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Reconstructive Strategies in Post-Traumatic Osteomyelitis of the Lower Limb: A Case Series and Surgical Algorithm Analysis.
Post-traumatic osteomyelitis (PTO) of the lower extremity is among the most demanding problems in orthoplastic reconstructive surgery. It typically follows open fractures, failed osteosynthesis, or implant infection. Effective management re…
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Serotonergic Antidepressants and Postoperative Hematoma Risk After Abdominoplasty: A Study Utilizing Propensity Score Matching.
[BACKGROUND] The incidence of psychiatric disorders, particularly major depressive disorder, is increasingly observed among patients undergoing plastic surgery procedures. This trend has raised concerns about the impact of serotonergic anti…
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Evaluation of Major Complications Following Ruptured Implant Removal: A National Surgery Quality Improvement Program Database Analysis.
[BACKGROUND] After the removal of ruptured breast implants, patients may elect to replace or not replace ruptured implants. They also may elect to undergo mastopexy alone without replacement of breast implants to maintain a more aesthetic s…
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Comparison of hypofractionation and conventional fractionation in postmastectomy radiotherapy after immediate breast reconstruction: A systematic review and meta-analysis of complications.
[BACKGROUND] The optimal radiotherapy regimen following mastectomy and immediate breast reconstruction remains under active investigation. In particular, the safety of moderate hypofractionation (HF) compared to conventional fractionation (…
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What Free Flaps Are Surgeons Using for Palatal Fistula Repair in Patients with Cleft Palate? A Systematic Review.
ObjectiveRecalcitrant palatal fistulas in patients with cleft palate history sometimes require free flap reconstruction. This study reviews the literature on described flaps and outcomes.DesignA systematic review was conducted per the Prefe…
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Impact of the "July effect" in head and neck microvascular reconstruction: A retrospective review.
[OBJECTIVE] The "July effect," a theory that the beginning of the academic year has worse operative outcomes and complication rates, remains controversial. We evaluated the "July effect" as a risk factor for negative operative outcomes in h…
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Quilting Sutures and Suction Drains in Preventing Postoperative Complications in Gynecomastia Surgery.
[INTRODUCTION] Gynecomastia is characterized by enlarged breast tissue in men and is often caused by genetic or endocrinological disorders, cancer, or medication use, with idiopathic causes being the most common. If no clinically treatable …
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Free vs. Local Tissue Transfer and Reconstruction in Pediatric Head and Neck Cancer Patients: A Comparable Complication Outcome Review.
: Reconstructive outcomes following head and neck (H&N) cancer resection in pediatric patients remain understudied, particularly regarding the comparative efficacy of free versus local tissue transfer. : A retrospective review was conducted…
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Feasibility and safety of outpatient spine surgery: insights from 555 neurosurgical interventions.
[PURPOSE] This study aims to determine the feasibility of outpatient neurosurgery, which modern microsurgery enables through minimally invasive, tissue-sparing, and low-risk spinal procedures. Outpatient care offers several advantages, incl…
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Facial Feminization: Surgical Trends and Outcomes From a Single Institution.
[INTRODUCTION] Facial feminization surgery (FFS) has become a crucial component of transgender gender-affirming care. Despite the increasing number of transgender patients undergoing FFS, there is limited literature investigating surgical o…
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Medial Thigh Lift with Tumescent Local Anesthesia: Advancing Outpatient Body Contouring.
: Demand for anesthesia-sparing body contouring techniques is rising. This study assessed the feasibility, safety, and outcomes of medial thigh lift performed exclusively under tumescent local anesthesia (TLA) in an outpatient setting. : A …
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Timing of oral feeding following head and neck mucosal free flap reconstruction - A systematic review and meta-analysis.
[BACKGROUND] Timing of oral feeding following head and neck mucosal free-flap reconstruction is a highly contentious issue. The typical 6-12 days "nil-by-mouth' primarily revolves around the concern for post-operative complications. Convers…
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Efficacy of closed-incision negative pressure wound therapy in abdominal-based autologous breast reconstruction: A systematic review and meta-analysis.
[INTRODUCTION] Abdominal-based free tissue transfers, such as the Deep Inferior Epigastric Perforator (DIEP) flap, are widely utilized in autologous breast reconstruction. These procedures are often complicated by wound healing issues at th…
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Clinical impact of closed-incision negative-pressure therapy in DIEP flap breast reconstruction's donor site.
The donor-site wound from deep inferior epigastric perforator flap breast reconstruction differs from abdominoplasty due to higher positioning and tension, potentially affecting healing. Closed-incision negative-pressure therapy has been pr…
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GLP-1 Agonists in Plastic Surgery: Impact on Aesthetic Outcomes-Two Case Reports.
[BACKGROUND] Obesity is a growing global epidemic, with glucagon-like peptide-1 (GLP-1) receptor agonists emerging as effective pharmacological solutions for weight loss. However, these medications raise concerns in the context of aesthetic…
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J-Scar Mammaplasty: A Personal Approach.
[BACKGROUND] With the increasing demand for aesthetic breast procedures, achieving optimal results with minimal scarring is paramount. Mastopexy and breast reduction aim to reshape the breast, delivering harmonious and lasting outcomes whil…
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Profile of surgical complications and complication-led reoperation rates in breast cancer patients who underwent oncoplastic breast surgery with volume displacements.
[BACKGROUND] The study aimed to compare the complication rates after different tissue displacement techniques of oncoplastic breast-conserving surgery performed by general surgeons for breast cancer management. [METHODS] Data were retrieve…
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Superolateral Pedicle Breast Reduction for Patients with Medially Positioned Nipple-Areola Complexes.
[BACKGROUND] The superolateral pedicle (SLP) is commonly used in our practice in breast reductions (BR) where the nipple-areola complex is too medial, restricting pedicle movement and positioning. This study demonstrates the safety and effi…
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Technical Innovation and Chest Symmetrizing Techniques in Masculinizing Top Surgery: The Author's Experience.
[BACKGROUND] Masculinizing top surgery (masculinizing mastectomy, thoracoplasty, or mammoplasty) is the most commonly performed gender-affirming surgical procedure for transmasculine individuals. This study presents 3 surgical chest contour…
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Clinical and perioperative outcomes of abdominal wall reconstruction and panniculectomy in a single surgical procedure: experience from a high-complexity center in bogotá, Colombia.
[PURPOSE] Patients with obesity and a large pannus may benefit from the simultaneous performance of panniculectomy and ventral hernia repair. However, the literature reports conflicting results regarding an increased risk of surgical site e…