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Synopsis ■ Surgical site is typically hostile after resection and/or radiation for an underlying condition. ■ Healthy tissue transfer is usually necessary to mitigate wound-healing challenges. ■ A proactive surgical approach can help lessen impact of complications. Access video and…
Synopsis ■ Pressure sores are a common problem associated with great morbidity and cost. ■ The etiology of pressure sores is multifactorial, and includes pressure, friction, shear, moisture, malnutrition, and infection. ■ Successful treatment of pressure sores requires a multidisciplinary…
Access video lecture content for this chapter online at Elsevier eBooks+ Introduction Acquired vaginal defects most commonly result from the resection of pelvic malignant neoplasms. Advanced colorectal carcinomas frequently involve the posterior vaginal wall. Carcinoma of the bladder may extend…
Access video content for this chapter online at Elsevier eBooks+ Introduction Gender dysphoria refers to the significant distress that results from an incongruence between the sex assigned at birth and the individual’s gender identity. Social transition, hormones, and gender-affirming surgery…
Access video content for this chapter online at Elsevier eBooks+ Patient selection Gender-affirming genital surgery involves a complex series of staged procedures requiring a multidisciplinary approach with numerous other healthcare providers. Due to the irreversible nature of surgery, the World…
Recent studies estimate that approximately 25 million individuals worldwide, including 1 million people in the United States, identify as transgender. Over the last several years, an increasing number of transgender women have pursued surgical interventions. Some 28% of transgender women…
Access video lecture content for this chapter online at Elsevier eBooks+ Epidemiology It is estimated that approximately 0.5%–1.3% of the population in the United States has gender dysphoria. In 2014, the prevalence of transgender individuals was estimated at 1.4 million,…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction The abdominal wall is an important “organ”. It serves to protect the viscera and provides an important functional role with maintaining a pressurized core under which…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Wounds of the posterior trunk can arise as a result of trauma, tumor ablation, chronic pressure, or congenital defects. Management of these wounds can be quite…
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Plastic surgeons are frequently called upon to reconstruct soft-tissue and bony defects of the chest wall. Chest wall defects are exciting and challenging as thewy have…