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Staged Delay Procedure in DIEP Flap Breast Reconstruction in Patients with a History of Liposuction.
Although deep inferior epigastric artery perforator (DIEP) flaps are a common option for breast reconstruction, there are limited data on outcomes in patients with a history of abdominal liposuction. Liposuction is one of the most popular a…
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Optimizing Surgical Outcomes and the Role of Preventive Surgery: A Scoping Review.
[BACKGROUND] Plastic and reconstructive surgeons are often presented with reconstructive challenges as a sequela of complications in high-risk surgical patients, ranging from exposure of hardware, lymphedema, and chronic pain after amputat…
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Working Toward Defining Frailty in Breast Surgery: A Multi-institution Cohort Study Identifying Risk Factors of Free Flap Failure Following Autologous Breast Reconstruction.
[BACKGROUND] The integration of frailty assessments into preoperative evaluation protocols is essential for enhancing surgical procedure safety. As autologous breast reconstruction (ABR) increases in popularity, it is critical to stratify r…
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Artificial Intelligence in Microsurgical Education: A Systematic Review of Its Role in Training Surgeons.
Microsurgery is associated with a steep learning curve that requires extensive training through supervised surgeries, cadaver practice, and simulations. The emergence of artificial intelligence (AI) in medical education offers a new potenti…
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Revisiting Heparin-Induced Thrombocytopenia among Patients Undergoing Free Tissue Transfer: A Systematic Review.
Heparin is frequently used to mitigate the risk of thrombosis in microsurgical free tissue transfer. Although rare, heparin-induced thrombocytopenia (HIT) is a severe, life-threatening complication that can arise in patients exposed to hepa…
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A Comparative Analysis of Full and Partial Gender-Affirming Facial Surgeries Surgical Complications and Trends: Insights from a NSQIP Study.
[BACKGROUND] Gender-affirming facial surgery (GAFS) can be performed as a full, single-staged procedure (F-GAFS) or in multiple, partial stages (P-GAFS). P-GAFS addresses either the upper, middle, or lower facial thirds, while F-GAFS includ…
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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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Variability in Postoperative Nipple Sensation by Dermoglandular Pedicle in Bilateral Breast Reduction.
[BACKGROUND] Decreased nipple sensation following reduction mammoplasty can negatively affect a variety of patient-centered outcomes. This observational study examined the impact of dermoglandular pedicle type on subjective postoperative ni…
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Impact of non-tobacco nicotine use on postoperative complications in breast reduction: A propensity score-matched analysis.
[BACKGROUND] Macromastia negatively affects the quality of life and has led to increased demand for breast reduction surgery. With the growing use of non-tobacco nicotine products, such as vapes, concerns have emerged about their potential …
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Ghost Publications and Research Misrepresentation in the 2023-2024 Plastic Surgery Common Application.
[PURPOSE] United States Medical Licensing Examination (USMLE) Step 1 Pass/Fail grading has increased the emphasis of research productivity as a quantitative metric in residency applications. Quantifying discrepancies between self-reported a…
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A Scoping Review Characterizing Reproductive and Childbearing Challenges in Plastic and Reconstructive Surgery.
[OBJECTIVE] An increasing number of women are choosing careers in the field of plastic and reconstructive surgery (PRS). These evolving surgeon demographics have highlighted the need for parental leave policies, lactation accommodations, an…
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Is Diabetes a Contraindication to Lower Extremity Flap Reconstruction? An Analysis of Threatened Lower Extremities in the NSQIP Database (2010-2020).
The impact of diabetes on complication rates following free flap (FF), pedicled flap (PF), and amputation (AMP) procedures on the lower extremity (LE) is examined. Patients who underwent LE PF, FF, and AMP procedures were identified from…
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The versatility of the scapular free flap: A workhorse flap? A systematic review and meta-analysis.
[BACKGROUND] The scapular free flap (SFF) is essential in complex reconstructive surgery and often indicated in complex defects with compromised or poor local tissue integrity. This review aims to assess the versatility and reliability of t…
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Effect of pedicle type on breast reduction: Clinical and patient-reported outcomes.
[PURPOSE] The choice of pedicle in reduction mammaplasty is highly variable with prior studies demonstrating high patient satisfaction in most cases. This study aimed to examine the impact of pedicle type on clinical and patient-reported ou…
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Trends in Top Surgery Patient Characteristics, Wound Complications, and CPT Code Use by Plastic Surgeons: A Decade-Long Analysis.
[BACKGROUND] Gender-affirming top surgery is becoming increasingly common, with greater diversity in the patients receiving top surgery. The purpose of this study was to examine national trends in patient demographics, characteristics, woun…
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BREAST-Q Analysis of Reduction Mammaplasty: Do Postoperative Complications of Breast Reduction Surgery Negatively Affect Patient Satisfaction?
[BACKGROUND] Reduction mammaplasty can provide symptomatic relief to patients suffering from macromastia; however, complications such as dehiscence are common. It is unknown if the presence of complications affects patient-reported outcomes…
- Breast reduction as gender-affirming chest surgery in non-binary patients: Addressing the needs of a growing population.