논문 목록
69건 · 최신순-
Evolution of Length of Stay in Microsurgical Breast Reconstruction: A National Big Data Study of 21,777 Flap Cases from a 16-Year ACS-NSQIP Analysis.
[BACKGROUND] Reducing postoperative length of stay (LoS) benefits both patients and hospi- tal systems. This study leverages the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database to identify pre…
-
Artificial Intelligence-Driven Mapping of Global Microsurgery Research: Dual Automation for Data and Classification.
[INTRODUCTION] Microsurgery is one of the most technically demanding and rapidly advancing domains in modern surgery. Despite its transformative role across reconstructive and restorative disciplines, global patterns of microsurgical resear…
-
Capsular Contracture Rates in Subfascial and Subglandular Breast Augmentation With Smooth vs Textured Implants.
Subfascial placement has been reported to reduce capsular contracture (CC) in primary breast augmentation. Given the shift toward smooth implants, it is unclear whether the perceived advantage reflects the surgical plane or historical impla…
-
Sensory Restoration With Breast Reconstruction: Approaches, Managing Expectations, and Measuring Outcomes.
[BACKGROUND] Loss of breast sensation following mastectomy and reconstruction significantly impacts quality of life, influencing body image, intimacy, and overall emotional well-being. Despite advances in reconstructive techniques, sensory …
-
Influence of a Wearable Fitness Tracker on Time to Return to Baseline Activity Following Abdominoplasty: A Randomized Control Trial.
[BACKGROUND] Postoperative management following abdominoplasty varies widely, particularly regarding improving the time to return to baseline physical activity. [OBJECTIVES] The goal of the authors of this randomized controlled trial was t…
-
A Nationwide Analysis of Complications and Risks Associated With Types of Liposuction in 69,424 Patients.
[BACKGROUND] Liposuction is the most common plastic surgery procedure performed in the United States. Continued advancements have led to the development of five common approaches to liposuction. [OBJECTIVES] The authors of this study aim t…
-
Reduction Mammaplasty: Closed Suction Drains Do Not Reduce Hematoma or Seroma But Increase Infection Risk.
[BACKGROUND] While there is mounting evidence that closed suction drains are not necessary, there is a paucity of literature to demonstrate that drains are harmful after breast reduction. The purpose of this study was to investigate the eff…
-
Use of Antibiotic Prophylaxis for Surgical Site Infection Prevention in Nononcologic Breast Surgery: A Scoping Review.
[BACKGROUND] The practice of systemic antibiotic prophylaxis to prevent surgical site infection (SSI) in breast surgery remains debated. The aim of this review is to provide a comprehensive overview of the literature evaluating the current …
-
Bacteriology of non-oncologic post-operative breast infections: A retrospective cross-sectional study to guide empiric antibiotic coverage.
[BACKGROUND] Antibiotic prophylaxis for non-oncologic breast surgeries is not well described by procedure type. This study identified the underlying microbiological etiologies and antibiotic sensitivities of culture-positive infections from…
-
Drain Use and Complications After Breast Reduction in A Five-Academic-Institution Cohort.
[BACKGROUND] Over 70,000 reduction mammaplasties were performed in 2022. Previous studies have suggested equivalent overall complication rates with or without intraoperative drains but have been inadequately powered to assess individual out…
-
Evaluating the Performance of Different Pedicles in Reduction Mammoplasty: A Comparative Analysis.
[METHODS] A retrospective chart review of 2500 patients having undergone bilateral reduction mammoplasty at 5 institutions from 2010 to 2019 was performed to record pedicle selection, patient demographics, comorbidities, body mass index, pa…
-
Structural barriers and pathways to artificial intelligence integration in plastic surgery.
Plastic surgery stands at an inflection point: proofs-of-concept for artificial intelligence (AI) abound, yet responsible clinical integration remains limited. We argue this reflects an organizational readiness gap rather than a modeling de…
-
Limitations of Academic Bibliometric Indices: The Need for More Comprehensive Metrics.
Bibliometric indices have long served as the foundation for assessing academic productivity and scholarly impact, influencing hiring decisions, tenure evaluations, grant allocations, and institutional rankings. However, traditional metrics …
-
Impact of Tissue Expander Surface Texture on Two-Stage Breast Reconstruction Outcomes: A Combined Analysis.
[BACKGROUND] With ongoing investigations of the impact of device texturing on breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL), studies have begun comparing complication profiles of tissue expanders. However, there is a p…
-
Randomized Controlled Trial Comparing Liposomal to Plain Bupivacaine in the Transversus Abdominis Plane for DIEP Flap Breast Reconstruction.
[BACKGROUND] Pain control after autologous breast reconstruction is important for patient satisfaction and early recovery. Transversus abdominis plane (TAP) blocks are commonly used as part of an enhanced recovery after surgery (ERAS) pathw…
-
Abdominal donor-site complications following autologous breast reconstruction: A multi-institutional multisurgeon study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) free flap is the gold standard procedure for autologous breast reconstruction. Although breast-related complications have been well described, donor-site complications and contribu…
-
Timing of Autologous Tissue Breast Reconstruction Does Not Affect Free Flap Failure.
This study aimed to determine whether there is a difference in free flap failure based on the decision to undergo immediate versus delayed autologous tissue breast reconstruction after mastectomy. The National Surgical Quality Improvement P…
-
Meta analysis of 2059 patients assessing early discharge after DIEP flap breast reconstruction: Comprehensive outcomes before post-operative day 5.
Autologous reconstruction with DIEP flap has illustrated greater patient satisfaction with both aesthetic satisfaction and reconstructive treatment process when compared to implant-based reconstruction longitudinally. However, DIEP flap bre…
-
Patient Characteristics and Spending Among Individuals Undergoing Ambulatory Panniculectomy and Abdominoplasty in the US from 2016 to 2019.
[BACKGROUND] Abdominal contouring surgery can provide both functional and cosmetic benefits to patients with abdominal soft tissue laxity. Although these procedures have been studied in the inpatient setting, few studies describe abdominal …
-
Complications and Risks Associated With the Different Types of Abdominoplasties: An Analysis of 55,956 Patients.
[BACKGROUND] Different types of abdominoplasties have been developed to address individual patient characteristics. However, an analysis of complication rates and risk factors for different types of abdominoplasties has yet to be reported. …
-
The Growth and Development of a Research Division in the Plastic Surgery Department of a Large Urban Academic Medical Center.
[INTRODUCTION] Research is a critical component of academic medicine that may or may not be prioritized in centers with high clinical volumes. The benefits of research expansion go beyond notoriety and industry partnerships, expanding into …
-
The Departmental Scholarly Index: A Metric of Research Productivity.
[INTRODUCTION] While bibliometric ranking systems have been designed to use citations, funding, and alumni productivity, there is a need for a simple metric that objectively evaluates the work of a group or organization. The present study d…
-
Trends in advanced practice providers in plastic and reconstructive surgery, 2013-2021.
This restrospective cohort study of Medicare payment data found increases in the number of advanced practice providers who bill for plastic and reconstructive surgery care. The growth in advanced practice providers is expected to continue i…
-
Examination of Outcome Disparities in Reports of Prepectoral and Subpectoral Direct-to-Implant Reconstruction: A Systematic Review and Meta-analysis.
[BACKGROUND] There are mixed results in surgical complications regarding the usage of prepectoral versus subpectoral implant placement in direct-to-implant breast reconstruction. This study aimed to provide a comprehensive synthesis of surg…
-
Preoperative Analysis of Venous Anatomy Before Deep Inferior Epigastric Perforator Free-Flap Breast Reconstruction Using Ferumoxytol-enhanced Magnetic Resonance Angiography.
[BACKGROUND] Venous congestion after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction is a complication that may be partially attributable to variations in venous abdominal wall anatomy. In previous work, we have…
- Suction-assisted lipectomy and lymphatic procedures for lymphedema in the ambulatory surgery setting from 2016 to 2019.
- Differences in Patient Characteristics and Spending Among Individuals Undergoing Gender-Affirming Rhinoplasty in the United States from 2016 to 2019.
-
Coworker Reports about Unprofessional Behavior in Plastic Surgery.
[BACKGROUND] Patient reports of unprofessional conduct by surgeons have been linked to postprocedure complications and increased risk for malpractice claims. Coworkers are also positioned to observe and report unprofessional behaviors, incl…
- Plastic Surgery Referrals and Practice Patterns in a Student-Run Free Clinic Serving Individuals Without Health Insurance.
-
The Utility of the Plastic Surgery Standardized Letter of Recommendation Form in Predicting Residency Match Outcomes.
[BACKGROUND] Letters of recommendation play an important role in resident selection. While plastic surgery's Standardized Letter of Recommendation (SLOR) form most commonly serves as an adjunct to narrative letters, the SLOR provides object…