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Operative Technique for Correction of Gigantomastia,Using the Superior Pedicle,with Special Care for the Nipple-Papillary Grafts:A 13-Year Retrospective Study

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Modern Plastic Surgery 2015年第3期5卷 34-46页

作者： Jose Humberto Cardoso Resende Lucilia Feliciano marques di Carlantonio luiz celio ma.tins freita. Teresa Tonini Nebia maria Almeida de Figueiredo luiz Carlos Santiago Nursing and Biosciences Federal University of Rio de Janeiro State(UNIRIO)Rio de JaneiroBrazil Member of the Brazilian Society of Plastic Surgery(SBCP) Rio de JaneiroBrazil Brazilian College of Surgeons(CBC) Rio de JaneiroBrazil President of the Catheters committee of the National Cancer Institute(INCa) Rio de JaneiroBrazil Public Health from State of Rio de Janeiro University(UERJ) Rio de JaneiroBrazil Coordinator of the Post-graduate Program in Nursing and Bioscience of UNIRIO Rio de JaneiroBrazil Nursing Federal University of Rio de Janeiro State(UNIRIO)Rio de JaneiroBrazil

This is a retrospective study on gigantomastia correction in obesity facing the technique of nipple-areolar grafts and its complexity. The main question is the technical-surgical care during its execution aiming to achieve reparative results that can return to these women the desire to live with better quality of life and health. Method: We performed a retrospective study of all obese patients with severe gigantomastia who underwent reduction mammaplasty with an operative technique using the superior pedicle, with special care for the nipple-papillary grafts. The study was carried out at a single institution between 2001 and 2013, in a total of 30 cases. This operative technique was presented at first time in 1980, with no changes up to now. We emphasized the perfect decortication of the areola and nipples until they were translucent after the maneuvers of Schwartzman and subsequent grafts operated in both breasts. Results: Results were considered satisfactory, from the reparative and aesthetic point of view, emphasizing the degree of improvement observed in women undergoing technique. Discussion: We can say that during all this time of aesthetic and therapeutic-restorative surgery, due to its realization in a single surgical time, there was big impact on the aesthetics of patients and on their families, even taking into account possible complications in the post-operative. Conclusion: The superior pedicle technique, performed as described here, is a safe and reliable procedure in patients with severe gigantomastia.

关键词： mammoplasty Gigantomastia Resende’s Technique Surgical Flaps Bariatric Surgery Obesity

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Nodular Amyloidosis Overlapping and Polymyositis in a Patient with Skin manifestations Lupus Fax: Case Report

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Journal of Biosciences and Medicines 2017年第11期5卷 33-40页

作者： Eneas Van Der maas do Bem Filho Laiza maria dos Santos Couto Antonio luiz da Costa Soares Jr Pedro Paulo Andrade Thiago Sande Miguel Sebastiao celio Horta Coelho Filho Daniel Almeida da Costa Livia Cristina de Melo Pino Thayro Van Der maas do Bem The Medical School at the Center of Higher Education of Valenca ValencaBrazil

Amyloidosis is the result of fibrous and insoluble amyloid protein deposition in extracellular spaces of tissues and organs, including the skin. Through the analysis of medical records, clinical condition and laboratory tests, this article proposes a rare case report of an adult patient with symptoms and diagnosis of polymyositis, histopathology of nodular amyloidosis with skin lesions suggestive of lupus. The patient is still being followed at the dermatology clinic of Valença Medical School, in order to improve the prognosis and prevent the progression of existing symptoms.

关键词： Nodular Amyloidosis Polymyositis

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