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Low Preoperative Albumin Levels Significantly Associated with Increased Risk of Wound Infection and Bleeding After Panniculectomy.
Panniculectomy is recognized to have a high complication rate with up to 56% of patients having postoperative wound healing problems. As they are generally elective procedures, surgeons have the chance to optimize preoperative variables. We…
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Ligasure Impact™ to Reduce Complications After Abdominoplasty: A Meta-Analysis of Comparative Studies.
BackgroundThe optimal dissection technique for flap elevation in abdominoplasty remains debated, particularly in high-risk patients after massive weight loss. The LigaSure Impact™ (LS) vessel-sealing system (Medtronic, Dublin, Ireland) is a…
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Prevention of Seroma Formation in Abdominoplasty with Absorbable Running Barbed Arch Suture (ARBAS) Technique.
[BACKGROUND] Abdominoplasty is a widely performed cosmetic procedure aimed at improving abdominal contour and function. Seroma formation, with an incidence of approximately 10.9%, remains a common and challenging complication. Traditional p…
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A novel combined approach of stromal vascular fraction gel grafting and liposuction for postmastectomy upper extremity lymphedema: A prospective study.
[PURPOSE] Conventional therapies for postmastectomy upper extremity lymphedema often provide limited and temporary relief, especially in advanced cases. Although surgical interventions such as liposuction have improved outcomes, combining r…
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Circumferential Negative Pressure Lymphedema Therapy: A Novel Rapid Perioperative Decongestion Strategy for Advanced Stage III-IV Lymphedema.
[INTRODUCTION] Advanced Stage III-IV lymphedema, particularly in filariasis-endemic regions, presents with severe fibrosis, massive limb enlargement, and a poor response to conventional conservative therapy, complicating reductive surgical …
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The Use of Poly-4-Hydroxybutyrate (P4HB) Scaffold in Cosmetic Breast Surgery: A Systematic Review and Meta-Analysis.
[PURPOSE] The P4HB scaffold (GalaFLEX) is an effective tool in breast reconstruction, but its role in cosmetic breast procedures, such as mastopexy, requires further evaluation. We performed a proportions meta-analysis to assess the efficac…
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Transplantation Treatment for Glabellar Frown Lines Using Autologous Fascial Adipose Tissue.
[OBJECTIVE] To evaluate the efficacy of autologous fascial adipose tissue transplantation for correcting glabellar frown lines during facial rejuvenation surgery. [METHODS] A retrospective study (2007-2023) analyzed patients with glabellar…
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A Case of Corynebacterium Bovis positive surgical site infection post-blepharoplasty.
is principally a zoonotic pathogen and a causative agent of bovine mastitis. To date, there are only 20 documented cases of infection in humans in the literature, and only 6 have involved the eye or adnexal structures. No ophthalmologic ca…
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Dermis-Orbicularis Oculi Muscle-Septoaponeurosis Junctional Thickening Fixation Technique for Double Eyelid Blepharoplasty.
[BACKGROUND] Full-incision double eyelid blepharoplasty is a widely sought-after procedure in East Asia. However, tarsus-skin or levator aponeurosis-skin fixation techniques may lead to deep folds and scarring. This study aimed to evaluate …
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Single-stage Septal Framework Reconstruction After Alloplastic Implant Failure Using Autologous Costal Cartilage.
Porous polyethylene implants are widely used in rhinoplasty but are associated with complications, including infection, extrusion, and framework destruction. Managing such complications is challenging, often requiring staged reconstruction.…
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Impact of Unlawful Aesthetic Practices in Brazil: A Multicenter Survey on Complications and the Need for Regulatory Reform.
[BACKGROUND] The illegal practice of medicine in aesthetic procedures poses significant public health risks because of complications from unqualified individuals. Invasive treatments such as botulinum toxin and fillers are frequently perfor…
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Mandibular Osteoradionecrosis: Mandibular Preservation Using Humeral Periosteal Free Flap Wrapping.
[BACKGROUND] Management of mandibular osteoradionecrosis (ORN) is challenging and often requires large surgical resection. Alternatively, mandibular preservation and wrapping with a periosteal free flap may achieve healing in selected patie…
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Non-Tobacco Nicotine Dependence is Associated With Increased Postoperative Complications Following Abdominoplasty: A Propensity Score-Matched Analysis of a Multi-Institutional Database.
[BACKGROUND] Nontobacco nicotine dependence has been recently linked to the obese population. Although abdominoplasty and panniculectomy are mainly indicated for patients with a history of obesity, no studies have yet investigated whether n…
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Negative Pressure Therapy Postabdominal Body Contouring in Bariatric Surgery Patients.
[BACKGROUND] The primary aim of this study was to investigate the effects of Incisional Negative Pressure Wound Therapy (iNPWT) on surgical site complication rates for abdominal body contouring following bariatric surgery that resulted in m…
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"Retrorectus mesh use in deep inferior epigastric perforator (DIEP) flaps to reduce abdominal morbidity".
[BACKGROUND] Deep inferior epigastric perforator (DIEP) flaps provide a durable, autologous breast reconstruction option, but can lead to post-operative abdominal bulges and hernias. There is no current standardization in practice for fasci…
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Re-Vision of Geometric Flap Design in Lower Limb Reconstruction: A Comparative Analysis on Perforator Enhancement.
Perforator flaps improved the reconstruction paradigm in the lower extremity, increasing coverage possibilities. This study aims to quantify how added perforators could enhance standard geometrical patterns (compared to random flaps). A to…
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Antibiotics in Septorhinoplasty: Routine Necessity or Unnecessary Precaution? A Nationwide Propensity-Score Matched Retrospective Cohort Study.
[BACKGROUND] The nasal cavity's natural bacterial flora poses a risk for postoperative infections, prompting surgeons to administer prophylactic antibiotics during septorhinoplasty. However, this practice's effectiveness is debated due to c…
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Complications of Free Flap Reconstruction in Maxillary and Mandibular Defects: A Systematic Review and Meta-Analysis.
Microvascular osseous free flaps play a central role in head and neck reconstruction; surgeons often rely on fragmented and inconsistently reported data when counselling patients and planning reconstructive strategies. This systematic revie…
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[Limb reconstruction over four decades: the seamless path from technical integration to disciplinary ecology].
Against the backdrop of increasing subspecialization in medicine, the has established itself as a crucial academic platform for clinical and basic research involving multidisciplinary integration, focusing on the interdisciplinary field of…
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Analysis of skull base reconstruction methods in huge cranial-nasal communication defect: Bilateral reverse temporalis muscle flap and free flap.
[BACKGROUND] Effective skull base reconstruction for huge cranial-nasal defects is critical to restoring function and esthetics and preventing complications, such as cerebrospinal fluid (CSF) leakage and ascending infection. We introduced a…