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  1. Article ; Online: Specificities of the Management of perineal burns.

    Boccara, David / Chaouat, Marc / Serror, Kevin / Mimoun, Maurice / Vairinho, Alexandre

    Journal of burn care & research : official publication of the American Burn Association

    2024  

    Abstract: There is a paucity of articles addressing the management strategy for perineal burns. Pelvic floor burns present a multitude of problems. These relate to the management of stool, urine, areas of maceration, significant strain, and the risk of infection. ... ...

    Abstract There is a paucity of articles addressing the management strategy for perineal burns. Pelvic floor burns present a multitude of problems. These relate to the management of stool, urine, areas of maceration, significant strain, and the risk of infection. The objective of this study was to analyze a consecutive series of perineal burns by studying their characteristics, treatment, and the management of urine and feces. This was a retrospective study including 100 patients between January 2018 and December 2022. The patients had all been hospitalized after suffering burns to the perineum. In 28% of the patients, the perineal burn was complicated by infection. In 61% of cases, a cutaneous infection, in 32% of cases, a urinary tract infection, in 25% of cases, a respiratory tract infection, and in 7% of cases, an infection of the digestive tract. Superinfection is associated with an increased risk of poor engraftment. 100% of the patients with poor or average engraftment had an infection in the aftermath of the burn, compared with 20% of the patients with excellent engraftment and 61% of the patients with good engraftment. In our series, the analysis revealed that, in 95% of cases, no specific procedures were implemented for stool management. Perianal involvement was associated with a risk of sub-excellent engraftment. The results were statistically significant, with p=0.005 and an OR=8.72 after multivariate analysis. We favor the least invasive approach to stool management. Indications for a rectal catheter arise in patients with the following characteristics: the patient must be sedated, the burns must be deep and close to the anal opening, and the stools must be watery and abundant. In 95% of cases, we do not install a stool management device. Colostomies should remain exceptional.
    Language English
    Publishing date 2024-04-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2224246-6
    ISSN 1559-0488 ; 1559-047X
    ISSN (online) 1559-0488
    ISSN 1559-047X
    DOI 10.1093/jbcr/irae054
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    Zs.A 6223: Show issues Location:
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  2. Article: The Use of Hydrogel Dressings in Sulfur Mustard-Induced Skin and Ocular Wound Management.

    Caffin, Fanny / Boccara, David / Piérard, Christophe

    Biomedicines

    2023  Volume 11, Issue 6

    Abstract: Over one century after its first military use on the battlefield, sulfur mustard (SM) remains a threatening agent. Due to the absence of an antidote and specific treatment, the management of SM-induced lesions, particularly on the skin and eyes, still ... ...

    Abstract Over one century after its first military use on the battlefield, sulfur mustard (SM) remains a threatening agent. Due to the absence of an antidote and specific treatment, the management of SM-induced lesions, particularly on the skin and eyes, still represents a challenge. Current therapeutic management is mainly limited to symptomatic and supportive care, pain relief, and prevention of infectious complications. New strategies are needed to accelerate healing and optimize the repair of the function and appearance of damaged tissues. Hydrogels have been shown to be suitable for healing severe burn wounds. Because the same gravity of lesions is observed in SM victims, hydrogels could be relevant dressings to improve wound healing of SM-induced skin and ocular injuries. In this article, we review how hydrogel dressings may be beneficial for improving the wound healing of SM-induced injuries, with special emphasis placed on their suitability as drug delivery devices on SM-induced skin and ocular lesions.
    Language English
    Publishing date 2023-06-02
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines11061626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Use of digital photography in burn patients: Diagnosis, treatment and follow-up.

    Boccara, David / Serror, Kevin

    Burns : journal of the International Society for Burn Injuries

    2019  Volume 45, Issue 8, Page(s) 1935–1936

    MeSH term(s) Burns ; Follow-Up Studies ; Humans ; Photography ; Prospective Studies ; Skin Transplantation ; Surgeons ; Wound Healing
    Language English
    Publishing date 2019-10-31
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 197308-3
    ISSN 1879-1409 ; 0305-4179
    ISSN (online) 1879-1409
    ISSN 0305-4179
    DOI 10.1016/j.burns.2019.07.046
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    Zs.A 1250: Show issues Location:
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  4. Article ; Online: Short- and long-term morbidity after Taylor flap (oblique rectus abdominis flap) for perineal reconstruction after abdominoperineal resection: A single-center series of 140 patients.

    Boccara, David / Lefevre, Jeremie H / Serror, Kevin / Chatelain, Sarah / Dutot, Marie-Charlotte / Kaplan, Jeremy / Mimoun, Maurice / Chaouat, Marc / Levy, Samuel

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2024  Volume 93, Page(s) 163–169

    Abstract: Background: Abdominoperineal resection (APR) leads to a substantial loss of tissue and a high rate of complications. The Taylor flap is a musculocutaneous flap used in reconstruction after APR.: Objectives: We aimed to analyze the short and long-term ...

    Abstract Background: Abdominoperineal resection (APR) leads to a substantial loss of tissue and a high rate of complications. The Taylor flap is a musculocutaneous flap used in reconstruction after APR.
    Objectives: We aimed to analyze the short and long-term morbidity of reconstruction with a Taylor flap (oblique rectus abdominis flap) after APR and to identify the risk factors for postoperative complications.
    Methods: We retrospectively included all patients who had undergone APR with immediate reconstruction with a Taylor flap in our department between July 2000 and June 2018. Demographics, oncological data, treatment, and short- and long-term morbidity were reviewed.
    Results: Among the 140 patients included, we identified early minor complications in 42 patients (30%) and 14 early major complications (10%). Total necrosis of the flap requiring its removal occurred in four patients (2.8%). Eleven patients (7.9%) presented with a midline incision hernia, and seven (5%) presented with a subcostal incision hernia. No perineal hernia was found. No risk factors for the complications were identified.
    Conclusion: The Taylor flap is a safe procedure with few complications and limited donor site morbidity. Moreover, it prevents perineal hernias. These results confirm that the Taylor flap is a well-suited procedure for reconstruction after APR.
    Language English
    Publishing date 2024-04-16
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2024.04.037
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    Uk I Zs.157: Show issues Location:
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  5. Article ; Online: Comment: "The role of neurotization in autologous breast reconstruction: Can reconstruction restore breast sensation?"

    Mernier, Thibaud / Serror, Kevin / Chaouat, Marc / Mimoun, Maurice / Boccara, David

    Journal of surgical oncology

    2021  Volume 124, Issue 8, Page(s) 1569–1570

    MeSH term(s) Breast ; Humans ; Mammaplasty ; Nerve Regeneration ; Nerve Transfer ; Sensation
    Language English
    Publishing date 2021-10-19
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 82063-5
    ISSN 1096-9098 ; 0022-4790
    ISSN (online) 1096-9098
    ISSN 0022-4790
    DOI 10.1002/jso.26661
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    Zs.A 706: Show issues Location:
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  6. Article ; Online: Interindividual and Intraindividual Variations of Breast Sensitivity Before and After Breast Reduction: A Prospective Study.

    Silhol, Thomas / Chaouat, Marc / Noel, Warren / Mimoun, Maurice / Boccara, David

    Annals of plastic surgery

    2020  Volume 86, Issue 4, Page(s) 387–393

    Abstract: Background: More than 300,0000 breast plastic surgery procedures are performed annually worldwide, of which more than 100,000 are reduction mammoplasties carried out in the United States. Although most patients tend to be satisfied with the immediate ... ...

    Abstract Background: More than 300,0000 breast plastic surgery procedures are performed annually worldwide, of which more than 100,000 are reduction mammoplasties carried out in the United States. Although most patients tend to be satisfied with the immediate outcomes of this procedure, there is increasing concern among surgeons as well as patients with regard to breast sensibility and the postoperative recovery.The objectives of this study were to assess the variation in the sensibility in patients undergoing hypertrophic breast surgery by quantification of the impact of various variables and to evaluate its progression from before the surgery to between 3 and 6 months and 1 year postoperatively.
    Methods: We carried out a nonrandomized, monocentric, prospective study. All of the patients were examined by the same evaluator using a set of 20 von Frey monofilaments on the day before the surgery and at 3 to 6 months and 1 year postoperatively. The breast skin, areola, and nipple sensibilities were tested. Age, body mass index, tobacco use, and the breast volume were recorded.
    Results: We did not find any significant effect of the body mass index, tobacco use, or age on breast sensibility. The nipple and areola complex (NAC) sensibility was inversely correlated with the degree of hypertrophy before the surgery, but this difference disappeared in the postoperative evaluations. After the surgery, the NAC sensibility decreased at the first follow-up at 4.5 months and returned to normal after 1 year.
    Conclusions: The inverse relationship between breast volume and sensibility in the preoperative evaluation disappeared after mammaplasty reduction. In the early postoperative period, the sensibility decreased on the NAC but returned to normal after 1 year.
    MeSH term(s) Female ; Humans ; Hypertrophy/surgery ; Mammaplasty ; Nipples/surgery ; Prospective Studies ; Sensory Thresholds
    Language English
    Publishing date 2020-11-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000002612
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    Zs.A 1419: Show issues Location:
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  7. Article ; Online: In Response.

    Valent, Arnaud / Pharaboz, Alexandre / Letord, Alexia / Boughezala, Samia / Boccara, David / Plaud, Benoit

    A&A practice

    2021  Volume 15, Issue 9, Page(s) e01526

    MeSH term(s) Documentation ; Humans ; MERRF Syndrome ; Mutation
    Language English
    Publishing date 2021-09-15
    Publishing country United States
    Document type Letter ; Comment
    ISSN 2575-3126
    ISSN (online) 2575-3126
    DOI 10.1213/XAA.0000000000001526
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Perioperative Management of an Adult Patient With Myoclonic Epilepsy With Ragged Red Fibers Syndrome: A Case Report.

    Valent, Arnaud / Pharaboz, Alexandre / Letord, Alexia / Boughezala, Samia / Boccara, David / Plaud, Benoit

    A&A practice

    2021  Volume 15, Issue 2, Page(s) e01401

    Abstract: Myoclonic epilepsy with ragged red fibers (MERRF) syndrome is a rare mitochondrial disease potentially associated with increased sensitivity to anesthesia and metabolic decompensation. We present the perioperative management in a 59-year-old man with ... ...

    Abstract Myoclonic epilepsy with ragged red fibers (MERRF) syndrome is a rare mitochondrial disease potentially associated with increased sensitivity to anesthesia and metabolic decompensation. We present the perioperative management in a 59-year-old man with MERRF scheduled for lipomatosis cure under general anesthesia (GA). Following a reduced fasting period, the patient had an uneventful balanced GA with propofol, sevoflurane, and rocuronium. The patient did not present metabolic decompensation nor malignant hyperthermia but prolonged neuromuscular blockade. Propofol and sevoflurane may be used in asymptomatic MERRF adult patients. Such patients present high risk of residual neuromuscular blockade that should be monitored and reversed.
    MeSH term(s) Adult ; Anesthesia, General ; Humans ; MERRF Syndrome ; Male ; Malignant Hyperthermia ; Middle Aged ; Mitochondrial Diseases ; Sevoflurane
    Chemical Substances Sevoflurane (38LVP0K73A)
    Language English
    Publishing date 2021-02-11
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2575-3126
    ISSN (online) 2575-3126
    DOI 10.1213/XAA.0000000000001401
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  9. Article ; Online: Iron status in 1041 non-anaemic patients scheduled for elective reduction mammoplasty: prevalence of iron depletion, iron deficiency, and low iron stores.

    Ntahe, Aristide / Serror, Kevin / Boccara, David / Chaouat, Marc / Mimoun, Maurice / Plaud, Benoit

    British journal of anaesthesia

    2021  Volume 127, Issue 6, Page(s) e207–e210

    MeSH term(s) Adult ; Female ; Humans ; Iron/blood ; Iron Deficiencies/blood ; Iron Deficiencies/epidemiology ; Mammaplasty ; Middle Aged ; Prevalence ; Young Adult
    Chemical Substances Iron (E1UOL152H7)
    Language English
    Publishing date 2021-10-15
    Publishing country England
    Document type Letter
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2021.09.011
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  10. Article: A new therapeutic protocol for the treatment of keloid scars: a retrospective study.

    Boccara, David / Serror, Kevin / Chatelain, Sarah / Chaouat, Marc / Mimoun, Maurice / Azoulay, Laura

    Journal of wound care

    2021  Volume 30, Issue 3, Page(s) 184–190

    Abstract: Objective: There are few means to treat large keloid scars, as exeresis-even if partial-impedes direct closure without tension in the absence of a flap or a skin graft. This study evaluates the efficacy, indications for use and limitations of a new ... ...

    Abstract Objective: There are few means to treat large keloid scars, as exeresis-even if partial-impedes direct closure without tension in the absence of a flap or a skin graft. This study evaluates the efficacy, indications for use and limitations of a new therapeutic protocol, combining an extralesional keloid excision left to heal by secondary intention with a paraffin dressing and glucocorticoid ointment, followed by monthly intrascar injections of corticosteroids upon full re-epithelialisation.
    Method: A retrospective study of patients treated for keloid scars by using the new therapeutic protocol. Scars were categorised as either healed or recurring. Their recurrence was scored according to the changes in functional signs and the scar volume.
    Results: A total of 36 scars were studied. The mean follow-up was 14.1 months. Healing occurred in a mean of 6.8 weeks. The mean surface area was 21.6cm
    Conclusions: The healing rate in this study was close to that reported in the literature. Excision-healing by secondary intention could therefore be offered to patients for whom adherence is uncertain. The protocol in this study offers a straightforward, fast, accessible solution that does not appear to entail any risk of additional keloids. It could potentially offer a treatment option in case of failure of other treatments, large keloid scars or scalp keloids.
    MeSH term(s) Cicatrix/surgery ; Cicatrix/therapy ; Glucocorticoids/therapeutic use ; Humans ; Keloid/pathology ; Keloid/therapy ; Retrospective Studies ; Surgical Flaps ; Treatment Outcome ; Wound Healing
    Chemical Substances Glucocorticoids
    Language English
    Publishing date 2021-03-17
    Publishing country England
    Document type Evaluation Study ; Journal Article
    ZDB-ID 1353951-6
    ISSN 0969-0700
    ISSN 0969-0700
    DOI 10.12968/jowc.2021.30.3.184
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MG 4: Show issues

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