Laurel S. Karian

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BACKGROUND Reconstruction of scrotal defects after Fournier gangrene is often achieved with skin grafts or flaps, but there is no general consensus on the best method of reconstruction or how to approach the exposed testicle. We systematically reviewed the literature addressing methods of reconstruction of Fournier defects after debridement. METHODS(More)
INTRODUCTION Subatmospheric pressure wound therapy (SAWT) is commonly used to manage infected wounds. However, this practice remains controversial because the safety and efficacy of the technique has not been carefully documented. METHODS The authors assessed the safety and efficacy of a sealed gauze dressing with wall suction applied (GSUC) compared to(More)
INTRODUCTION: In 2015, approximately 106,338 breast reconstructions were performed in the U.S. Nearly 81% of these procedures were implant-based reconstructions. One of the more commonly used techniques in implant-based reconstruction is the dual plane (DP) technique, where the implant is placed under the pectoralis muscle with lower pole reinforcement of(More)
BACKGROUND Rare but serious complications of nipple-sparing mastectomy (NSM) include necrosis of the nipple-areolar complex (NAC) and mastectomy skin flaps. NAC and mastectomy flap delay procedures are novel techniques designed to avoid these complications and may be combined with retroareolar biopsy as a first-stage procedure. We performed a systematic(More)
Figure 1. Mediastinal defect with exposed pros-thetic aortic root graft. DESCRIPTION A 70-year-old woman with short stature and hypermastia underwent ascending aortic aneurysm repair with a prosthetic graft, complicated by postoperative mediastinitis and sternal dehiscence. She was treated with aggressive sternal debridement and negative pressure wound(More)
PURPOSE: Complications of nipple-sparing mastectomy (NSM) include necrosis of the nipple-areolar complex (NAC) or mastectomy skin flaps. NAC and mastectomy flap delay procedures are novel techniques designed to avoid these complications, and may be combined with retroareolar biopsy when performed prior to NSM. We performed a systematic review of the(More)
Reconstruction of large soft tissue defects of the medial canthal area represents a challenge, because of the thin skin, concave contour, and proximity to important nearby structures. Tension-free closure is important in avoiding distortion of the eyelid and nasal ala. Skin graft closure is not aesthetically appealing, and there are limitations in the use(More)
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