Bernard E. Simon

The gluteus maximus myocutaneous flap in the management of pressure sores.

The gluteus maximus myocutaneous flap is modified to obviate the necessity of a skin graft to the donor defect. This is a sufficiently large flap which, in the event of a recurrence, can be rerotated. The design and surgical technique of this flap for ischial and sacral pressure sores are described. This flap was used for 36 pressure sores without loss of any portion of the flap.

Experiences With The Pitanguy Method Of Correction Of Trochanteric Lipodystrophy

The operation for correction of trochanteric lipodystrophy has given good results in properly selected cases. It is a major procedure, however-one which has a significant postoperative morbidity.

Mondor's disease. An unusual complication of mammaplasty.

We present 6 cases of Mondors disease which developed after plastic surgical operations on the breasts. All signs of the disease disappeared spontaneously after 3 or 4 months.

Alternatives to subcutaneous mastectomy.

It is our belief that subcutaneous mastectomy often leads to complications, with poor results. In addition, because a considerable amount of breast tissue may be left behind, its value as a prophylactic operation must be questioned. Two alternatives are presented. In our experience, these lead to fewer complications with a more thorough removal of the mammary gland, and achieve a better appearance. The alternatives are (1) simple mastectomy with secondary reconstruction; (2) the type of mastectomy described by Spira--with primary reconstruction using a subpectoral silicone prosthesis covered by muscle and an inferiorly-based dermal flap.

A filing system for transparencies.

A system has been developed to facilitate filing of 2 inches X 2 inches Kodachrome slides. This is coordinated with a diagnostic and therapeutic index that allows for easy retrieval. Compact metal filing cabinets are used, eliminating the need for subsequent rearrangement of slides. The system also provides a method for recall of patients. Preoperative photographs are maintained in plastic folders and checked periodically until the postoperative photographs have been taken.