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  1. Article ; Online: Sarcoidosis Presenting as Late Seroma Mimicking Breast Implant-Associated Anaplastic Large Cell Lymphoma.

    Ibarra, Gorka / Vallejo, Alfonso / Rivera, Andres / Fernandez-Ibarburu, Borja / Garcia-Ruano, Angela

    Annals of plastic surgery

    2021  Volume 87, Issue 4, Page(s) 415–420

    Abstract: Abstract: Late seroma related to breast silicone implants is a rare complication. Interest for its characterization has grown after its association with the recently described breast implant-associated anaplastic large cell lymphoma. The differential ... ...

    Abstract Abstract: Late seroma related to breast silicone implants is a rare complication. Interest for its characterization has grown after its association with the recently described breast implant-associated anaplastic large cell lymphoma. The differential diagnosis includes infectious diseases, mechanical and traumatic causes, tumors, postpartum seroma, and inflammatory, allergic, or idiopathic causes.Sarcoidosis has been associated with breast silicone implants over the last decades, but it has never been reported as a cause of breast effusion. We describe a rare presentation of sarcoidosis as a late breast implant seroma simulating the clinical features and radiologic findings of breast implant-associated anaplastic large cell lymphoma and highlight that sarcoidosis can be suspected by the presence of nonnecrotizing epithelioid granulomas in the cytology, with a characteristic inverted ratio of CD4/CD8 T cells.The aims of this article are to review the current evidence about sarcoidosis related to silicone implants and breast cancer, provide a new alternative in the differential diagnosis of late seroma, and advise the scientific community how early implant removal can improve the disease.
    MeSH term(s) Breast Implants/adverse effects ; Breast Neoplasms/diagnosis ; Female ; Humans ; Lymphoma, Large-Cell, Anaplastic/diagnosis ; Lymphoma, Large-Cell, Anaplastic/etiology ; Sarcoidosis ; Seroma/diagnosis ; Seroma/etiology
    Language English
    Publishing date 2021-01-27
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000002684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1419: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Prone position pressure sores in the COVID-19 pandemic: The Madrid experience.

    Ibarra, Gorka / Rivera, Andres / Fernandez-Ibarburu, Borja / Lorca-García, Concepción / Garcia-Ruano, Angela

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2020  Volume 74, Issue 9, Page(s) 2141–2148

    Abstract: Background: In the context of the COVID-19 pandemic, prone position (PP) has been frequently used in the intensive care units to improve the prognosis in patients with respiratory distress. However, turning patients to prone imply important ... ...

    Abstract Background: In the context of the COVID-19 pandemic, prone position (PP) has been frequently used in the intensive care units to improve the prognosis in patients with respiratory distress. However, turning patients to prone imply important complications such as pressure ulcers. The aim of this paper is to describe the prevalence and characteristics of prone-positioning pressure sores (PPPS) and analyze the related risk factors.
    Methods: A case-control study was performed in Gregorio Maranon hospital in Madrid during the COVID-19 pandemic between April and May 2020. We enrolled 74 confirmed COVID-19 patients in critical care units with invasive mechanical ventilation who were treated with pronation therapy. There were 57 cases and 17 controls. Demographic data, pronation maneuver characteristics and PPPS features were analyzed.
    Results: In the case group, a total number of 136 PPPS were recorded. The face was the most affected region (69%). Regarding the severity, stage II was the most frequent. The main variables associated with an increased risk of PPPS were the total number of days under pronation cycles, and PP maintained for more than 24 h. The prealbumin level at admission was significantly lower in the case group. All of the ulcers were treated with dressings. The most frequent acute complication was bleeding (5%).
    Conclusions: According to our study, PPPS are related to the characteristics of the maneuver and the previous nutritional state. The implementation of improved positioning protocols may enhance results in critical patient caring, to avoid the scars and social stigma that these injuries entail.
    MeSH term(s) Adult ; Aged ; COVID-19/complications ; COVID-19/therapy ; Case-Control Studies ; Critical Care/methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Positioning/adverse effects ; Patient Positioning/methods ; Pressure Ulcer/diagnosis ; Pressure Ulcer/epidemiology ; Pressure Ulcer/etiology ; Prevalence ; Prone Position ; Respiration, Artificial ; Risk Factors ; Severity of Illness Index ; Spain
    Language English
    Publishing date 2020-12-26
    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.2020.12.057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.157: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Chylous leak after axillary clearance in a patient with duplicity of the axillary vein.

    Ibarra, Gorka / Rivera, Andres / Fernandez-Ibarburu, Borja / Gurpegui, David / Capdevila, Ignacio

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

    2020  Volume 46, Issue 9, Page(s) 1770–1771

    MeSH term(s) Axilla ; Axillary Vein ; Chyle ; Humans ; Thoracic Duct
    Language English
    Publishing date 2020-07-03
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2020.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1149: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 549: Show issues

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  4. Article ; Online: Anatomic and histomorphometric study of the nerve to the vastus lateralis in cadaver for its clinical application in facial reanimation.

    Lasso, Jose M / Ibarra, Gorka / Rivera, Andres / Fernandez-Ibarburu, Borja / Olivares, Martin / de la Cruz, Ignacio / Gomez-Navarro, Yesica / Garcia, Maria

    Microsurgery

    2023  Volume 43, Issue 4, Page(s) 365–372

    Abstract: Background: The innervated vastus lateralis flap (IVLF) is a barely used possibility for facial palsy reconstruction because of its thickness compared to the gracilis, latissimus dorsi, and pectoralis minor flaps. The aim of this study is to perform a ... ...

    Abstract Background: The innervated vastus lateralis flap (IVLF) is a barely used possibility for facial palsy reconstruction because of its thickness compared to the gracilis, latissimus dorsi, and pectoralis minor flaps. The aim of this study is to perform a precise description of the intramuscular distribution of the nerve motor branches and its relationship with the vascular pedicle in order to harvest a segmental muscle flap with the best contractile strength to restore facial reanimation.
    Methods: The study was performed on 16 adult cadaver thighs identifying the vastus lateralis muscle and the distribution and relationships of its neurovascular pedicle and branches. We evaluated where the nerve pierced the muscle and the course of the nerve within it. Transverse segments of the nerve were obtained from the proximal and distal ends of the nerve and stained using anti-ChAT (Choline acetyltransferase) antibodies which are specific of motor neurons.
    Results: A nerve for the vastus lateralis from the posterior division of the femoral nerve divided into 2 branches in 56% of cases; the principal branch coursed along the vascular pedicle and pierced the muscle more proximally than the respective vessels, and a minor branch that pierced the muscle 25-60 mm proximally. There were 3 main intramuscular branches. The nerve length (mean 132.65 ± 22.89 mm) allowed to reach the contralateral side of the face in almost all cases (95%). The mean ChAT positive fibers was 351.0 ± 92.4/mm
    Conclusion: We propose the IVLF as a one-step surgical flap for facial paralysis reanimation due to the constant neurovascular pattern and lengthy pedicle. The amount of motor fibers in several segments of the nerve is appropriate to produce a powerful contraction for dynamic reconstruction.
    MeSH term(s) Adult ; Humans ; Quadriceps Muscle/innervation ; Surgical Flaps/blood supply ; Facial Paralysis/surgery ; Facial Paralysis/etiology ; Femoral Nerve ; Cadaver ; Facial Nerve/surgery
    Language English
    Publishing date 2023-01-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605524-2
    ISSN 1098-2752 ; 0738-1085
    ISSN (online) 1098-2752
    ISSN 0738-1085
    DOI 10.1002/micr.31005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1570: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Efficacy of Povidone Iodine Against Microbial Biofilms in Breast Implants With Different Textures: Results From an

    Fernández-Ibarburu, Borja / Díaz-Navarro, Marta / Ibarra, Gorka / Rivera, Andrés / Hafian, Rama / Irigoyen, Ãlvaro / Carrillo, Raquel / Pérez-Cano, Rosa / Muñoz, Patricia / García-Ruano, Ángela / Lasso, José M / Guembe, María

    Frontiers in microbiology

    2022  Volume 13, Page(s) 868347

    Abstract: Background: In the practice of breast augmentation and reconstruction, implant irrigation with various solutions has been widely used to prevent infection and capsular contracture, but to date, there is no consensus on the optimal protocol to use. ... ...

    Abstract Background: In the practice of breast augmentation and reconstruction, implant irrigation with various solutions has been widely used to prevent infection and capsular contracture, but to date, there is no consensus on the optimal protocol to use. Recently, application of povidone iodine (PI) for 30 min has shown
    Methods: We tested the efficacy of 10% PI at 1', 3', and 5' against biofilms of 8 strains (2 ATCC and 6 clinical) of
    Results: All textured implants treated with PI at any of the 3 exposure times reduced 100% bacterial load by culture. However, none of the implants reached enough clinical significance in percentage reduction of living cells. Regarding bacterial density, only 25-50 μm Polytxt
    Conclusion: PI is able to inhibit bacterial growth applied on the surface of breast implants regardless of the exposure time. However, no significant reduction on living cells or bacterial density was observed. This lack of correlation may be caused by differences in texture that directly affect PI absorption.
    Language English
    Publishing date 2022-03-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2022.868347
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Punctual Breast Implant Rupture following Lipofilling: Only a Myth?

    Rivera, Andres / González-Pozega, Carlota / Ibarra, Gorka / Fernandez-Ibarburu, Borja / García-Ruano, Ángela / Vallejo-Valero, Alfonso

    Breast care (Basel, Switzerland)

    2020  Volume 16, Issue 5, Page(s) 544–547

    Abstract: Background: Lipofilling techniques are widespread in clinical practice as a complement to breast reconstruction, despite posing some risk. Punctual implant rupture following a fat transfer is one of the possible complications, which has not been ... ...

    Abstract Background: Lipofilling techniques are widespread in clinical practice as a complement to breast reconstruction, despite posing some risk. Punctual implant rupture following a fat transfer is one of the possible complications, which has not been properly reported yet and is probably being underdiagnosed. The aim of this paper is to report key facts for appropriate diagnosis of this clinical chart.
    Case report: We present the case of a 47-year-old woman with a bilateral prosthetic breast reconstruction who was treated with autologous fat graft for upper pole enhancing and scar improvement. The patient developed an early unilateral breast capsular contracture after the fat graft procedure, with normal radiological exploration. Surgical findings showed intraprosthetic fat deposits and a punctual implant rupture.
    Conclusions: Punctual breast implant rupture is a possible complication of lipofilling that is usually not suspected at first consultation and might be underdiagnosed based on radiological findings, so investigating clinical signs should necessarily be a prerequisite to diagnosis.
    Language English
    Publishing date 2020-10-28
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2202236-3
    ISSN 1661-3805 ; 1661-3791
    ISSN (online) 1661-3805
    ISSN 1661-3791
    DOI 10.1159/000511432
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6620: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Reverse Dermis Flap for Coverage of Distal Leg and Ankle Defects.

    Ibarra, Gorka / Gonzalez-Pozega, Carlota / Cuervas-Mons, Manuel / Rivera, Andres / Fernandez-Ibarburu, Borja / Garcia-Ruano, Angela

    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

    2020  Volume 60, Issue 4, Page(s) 839–844

    Abstract: Soft tissue defects of the distal third of the leg and ankle, which frequently expose tendon, bone or osteosynthesis material, are difficult to cover and pose a major challenge to the plastic surgeon. Traditional reconstructive options for this region ... ...

    Abstract Soft tissue defects of the distal third of the leg and ankle, which frequently expose tendon, bone or osteosynthesis material, are difficult to cover and pose a major challenge to the plastic surgeon. Traditional reconstructive options for this region usually require complex flaps which made them unsuitable for elderly patients or those with multiple comorbidities. We hereby present the reverse dermis flap as an easy and reliable choice to cover this type of wounds and refer our experience in 9 cases in which clinical, operative, and follow-up data were recorded. Of the 9 flaps performed, 8 survived completely and 1 presented a partial flap necrosis, requiring additional surgery. No other operative procedure was required. In conclusion, the reversed dermis flap is a simple, quick, noninvasive, and safe technique for coverage of noble structures such as tendon or bone in the distal third of the leg that every plastic surgeon should incorporate in his surgical armamentary.
    MeSH term(s) Aged ; Ankle ; Dermis ; Humans ; Leg ; Leg Injuries/surgery ; Reconstructive Surgical Procedures ; Soft Tissue Injuries/surgery ; Treatment Outcome
    Language English
    Publishing date 2020-12-22
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1146972-9
    ISSN 1542-2224 ; 1067-2516
    ISSN (online) 1542-2224
    ISSN 1067-2516
    DOI 10.1053/j.jfas.2020.12.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1468: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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