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34건 · 최신순-
Techniques and implants in breast augmentation after massive weight loss - A population-based study including 817 cases and 7023 controls.
[PURPOSE] Massive weight loss after bariatric surgery is often associated with alterations in breast morphology, including ptosis, excess skin, poor tissue elasticity, and altered nipple position, which frequently motivate requests for brea…
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Nomogram Risk Prediction Model for Reoperation/Revision in the First 5 Years After Primary Breast Augmentation Following Massive Weight Loss: A Clinical Tool.
[BACKGROUND] Previous studies suggest higher revision rates after primary breast augmentation after massive weight loss (MWL); yet, specific risk factors remain unclear. Robust predictive models are lacking. [OBJECTIVES] The study aimed to…
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[Public specialised care for postoperative complications after cosmetic breast augmentation].
Aesthetic surgery has become increasingly common in Sweden, and complications from privately performed procedures sometimes require treatment in the public healthcare system. This national register-based study investigated the proportion of…
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Capsular contractures following implant-based breast reconstruction in women undergoing risk-reducing mastectomy: national register-based study.
[BACKGROUND] The majority of women undergoing risk-reducing mastectomy have implant-based breast reconstruction, with capsular contracture being one of the most common complications. The primary aim of this study was to establish the nation…
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Validation of the triangular prism method using computed tomography to estimate DIEP flap weight in routine clinical practice - a St Andrew free flap audit registry study.
[INTRODUCTION] An accurate preoperative estimation of deep inferior epigastric perforator (DIEP) flaps in breast reconstruction facilitates planning. Different methods have been proposed, but few methods have been validated for the degree o…
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Frequency, demographics, and comorbidity of women with post-bariatric breast implants: A Swedish population-based controlled study.
[BACKGROUND] Obesity is a growing global health problem, and bariatric surgery is an effective treatment for severe obesity. However, massive weight loss frequently results in excess skin and altered breast morphology, resulting in some wom…
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Quality indicators for breast reconstruction following cancer-an international Delphi consensus study supported by the European Society of Plastic, Reconstructive and Aesthetic Surgery.
[BACKGROUND] Quality indicators (QIs) are essential for assessing and improving healthcare delivery. Existing QIs for breast reconstruction are limited and do not comprehensively reflect clinical complexity or patient-centred outcomes. This…
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Long-term patient-reported back and shoulder function after delayed breast reconstruction with a latissimus dorsi flap: case-control cohort study.
[BACKGROUND] Sacrifice of the latissimus dorsi (LD) muscle might entail donor site morbidity when used in delayed breast reconstruction. Previous studies are small, have short follow-up, and demonstrate diverging results. The aims of this s…
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Systematic review of cost-effectiveness in breast reconstruction: deep inferior epigastric perforator flap vs. implant-based breast reconstruction.
[BACKGROUND] There are several techniques for reconstructing breasts after mastectomy, but little scientific evidence for which technique is superior. The aim of this systematic review was to compare the cost-effectiveness of implant-based …
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"Normal" breast dimensions in obese women-reference values and the effect of weight loss.
[BACKGROUND] Breast hypertrophy may cause significant suffering, such as back- and breast pain, painful shoulder groves, and eczemas. Furthermore, women with breast hypertrophy may have lower quality of life than women without breast hypert…
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Breast volume in non-obese females is related to breast adipose cell hypertrophy, inflammation, and COX2 expression.
[BACKGROUND] Breast hypertrophy seems to be a risk factor for breast cancer and the amount and characteristics of breast adipose tissue may play important roles. The main aim of this study was to investigate associations between breast volu…
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Ethical Challenges for Plastic Surgery in Treating Internationally Adopted Children With Cleft Lip and Palate.
A large number of children with cleft lip and palate (CLP) were adopted to Sweden in the last decade, mainly from China. Most of the children arrived with unoperated palates and at later ages than earlier years. This article aims to present…
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Donor-Site Satisfaction of DIEP and Latissimus Dorsi Flaps-A Comparative Cohort Study.
[BACKGROUND] Understanding of donor-site morbidity and satisfaction after breast reconstruction is limited. There are few previous studies comparing satisfaction with different donor sites in breast reconstruction. This study aimed to exam…
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Comparison of patient-reported achievements of goals and core outcomes with delayed breast reconstruction in irradiated patients: latissimus dorsi with an implant versus DIEP.
[BACKGROUND] Different women's individual goals with a breast reconstruction vary, and few studies compare techniques in light of the different goals. This study aimed to compare patient-reported core outcomes in patients reconstructed with…
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A systematic review of the scientific evidence of venous supercharging in autologous breast reconstruction with abdominally based flaps.
[BACKGROUND] Abdominally based free flaps are commonly used in breast reconstruction. A frequent complication is venous congestion, which might contribute to around 40% of flap failures. One way to deal with it is venous supercharging. The …
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Swedish Normative Scores for the BREAST-Q Reduction/Mastopexy Module.
[BACKGROUND] Norm values for patient reported outcomes, that is knowledge about how the general population of women rate their breast-related satisfaction and quality of life, are necessary to interpret the meaning of scores. The aims of th…
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Are patients most satisfied with a synthetic or a biological mesh in dual-plane immediate breast reconstruction after 5 years? A randomized controlled trial comparing the two meshes in the same patient.
Biological or synthetic meshes are commonly used in implant-based immediate breast reconstruction (IBR). The aim of this study was to compare patient-reported outcome measurements (PROMs) after IBR with a synthetic mesh and a biological mes…
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A systematic review of direct preference measurements in health states treated with plastic surgery.
One way to compare health care needs and outcomes on common scales is by estimating the strength of preferences or willingness-to-pay (WTP). The aim of this study was to review directly measured preference values and WTP estimates for healt…
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ESPRAS Survey on Continuing Education in Plastic, Reconstructive and Aesthetic Surgery in Europe.
[BACKGROUND] Specialty training in plastic, reconstructive and aesthetic surgery is a prerequisite for safe and effective provision of care. The aim of this study was to assess and portray similarities and differences in the continuing educ…
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A systematic review and meta-analysis of risks and benefits with breast reduction in the public healthcare system: priorities for further research.
[BACKGROUND] There is no consensus for when publicly funded breast reduction is indicated and recommendations in guidelines vary greatly, indicating a lack of evidence and unequal access. The primary aim of this review was to examine risks …
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Comparison of inflammatory response and synovial metaplasia in immediate breast reconstruction with a synthetic and a biological mesh: a randomized controlled clinical trial.
The aim of this study was to compare inflammatory response and synovial metaplasia in implant-based immediate breast reconstruction with a biological mesh (Veritas) with that of a synthetic mesh (TIGR Matrix Surgical Mesh). We hypothesize t…
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An ethics analysis of the rationale for publicly funded plastic surgery.
[BACKGROUND] Healthcare systems are increasingly struggling with resource constraints, given demographic changes, technological development, and citizen expectations. The aim of this article is to normatively analyze different suggestions r…
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Prospective Evaluation of Health After Breast Reduction Surgery Using the Breast-Q, Short-Form 36, Breast-Related Symptoms Questionnaire, and Modified Breast Evaluation Questionnaire.
[INTRODUCTION] Breast hypertrophy is a condition associated with physical, psychological, and psychosocial problems. The primary aims of this study were to determine the impact of breast hypertrophy and the effects of breast reduction, perf…
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Benefits and risks with acellular dermal matrix (ADM) and mesh support in immediate breast reconstruction: a systematic review and meta-analysis.
In modern implant-based immediate breast reconstruction, it has become common to use biological acellular dermal and synthetic matrices in combination with a tissue expander or an implant. The aim of this systematic review was to examine di…
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Liposuction Gives Complete Reduction of Arm Lymphedema following Breast Cancer Treatment-A 5-year Prospective Study in 105 Patients without Recurrence.
[BACKGROUND] Arm lymphedema is a well-recognized complication after breast cancer surgery that negatively impacts patients' quality of life, both physiologically and psychologically. Lymph stasis and inflammation result in excess formation …
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Objective evaluation of nipple position after 336 breast reductions.
Throughout different eras and cultures what is considered the cosmetically ideal breast has varied greatly. There is no broadly accepted standardised method that objectively evaluates aesthetic outcome after breast reduction mammoplasty. Th…
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Validation of the breast evaluation questionnaire for breast hypertrophy and breast reduction.
There is a lack of published, validated questionnaires for evaluating psychosocial morbidity in patients with breast hypertrophy undergoing breast reduction surgery. To validate the breast evaluation questionnaire (BEQ), originally develop…
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A core undergraduate curriculum in plastic surgery - a Delphi consensus study in Scandinavia.
[BACKGROUND AND AIMS] In recent years, undergraduate medical education has undergone a transition from a speciality-based to a more competence-based training system. Consequently, whilst medical knowledge is rapidly expanding, time for teac…
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SF-36 Shows Increased Quality of Life Following Complete Reduction of Postmastectomy Lymphedema with Liposuction.
[UNLABELLED] Abstracts Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (…
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Plastic surgery in the Norwegian undergraduate medical curriculum: students' knowledge and attitudes. A nationwide case-control study.
[OBJECTIVE] Changes in medical education have resulted in less available time for plastic surgery, which might jeopardise the availability of plastic surgery for patients. The aims of this study were to investigate the level of knowledge wi…