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16/8/ · So far, only the Ultramarines and White Scars have their own codex supplements, are also available as a free PDF download. Finally, we promised that the Heretic Astartes would also be gaining the Shock Assault ability, but that’s not strictly true they actually gain the Hateful Assault ability instead, though it works in exactly the same way!** Believe us when we tell you that Khorne February 8th Edition White Scars (Space Marines) Digital Only January 8th Edition 6th Edition 6th Edition was released June Codex Supplements have their parent faction noted in brackets. Codex ISBN Release Date Superseded By Adepta Sororitas ISBN October 8th Edition Index: Imperium 2 Astra 2/12/ · Codex Supplement: White Scars is a supplement for the 8th Edition of Warhammer 40, Description. The sons of the Great Khan are amongst the most naturally skilled warriors fighting to defend the Imperium, and fall upon their foes with unmatched speed and ferocity. Inside this page hardback codex supplement, you'll find everything you need to unleash the White Scars in battle,
White scars supplement 2019 pdf download vk
Dr Tsao is a plastic surgeon in private practice in Kaohsiung, Taiwan. White scars are defined in this study as mature hypopigmented surgical or traumatic scars whose color is much lighter than surrounding skin, to the extent that they appear white. These scars are often obvious and very difficult to treat or mask. This 3-year retrospective study reports the outcomes from 38 recipients of a new microdermal grafting surgery we developed, which introduces melanocytes into the white scar lesion to regenerate skin color.
The study shares 18 years of experience with this procedure, describes the surgical steps, offers videos of the procedures, and presents 4 cases.
Between September and December38 patients 30 females; 8 males underwent microdermal grafting for color regeneration of white scars in our plastic surgery clinic. Most patients, Patients were also asked to assess, via a questionnaire, white scars supplement 2019 pdf download vk, satisfaction and percentage improvement 1 year after surgical treatment. In total, The patient satisfaction rate was high.
Microdermal grafting provides adequate treatment of white scars by regenerating melanocytes, although more than 1 session treatment may be needed. A mature hypopigmented surgical or traumatic scar white scars supplement 2019 pdf download vk often much lighter in color than the surrounding skin. Because such scars seem white in comparison to surrounding skin, this study refers to them as white scars.
A white scar is usually permanent. Some patients consider white scars unsightly, and others may consider them reminders of unpleasant experiences—such as suicide attempts or trauma—or cosmetic surgery, leading them to seek treatment to regenerate natural skin color. Fear of white scars often prevents people from opting for aesthetic surgery.
Current medical options, including laser treatment, scar revision, and phototherapy, cannot entirely restore natural color to white scars, white scars supplement 2019 pdf download vk. First introduced by Gauthier and Surleve-Bazeille, noncultured M-K suspension is increasingly being used to treat postburn wounds and vitiligo.
The choice of M-K suspension or epidermal cell suspension to treat hypopigmentation depends on the size of the donor site. Although hair follicle suspension does not require complicated donor site care, the melanocytes collected from hair follicles are usually not in as good condition as those collected for M-K suspension.
All 3 dermal grafting methods involve suspensions containing keratinocytes, and they all require the recipient site be prepared using CO 2 laceration, dermabrasion, or cryoblebs. We report here the findings of a retrospective study of 38 patients recently treated over a 3-year period with a new, more time-efficient microdermal grafting procedure that we developed.
We have 18 years of experience refining this procedure. This experience gives us the confidence to share—through the presentation of videos and 4 case studies—how this procedure can successfully regenerate normal skin color in white scars. From September to December38 patients 30 females and 8 males; average age, Each survey was administered 1 year after surgery.
Although we did not validate the complete scale we developed, similar patient satisfaction and scar self-assessments have been used and validated previously. Three nonphysician lay judges were invited to give subjective assessments of percentage scar pigmentation recovery based on a comparison of photographs of preoperative and postoperative scars performed in our clinic under white light.
The judges were simply asked to rate pigmentation recovery from 0 no recovery to complete recovery with help of a color assessment scale. The judges were females aged 29, 31, and 35 years old at the time of assessment. This study was not approved by an institutional review board because it was a retrospective study performed in a private practice with only a few full-time physicians and nurses.
However, the study and procedures were performed in accordance with the principles outlined by the Declaration of Helsinki, informed written consent was obtained from each participant, and permission was granted for each photograph chosen for publication. All operative procedures were performed under local anesthesia xylocaine injection. Two areas were usually chosen as skin donor sites for grafting, either the retroauricular area Figure 1A or the groin area.
The retroauricular area was the most common donor site in our series. If the treated scar was larger or there were multiple scars, then groin skin was chosen as the donor site. The donor site was primary sutured in layers. The skin to be grafted was defatted Figure 1B and cut Figure 1C into strips 1 to 2 mm wide Videos 1 and 2. After partial white scars supplement 2019 pdf download vk part de-epithelialization Figure 1D ; Videos 3 and 4the skin strip was cut Figure 1E into 1- to 2-mm squares to serve as our microdermal grafts and placed on a sterilized tongue blade surface.
These microdermal grafts were implanted within 30 minutes with microforceps into puncture holes made by the surgeon in the white scars.
We created puncture holes Figure 1F at the target area using an gauge needle, inserted into the deep dermal layer at an oblique angle of ~30° Video 5, white scars supplement 2019 pdf download vk. Holes were spaced at 1- to 2-mm intervals and grafts were implanted with no suturing needed Figure 1G ; Video 6.
Finally, the treated white scar area was covered with an antibiotic ointment and dressed. The inner layer was tulle coated with oily antibiotic and the outer layer gauze packed. After the operation, each patient was observed for about 30 minutes, during which time she or he was instructed on wound care saline cleansing, antibiotic ointment, dressing coverage, avoiding sun exposure, and care when applying sunscreen after wound healing and told to perform this procedure once a day for 7 days.
If no problems arose during this postsurgery observation and instructional period, the patient was free to go. Diagrams demonstrating A skin donor site for microdermal grafting; B skin defatting; C skin cut into strips 1 to 2 mm wide; D skin partial de-epithelialization; E skin cut into 1- to 2-mm square microdermal graft pieces; F creation of puncture holes in white scar area using an gauge needle, inserted into the deep dermal layer at an oblique angle of ~30°; G microdermal graft implanted into puncture holes with micro-forceps.
The average follow-up period was 14 months range, 12—18 monthsand the average time of scar formation prior to the microdermal grafting we performed was 8 years range, 2—32 years.
Overall, The scars were mainly located on the lips, cheeks, foreheads, eyelids, necks, and forearms. The intervals between 2 sessions ranged from 3 to 6 months.
Most cases, Although dermal grafting procedures have been reported to have several complications, only 2 of the 38 patients had 1 of the 5 commonly reported surgical complications Table 3. Both these patients developed inclusion cysts, which were noted around 3 to 6 months after surgery.
These cysts were easily treated using an unroofing procedure. Of the 38 patients, white scars supplement 2019 pdf download vk, we chose to present 4 cases illustrating how our microdermal procedure white scars supplement 2019 pdf download vk treat a variety of white scars. Case 1, a year-old women, involved parallel linear scars over both medial forearms, resulting from a suicide attempt White scars supplement 2019 pdf download vk 2.
Case 2 involved scars left over from 2 upper blepharoplasty procedures in a year-old woman Figure 3. Case 3 involved a forehead scar resulting from a trauma in a year-old woman Figure 4. Case 4 involved a lip scar left over from childhood cleft-lip repair in a year-old female Figure 5. Case 1 received 1 treatment session and experienced 1 complication. Cases 2 and 3 received 2 treatment sessions, and Case 4 received 3 treatment sessions.
These remaining 3 cases experienced no complications. All 4 cases were satisfied with their outcomes. A year-old woman Case 1 had multiple parallel linear white scars over both medial forearms resulting from a suicide attempt A. The patient had previously received laser treatment for the scars at another clinic, but the white color was not improved. B The patient was satisfied with improvements in the color of her white scars after the first microdermal grafting treatment session at our clinic.
The photograph was taken 6 months after the operation. Although an inclusion cyst formed after the second microdermal grafting session, it was easily resolved by an unroofing procedure. A year-old woman Case 2 who wanted a Western fold created in her Oriental eyelid. She had received upper blepharoplasty by suture white scars supplement 2019 pdf download vk at another clinic 3 years previously. A Although the second procedure produced a natural-looking eyelid, it also produced an obvious white scar over both medial canthi.
We performed 2 microdermal grafting sessions for both medial canthal white scars. The patient put a duoderm film on her nose to cover white scars supplement 2019 pdf download vk pimple the day the photograph was taken. C Seven months after the second session, white scars supplement 2019 pdf download vk, the white scar lines could hardly be seen.
A year-old woman Case 3 seeking treatment for a white scar on the forehead caused by trauma A. The white scar was obvious because of its contrast to her dark skin complexion. A year-old female cleft-lip patient Case 4 who had received several surgical procedures for lip repair and nose correction, performed by the first author at a medical center over many years since childhood. A The shapes of the philtrum and lips were good, but a white scar remained on her upper lip. B She received 3 microdermal grafting sessions at our clinic over 2 years, resulting finally in a largely obscured scar.
The photograph was taken 1 year after all the operative sessions had been performed. Obtaining melanocytes by dermal grafting to treat scars and pigmentation disorders is not a new procedure. The first step is harvesting skin from a donor site. Then, during a to minute procedure, white scars supplement 2019 pdf download vk, white scars supplement 2019 pdf download vk skin is prepared for use as an epidermal graft by separating the epidermis from the dermis and suspending it in a special medium.
The recipient site then undergoes dermabrasion if this has not been previously performed the day before, as some surgeons prefer to do.
Then, the graft is placed on the recipient site for 20 minutes as the patient lies still, allowing the graft to attach. The graft remains fixed to the recipient site for 7 days. Our new microdermal grafting procedure is performed in approximately 1 hour. The donor skin is excised with a scalpel and the wound is sutured closed.
The skin is defatted, cut into small strips, de-epithelized, further cut into tiny micropieces, and then implanted into puncture holes in the target area. There is no need for dermabrasion of the recipient site or suspension of the graft in a special medium, saving much time and eliminating several steps. Because the donor site is sutured closed, there is no need for drying or special care.
We had the opportunity to cross-validate the robustness of clinical improvement by performing a histopathological examination in 1 case. One year-old female patient Number 8 was satisfied with the improvement to the white scar on her medial forearm achieved by our microdermal grafting, and requested another lesion be treated on her forearm in a second session. This patient, who had attempted suicide by cutting her forearms and wrists, had multiple parallel white scars over both medial forearms and wrists.
She had previously received both surgical and laser procedures at another clinic to remove these scars, but the results were not acceptable. During her second microdermal grafting session at our clinic, we collected a biopsy specimen from the white scar area we had previously treated with microdermal grafting, and a specimen of the white scar area we planned to treat.
In the latter, we found a number of melanocytes featuring slight pigmentation or a lack of pigmentation at the epidermodermal junction Figure 6A. However, in the previously treated specimen Figure 6Bwe observed an obvious increase in the number of melanocytes growing within the scar area.
GMG REVIEWS - Codex Supplement: White Scars (2019) by Games Workshop
, time: 29:23White scars supplement 2019 pdf download vk
8 сен Действия did you? Don’t worry – hot on the heels of the incredible new Codex: Space Marines, supplements for the Ultramarines and White Scars Chapters, as well as brand-new units such as the Invictor Tactical Warsuit – we’ve got even more goodies for you! Here’s what you’ll be able to pre-order next weekend Codex Supplement: Raven Guard A new book is February 8th Edition White Scars (Space Marines) Digital Only January 8th Edition 6th Edition 6th Edition was released June Codex Supplements have their parent faction noted in brackets. Codex ISBN Release Date Superseded By Adepta Sororitas ISBN October 8th Edition Index: Imperium 2 Astra Supplement: Ultramarines and Codex Supplement: White Scars. A: Yes, they are considered to be the same. Q. If I use the Master of Strategy Warlord Trait or the Squad Doctrines Stratagem to select a unit to benefit from the Tactical Doctrine, will that unit be able to benefit from the Scions of Guilliman ability (assuming it moved in my Movement phase but did not Advance or Fall Back)? A: Yes
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