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Beam me later: Prepectoral vs subpectoral breast reconstruction before postmastectomy radiotherapy - A systematic review and meta-analysis.
[AIM] To compare postoperative complications between prepectoral and subpectoral immediate implant-based breast reconstruction (IBBR) in patients receiving postmastectomy radiotherapy. [METHODS] This systematic review and meta-analysis wer…
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Reconstruction of the axilla after burn injury - A decade of experiences and lessons learned.
[BACKGROUND] Acute burns and their sequelae in the axilla are debilitating injuries. Reconstruction in this anatomically complex region is challenging due to limited tissue availability and the need to balance functional and aesthetic outco…
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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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Drainless Day-procedure Abdominoplasty: Reduced Pain and Fewer Complications in 210 Consecutive Cases.
[BACKGROUND] Traditional abdominoplasty commonly involves drains, inpatient admission, and significant postoperative discomfort, which increases aftercare demands and delays return to normal activity. Despite technical refinements, many sur…
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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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Total Prosthetic Coverage in Mastopexy with Implants: Total Prosthetic Coverage with Implants Technique.
[BACKGROUND] Mastopexy with implants is a procedure designed to restore breast shape and volume, often diminished by aging, pregnancy, or weight fluctuations. This study evaluates the aesthetic effectiveness and safety of the total prosthet…
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Increasing Implant Size During Implant Exchange Surgery Decreases the Risk for Post-Operative Seroma: Our Experience With 689 Patients.
[BACKGROUND] Augmentation mammaplasty is the second most common aesthetic procedure in the USA, with over 300,000 surgeries performed in 2023. Although the procedure is typically regarded as safe and effective, revision surgeries, frequentl…
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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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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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Placement of Drains in the Desired Area Using the Liposuction Cannula without the Need for Additional Equipment at the Liposuction.
[BACKGROUND] Drainage is used to prevent complications such as hematoma and seroma formation during liposuction. This study aims to place the drain into the desired area in patients undergoing liposuction with the liposuction canulae. This …
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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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Parastomal hernia repair using retromuscular 3D funnel mesh: the "Sugar Funnel" technique.
[INTRODUCTION] Parastomal hernias are a common and complex problem for patients and their surgeons. Despite multiple established repair strategies, recurrence rates remain high. We present a novel open retromuscular repair technique using a…
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Perioperative outcomes of robotic-assisted versus traditional surgery for DIEP flap breast reconstruction: a systematic review and meta-analysis.
[BACKGROUND] Breast cancer has the highest incidence among female malignancies, and surgical intervention remains a cornerstone of its management. However, destructive procedures such as traditional mastectomy or breast-conserving surgery c…
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The use of glove drains in lipedema liposuction: A technical note and preliminary observations.
BackgroundLipedema is a chronic disorder involving abnormal accumulation of subcutaneous fat, primarily in the lower limbs. Liposuction is an effective treatment, but postoperative complications such as fluid retention and seroma formation …
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Skin-Reducing Mastectomy and Implant Reconstruction: Long-Term Surgical, Oncological, and Patient-Reported Outcomes.
[BACKGROUND] Skin-reducing mastectomy (SRM) allows implant-based immediate breast reconstruction in women with large, ptotic breasts. This study aimed to evaluate the surgical and patient-reported outcomes (PRO) following SRM. [METHODS] A …
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Immediate breast reconstruction with implants in patients undergoing mastectomy for carcinoma - review article.
Immediate breast reconstruction (IBR) with implants has become an integral part of comprehensive care for patients undergoing mastectomy for breast cancer. This review summarizes current evidence on indications, contraindications, surgical …
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A Head-to-Head Meta-Analysis of 35,052 Smooth vs Textured Implants in Breast Reconstruction and Augmentation.
[BACKGROUND] Whether texturing confers clinical advantages over smooth breast implants remains questionable, especially in the wake of breast implant-associated anaplastic large-cell lymphoma concerns with textured implants. [OBJECTIVES] T…
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Abdominal Wall Reinforcement Using OviTex after Deep Inferior Epigastric Perforator Flap.
Abdominal wall bulges and hernias are not uncommon complications following deep inferior epigastric perforator (DIEP) flap harvest. Abdominal wall reinforcement using synthetic meshes has been found to decrease bulges by up to 70%; however,…
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The Use of Deep Epigastric Composite Vascular Autograft in the Vessel Depleted Neck.
[BACKGROUND] Reconstructing the vessel-depleted neck (VDN) is challenging due to prior surgeries and radiation compromising recipient vessels. The deep epigastric composite vascular autograft (DECVA) offers a novel solution by providing bot…