Search results for: Luis Landin

Items from 1 to 15 out of 15 results

article

An anatomical variation of the DIEP flap: Left abdominus perforator arising from the right DIEA

Cesar Casado‐Sanchez, Luis Landin

Microsurgery > 39 > 4 > 369 - 370

article

Vascularized composite allotransplantation – a Council of Europe position paper

Marie Thuong, Palmina Petruzzo, Luis Landin, Beatriz Mahillo, more

Transplant International > 32 > 3 > 233 - 240

After more than 120 hand‐upper extremity and 37 face transplant procedures performed worldwide, vascularized composite allotransplantation (VCA) now falls under the scope of organ transplant legislation in Europe and the United States. While in the USA, VCA has been considered as standard care since 2014, VCA in Europe is still performed through clinical research trials, except in United Kingdom....

chapter

The Spanish Experience With Face Transplantation

Pedro C. Cavadas, Luis Landin, Javier Ibañez, Alessandro Thione, more

The Know-How of Face Transplantation > World Experience with Face Transplantation > 351-361

Herein, the first composite mandible–tongue lower face transplantation in humans is reported. The procedure was performed on an HIV-positive recipient who had suffered an epidermoid carcinoma of the tongue complicated by mandibular radionecrosis and multiple flap failure. We observed incipient return of function, as demonstrated by clinical exploration and electromyography. The early postoperative...

article

Standardizing skin biopsy sampling to assess rejection in vascularized composite allotransplantation

Theresa Hautz, Bettina G. Zelger, Annemarie Weißenbacher, Bernhard Zelger, more

Clinical Transplantation > 27 > 2 > E81 - E90

Over 70 hands and 20 faces have been transplanted during the past 13 yr, which have shown good to excellent functional and esthetic outcomes. However, (skin) rejection episodes complicate the post‐operative courses of hand and face transplant recipients and are still a major obstacle to overcome after reconstructive allotransplantation. This article summarizes all relevant information on the skin...

article

Alloimmune and Infectious Complications in Hand/Face Transplantation

Luis Landin, Jorge Bonastre, Pedro Bolado, Cesar Casado-Sanchez

Current Surgery Reports > 2013 > 1 > 1 > 47-52

Vascularized composite allograft transplantation was definitively introduced in the armamentarium of reconstructive surgery in 1998. The development of potent immunosuppressive regimens permitted allograft survival, but rejection and infectious complications remain important issues. Our aim is to provide useful information on immunosuppression, rejection and infectious complications, their clinical...

article

Outcomes with respect to disabilities of the upper limb after hand allograft transplantation: a systematic review

Luis Landin, Jorge Bonastre, Cesar Casado‐Sanchez, Jesus Diez, more

Transplant International > 25 > 4 > 424 - 432

The aim of this work is to compare disabilities of the upper limb before and after hand allograft transplantation (HAT), and to describe the side effects of immunosuppressive (IS) agents given to recipients of hand allografts. Clinical cases of HAT published between 1999 and 2011 in English, French, or German were reviewed systematically, with emphasis on comparing disabilities of the arm, shoulder...

article

Achievements and challenges in composite tissue allotransplantation

Stefan Schneeberger, Luis Landin, Jerzy Jableki, Peter Butler, more

Transplant International > 24 > 8 > 760 - 769

Overall, more than 60 hand/forearm/arm transplantations and 16 face transplantations have been performed in the past 12 years. In the European experience summarized here, three grafts have been lost in response to a vascular thrombosis (n = 1), rejection and incompliance with immunosuppression (n = 1) and death (n = 1). The overall functional and esthetic outcome is very satisfactory, but serious...

article

Secondary ectopic transfer for replantation salvage after severe wound infection

Pedro C. Cavadas, Luis Landin, Alessandro Thione

Microsurgery > 31 > 4 > 288 - 292

Background:Ectopic transfer has been described as a salvage procedure in failing replants. The experience in three cases of infected failing replantations treated with secondary temporary ectopic transfer of the replanted part is presented. Methods:Three patients with replanted traumatic amputations (one transhumeral, one transmetacarpal, and one transtibial) that developed severe wound infections...

article

Diploe screw anchoring of polymethylmethacrylate in cranial surgery

Alessandro Thione, Pedro C. Cavadas, Luis Landin, Javier Ibañez

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2010 > 63 > 12 > 2191-2192

article

Elective cross-over transfer of the foot: Case report

Pedro C. Cavadas, Alessandro Thione, Luis Landín

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2010 > 63 > 10 > 1744-1746

The case of a patient with sequels of a right Syme amputation and a left replanted upper tibial amputation was treated with elective cross-transfer of the left foot and ankle to the right distal tibial stump, and the left below-knee (BK) stump was resurfaced with a latissimus dorsi free flap. The patient regained independent walking capacity with a left BK prosthesis at 8 months postoperatively.

article

Reconstruction of the Condyles of the Proximal Phalanx With Osteochondral Grafts From the Ulnar Base of the Little Finger Metacarpal

Pedro C. Cavadas, Luis Landin, Alessandro Thione

Journal of Hand Surgery > 2010 > 35 > 8 > 1275-1281

Traumatic defects of the condyles of the proximal phalanx (P1) are challenging injuries. Use of osteochondral grafts from the hamate had been described for defects of the base of the middle phalanx. Extending this concept, the purposes of this study were to see whether an osteochondral graft from the base of the little finger metacarpal was anatomically feasible to reconstruct a condyle of P1, and...

article

Temporary catheter perfusion and artery-last sequence of repair in macroreplantations

Pedro C. Cavadas, Luis Landín, Javier Ibáñez

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2009 > 62 > 10 > 1321-1325

The sequence of repair of structures in macroreplantation surgery is important, since it has a direct influence on ischaemia time, blood loss and technical accuracy. Different sequences have been recommended in the literature. A uniform order of repair was used in a series of macroreplants, performing the arterial repair at the end of the procedure.A total of 341 parts were replanted in 249 patients...

article

Elective Cross-Hand Transfer With Thumb Transposition: Case Report

Pedro C. Cavadas, Javier Ibañez, Luis Landin

Journal of Hand Surgery > 2008 > 33 > 10 > 1813-1819

An elective case of cross-transfer of the right hand to the left distal forearm stump is reported in a long-standing left radial-carpal amputee who developed a contralateral cerebrovascular accident with severe right-sided spasticity. The thumb column of the right hand was transposed to the ulnar side of the hand as a free flap to improve the appearance of the transferred hand, the tendons were reciprocally...

article

Functional outcome after facial allograft transplantation in rats

Luis Landin, Pedro C. Cavadas, Emilio Gonzalez, Jose C. Rodriguez, more

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2008 > 61 > 9 > 1034-1043

Full face, hemiface and facial subunit transplants have been reported before. However, the functional recovery of the face transplant largely remains unknown. The mystacial pad (also known as the vibrissal or whiskers region) is the main sensorimotor unit in rats' faces. We included the mystacial region in the hemifacial flap of the rat, and our aim was to study its functional recovery after transplant...

article

Salvage of Impending Replant Failure by Temporary Ectopic Replantation: A Case Report

Pedro C. Cavadas, Luis Landin, Angel Navarro-Monzones, Santiago Soler-Nomdedeu

Journal of Hand Surgery > 2006 > 31 > 3 > 463-467

Temporary ectopic replantation of amputated parts has been reported previously as an alternative to orthotopic replantation in difficult cases. We report a case in which the left arm initially was replanted orthotopically with subsequent development of extensive infection. The impending vascular failure of the replanted arm was salvaged by reamputation and temporary ectopic transfer of the arm to...

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