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10건 · 최신순-
Safety of DIEP Flap Reconstruction in Patients with Factor V Leiden: A Retrospective Cohort Study.
[BACKGROUND] Factor V Leiden (FVL) is the most common inherited thrombophilia in White people. Thrombotic complications resulting from free flap breast reconstruction in FVL patients have been studied to a limited degree. We evaluated wheth…
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Left Internal Mammary Vein Size and Its Impact on Microsurgical Breast Reconstruction.
[UNLABELLED] The internal mammary vessels are the preferred recipient during free-flap breast reconstruction (FFBR). Previous studies have demonstrated that the left internal mammary vein (IMV) is consistently smaller than the right, but wi…
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Surgical learning curves and operative efficiency: a cross-specialty observational study.
[OBJECTIVES] To evaluate the learning curves of three high-volume procedures, from distinct surgical specialties. [SETTING] Tertiary care academic hospital. [PARTICIPANTS] A prospectively collected database comprising all medical records …
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Breast implant-associated anaplastic large-cell lymphoma: long-term follow-up of 60 patients.
[PURPOSE] Breast implant-associated anaplastic large-cell lymphoma (ALCL) is a recently described clinicopathologic entity that usually presents as an effusion-associated fibrous capsule surrounding an implant. Less frequently, it presents …
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Quantifying technical skills during open operations using video-based motion analysis.
[INTRODUCTION] Objective quantification of technical operative skills in surgery remains poorly defined, although the delivery of and training in these skills is essential to the profession of surgery. Attempts to measure hand kinematics to…
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The advent of the restorative plastic surgeon.
Plastic surgery is presently typified by the existence of discrete clinical identities, namely that of the cosmetic plastic surgeon and the reconstructive plastic surgeon. The emergence of vascularized composite allotransplantation has been…
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The teaming curve: a longitudinal study of the influence of surgical team familiarity on operative time.
[OBJECTIVE] To quantify the association between surgical team familiarity and operative time. [BACKGROUND] Team familiarity in the operating room may influence outcomes irrespective of individual surgeons' experience. To date, however, qua…
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A monitoring tool for performance improvement in plastic surgery at the individual level.
[BACKGROUND] The assessment of performance in surgery is expanding significantly. Application of relevant frameworks to plastic surgery, however, has been limited. In this article, the authors present two robust graphic tools commonly used …
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Why we are here: early reflections on the role of reconstructive plastic surgery in the 2013 Boston marathon bombings.
The 2013 Boston Marathon bombings resulted in a large and unexpected influx of patients requiring acute multidisciplinary surgical care. The authors describe the surgical management experience of these patients at Brigham & Women's Hospital…
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A detailed analysis of the reduction mammaplasty learning curve: a statistical process model for approaching surgical performance improvement.
[BACKGROUND] The increased focus on quality and efficiency improvement within academic surgery has met with variable success among plastic surgeons. Traditional surgical performance metrics, such as morbidity and mortality, are insufficient…