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July 2016 - Volume 4 - Issue 7
pp: e820-e510
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Multidisciplinary Oncoplastic Approach Reduces Infection in Chest Wall Resection and Reconstruction for Malignant Chest Wall Tumors

Khalil, Haitham H.; Malahias, Marco N.; Balasubramanian, Balapathiran; More

Plastic and Reconstructive Surgery – Global Open. 4(7):e809, July 2016.

Pre-operative Care. Video 1 from “Upper and Lower Blepharoplasty”
Creator: Mark Codner
Duration: 2:34
Journal: Plastic and Reconstructive Surgery – Global Open July 2016, Volume 4, Issue 7; Plastic and Reconstructive Surgery – Global Open. 4(7):e801, July 2016
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This video demonstrating a standard examination of a patient’s upper and lower eyelids when planning for blepharoplasty is demonstrated. From “Upper and Lower Blepharoplasty” in the July 2016 issue of PRS Global Open.
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Preoperative Patient and Local Anesthetic Injection. Video 4 from “Wide Awake Flexor Tendon Repair in the Finger"
Creator: Donald Lalonde
Duration: 2:13
Journal: Plastic and Reconstructive Surgery – Global Open July 2016, Volume 4, Issue 7; Plastic and Reconstructive Surgery – Global Open. 4(7):e797, July 2016
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This video shows details of how to inject local anesthesia for wide awake flexor tendon repair. From “Wide Awake Flexor Tendon Repair in the Finger" in the July 2016 issue of PRS Global Open.
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Dissecting the Skin Flaps and Exposing the Sheath. Video 2 from “Wide Awake Flexor Tendon Repair in the Finger"
Creator: Donald Lalonde
Duration: 2:36
Journal: Plastic and Reconstructive Surgery – Global Open July 2016, Volume 4, Issue 7; Plastic and Reconstructive Surgery – Global Open. 4(7):e797, July 2016
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This video shows the dissection of skin flaps and exposure of the sheath of the patient introduced in video 1. From “Wide Awake Flexor Tendon Repair" in the July 2016 issue of PRS Global Open.
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Retrieving the Tendon Ends. Video 3 from “Wide Awake Flexor Tendon Repair in the Finger"
Creator: Donald Lalonde
Duration: 2:38
Journal: Plastic and Reconstructive Surgery – Global Open July 2016, Volume 4, Issue 7; Plastic and Reconstructive Surgery – Global Open. 4(7):e797, July 2016
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This video demonstrates how the surgeon gets the patient to extend the finger to relax the flexor tendon and let it come distally in the sheath by pushing it with Adson forceps through sheathotomies. From “Wide Awake Flexor Tendon Repair in the Finger" in the July 2016 issue of PRS Global Open.
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Suture the Tendon and Intraoperative Patient Education. Video 4 from “Wide Awake Flexor Tendon Repair in the Finger"
Creator: Donald Lalonde
Duration: 5:22
Journal: Plastic and Reconstructive Surgery – Global Open July 2016, Volume 4, Issue 7; Plastic and Reconstructive Surgery – Global Open. 4(7):e797, July 2016
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This video observes the step by step suturing of the tendon through sheathotomies, venting of the A4 pulley, intraoperative testing of the repair, and patient education during the surgery. From “Wide Awake Flexor Tendon Repair in the Finger" in the July 2016 issue of PRS Global Open.
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Post-operative Therapy. Video 5 from “Wide Awake Flexor Tendon Repair in the Finger"
Creator: Donald Lalonde
Duration: 4:01
Journal: Plastic and Reconstructive Surgery – Global Open July 2016, Volume 4, Issue 7; Plastic and Reconstructive Surgery – Global Open. 4(7):e797, July 2016
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This video displays the post-operative therapy demonstrating early protected true active flexion and extension (as opposed to place and hold) and final result with patient of videos 1 and 2. From “Wide Awake Flexor Tendon Repair in the Finger" in the July 2016 issue of PRS Global Open.
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Intraoperative Details. Video 2 from “Upper and Lower Blepharoplasty”
Creator: Mark Codner
Duration: 8:39
Journal: Plastic and Reconstructive Surgery – Global Open Plastic and Reconstructive Surgery – Global Open. 4(7):e801, July 2016 July 2016, Volume 4, Issue 7;
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This video demonstrates upper and lower blepharoplasty techniques, pearls, and pitfalls are shown and discussed in detail. From “Upper and Lower Blepharoplasty” in the July 2016 issue of PRS Global Open.
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Resection. Video from “Multidisciplinary oncoplastic approach reduces infection in chest wall resection and reconstruction for malignant chest wall tumours”
Creator: Haitham H Khalil
Duration: 2:29
Journal: Plastic and Reconstructive Surgery – Global Open Plastic and Reconstructive Surgery – Global Open. 4(7):e809, July 2016 July 2016, Volume 4, Issue 7;
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See video demonstrating the preoperative planning and design for resection of chondrosarcoma left costal margin by the thoracic oncoplastic team. The options for potential soft tissue reconstruction either using Lattissmus dorsi or vertical rectus myocutaneous flap (VRAM) are outlined. During enbloc resection of the tumour the reconstructive surgeon is assessing the proximity of the resection margins to the left superior epigastric vessels which could be potentially used as main blood supply for the left VRAM if integrity was preserved. This was followed by skeletal reconstruction using STRATOS bars and Polyprolene mesh by the thoracic surgeons. Assessing of the resultant defect was performed to determine the extent of the required skin paddle. Harvesting and insetting of the VRAM flap with primary closure. From “Multidisciplinary oncoplastic approach reduces infection in chest wall resection and reconstruction for malignant chest wall tumours” in the July 2016 issue of PRS Global Open.
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