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Preoperative Tranexamic Acid Use in Free Flap Breast Reconstruction: A Propensity-Matched Analysis of Postoperative Outcomes.
[INTRODUCTION] Tranexamic acid (TXA), an antifibrinolytic agent, has demonstrated efficacy in reducing perioperative bleeding across multiple surgical interventions. While increasingly utilized in breast reconstruction, evidence regarding i…
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Evaluating the performance of large language models on the ASPS In-Service Examination: A comparative analysis with resident norms.
The emergence of large language models (LLMs) has raised critical questions about their potential roles in surgical education. This study aims to evaluate the accuracy and comparative performance of three leading LLMs including ChatGPT 4.0,…
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Older age is a predictor for hardware failure in open lower extremity fractures requiring free flap coverage.
[BACKGROUND] The primary objective of this study was to investigate incidence and factors associated with hardware failure in a cohort of patients with open tibial and ankle fractures who underwent free flap coverage in conjunction with ope…
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Diagnostic Accuracy of Artificial Intelligence Models for Predicting Postoperative Complications Following Free Flap Reconstruction: A Systematic Review and Meta-Analysis.
[INTRODUCTION] To systematically evaluate the diagnostic performance of artificial intelligence (AI) models in predicting postoperative complications following flap surgery, and to compare the efficacy of different input modalities used in …
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Thin Profunda Artery Perforator Flap for Hand and Upper Extremity Coverage.
The profunda artery perforator (PAP) flap provides a good option for hand and upper extremity reconstruction. The reliable quality, caliber, and number of perforators in the posteromedial thigh support large flaps with long pedicles. The PA…
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Contributors to post-operative venous thromboembolism risk after breast cancer surgery: A systematic review and meta-analysis.
[INTRODUCTION] Venous thromboembolism (VTE) events are a preventable complication for patients undergoing surgery for breast cancer. However, there is a lack of consistency in the existing literature regarding the potential risk factors aff…
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Challenges and Advances in the Diagnosis and Management of Neurogenic Thoracic Outlet Syndrome: A Comprehensive Review.
Neurogenic thoracic outlet syndrome (nTOS) is caused by brachial plexus compression in the thoracic outlet. It accounts for 85%-95% of thoracic outlet syndrome (TOS) cases, which may also be caused by compression of the subclavian artery an…