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How low can we go: Achieving postoperative day 1 discharge after deep inferior epigastric perforator, a safe and feasible goal.
[BACKGROUND] Although rare reports describe discharge to be possible within 48 hours for patients undergoing autologous breast reconstruction, average length of stay remains around 3 days. This study aimed to demonstrate that patients can b…
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Intrathecal Morphine vs Paravertebral Nerve Blocks for Analgesia After Breast Reconstruction With Abdominally Based Free Flaps.
[BACKGROUND] Breast reconstruction with abdominally based free flaps can be associated with more significant acute pain and longer hospital stays than implant-based techniques. As new pain management strategies are developed, there have not…
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Progress With Shortcomings: An Examination of Demographic Representation in Integrated Plastic Surgery Residencies.
[BACKGROUND] This retrospective study investigates progress in representation among Black, Hispanic, American Indian/Alaska Native (AIAN) Native Hawaiian/Pacific Islander (NHPI), and female demographics in plastic surgery and other surgical…
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Academic Influence and Industry Funding in Acellular Dermal Matrix Research: A Co-authorship Network Analysis.
[BACKGROUND] Previous research has demonstrated correlations between quantity of acellular dermal matrix (ADM) studies published and industry payments received. The present study extends this work by employing a co-authorship network analys…
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An Interdisciplinary, Comprehensive Recovery Pathway Improves Microsurgical Breast Reconstruction Delivery.
[INTRODUCTION] Free-flap (autologous) breast reconstruction demonstrates superiority over alloplastic approaches but is offered infrequently. Enhanced recovery protocols can address postoperative challenges, but most literature is limited t…
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We Are Not Speaking the Same Language: Current Procedural Terminology Coding and Provision of Care in Lymphatic Reconstruction.
[INTRODUCTION] Current Procedural Terminology (CPT) codes provide a uniform language for medical billing, but specific codes have not been assigned for lymphatic reconstruction techniques. The authors hypothesized that inadequate codes woul…
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Management of Plastic Surgery Complications at a Tertiary Medical Center after Aesthetic Procedures.
[BACKGROUND] The aesthetic plastic surgery industry has seen tremendous growth, with Americans spending an estimated 20 billion dollars on procedures in 2020. However, the effect of complications from these procedures on the healthcare syst…
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Comparing Trends in Medicare Reimbursement and Inflation within Plastic Surgery Subspecialties.
[BACKGROUND] Over the past decade across multiple surgical specialties, Medicare reimbursement rates have remained stagnant, failing to keep pace with inflation. An internal comparison of subspecialties within plastic surgery has not yet be…
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Reported Variability in General Surgery Training Across Integrated Plastic Surgery Residency Programs.
[BACKGROUND] Since their development, integrated plastic and reconstructive surgery (PRS) residency training programs have established diverse methods of incorporating general surgery training into graduate medical education. Programs have …
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Moving the needle: a narrative review of enhanced recovery protocols in breast reconstruction.
[BACKGROUND AND OBJECTIVE] After a relatively late introduction to the literature in 2015, enhanced recovery protocols for breast reconstruction have flourished into a wealth of reports. Many have since described unique methodologies making…
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A Retrospective Review of Arthroscopic Shaver Utilization in Adolescent Gynecomastia.
[BACKGROUND] This study compares the arthroscopic shaver and liposuction with other established methods for treatment of adolescent gynecomastia. [METHODS] Surgical management was via four operative techniques: open excision, open excision…
- Twelfth Dedicated California Society of Plastic Surgeons Annals of Plastic Surgery Supplement.
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Recent Training Trends in Independent Plastic Surgery Graduates: American Board of Surgery Certification and Academic Priorities.
[BACKGROUND] Among independent plastic surgery graduates, most have general surgery training, but the utility of American Board of Surgery (ABS) certification in plastic surgery practice is unclear. We elucidated attitudes and trends of ABS…
- Can Chatbots Assist With Grant Writing in Plastic Surgery? Utilizing ChatGPT to Start an R01 Grant.
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The Cost of Doing Business: An Appraisal of Relative Value Units in Plastic Surgery and Other Surgical Subspecialties.
[BACKGROUND] The relationship between procedural complexity and relative value units (RVUs) awarded has been studied within some specialties, but it has not yet been compared across different surgical disciplines. This study aims to analyze…
- The cost of plastic surgery conferences for medical students.
- Free Flap Reconstruction of Posterior Trunk Soft-Tissue Defects: Single-Institution Experience and Systematic Literature Review.
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Keller Funnel Efficacy in "No Touch" Breast Augmentation and Reconstruction: A Systematic Review.
[UNLABELLED] Breast augmentation is one of the most common aesthetic surgical procedures. Tissue expansion followed by permanent implants is the most frequent postmastectomy breast reconstruction method. Implant contamination remains a crit…
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Using the Disruptive Score to Identify Publications That Changed Plastic Surgery Practice.
[PURPOSE] The impact of academic publications is often characterized by the total number of future citations. However, this metric does not adequately characterize the true impact in terms of changing practices or paradigms. A new metric ca…
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The Ideal Microsurgery Fellowship: A Survey of Fellows and Fellowship Directors.
[BACKGROUND] Although microsurgery fellowships have existed since the 1980s, there is no established curriculum. Microsurgery fellowships vary greatly in clinical caseload, case diversity, and training resources, and there is no consensus …
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The Plastic Surgery Learning Module: Improving Plastic Surgery Education for Medical Students.
[BACKGROUND] Medical students receive limited exposure to the field of plastic surgery because most students will not rotate in plastic surgery, especially those at schools without dedicated plastic surgery residency programs. This study ai…
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Career Development in Plastic Surgery.
Professional development as a plastic surgeon is a critical component of a balanced and rewarding career. The phase of career plays an important role in what opportunities are available and what decisions must be made to affect the trajecto…
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The Influence of Academic Pedigree on Integrated Plastic Surgery Resident Training Location.
[INTRODUCTION] Plastic surgery residencies are among the most competitive programs for graduate medical education. While board scores and research output are well-studied indicators of match success, no studies describe the association betw…
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Diversity in Plastic Surgery: Trends in Minority Representation among Applicants and Residents.
[BACKGROUND] Prior studies have shown a lack of diversity among plastic surgery trainees. The authors evaluate trends in minority representation among applicants to plastic surgery and the correlation with practicing residents, compared to …
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The Cost to Attending Surgeons of Resident Involvement in Academic Hand Surgery.
[PURPOSE] For many types of surgical cases, there is an increase in length with the participation of a resident physician. The lost operative time productivity is not necessarily mitigated in any fashion other than to benefit the experience…
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Deconstructing a Leader: An In-Depth Analysis of the Commonalities between Plastic Surgery Chiefs and Chairmen.
[BACKGROUND] The authors sought to identify factors associated with current chiefs and chairpersons in academic plastic surgery to encourage and shape future leaders of tomorrow. [METHODS] Academic chairpersons in plastic surgery (n = 94) …
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Evaluation of Information Sources in Plastic Surgery Decision-making.
Background Today, patients can access a myriad of information sources regarding plastic surgery procedures prior to meeting with a surgeon. Despite their widespread use, the role of these sources in a patient's decision-making remains undef…
- The Divergence of Ethics and Professionalism in the Social Media Arena.
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The Impact of Residents on Patient Satisfaction.
[BACKGROUND] High-quality physician communication is the foundation for achieving high patient satisfaction. Increasing importance is placed on eliciting feedback from patients. However, there have been few studies looking at the impact of …
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Efficacy of a Procedure-Specific Education Module on Informed Consent in Plastic Surgery.
[INTRODUCTION] Truly informed consent is an elusive goal, seldom attained in medical or surgical practice. Patients often do not fully understand procedures and therapies they undergo or the associated sequelae. Historically, informed conse…