Bolivian Journal of Plastic Surgery

Normas Editoriales

Revista Boliviana de Cirugía Plástica — 2025-07-07

"Silimed: Conectando Ciencia y Bienestar"

Revista Boliviana de Cirugía Plástica — 2025-07-07

Editorial

Javier Pacheco Carvajal — 2025-07-07

Anatomical bases of nerve transfer to restore sensitivity on the thumb-index in high median nerve injury. Cadaveric study

Mathias Raffo Areosa — 2025-07-07

Introduction: Treating high-grade nerve injuries of the upper extremity remains a surgical challenge. Extra-anatomical reconstructions through peripheral nerve transfer have gained clinical importance in recent decades. This study seeks to describe anatomical bases through cadaveric dissection, for the transfer of the dorsal sensory nerves of the first and second fingers, to the radial and ulnar collateral nerves of the index finger and thumb respectively; in high median nerve lesions.
Methodology: This is an observational, cross-sectional and descriptive study; where the dissection of 20 hands was performed on cadaver donor specimens, replicating the same surgical technique, and the same surgeon. Anatomical representations for the performance of the technique were quantitatively recorded.
Results: It was possible to replicate the technique previously described by other authors, detailing important anatomical representations at the time of its performance.
Conclusion: The nerve transfer proposed to restore sensitivity in the index thumb clamp is a reproducible technique, where it was possible to establish the appropriate approach on an anatomical basis, as well as an adequate correlation of nerve calibers, and the distance between them.

Unusual application of the bilobed flap for coverage of the dorsal region of the hand. Case report

Fernando Correa Roca — 2025-07-07

Introduction and Objective: Coverage of hand defects requires careful evaluation of both the skin lesion itself; due to the specific characteristics it presents, such as the possible associated lesions of the vasculo-nervous, bone or tendon structures of the area. The bilobed flap, double transposition, versatile and random pedicle. It allows the distribution of tension forces in several directions with maintenance of structural symmetry and transfer of skin of similar color and textures (1). Described by Esser in 1918, using a rotational arc of 180 degrees, based on two lobes of the same size and the same shape (2,3,5). Modified by ZIMANY, which showed that the first and second lobe could be smaller than the primary defect. ZITELLI, in 1989, modified the procedure by limiting the total rotational arc to an angle between 90 and 110 degrees. Being particularly useful in the reconstruction of defects of the distal third of the nose and different facial areas, however; Its applicability and usefulness in other anatomical locations has been demonstrated. THE OBJECTIVE of the presentation of this case is to demonstrate the Applicability of the Bilobulated Flap in Injuries of the Back of the Hand.
Material and methods: Bibliographic review on the surgical options for the repair of this defect, finding only ONE (01) case report using the Bilobed Flap for coverage of the Back of Hand. (Tavares Ermelindo - 11) He was chosen to use the Bilobulated Flap on an outpatient basis, under Local Anesthesia with Sedation.
Results: It was possible to perform the total coverage of the defect on an outpatient basis, obtaining a satisfactory functional and aesthetic result.
Conclusions: It is essential to provide coverage according to the anatomical structure and the functional needs of the region to be reconstructed. This fact is very significant in dorsal hand injuries, since the extensor apparatus is usually involved. Local flaps, both axial and random flow, provide stable coverage and are the best choice when there is exposure of important structures, although they are limited to minor and medium defects. In this case, the Bilobed Flap, generally used for defects of the dorsum and nasal tip; should be considered as a therapeutic option for injuries of the back of the hand.

Classic abdominoplasty and reverse abdominoplasty. Comparative study of results and complications associated with the surgical technique

Nelson Euro Estrella León — 2025-07-07

Abdominoplasty is one of the most commonly performed procedures in plastic surgery. It consists of a surgical procedure intended to improve the appearance of the abdomen by removing excess skin and fat; strengthening weakened or separated muscles, improving the abdominal contour and restoring firmness to the skin.
This study aims to perform a comparative analysis of the results and complications associated with classic and reverse abdominoplasty, in order to provide evidence-based guidance for the selection of the most appropriate technique according to the individual needs of patients.
This study has a descriptive, retrospective and cross-sectional approach. An analysis was carried out on 65 patients, 38 women and 27 men, aged between 40 and 60 years, with the presence of sagging skin and moderate-large adipose tissue in the abdomen and back, treated between 2015 and 2023.
When classifying patients according to the type of procedure, the Matarasso Classification was used for abdominal lipodystrophy, finding that: 5 patients had category I, 20 patients were in category II, 30 with category III and 10 with category IV.

Lipoescultura de alta definición con diodo láser 980-nm: presentación de caso clínico

Carlo André Fuentes Pol — 2025-07-07

The accumulation of abdominal fat and skin laxity are a frequent reason for consultation in the plastic surgery office. High definition liposculpture is one of the most requested in recent times, due to the immediate changes in body contour.
Laser-assisted liposuction (LAL) is an innovative technique in the field of plastic surgery, with the main indication for LAL being body contouring, as well as skin retraction in areas with mild to moderate sagging, areas of dense fibrosis and high volume cases. The photothermal effect generated with the application of laser energy acts on skin laxity by stimulating the production and remodeling of collagen at the same time that it liquefies fat, which makes it an ideal alternative for some complex cases in which traditional liposculpture could not obtain optimal results without the help of surgical techniques such as minidermolipectomy.
The objective of this review was to describe my experience in high definition liposculpture (HDL) combined with 980nm Diode Laser technology in a particular case of a 32-year-old multipregnancy patient with moderate skin laxity, showing optimal results in body contouring and skin retraction intra- and post-operatively.

Modified Z-plasty and trapezius myotomy for the correction of short neck and chronic cervical pain in Klippel-Feil syndrome. Case report.

Agustina Moreira — 2025-07-07

Introduction: Klippel-Feil syndrome is a congenital deformity characterized by the fusion of one or more cervical vertebrae, associated with a short neck, limited cervical range of motion, and a low posterior hairline. Objective: To describe a surgical technique based on trapezius myotomy through a modified Z-plasty approach for the correction of short neck and cervicalgia in Klippel-Feil syndrome. Materials and Methods: Case report of an adult patient with Klippel-Feil syndrome who underwent the described technique. Results: Postoperatively, at 72 hours, there was an improvement in cervical pain according to the visual analog scale, classified as type 4. At five months follow-up, the patient continued to experience mild pain, classified as type 2, with improved neck movements. No improvement was observed regarding the low hairline. Discussion and Conclusions: There are multiple techniques for the treatment of this condition. The described technique is a valid option that achieves the set objectives, with advantages including pain relief, correction of the short neck, minimal scarring, and in some patients, correction of the low hairline.

Prólogo

Dario Lautaro Suárez Oyhamburú — 2025-07-07

Campaña de reconstrucción mamaria en el hospital ¨Instituto del oriente boliviano¨ (hospital oncológico)-auspiciada por la fundación CRE y con el apoyo de la Sociedad Boliviana de Cirugía Plástica de la filial Santa Cruz

Dario Lautaro Suárez Oyhamburú — 2025-07-07

Resumen del XXV congreso Iberolatinoamericano de cirugia plastica FILACP Argentina 2024

Ana María Gil Rivero — 2025-07-07