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Some will remove the bone flap prophylactically after such operations and others will replace the flap but reoperate as needed in the face of ICP elevation.
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Rather than just blasting the eye and letting its fragile surface slowly heal, surgeons began slicing into the cornea, peeling back a layer, using the laser and then replacing the flap to act as a bandage.
We placed a cover screw, replaced the flap, and sutured it with a continuous chromic gut 4-0 suture (Fig. 6k).
The disadvantages are the need for at least two surgeries (one to replace the bone flap) and the theoretical development of bifrontal contusions after decompression [ 10].
The dural flap was then replaced, the bone flap sewn in position, and the wound closed in anatomical layers.
These changes required that the entire wing be redesigned; the wing spar was bent into an inverted U to accommodate the engines and slotted flaps replaced the simple flaps previously used.
Now lift back the grass flap and tuck the edges of the pond liner into the slit, replacing the grass flap over the top to conceal the slit as you go.
But before he replaced the "bone flap" — the section of skull that is removed to allow access to the brain — he soaked it for an hour in a solution teeming with Enterobacter aerogenes, a common fecal bacterium.
The lesion site was filled with gel foam (Ethicon) before replacing the skull-flap.
A suction pipette was used to remove all visible cortex under a dissecting microscope, down to the level of the corpus callosum, before replacing the skull-flap.
For prophylaxis, as much as possible of the breast tissue is removed, and either an implant is inserted or a tram flap is used (the muscle of the flap replacing the breast tissue).
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