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The Effect of Kinesiotape Application on Wound Healing and Implant Exposure in Patients Undergoing Single-Session Augmentation Mastopexy.
[BACKGROUND] Single-stage augmentation mastopexy carries a risk of wound dehiscence and implant exposure due to the inherent skin tension associated with simultaneous lifting and volume enhancement. Kinesiotape has been proposed as an adjun…
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Beauty Abroad, Burden at Home: Complications and NHS Impact of Cosmetic Tourism-Insights From the BAAPS National Database.
[BACKGROUND] Cosmetic surgery tourism has increased rapidly, with growing numbers of UK patients returning with complications requiring NHS care. Limited regulation and inconsistent perioperative standards contribute to preventable harm. […
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A Quadrant-based Algorithm for Oncoplastic Breast Reduction: The Use of Mirror Flaps for Filling Superior Pole Lumpectomy Defects.
[BACKGROUND] Reconstructing upper-quadrant defects in oncoplastic breast reduction (OBR) can be challenging due to upper-pole concavity after tumor resection. To address this, we adopted a dual-component technique using 2 separate flaps: (1…
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Repairing Peri-Anal Fistulas with regenerative cell therapeutics: study protocol for a double-blinded randomized controlled phase I-II trial from Denmark (REP-PAF).
[BACKGROUND] Surgical treatment of high anal fistulas is challenging and associated with a relatively high rate of complications and failure. Stem cell therapy has shown promising results for fistulas associated with Crohn's disease but rem…
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Preoperative Serotonin Antidepressant Use Is Associated With Increased Postoperative Complications Following Breast Reduction: A Propensity-Score-Matched Analysis of a Multi-institutional Database.
[BACKGROUND] Serotonergic antidepressants have been associated with an increased risk of weight gain. Because being overweight is strongly linked to macromastia development, which is a primary indication for breast reduction, it is very imp…
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Clinical Outcomes of Lipodermal Flaps in One-Stage Pre-pectoral Implant-Based Breast Reconstruction with Wise-Pattern Mastectomy: A Single-Center Experience.
[BACKGROUND AND OBJECTIVES] Our findings indicate that the use of a lipodermal flap in one-stage pre-pectoral implant-based breast reconstruction was associated with relatively complication and revision rates in this cohort. However, compli…
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Red Breast Syndrome and Early Postoperative Complications in Immediate Prepectoral Implant-Based Reconstruction Using Braxon® Acellular Dermal Matrix: A Retrospective Cohort Study.
[BACKGROUND] Red breast syndrome (RBS) is a self-limited, non-infectious erythema historically linked to acellular dermal matrices (ADMs) in breast reconstruction. Recent reports suggest a declining incidence, potentially related to ADM adv…
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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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Bilateral breast reconstruction with a two-stage DIEP flap: A single-center experience.
[BACKGROUND] The deep inferior epigastric perforator flap (DIEP) is the gold standard for autologous breast reconstruction (ABR), but its viability can be challenged in resource-reduced environments like Mexico, where bilateral DIEP reconst…
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Outcome of HARMONIC Shears for lower limb free flap reconstruction in trauma: A retrospective cohort study.
[BACKGROUND] The HARMONIC Shears is an ultrasonic surgical device enabling precise tissue dissection with simultaneous hemostasis. Its application in lower limb free flap reconstruction following trauma is underexplored. [METHODS] A retros…
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A systematic review and meta-analysis of the morbidity of the donor-site of flaps harvested based on the first intermetatarsal artery.
[BACKGROUND] Free tissue flaps from the foot have become an increasingly reliable tool in modern reconstructive surgery; however, the field lacks an empirical analysis focused on donor-site morbidity. This systematic review and meta-analysi…
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Free Flap Reconstruction of Xylazine-Associated Wounds: A Retrospective Review.
[BACKGROUND] Xylazine is a veterinary sedative that is added to illicit fentanyl to enhance its effects. Xylazine-associated wounds differ from those found in patients who inject other drugs. They are larger and frequently involve deeper st…
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Implantoplasty combined with soft tissue grafting for the management of complex cases: A microsurgical approach.
[BACKGROUND] The treatment of peri-implantitis and/or peri-implant soft tissue dehiscence defects (PSTD) remains challenging. The incorporation of the operating microscope (OM) into surgical procedures might have changed the treatment lands…
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Early Protein Supplementation Enhances Wound Healing and Reduces Complications Following Abdominoplasty: A Controlled Study in Non-bariatric Patients.
[BACKGROUND] Protein intake plays a critical role in postoperative recovery and wound healing, particularly in procedures such as abdominoplasty. While ERAS protocols emphasize nutritional optimization, evidence in non-bariatric patients un…
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Effects of Wise Pattern versus Vertical Approach on the Outcomes of Superomedial Pedicle Breast Reduction: Systematic Review and Pooled Analysis.
[BACKGROUND] Superomedial pedicle breast reduction combined with a Wise pattern or vertical skin resection has become more popular recently. This review aimed to investigate the role of the type of skin resection that may alter the outcomes…
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Nipple-Preserving Skin-Reducing Mastectomy in Ptotic Breasts: A Systematic Review and Meta-analysis.
[BACKGROUND] Skin-reducing mastectomy (SRM) represents a surgical option that provides patients with ptotic breasts the advantage of undergoing simultaneous nipple-preserving mastopexy in conjunction with mastectomy. Nonetheless, existing d…
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Impact of intravenous tranexamic acid administration on reduction mammoplasty outcomes.
[BACKGROUND] The growing use of tranexamic acid (TXA) in plastic surgery warrants an accurate analysis of efficacy for body contouring indications. We offer the largest cohort evaluation of intravenous TXA use in minimizing postoperative co…
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Vertical scar reduction mammoplasty in massive macromastia: A prospective case series.
[BACKGROUND] Vertical scar superomedial pedicle breast reduction offers a shorter scar and improved breast projection, yet its safety and outcomes in cases of severe macromastia remain under discussion. [METHODS] A prospective case series …
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The Impact of Overseas Cosmetic Tourism on the Australian Public Hospital System.
[BACKGROUND] Cosmetic tourism has become increasingly popular, with patients seeking lower cost cosmetic surgery overseas. However, complications often necessitate management in local public hospitals upon their return, placing a burden on …
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Anatomic Features of the Abdomen Predict Donor Site Complications in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction: A Machine Learning Approach.
[BACKGROUND] Abdominal donor site complications remain significant concerns in Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction. In this study, we pair computed tomography (CT) morphometric analysis of the abdominal wal…