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18건 · 최신순-
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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Surgical Management of Textured Breast Implants: Assessing Risk and Analyzing Patient-Reported Outcomes.
[BACKGROUND] Textured implants have been linked to breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL). Patients who undergo explantation have options for reconstruction, but data on safety and patient-reported outcomes (PRO…
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Early Complications in Prepectoral Breast Reconstructions with and without Acellular Dermal Matrix: A Preliminary Analysis of Outcomes.
[BACKGROUND] Prepectoral tissue expander (TE) placement for two-stage postmastectomy reconstruction is usually performed in conjunction with insertion of acellular dermal matrix (ADM). However, the effects of ADM use on TE loss or other ear…
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Commercial Insurance Rates and Coding for Lymphedema Procedures: The Current State of Confusion and Need for Consensus.
[BACKGROUND] Surgical treatment of lymphedema has outpaced coding paradigms. In the setting of ambiguity regarding coding for physiologic procedures [lymphovenous bypass (LVB) and vascularized lymph node transplant (VLNT)], we hypothesized …
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Air versus Saline in Initial Prepectoral Tissue Expansion: A Comparison of Complications and Perioperative Patient-Reported Outcomes.
[BACKGROUND] One option to optimize prepectoral tissue expander fill volume while minimizing stress on mastectomy skin flaps is to use air as an initial fill medium, with subsequent exchange to saline during postoperative expansion. The aut…
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The Vicious Circle of Stasis, Inflammation, and Fibrosis in Lymphedema.
Lymphedema is a progressive disease of the lymphatic system arising from impaired lymphatic drainage, accumulation of interstitial fluid, and fibroadipose deposition. Secondary lymphedema resulting from cancer treatment is the most common f…
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The contribution of microvascular free flaps and pedicled flaps to successful chest wall surgery.
[OBJECTIVE] Pedicled flaps (PFs) have historically served as the preferred option for reconstruction of large chest wall defects. More recently, the indications for microvascular-free flaps (MVFFs) have increased, particularly for defects i…
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Goal-directed fluid therapy in autologous breast reconstruction results in less fluid and more vasopressor administration without outcome compromise.
[OBJECTIVE] Aggressive or restricted perioperative fluid management has been shown to increase complications in patients undergoing microsurgery. Goal-directed fluid therapy (GDFT) aims to administer fluid, vasoactive agents, and inotropes …
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Perioperative Inpatient Opioid Consumption Following Autologous Free-Flap Breast Reconstruction Patients: An Examination of Risk and Patient-Reported Outcomes.
[BACKGROUND] The response to the unprecedented opioid crisis in the US has increased focus on multimodal pain regimens and enhanced recovery after surgery (ERAS) pathways to reduce opioid use. This study aimed to define patient and system-l…
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Breast Implant-associated Anaplastic Large Cell Lymphoma Incidence: Determining an Accurate Risk.
[OBJECTIVE] This study sought to estimate the incidence and incidence rate of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) at a high-volume single institution, which enables vigorous long-term follow-up and implant tr…
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Laterality and Patient-Reported Outcomes following Autologous Breast Reconstruction with Free Abdominal Tissue: An 8-Year Examination of BREAST-Q Data.
[BACKGROUND] Despite the rise in rates of contralateral prophylactic mastectomy, few studies have used patient-reported outcomes to assess satisfaction between unilateral and bilateral breast reconstruction with autologous tissue. The purpo…
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Factors influencing incidence and type of postmastectomy breast reconstruction in an urban multidisciplinary cancer center.
[BACKGROUND] On January 1, 2011, New York State amended the Public Health Law to ensure that patients receive "information and access to breast reconstruction surgery." The purposes of this study were to investigate the early impact of this…
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The efficacy of simultaneous breast reconstruction and contralateral balancing procedures in reducing the need for second stage operations.
[BACKGROUND] Patients having unilateral breast reconstruction often require a second stage procedure on the contralateral breast to improve symmetry. In order to provide immediate symmetry and minimize the frequency and extent of secondary …
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Scalp, skull, orbit, and maxilla reconstruction and hair transplantation.
Orbitomaxillary, skull, scalp, and hair restoration covers a broad segment of reconstructive surgery. The purpose of this article is to review considerations in available options for reconstruction, flap selection, relevant anatomy, and pot…
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Outcome assessment of breast distortion following submuscular breast augmentation.
[BACKGROUND] Animation deformity or breast distortion during pectoralis muscle contraction following subpectoral breast augmentation is a known entity, but its prevalence and significance remain unclear. The purpose of this study was to ide…
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Augmentation mastopexy.
Primary augmentation/mastopexy is associated with a significantly higher complication rate than primary augmentation alone. Despite this, its popularity has steadily increased. This demand has led to the need for careful preoperative planni…
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The anatomy of revisions after primary breast augmentation: one surgeon's perspective.
Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency …
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Considerations of previous augmentation in subsequent breast reconstruction.
[BACKGROUND] The number of patients receiving augmentation mammaplasty is rapidly growing. Breast cancer will develop in a significant number of these women. [OBJECTIVE] The authors report on a series (expanding the size of a previous stud…