectomy, implant arthroplasty, or arthrodesis, identifying the risk of STT OA can be important. Further studies are necessary to confirm our findings and to identify factors associated with the progression of pantrapezial disease in patients with TMC OA.