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17건 · 최신순-
Impact of Judicious Fluid Administration in the Setting of Abdominally Based Free Flaps.
Abdominally based free flaps are commonly utilized in the context of breast reconstruction. Historically, postoperative care of these patients involved liberal amounts of intravenous fluid administration; however, overadministration of flui…
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Patient Perspectives and Quality of Life after Breast Reconstruction and the Impact of Subsequent Revisions.
[UNLABELLED] There is limited research on the impact of revisional surgery after breast reconstruction on patient experience and postoperative quality of life (QoL). [METHODS] Patients undergoing mastectomy with immediate implant-based or …
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Operating in an Opioid Crisis: A Temporal Analysis of Pain Medication Prescribing Practices in Plastic Surgery.
[BACKGROUND] In response to the opioid epidemic, the United States declared a public health emergency in 2017. We evaluated pain medication prescribing practices among plastic and reconstructive surgeons, assessing pain medication prescript…
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Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000-2019.
[PURPOSE] Development of appropriate reimbursement models for breast reconstruction in the United States requires an understanding of relevant economic trends. The purpose of this study is to evaluate longitudinal patterns in Medicare reimb…
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Seldom one and done: Characterizing rates of reoperation with direct-to-implant breast reconstruction after mastectomy.
[BACKGROUND] Limited data exist outlining reoperations after direct-to-implant (DTI), tissue expander (TE) and autologous free-flap breast reconstruction. [METHODS] Patients undergoing mastectomy with reconstruction from 2008 to 18 were re…
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Capsular contracture in the modern era: A multidisciplinary look at the incidence and risk factors after mastectomy and implant-based breast reconstruction.
[BACKGROUND] Capsular contracture causes pain, poor cosmesis, and reoperations. This study analyzes its incidence and risk factors in a more modern treatment era. [METHODS] Patients undergoing mastectomy with implant reconstruction from 20…
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Pyoderma gangrenosum confined to the irradiated chest wall of the reconstructed breast.
Pyoderma gangrenosum (PG) is a diagnosis of exclusion worsened by surgical debridement. This report presents two atypical manifestations of PG in the reconstructed breast, whereby the disease is only confined to the irradiated chest wall ti…
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Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review.
[BACKGROUND] Vascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously…
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Analysis of 20-Year Trends in Medicare Reimbursement for Reconstructive Microsurgery.
[BACKGROUND] Microsurgery is being increasingly utilized across surgical specialties, including plastic surgery. Microsurgical techniques require greater time and financial investment compared with traditional methods. This study aimed to …
- Call to Action: Accreditation of Microsurgery Fellowship.
- Liposuction and Patient Safety: Appropriately Credentialing Providers.
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Does Prior Breast Augmentation Affect Outcomes After Mastectomy With Reconstruction? An Analysis of Postoperative Complications and Reoperations.
[BACKGROUND] The purpose of this study is to evaluate how prior breast augmentation impacts rates of complications and risk for reoperation after mastectomy with concurrent breast reconstruction. [METHODS] Patients undergoing nipple-sparin…
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Robotic Harvest of a Rectus Abdominis Muscle Flap After Abdominoperineal Resection.
[INTRODUCTION] As multidisciplinary treatment modalities for rectal cancer continue to evolve, neoadjuvant chemoradiation then surgical resection is a common approach. Robotic-assisted abdominoperineal resection is becoming more prevalent i…
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Patient-Awareness Survey: Do Breast Implants Affect the Acquisition and Accuracy of Screening Mammography?
[OBJECTIVE] Breast implant augmentation is the most common cosmetic surgical procedure performed in the United States. The purpose of this study was to determine if patients with breast augmentation surgery are aware of the effect of breast…
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Use of botulinum toxin injections to treat peripheral stimulator induced facial muscle twitching: a case report.
[BACKGROUND] Facial pain can be a management challenge. Peripheral nerve/field stimulation may be an effective option for refractory cases, but direct muscle stimulation with facial twitching may result. Botulinum toxin injections have been…
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Indocyanine green laser angiography improves deep inferior epigastric perforator flap outcomes following abdominal suction lipectomy.
[BACKGROUND] The reliability of deep inferior epigastric artery perforator (DIEP) flap reconstruction following abdominal liposuction is controversial. The authors' early cases were technically successful; however, they experienced high par…
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Pectus excavatum in adult women: repair and the impact of prior or concurrent breast augmentation.
[BACKGROUND] Women present with pectus excavatum five times less frequently than men. Adult women may have additional, associated cosmetic factors, including hypoplastic or asymmetric breasts, or prior augmentation. The authors evaluated th…