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23건 · 최신순-
Efficacy and Morbidity of Heparin Infusion in Salvaging Autologous Breast Reconstruction Free Flaps.
[BACKGROUND] Abdominal-based free flaps are the mainstay in autologous breast reconstruction. Their safety and consistency in outcomes are well-documented. When flap compromise occurs, operative salvage is the gold standard. However, when-a…
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Shifting the paradigm on tissue removal and postoperative complications in breast reduction: A systematic review and meta-analysis.
[BACKGROUND] The amount of tissue resection, measured in weight per breast, in breast reduction surgery has been considered a potential risk factor for complications. [OBJECTIVE] We aimed to evaluate the effect of removing >1000 g versus 1…
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Predictors of seroma after breast reduction: When should drains be considered?
[BACKGROUND] The use of drains in reduction mammoplasty is highly variable among plastic surgeons. However, there is limited evidence to guide surgeons on the optimal timing and conditions for using drains to reduce the risk of seroma forma…
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A Bibliometric Review of Capsular Contracture in Breast Implant: Global Trends and Research Hotspots.
Capsular contracture (CC) is the most common complication following breast augmentation and reconstruction. Although numerous risk factors and preventive strategies have been proposed, the etiology remains poorly understood. This study empl…
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Complication Profiles of Smooth vs Textured Tissue Expanders in Breast Reconstruction: A Systematic Review and Meta-Analysis.
[BACKGROUND] Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a type of non-Hodgkin lymphoma first linked with breast implants in 2011. The correlation between BIA-ALCL and textured devices has led to increased use of …
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Most Cited Articles in Body Contouring: A Bibliometric Analysis of the Past 45 Years.
The purpose of this study is to produce a bibliometric review of the 30 most cited articles related to 6 major domains of body contouring-abdominoplasty, thighplasty, brachioplasty, gluteoplasty, body lift, and liposuction-for resident and …
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Feminizing Gender Affirming Breast Surgery: Procedural Outcomes at a Single Academic Institution.
[BACKGROUND] Implant-based breast augmentation is a gold standard procedure for transfeminine patients to create a more feminine-appearing chest. In many cases, ancillary procedures are performed simultaneously to achieve an optimal aesthet…
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Revisiting Breast Reduction Insurance Coverage: How the Schnur Scale Discriminates against Women Based on Body Habitus.
[BACKGROUND] The Schnur scale used body surface area (BSA) to determine the amount of breast tissue resection in reduction mammaplasty, resulting in a greater requirement of breast weight removal in patients with larger BSA. The authors aim…
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Masculinizing chest wall gender-affirming surgery: Clinical outcomes of 73 subcutaneous mastectomies using the double-incision and semicircular incision techniques.
Masculinizing chest wall gender-affirming surgery is an important element in the treatment of gender dysphoria. In this study, we report an institutional series of subcutaneous mastectomies and aim to identify the risk factors for major com…
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Wide local excision, Mohs micrographic surgery, and reconstructive options for treatment of dermatofibrosarcoma protuberans of the breast: A retrospective case series from Mayo Clinic.
[BACKGROUND] Dermatofibrosarcoma protuberans (DFSP) of the breast is a dermal fibroblastic neoplasm requiring wide excisional margins due to recurrence rates ranging from 26 to 60%. The current literature on reconstructive options and utili…
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Human Factors Approach to Assess Physician Workload in Elective Plastic Surgery Breast Procedures.
[BACKGROUND] Human factors research involves the study of work system interactions, physician workload, cognitive effort, and performance. This pilot study incorporated a human factor approach and other surgery-based metrics to assess cogni…
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Implant Malposition in Prepectoral Breast Reconstruction: Experience with Natrelle® Cohesive Implants over 6.5 Years.
Implant malposition has been reported to be a common reason for revision surgery after implant-based breast reconstruction (IBR). With the recent increase in the use of smooth implants due to concerns for breast implant-associated anaplasti…
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Postmastectomy Breast Reconstruction is Safe in Patients on Chronic Anticoagulation.
Postmastectomy breast reconstruction (PMR) increases patient satisfaction, quality of life, and psychosocial well-being. There is scarce data regarding the safety of PMR in chronic anticoagulated patients. Perioperative complications can r…
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Long-term survival analysis of free flap reconstruction in patients with collagen vascular disorders.
[BACKGROUND] Collagen vascular disorders (CVD) are inflammatory diseases that can affect the blood vessels and soft tissues. Patients with CVD are often immunosuppressed, prone to hyper-coagulation, and represent a challenging patient cohor…
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Defining the Role for Topically Administered Tranexamic Acid in Panniculectomy Surgery.
[BACKGROUND] Abdominal panniculectomy after weight loss is a commonly performed procedure with high patient satisfaction yet continues to have a high post-operative complication profile. Several risk-reducing surgical approaches, such as pr…
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Efficacy of Tranexamic Acid in Reducing Seroma and Hematoma Formation Following Reduction Mammaplasty.
[BACKGROUND] Tranexamic acid (TXA) has gained increasing recognition as a valuable pharmacologic agent within plastic surgery. [OBJECTIVES] The aim of this study was to investigate the value and safety profile of both intravenous and topic…
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Breast Resection Weight Prediction and Insurance Reimbursement in Reduction Mammaplasty: Which Scale Is Reliable?
[BACKGROUND] Many insurance companies in the United States rely on the Schnur sliding scale to predict resection weights to determine medical necessity for breast reduction surgery. Accurate methods to predict resection weights are needed t…
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The Goldilocks Procedure with and without Implant-Based Immediate Breast Reconstruction in Obese Patients: The Mayo Clinic Experience.
[BACKGROUND] Obesity is a risk factor for complications in breast reconstruction. Thus, implant-based immediate breast reconstruction in obese women may be controversial. The authors analyzed obese patients who underwent skin-sparing mastec…
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Abdominal Panniculectomy: An Analysis of Outcomes in 238 Consecutive Patients over 10 Years.
[UNLABELLED] Panniculectomy is a commonly performed body contouring procedure to address skin laxity and its related complications. This study aimed to assess clinical outcomes of abdominal panniculectomy and identify predictors of complica…
- Liposuction and Patient Safety: Appropriately Credentialing Providers.
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Inferior pedicle breast reduction and long nipple-to-inframammary fold distance: How long is safe?
[BACKGROUND] Free nipple grafting indications in breast reduction surgery are outdated. Safety of inferior pedicle technique for large resections and long pedicles has not been clearly defined. We evaluated patients who underwent inferior p…
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Robotic-Assisted DIEP Flap Harvest for Autologous Breast Reconstruction: A Comparative Feasibility Study on a Cadaveric Model.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap is the most common perforator flap for microsurgical breast reconstruction. Contrary to the conventional open approach, robotic-assisted DIEP flap harvest intends to preserve…
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Prepectoral Breast Reconstruction in Nipple-Sparing Mastectomy With Immediate Mastopexy.
[BACKGROUND] Nipple-areola preservation positively impacts quality of life of the patients and helps them to achieve a better psychological and sexual well-being, as well as higher satisfaction with their reconstruction. Patients with large…