Louis de Weerd
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View article: Challenging the Dogma of Dead Space Obliteration With Muscle Flaps in Deep Spinal Surgical Site Infections
Challenging the Dogma of Dead Space Obliteration With Muscle Flaps in Deep Spinal Surgical Site Infections Open
Background: A deep surgical site infection (SSI) after spinal surgery is a serious complication. The defect formed is often a complex 3-dimensional dead space due to tissue loss, frequently containing spinal hardware. Traditionally, oblite…
View article: Free Vascularized Fibula Graft as Primary Salvage Procedure for Acute Cervical Osteomyelitis Caused by Epidural Abscess
Free Vascularized Fibula Graft as Primary Salvage Procedure for Acute Cervical Osteomyelitis Caused by Epidural Abscess Open
Summary: Acute cervical osteomyelitis due to an epidural abscess and pyogenic spondylodiscitis in an immunosuppressed patient with progressive myelopathy is a challenge for the reconstructive surgeon. This report presents our novel approac…
View article: Botulinum Toxin A in the treatment of frostbite sequelae – results from a blinded, early-phase, comparative trial
Botulinum Toxin A in the treatment of frostbite sequelae – results from a blinded, early-phase, comparative trial Open
This pilot study showed the study methodology with minor adjustments is feasible in a future full-scale clinical trial. The recruitment process needs to be more refined to ensure that the eligible study participants are a homogenous group …
View article: Critical steps in the perfusion of a walking cross-leg flap monitored with dynamic infrared thermography. Case report
Critical steps in the perfusion of a walking cross-leg flap monitored with dynamic infrared thermography. Case report Open
A walking cross-leg flap is a cross-leg flap that reaches its destination not in one but in several steps. It may be the last option before leg amputation. Knowledge on the perfusion of these flaps may optimize its use, reduce the risk for…
View article: Securing perforator flap perfusion by using dynamic infrared thermography (DIRT) in complex traumatic hand surgery – A case report
Securing perforator flap perfusion by using dynamic infrared thermography (DIRT) in complex traumatic hand surgery – A case report Open
A complex traumatic hand injury may pose a challenge for the reconstructive surgeon. Perforator flaps provide the surgeon with an option in managing such injuries. Securing perfusion of the perforator flap is essential, as partial, or tota…
View article: Health effects of voluntary exposure to cold water – a continuing subject of debate
Health effects of voluntary exposure to cold water – a continuing subject of debate Open
This review is based on a multiple database survey on published literature to determine the effects on health following voluntary exposure to cold-water immersion (CWI) in humans. After a filtering process 104 studies were regarded relevan…
View article: Abstracts from The Cold Weather Operations Conference 2021
Abstracts from The Cold Weather Operations Conference 2021 Open
A common effort for both military and civil healthcare is to achieve knowledge-based health care in cold weather injuries and fatal accidents in harsh arctic environment. The Cold Weather Operations Conference in November 2021, having more…
View article: A New Extraperitoneal Method for Entero-atmospheric Fistula Closure Using a Free Muscle Flap
A New Extraperitoneal Method for Entero-atmospheric Fistula Closure Using a Free Muscle Flap Open
Summary: Treatment of an entero-atmospheric fistula (EAF) is challenging and associated with significant morbidity and mortality. For an EAF with protrusion of mucosa, chances for spontaneous closure are minimal. Standard surgical procedur…
View article: Liberal versus Modified Intraoperative Fluid Management in Abdominal-flap Breast Reconstructions. A Clinical Study
Liberal versus Modified Intraoperative Fluid Management in Abdominal-flap Breast Reconstructions. A Clinical Study Open
Background: The outcome of reconstructive microsurgery is influenced by the intraoperative anesthetic regimen. The aim of this study was to compare the impact on the intra- and postoperative complication rates of our modified fluid managem…
View article: In Vivo Perforasome Perfusion in Hemi-DIEP Flaps Evaluated with Indocyanine-green Fluorescence Angiography and Infrared Thermography
In Vivo Perforasome Perfusion in Hemi-DIEP Flaps Evaluated with Indocyanine-green Fluorescence Angiography and Infrared Thermography Open
Background: There are no in vivo studies that evaluate the effect of perforator dissection on the perfusion territory of a perforator (perforasome). In this study, indocyanine green fluorescence angiography (ICG-FA) and infrared thermograp…
View article: Impact on Abdominal Skin Perfusion following Abdominoplasty
Impact on Abdominal Skin Perfusion following Abdominoplasty Open
Background: Wound healing problems following abdominoplasty may be a result of impaired tissue perfusion. This study evaluated the impact a standard abdominoplasty may have on abdominal skin perfusion. Methods: A standard abdominoplasty wa…
View article: The Value of Dynamic Infrared Thermography in Pedicled Thoracodorsal Artery Perforator Flap Surgery
The Value of Dynamic Infrared Thermography in Pedicled Thoracodorsal Artery Perforator Flap Surgery Open
Background: Dynamic infrared thermography (DIRT) is a noninvasive imaging technique that can provide indirect and real-time information on skin perfusion by measuring skin temperature. Although used in flap surgery, there are no reports on…
View article: Triple Use of Autologous Amnion Graft in the Treatment of Meningomyelocele and Split Cord Malformation
Triple Use of Autologous Amnion Graft in the Treatment of Meningomyelocele and Split Cord Malformation Open
Summary: This article describes the triple use of autologous amnion graft as a new procedure in the treatment of myelomeningocele and in myelomeningocele with split cord malformation. The first amnion graft was used as a physical and mecha…
View article: Intrathoracic Breast Transposition: A New Method in the Treatment of Bronchopleural Fistula and Empyema
Intrathoracic Breast Transposition: A New Method in the Treatment of Bronchopleural Fistula and Empyema Open
Summary: A bronchopleural fistula (BF) is a life-threatening complication. Optimal management of a BF is still debated although surgery remains the preferred treatment. Usually, the fistula is a result of inadequate healing at the bronchia…
View article: Ultrasound-guided Sympathetic Block of the Radial Artery with Botulinum Toxin to Treat Vasospasm
Ultrasound-guided Sympathetic Block of the Radial Artery with Botulinum Toxin to Treat Vasospasm Open
Summary: Vasospastic disorders in the hand have been treated with surgical sympathectomy and recently with botulinum toxin A (BTX) injections in the palm. The purpose of this study was to evaluate if it is possible to obtain precise admini…
View article: Variability in peripheral rewarming after cold stress among 255 healthy Norwegian army conscripts assessed by dynamic infrared thermography
Variability in peripheral rewarming after cold stress among 255 healthy Norwegian army conscripts assessed by dynamic infrared thermography Open
Exposure to cold climate is an inevitable consequence of military training in Norway. Adequate peripheral microcirculation in the extremities is important to maintain temperature, and to protect against freezing cold injuries. The aim of t…
View article: The Pedicled LICAP Flap Combined with a Free Abdominal Flap In Autologous Breast Reconstructions
The Pedicled LICAP Flap Combined with a Free Abdominal Flap In Autologous Breast Reconstructions Open
Background: Previous surgery or slim body configuration can limit the size of the available abdominal flap in autologous breast reconstruction. However, redundant skin and subcutaneous tissue lateral to the mastectomy site can be utilized …
View article: Internal Mammary Vessels’ Impact on Abdominal Skin Perfusion in Free Abdominal Flap Breast Reconstruction
Internal Mammary Vessels’ Impact on Abdominal Skin Perfusion in Free Abdominal Flap Breast Reconstruction Open
Background: Wound healing problems at the donor site in free abdominal flap breast reconstruction cause significant morbidity to patients. No studies have investigated what impact the use of the internal mammary artery in free abdominal fl…
View article: Living with Dead Spaces: Closing Complex Posterior Midline Defects with Midline-Based Perforator Flaps
Living with Dead Spaces: Closing Complex Posterior Midline Defects with Midline-Based Perforator Flaps Open
Sir: We read with interest the article by Datli et al.1 on closure of defects with large dead spaces on the posterior trunk. The authors made a valuable contribution with their technique for closure of these defects. They stress that compl…
View article: The Marriage of Sartorius and Tensor Fasciae Latae in Treating Vascular Prosthetic Graft Infections
The Marriage of Sartorius and Tensor Fasciae Latae in Treating Vascular Prosthetic Graft Infections Open
Background: Vascular prosthetic graft infection in the groin is associated with high morbidity and mortality. This article presents a case series on the use of 2 flaps in the treatment of this condition. Methods: Five patients, mean age 65…
View article: A new treatment for frostbite sequelae; Botulinum toxin
A new treatment for frostbite sequelae; Botulinum toxin Open
Frostbite sequelae are a relevant occupational injury outcome for soldiers in arctic environments. A Caucasian male soldier suffered frostbite to both hands during a military winter exercise. He developed sensory-motor disturbances and col…
View article: Perforator-Guided Drug Injection at the Point of Nerve Entrapment
Perforator-Guided Drug Injection at the Point of Nerve Entrapment Open
We highly appreciate the Letter to the Editor by Kini and Kanakarajan commenting on our article entitled "Perforator--guided drug injection in the treatment of abdominal wall pain" (1).In their paper published in 2011 the authors describe …
View article: Ultrasound of Small Nerves and Perforator-Guided Treatment of ACNES
Ultrasound of Small Nerves and Perforator-Guided Treatment of ACNES Open
Perforator--guided injection and ultrasound of small nervesWe thank Dr. Coraci et al. (1) for their comments on our article about perforator-guided drug injection (2).
View article: Plastic surgery in the Norwegian undergraduate medical curriculum: students’ knowledge and attitudes. A nationwide case-control study
Plastic surgery in the Norwegian undergraduate medical curriculum: students’ knowledge and attitudes. A nationwide case-control study Open
In some aspects, medical students are only as knowledgeable as their non-medical peers. These results call for higher quality plastic surgery teaching, to secure referral of the correct patients and successful specialist recruitment to pla…
View article: Detection of Perforators Using Smartphone Thermal Imaging
Detection of Perforators Using Smartphone Thermal Imaging Open
Sir: We read with interest the article by Hardwicke et al. entitled "Detection of Perforators Using Smartphone Thermal Imaging."1 Since Itoh and Arai published their first English article on the use of thermography in perforator mapping,2 …