Other types of assistance:
Phimosis foreskin
justify; '> E' an anomaly characterized by the inability of the foreskin to the glans completely out because of an excessive narrowing of the foreskin itself can often present with the groove balanoprepuziale adhesions. background-origin: initial; background-clip: initial; background-color: transparent; color: rgb (0, 0, 0); font-size: 11px; font-family: Verdana, Arial, sans-serif; font-style : normal; text-align: justify; '> It is usually congenital, but can also be acquired (infection outcomes, diabetes) is usually saline and therefore not to be treated within two to three years of age, because almost always resolves spontaneously with (delicate) maneuvers for the gradual opening; if it persists beyond, must be treated surgically with a speech called preputial plastic slip. The intervention, which is not circumcision, is the opening of the foreskin, which is only slightly shortened, but will retain the ability to cover the glans. initial; background-attachment: initial; background-origin: initial; background-clip: initial; background-color: transparent; color: rgb (0, 0, 0); font-size: 11px; font-family: Verdana, Arial , sans-serif; font-style: normal; text-align: justify; '> Given the age of the patients must be performed with a short general anesthesia and can be done as an outpatient, without even stay overnight in hospitalCorrecting scars retraenti
If the scars are particularly retraenti and hypertrophic (very measured), such as in the case of the outcomes of burn, and if you do not respond to local non-surgical therapy (corticosteroids, pressure therapy or laser therapy) may be necessary to remove the plastic skin, and then issue or, in more complex cases, the grafts in case of hypertrophic scars or keloidal frankly, should be adopted in the immediate postoperative period, all the procedures to prevent recurrence of the problem (steroid therapy, the use of foil or silicone gel or other).
Operations are concerned with functional and aesthetic purposes only, the aim is indeed to remove the scar that can restrict the movement or creating discomfort or pain because of its hypertrophy and tension, there will undoubtedly be an aesthetic improvement but also always a residuerà scar, better than the original but never invisible.
In the case of very extensive areas of scarring and disfiguring you can use the technique of 'skin flaps: a first-stage surgery are implanted under the skin of the balloon called tissue expanders that, in the months ahead will be gradually filled with saline solution, you will obtain a progressive relaxation healthy tissue surrounding the area to remove, in a second so you can remove all the scar together with the balloon expanded the healthy skin will be rotated on the tissue defect to fill the gap.
Coccygeal cyst removal of sacred (or pilonidal)
This intervention, to be radical and decisive, often has to provide general anesthesia, you are prone to patient, and consists of the 'removal of the cyst and fistula at the level of the coccyx after viewing through deep with a vital dye (methylene blue or patent blue), the deep part of the cyst it can often affect the deep layers of the underlying bone and periosteum, which should be in these cases resected en bloc with cysts and fistula;
Tumors of the scalp
The scalp may be the site of tumors (epitheliomas, sarcomas, melanomas ...) that if left to grow too can affect the skin as well, although the plateau underlying bone, and in some cases go beyond it up to affect the dura mater (the film that surrounds the brain); The plastic surgeon must in these cases, often in teams with the neurosurgeon, to ensure the removal of the tumor and reconstruction of all components involved, using techniques of cranioplasty (for the bone component) and flaps and graft coverage for the overlying soft tissues.
Surgical treatment of skin ulcers
In case of failure of previous non-surgical procedures for the healing of skin ulcers (use of advanced dressings, VAC therapy or other) and after biopsy to rule out any possible types of tumors (epitheliomas), surgical treatment consists of a careful toilette of the fund 'ulcer and closure of the defect with thin skin grafts, are interventions that often require general anesthesia (spinal or for leg ulcers) and a hospitalization of at least four days to allow skin graft to take hold well.
In the presence of ulcers particularly large and complex, such as pressure (or sores) may need to use the flaps (myocutaneous or muscle) to cover the defect, the plastic surgeon will choose the most suitable type of flap to use, according to the location, type of lesion and clinical characteristics of the patient
Surgical correction of ingrown toenails (ingrown toenails)
In case of recurrent ingrown nail in the foot and foot-related procedures can not be resolved with no surgical intervention to conservative onicoplastica provides for the removal of a small strip of nails and his side nail matrix and the subsequent application of points, you run the intervnto truncal under local anesthesia on an outpatient basis.
