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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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Patient Perspectives and Quality of Life after Breast Reconstruction and the Impact of Subsequent Revisions.
[UNLABELLED] There is limited research on the impact of revisional surgery after breast reconstruction on patient experience and postoperative quality of life (QoL). [METHODS] Patients undergoing mastectomy with immediate implant-based or …
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Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000-2019.
[PURPOSE] Development of appropriate reimbursement models for breast reconstruction in the United States requires an understanding of relevant economic trends. The purpose of this study is to evaluate longitudinal patterns in Medicare reimb…
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Seldom one and done: Characterizing rates of reoperation with direct-to-implant breast reconstruction after mastectomy.
[BACKGROUND] Limited data exist outlining reoperations after direct-to-implant (DTI), tissue expander (TE) and autologous free-flap breast reconstruction. [METHODS] Patients undergoing mastectomy with reconstruction from 2008 to 18 were re…
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The Effects of Website and Social Media Presence of Integrated Plastic Surgery Residency Programs on Prospective Applicants: An Analysis During the Coronavirus Disease 2019 Pandemic.
[PURPOSE] Integrated plastic surgery residency programs have increased their social media presence to educate and recruit prospective residents. This study aims to understand the impact of integrated plastic surgery residency program social…
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Capsular contracture in the modern era: A multidisciplinary look at the incidence and risk factors after mastectomy and implant-based breast reconstruction.
[BACKGROUND] Capsular contracture causes pain, poor cosmesis, and reoperations. This study analyzes its incidence and risk factors in a more modern treatment era. [METHODS] Patients undergoing mastectomy with implant reconstruction from 20…
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The Goldilocks Procedure with and without Implant-Based Immediate Breast Reconstruction in Obese Patients: The Mayo Clinic Experience.
[BACKGROUND] Obesity is a risk factor for complications in breast reconstruction. Thus, implant-based immediate breast reconstruction in obese women may be controversial. The authors analyzed obese patients who underwent skin-sparing mastec…
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Pyoderma gangrenosum confined to the irradiated chest wall of the reconstructed breast.
Pyoderma gangrenosum (PG) is a diagnosis of exclusion worsened by surgical debridement. This report presents two atypical manifestations of PG in the reconstructed breast, whereby the disease is only confined to the irradiated chest wall ti…
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Analysis of 20-Year Trends in Medicare Reimbursement for Reconstructive Microsurgery.
[BACKGROUND] Microsurgery is being increasingly utilized across surgical specialties, including plastic surgery. Microsurgical techniques require greater time and financial investment compared with traditional methods. This study aimed to …
- Call to Action: Accreditation of Microsurgery Fellowship.
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Does Prior Breast Augmentation Affect Outcomes After Mastectomy With Reconstruction? An Analysis of Postoperative Complications and Reoperations.
[BACKGROUND] The purpose of this study is to evaluate how prior breast augmentation impacts rates of complications and risk for reoperation after mastectomy with concurrent breast reconstruction. [METHODS] Patients undergoing nipple-sparin…
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Trends in Medicare Reimbursement for Reconstructive Plastic Surgery Procedures: 2000 to 2019.
[BACKGROUND] An understanding of financial trends is important to advance agreeable reimbursement models in plastic surgery. This study aimed to evaluate trends in Medicare reimbursement rates for the 20 most commonly billed reconstructive …
- Have Surgical Programs Changed Their Criteria for Resident Matching?
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Indocyanine green laser angiography improves deep inferior epigastric perforator flap outcomes following abdominal suction lipectomy.
[BACKGROUND] The reliability of deep inferior epigastric artery perforator (DIEP) flap reconstruction following abdominal liposuction is controversial. The authors' early cases were technically successful; however, they experienced high par…