Papers by Vasileios Pagkalos
Ο ρόλος των λιπαρών οξέων του υποδόριου λίπους και του γαστρικού βλεννογόνου στους αμυντικούς μηχανισμούς του βλεννογόνου του στομάχου
Basal cell carcinoma is the most common malignant skin tumor. Multiple basal cell carcinomas are ... more Basal cell carcinoma is the most common malignant skin tumor. Multiple basal cell carcinomas are frequently developed in patients receiving ionizing radiation at a younger age. We present a case of multiple pigmented lesions on the scalp of a 65-years-old female with a history of radiotherapy for the treatment of tinea capitis at her childhood and a histologically confirmed basal cell carcinoma 2 years ago. The use of dermatoscopy prevented us from a misdiagnosis. This case of hair dye imitating pigmented BCC in a patient specifically prone to this type of tumor should be in mind of any plastic surgeon or dermatologist before scheduling a patient for surgery so one can avoid the stress and unpleasantness of unnecessary surgery.
Aplasia Cutis Congenita
Plastic and Reconstructive Surgery, Nov 1, 2014
Background: Aplasia cutis congenita is a rare, congenital disorder. In its severe phenotype, it i... more Background: Aplasia cutis congenita is a rare, congenital disorder. In its severe phenotype, it is potentially life threatening. Its management and the timing of surgery remain controversial because of the risks involved with both conservative and surgical approaches. Most literature is based on case reports and very small case series because of the rarity of the disorder. The authors present their experience treating newborns with aplasia cutis congenita and its progressive development. Methods: Using a hospital registry, the authors found all cases of newborns diagnosed with aplasia cutis congenita during the years 2000 to 2013. Clinical data were gathered from hospital and clinic records, and photographs were obtained by the plastic surgery team. Results: Twenty-two cases of aplasia cutis congenita were included in this study: 21 on the scalp and one on the foot heel. Eleven patients were male and 11 were female. Defect size ranged from 1 to 150 cm2 (average, 29 cm2). Three patients died as a result of uncontrollable hemorrhage. Six patients underwent emergency coverage, one with allografts later replaced by split-thickness skin grafts and five by immediate split-thickness skin grafting. All of the patients who underwent immediate skin grafting survived and thrived. Conclusions: The authors emphasize the role of emergency split-thickness skin grafting in the treatment of large aplasia cutis congenita or ones with large veins or sagittal sinus exposure. The authors also present a practical, treatment-oriented classification that could assist physicians in estimating the severity and therefore prognosis of the disease and offer a treatment guideline. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Endoscopic perineal prostatectomy: A new field for endoscopy
European Urology Supplements, 2016
Fatty Acid Composition of Subcutaneous Adipose Tissue in Mother-Infant Pairs
Acta Paediatrica, 1987
ABSTRACT
BioMed Central
Research article Fatty acid composition of subcutaneous adipose tissue and gastric mucosa: is the... more Research article Fatty acid composition of subcutaneous adipose tissue and gastric mucosa: is there a relation with gastric ulceration?
Ο ρόλος των λιπαρών οξέων του υποδόριου λίπους και του γαστρικού βλεννογόνου στους αμυντικούς μηχανισμούς του βλεννογόνου του στομάχου
Hair dye imitating multiple basal cell carcinoma of the scalp: A misdiagnosis prevented by dermoscopy
Basal cell carcinoma is the most common malignant skin tumor. Multiple basal cell carcinomas are ... more Basal cell carcinoma is the most common malignant skin tumor. Multiple basal cell carcinomas are frequently developed in patients receiving ionizing radiation at a younger age. We present a case of multiple pigmented lesions on the scalp of a 65-years-old female with a history of radiotherapy for the treatment of tinea capitis at her childhood and a histologically confirmed basal cell carcinoma 2 years ago. The use of dermatoscopy prevented us from a misdiagnosis. This case of hair dye imitating pigmented BCC in a patient specifically prone to this type of tumor should be in mind of any plastic surgeon or dermatologist before scheduling
Copyright © 2012 Ofer Arnon et al. This is an open access article distributed under the Creative ... more Copyright © 2012 Ofer Arnon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Mohs micrographic surgery is a tissue-sparing technique that allows for excision of cutaneous tumors under complete microscopic margins control. Mohs surgery boasts high cure rates and maximum tissue conservation. We introduce the double-blade scalpel in Mohs surgery as a timesaving and easy way to harvest tissue strips of uniform width and therefore increase the intraoperative efficiency of the procedure. 1.
Clinical Study Increasing the Efficacy of SLNB in Cases of Malignant Melanoma Located in Close Proximity to the Lymphatic Basin
Copyright © 2014 Alexander Bogdanov-Berezovsky et al. This is an open access article distributed ... more Copyright © 2014 Alexander Bogdanov-Berezovsky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Being predictive of the entire nodal bed, sentinel lymph node biopsy (SLNB) is invaluable in the surgical management ofmelanoma. Although the concept is simple, sentinel lymph node (SLN) identification and removal can be technically challenging. Methods. A total of 102 consecutive patients have undergone SLNB in the Division of Plastic and Reconstructive Surgery of Soroka University Medical Center from 2009 to 2012. Patients have undergone SLNB using a radioactive tracer and blue stain in order to identify the SLN. Although SLNB usually precedes the wide excision of melanoma, primary lesions in close proximity (<10 cm) to the lymph basin require wide excision before beginning the SLN quest. Results. All ...
Resection of the Auricularis Posterior Muscle and Adjacent Soft Tissue for the Correction of Prominent Ears
Prominent ear is a common facial anomaly that negatively affects child’s social life and self-est... more Prominent ear is a common facial anomaly that negatively affects child’s social life and self-esteem. There have been numerous techniques described for correction of the deformity, all of which have their characteristic aesthetic disadvantages. The goal of this paper is to present the resection of the auricularis posterior muscle and adjacent soft tissue for the treatment of prominent ears.We describe the technique in details and discuss its advantages over some more popular techniques previously reported. Our results demonstrate that this straight forward technique can produce long-term satisfactory outcomes.
Hair Dye Imitating Multiple Basal Cell Carcinoma of the Scalp
World Journal of Medical and Surgical Case Reports, May 21, 2013
Basal cell carcinoma is the most common malignant skin tumor. Multiple basal cell carcinomas are ... more Basal cell carcinoma is the most common malignant skin tumor. Multiple basal cell carcinomas are frequently developed in patients receiving ionizing radiation at a younger age. We present a case of multiple pigmented lesions on the scalp of a 65-years-old female with a history of radiotherapy for the treatment of tinea capitis at her childhood and a histologically confirmed basal cell carcinoma 2 years ago. The use of dermatoscopy prevented us from a misdiagnosis. This case of hair dye imitating pigmented BCC in a patient specifically prone to this type of tumor should be in mind of any plastic surgeon or dermatologist before scheduling
World Journal of Medical and Surgical Case Reports Case Report Open Access Hair dye imitating multiple basal cell carcinoma of the scalp: A misdiagnosis prevented by dermoscopy
European Journal of Plastic Surgery, 2015
Sir, Breast augmentation (BA) remains the most common aesthetical operation performed worldwide [... more Sir, Breast augmentation (BA) remains the most common aesthetical operation performed worldwide [1, 2]. It is considered as a simple, reliable procedure with a low complications rate. Early complications such as hematoma, seroma and infection are well known and were referenced in the scientific literature [3]. However, we have not found any published studies regarding early seroma, leaking through the surgical wound (leaking seroma). The goal of this letter is to describe leaking seroma (LS) as an early complication following breast augmentation, to present our thoughts regarding the etiology of LS, patients' risk group, potential treatment and ways to prevent it. We reviewed 350 consecutive patients that underwent breast augmentation by the same surgeon (ABB) in a private medical center during the years 2007-2012. Breast fascial closure was performed with interrupted stitches in 172 patients (49.1 %) and with running interlocking stitches in 178 (50.9 %). Drainage was not used in any of the patients operated in this series. Medical files and operating records were extracted, and all data were statistically analyzed. We defined leaking seroma as a serous exudate discharging from surgical wound, ranging from spots on the dressing to massive fluid leak. Empirically, chosen regimen for treatment of LS, including oral antibiotic, iodine ointment dressing, non-steroidal anti-inflammatory drugs (NSAID), and complete patient rest, was employed.
ISRN dermatology, 2014
Background. Being predictive of the entire nodal bed, sentinel lymph node biopsy (SLNB) is invalu... more Background. Being predictive of the entire nodal bed, sentinel lymph node biopsy (SLNB) is invaluable in the surgical management of melanoma. Although the concept is simple, sentinel lymph node (SLN) identification and removal can be technically challenging. Methods. A total of 102 consecutive patients have undergone SLNB in the Division of Plastic and Reconstructive Surgery of Soroka University Medical Center from 2009 to 2012. Patients have undergone SLNB using a radioactive tracer and blue stain in order to identify the SLN. Although SLNB usually precedes the wide excision of melanoma, primary lesions in close proximity (<10 cm) to the lymph basin require wide excision before beginning the SLN quest. Results. All pathology reports confirmed the excision of lymph nodes. Conclusions. When treating MM in close proximity to the lymph basin, changing the sequence of the SLNB procedure seems to increase the efficacy of the method.
Head & face medicine, Jan 12, 2006
The traumatic bone cyst (TBC) is an uncommon nonepithelial lined cavity of the jaws. The lesion i... more The traumatic bone cyst (TBC) is an uncommon nonepithelial lined cavity of the jaws. The lesion is mainly diagnosed in young patients most frequently during the second decade of life. The majority of TBCs are located in the mandibular body between the canine and the third molar. Clinically, the lesion is asymptomatic in the majority of cases and is often accidentally discovered on routine radiological examination usually as an unilocular radiolucent area with a "scalloping effect". The definite diagnosis of traumatic cyst is invariably achieved at surgery. Since material for histologic examination may be scant or non-existent, it is very often difficult for a definite histologic diagnosis to be achieved. We present a well documented radiographically and histopathologically atypical case of TBC involving the ramus of the mandible, which is also of possible iatrogenic origin. The literature is briefly reviewed.
Aplasia Cutis Congenita
Plastic and Reconstructive Surgery, 2014
ABSTRACT Background: Aplasia cutis congenita is a rare, congenital disorder. In its severe phenot... more ABSTRACT Background: Aplasia cutis congenita is a rare, congenital disorder. In its severe phenotype, it is potentially life threatening. Its management and the timing of surgery remain controversial because of the risks involved with both conservative and surgical approaches. Most literature is based on case reports and very small case series because of the rarity of the disorder. The authors present their experience treating newborns with aplasia cutis congenita and its progressive development. Methods: Using a hospital registry, the authors found all cases of newborns diagnosed with aplasia cutis congenita during the years 2000 to 2013. Clinical data were gathered from hospital and clinic records, and photographs were obtained by the plastic surgery team. Results: Twenty-two cases of aplasia cutis congenita were included in this study: 21 on the scalp and one on the foot heel. Eleven patients were male and 11 were female. Defect size ranged from 1 to 150 cm(2) (average, 29 cm(2)). Three patients died as a result of uncontrollable hemorrhage. Six patients underwent emergency coverage, one with allografts later replaced by split-thickness skin grafts and five by immediate split-thickness skin grafting. All of the patients who underwent immediate skin grafting survived and thrived. Conclusions: The authors emphasize the role of emergency split-thickness skin grafting in the treatment of large aplasia cutis congenita or ones with large veins or sagittal sinus exposure. The authors also present a practical, treatment-oriented classification that could assist physicians in estimating the severity and therefore prognosis of the disease and offer a treatment guideline. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Aesthetic Plastic Surgery, 2013
ISRN Dermatology, 2012
Mohs micrographic surgery is a tissue-sparing technique that allows for excision of cutaneous tum... more Mohs micrographic surgery is a tissue-sparing technique that allows for excision of cutaneous tumors under complete microscopic margins control. Mohs surgery boasts high cure rates and maximum tissue conservation. We introduce the double-blade scalpel in Mohs surgery as a timesaving and easy way to harvest tissue strips of uniform width and therefore increase the intraoperative efficiency of the procedure.
Plastic and Aesthetic Research, 2015
Aim: Skin grafting is a common clinical practice for plastic surgeons, yet primary contraction of... more Aim: Skin grafting is a common clinical practice for plastic surgeons, yet primary contraction of these grafts is a neglected topic. This study was designed to investigate primary contraction and introduce the shape of skin graft as a possible factor that modifies primary contraction behavior, using porcine models. Methods: In the first series, full-thickness skin grafts (FTSGs) and split-thickness skin grafts (STSGs) were compared. In a second series, how the shape of the skin graft affected the degree of contraction was examined. Results: The mean percentage of FTSG shrinkage was 12.04%, and the median was 12.18%. The mean percentage of STSG shrinkage was 6.87%, and the median was 5%. Circle-shaped and square-shaped FTSGs showed mean/median graft shrinkage of 5.83%/6.93% and 4.15%/3.75%, respectively. In STSGs, the circle-shaped and square-shaped grafts had mean/median graft shrinkage of 1.07%/0% and 0.31%/0%, respectively. Conclusion: Our preliminary report revealed an expected greater shrinkage of FTSGs compared with STSGs. Furthermore, in a limited number of specimens, the shape of the skin graft seemed to affect the primary contraction of the STSGs.
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Papers by Vasileios Pagkalos