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A Proposed Minimum Standard Set of Outcome Measures for Lymphatic Surgery: Results of a Modified Delphi Process from the Society of Lymphatic Surgery Leadership.
[BACKGROUND] Despite advancements in the surgical treatment and prevention of lymphedema, there are no standards for reporting outcomes of lymphatic surgery. Developing consensus on a minimum standard set of outcome measures for lymphatic s…
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Outcomes of progressive tension donor-site closure in abdominal-based autologous breast reconstruction.
[BACKGROUND] The use of progressive tension sutures (PTSs) for drain-free abdominoplasty closure has been well published in the esthetic literature and found to be effective at reducing abdominal drainage without a worse complication profil…
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"Immediate versus delayed autologous breast reconstruction in patients undergoing post-mastectomy radiation therapy: A paradigm shift".
[BACKGROUND] While negative impacts of radiation on breast reconstruction have been well accepted, timing of autologous breast reconstruction in the setting of postmastectomy radiation therapy (PMRT) is still evolving. This study aims to ad…
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Plastic Surgery Away Rotations During the Coronavirus Disease Pandemic: A Virtual Experience.
[BACKGROUND] Plastic surgery has traditionally been a specialty that places a strong emphasis on away rotations during the final year of medical school. These rotations allow the program and residency candidates to become better acquainted …
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Advances in surgical treatment of lymphedema.
An estimated 250 million people worldwide suffer from lymphedema. In the past, the firstline option for treatment was nonsurgical management, either in the form of compression garments or wrapping, or comprehensive decongestive therapy, wit…
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Surgical Treatment of Lymphedema: A Systematic Review and Meta-Analysis of Controlled Trials. Results of a Consensus Conference.
[BACKGROUND] The goal of this consensus conference, sponsored by the American Association of Plastic Surgeons, was to perform a systematic review and meta-analysis of controlled trials to examine both the benefits and risks of surgical trea…
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Lymphatic Microsurgical Preventive Healing Approach (LYMPHA) for the prevention of secondary lymphedema.
Lymphedema is a chronic, morbid condition in which the upper or lower extremity experiences swelling and fibrosis due to impaired lymphatic clearance. Among breast cancer patients, this condition is primarily attributed to axillary lymph no…
- Radiation exposure to female plastic surgeons of childbearing age during reverse lymphatic mapping.
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Vascularized lymph node transfer and lymphovenous bypass: Novel treatment strategies for symptomatic lymphedema.
Lymphedema is a debilitating disease that is commonly caused by cancer and it is treatments in the developed world. Surgery is an option for refractory disease. Lymphovenous bypass and vascularized lymph node transfer are newer modalities t…
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Choosing the optimal timing for contralateral symmetry procedures after unilateral free flap breast reconstruction.
Achieving symmetry in unilateral free flap breast reconstruction often requires a contralateral procedure; however, no large studies exist that examine the factors related to revisions performed on the contralateral breast. The present stud…
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Simultaneous contralateral reduction mammoplasty or mastopexy during unilateral free flap breast reconstruction.
[BACKGROUND] After unilateral breast reconstruction, a procedure on the contralateral breast is often needed to achieve symmetry. However, there is no consensus regarding when to perform the contralateral balancing procedure. Here, we prese…
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Effects of an autologous flap combined with an implant for breast reconstruction: an evaluation of 1000 consecutive reconstructions of previously irradiated breasts.
[BACKGROUND] The goal of the authors' study was to determine whether an autologous tissue flap, when combined with an implant for breast reconstruction, reduces the incidence of implant-related complications in previously irradiated breasts…
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Breast cancer in reduction mammaplasty specimens: case reports and guidelines.
Increasing numbers of women of all ages are electing to have reduction mammaplasty for very large breasts. Breast cancer can be an incidental finding in reduction mammaplasty specimens. We report here the discovery of breast cancer in speci…