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  1. Article ; Online: Keystone Flap Type IV in Breast Reconstruction: A Case Report.

    Bekos, Filippos / Pappas, Nikos / Chrysikos, Dimosthenis / Kostopoulos, Epaminondas / Karampelias, Vasileios / Daskalopoulou, Dimitra / Troupis, Theodore

    Acta medica academica

    2024  

    Abstract: Objective: The objective of this paper is to present and document a specific case of breast reconstruction using an adapted Type IV Keystone Flap technique, with a droplet-shaped design with a reduced flap ratio, and to identify the qualities of this ... ...

    Abstract Objective: The objective of this paper is to present and document a specific case of breast reconstruction using an adapted Type IV Keystone Flap technique, with a droplet-shaped design with a reduced flap ratio, and to identify the qualities of this method.
    Case report: A 41-year-old woman, with a history of myocardial infarction and low ejection fraction, underwent a lumpectomy, resulting in a lower medial quadrant deficit in her left breast. After she developed skin and tissue necrosis and infection, implementing the Type IV Keystone Flap effectively addressed the deficit, ensuring sufficient coverage. The flap extended dropwise beneath the deficit, progressing anteriorly towards the upper rectus abdominis, with a ratio of 2.5:1. The flap's novel droplet shape allowed for the utilization of fewer perforators, while ensuring adequate blood supply and tissue coverage, leading to improved perfusion and aesthetic outcome.
    Conclusion: The application of the adapted Type IV Keystone Flap highlights its capacity as a versatile and effective method for breast reconstruction post-lumpectomy. With the advantages of a short learning curve, easy execution, and acceptable risk profile, it offers a valuable alternative for patients who may not be suitable for more complex surgeries. Further research is recommended to confirm its broader applicability and to conduct a comparative analysis with other techniques.
    Language English
    Publishing date 2024-03-13
    Publishing country Bosnia and Herzegovina
    Document type Journal Article
    ZDB-ID 2558604-X
    ISSN 1840-2879 ; 1840-2879
    ISSN (online) 1840-2879
    ISSN 1840-2879
    DOI 10.5644/ama2006-124.434
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The Aberrant Origin of the Suprascapular Artery May Hide Neural Covariants: A Cadaveric Finding.

    Tsakotos, George / Triantafyllou, George / Koutserimpas, Christos / Karampelias, Vasileios / Piagkou, Maria

    Cureus

    2023  Volume 15, Issue 9, Page(s) e44571

    Abstract: The axillary artery is the continuation of the subclavian artery. Occasionally, some of the subclavian artery's distal branches may atypically originate from the axillary artery, such as the suprascapular artery. The suprascapular artery's distal (low) ... ...

    Abstract The axillary artery is the continuation of the subclavian artery. Occasionally, some of the subclavian artery's distal branches may atypically originate from the axillary artery, such as the suprascapular artery. The suprascapular artery's distal (low) origin from the axillary artery, instead of the subclavian artery, may also be characterized as an aberrant suprascapular artery. The current cadaveric report describes the coexistence of an aberrant suprascapular artery (of axillary origin), variant course, and termination with atypically formatted nerves originating from the cervical (the phrenic nerve) and the brachial (the long thoracic and the median nerves) plexus. An unusual interconnection between the phrenic and the long thoracic nerves was also described. The aberrant suprascapular artery had an atypical termination below the superior transverse scapular ligament, along with the suprascapular vein and nerve. Except for the atypically formatted phrenic and long thoracic nerves, the aberrant suprascapular artery coexisted with an atypical passage of the anterior ramus of the C6 spinal nerve, through the middle scalene muscle, before the long thoracic nerve formation, and a variant formation of the median nerve. Understanding neurovascular variants is crucial for interventionists and surgeons who work in the supra- and infraclavicular areas. Being aware of the different origins of the brachial plexus branches, in the supraclavicular part, may help reduce the occurrence of iatrogenic axillary injury. Efforts should be made to expand the number of cadaveric studies that investigate the origin, course, interconnection, and branching patterns of these nerves and related covariants, in a systematic way, thus unifying their study and comprehension.
    Language English
    Publishing date 2023-09-02
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.44571
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Lingual and Facial Artery Fusion: A Cadaveric Report With Clinical Significance.

    Piagkou, Maria / Triantafyllou, George / Nikolopoulou, Elena / Karampelias, Vasileios / Tsakotos, George

    Cureus

    2023  Volume 15, Issue 8, Page(s) e43495

    Abstract: The external carotid artery (ECA) anterior branches, including the superior thyroid, the lingual, and the facial artery (STA, LA, and FA) present variability among cadaveric studies. These arteries may usually originate as isolated branches from the ECA ... ...

    Abstract The external carotid artery (ECA) anterior branches, including the superior thyroid, the lingual, and the facial artery (STA, LA, and FA) present variability among cadaveric studies. These arteries may usually originate as isolated branches from the ECA anterior surface and atypically migrate proximally or distally and/or fused into trunks with the most common fusion that of the LA with the FA, into the linguofacial trunk (LFT), and the rarer ones those of the thyrolingual and thyrolinguofacial trunks. The current report describes a case of a bilateral fusion of the LA with the FA into an LFT and another case of a unilateral origin of the FA from the LA (aberrant FA).  In a 75-year-old donated male cadaver, a bilateral symmetrical LFT coexisted with a right-sided STA origin from the ECA proximal origin, at the level of the common carotid artery (CCA) bifurcation. In an 82-year-old donated female cadaver, at the left side, the atypical origin of the FA from the LA proximal origin coexisted with a common trunk of the left CCA with the brachiocephalic artery, and an atypical origin of the STA from the CCA, 3.65 mm inferior to the CCA bifurcation. This report provides a detailed description of the abnormal origin of the ECA anterior branches, the potential fusion of these branches, their exact location, and the existence of an unusual origin proximal or distal to the CCA bifurcation. Aberrant origin and course remain important in surgical and interventional approaches. A thorough understanding of the typical and variable anatomy of the ECA anterior branches ensures safe and successful intervention. Careful preoperative staging and precise dissection are essential components of this process.
    Language English
    Publishing date 2023-08-14
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.43495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Coronoid Anatomical Variation of the Masseter Muscle: A Case Report.

    Chrysikos, Dimosthenis / Solia, Eirini / Karamouzis, Konstantinos / Tsakotos, George / Samolis, Alexandros / Karampelias, Vasileios / Troupis, Theodore

    Journal of long-term effects of medical implants

    2023  Volume 33, Issue 4, Page(s) 67–69

    Abstract: Introduction: Masseter muscle is considered to consist of two layers: the superficial and the deep parts. However, in the literature a few cases have been reported of a third layer of the masseter muscle, which is called the coronoid part. The aim of ... ...

    Abstract Introduction: Masseter muscle is considered to consist of two layers: the superficial and the deep parts. However, in the literature a few cases have been reported of a third layer of the masseter muscle, which is called the coronoid part. The aim of this study is to present such a rare case of the coronoid part of the masseter muscle.
    Material and methods: In our study, a case report is presented and enhanced by searching the existing literature in PubMed for other similar cases that recorded the coronoid part of the masseter muscle.
    Results: The coronoid part of the masseter muscle was found in a male cadaver of Greek origin that was dissected in the Department of Anatomy, Medical School Athens, Greece.
    Conclusions: Good knowledge of anatomy and variations of the masseter muscle are of paramount importance due to their clinical and functional applications as well as during surgical procedures in this anatomical region.
    MeSH term(s) Humans ; Male ; Masseter Muscle/anatomy & histology ; Masseter Muscle/physiology ; Cadaver ; Greece
    Language English
    Publishing date 2023-07-31
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1073166-0
    ISSN 1940-4379 ; 1050-6934
    ISSN (online) 1940-4379
    ISSN 1050-6934
    DOI 10.1615/JLongTermEffMedImplants.2022044811
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3217: Show issues Location:
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  5. Article ; Online: The postoperative redox status of patients with diabetes mellitus: a mini review.

    Karampelias, Vasileios / Spanidis, Ypatios / Kehagias, Ioannis / Chrysikos, Dimosthenis

    Folia medica

    2021  Volume 63, Issue 2, Page(s) 171–176

    Abstract: The human organism is exposed to variable endogenous and exogenous factors that result in the induction of free radicals. Surgeries are associated with increased inflammation and production of free radicals through various mechanisms, including ischemia, ...

    Abstract The human organism is exposed to variable endogenous and exogenous factors that result in the induction of free radicals. Surgeries are associated with increased inflammation and production of free radicals through various mechanisms, including ischemia, hemolysis, or endogenous antioxidant depletion. Importantly, a more oxidized redox status could lead to the condition known as "oxidative stress," which is related to alterations in insulin signaling and may lead to insulin resistance and diabetes mellitus. Therefore, patients with diabetes who undergo surgery could be more vulnerable compared with healthy individuals. Thus, this review focuses on the currently available literature regarding the link between the redox status and diabetes complications after surgery and the methods used to assess the redox status of patients, which is the first step to designing an appropriate treatment strategy. To this end, we queried PubMed for novel works published up to May 2020.
    MeSH term(s) Diabetes Mellitus/epidemiology ; Free Radicals ; Humans ; Oxidation-Reduction ; Oxidative Stress ; Reactive Oxygen Species
    Chemical Substances Free Radicals ; Reactive Oxygen Species
    Language English
    Publishing date 2021-04-30
    Publishing country Bulgaria
    Document type Journal Article ; Review
    ZDB-ID 300275-5
    ISSN 1314-2143 ; 0430-8638 ; 0204-8043
    ISSN (online) 1314-2143
    ISSN 0430-8638 ; 0204-8043
    DOI 10.3897/folmed.63.e54651
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 972: Show issues Location:
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  6. Article: Surgical practice and operative surgical strategies during the COVID-19 pandemic: A commentary.

    Karampelias, Vasileios / Spanidis, Ypatios / Kehagias, Ioannis

    Annals of medicine and surgery (2012)

    2020  Volume 55, Page(s) 47–48

    Keywords covid19
    Language English
    Publishing date 2020-05-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.04.046
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Urgent, Emergent, or Elective Surgery during the COVID-19 Pandemic.

    Karampelias, Vasileios / Spanidis, Ypatios / Zografos, Constantinos D

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2020  Volume 30, Issue 6, Page(s) 86–87

    MeSH term(s) Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Communicable Disease Control/organization & administration ; Communicable Disease Control/standards ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Elective Surgical Procedures ; Emergency Treatment ; Humans ; Infection Control/methods ; Pandemics ; Personal Protective Equipment ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-28
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2020.Supp1.S86
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6532: Show issues Location:
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  8. Article ; Online: The postoperative redox status of patients with diabetes mellitus

    Vasileios Karampelias / Ypatios Spanidis / Ioannis Kehagias / Dimosthenis Chrysikos

    Folia Medica, Vol 63, Iss 2, Pp 171-

    a mini review

    2021  Volume 176

    Abstract: The human organism is exposed to variable endogenous and exogenous factors that result in the induction of free radicals. Surgeries are associated with increased inflammation and production of free radicals through various mechanisms, including ischemia, ...

    Abstract The human organism is exposed to variable endogenous and exogenous factors that result in the induction of free radicals. Surgeries are associated with increased inflammation and production of free radicals through various mechanisms, including ischemia, hemolysis, or endogenous antioxidant depletion. Importantly, a more oxidized redox status could lead to the condition known as “oxidative stress,” which is related to alterations in insulin signaling and may lead to insulin resistance and diabetes mellitus. Therefore, patients with diabetes who undergo surgery could be more vulnerable compared with healthy individuals. Thus, this review focuses on the currently available literature regarding the link between the redox status and diabetes complications after surgery and the methods used to assess the redox status of patients, which is the first step to designing an appropriate treatment strategy. To this end, we queried PubMed for novel works published up to May 2020.
    Keywords diabetes ; free radicals ; oxidative stress ; reactiv ; Medicine ; R
    Subject code 500
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher Pensoft Publishers
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  9. Article: Ethical Issues in Intensive Care Units during the COVID-19 Pandemic.

    Karampelias, Vasileios / Spanidis, Ypatios / Roussakou, Elpida

    Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

    2020  Volume 24, Issue 9, Page(s) 855–856

    Abstract: Coronavirus disease-2019 (COVID-19) outbreak began in December 2019 in China and has spread rapidly across the world. The healthcare system of each country has been affected from this situation. Undoubtedly, during this period several ethical issues have ...

    Abstract Coronavirus disease-2019 (COVID-19) outbreak began in December 2019 in China and has spread rapidly across the world. The healthcare system of each country has been affected from this situation. Undoubtedly, during this period several ethical issues have been raised. In this commentary, we aimed to make a discussion regarding the ethical issues that could be raised in the treatment of patients in the intensive care units during the COVID-19 pandemic. The objective of this article is to contribute to the wide current discussion regarding the appropriate measures that should be taken to protect the health and ensure the safety of the staff that comes in close contact with patients who are suspected or confirmed of having COVID-19.
    Keywords covid19
    Language English
    Publishing date 2020-10-24
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2121263-6
    ISSN 1998-359X ; 0972-5229
    ISSN (online) 1998-359X
    ISSN 0972-5229
    DOI 10.5005/jp-journals-10071-23543
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The psycho-emotional impact of COVID-19 on surgical staff working in emergency departments.

    Karampelias, Vasileios / Karonis, Dimitris / Psaroudi, Varvara

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2020  Volume 46, Issue 4, Page(s) 747–749

    MeSH term(s) Adaptation, Psychological ; Behavioral Symptoms ; Betacoronavirus ; Burnout, Professional/prevention & control ; Burnout, Professional/psychology ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/psychology ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/trends ; Humans ; Infection Control/organization & administration ; Nurses/psychology ; Occupational Stress/prevention & control ; Occupational Stress/psychology ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/psychology ; SARS-CoV-2 ; Safety Management/organization & administration ; Safety Management/trends ; Social Support ; Surgeons/psychology ; Work Performance
    Keywords covid19
    Language English
    Publishing date 2020-06-03
    Publishing country Germany
    Document type Letter
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01411-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1221: Show issues Location:
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    Zs.MO 607: Show issues

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