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20건 · 최신순-
Risk of Radiation-Induced Capsular Contracture following Subpectoral or Prepectoral Implant-Based Breast Reconstruction.
[BACKGROUND] Radiation therapy (RT) significantly increases the risk of capsular contracture after implant-based breast reconstruction. However, the relationship between anatomic plane placement (eg, submuscular or prepectoral) and the deve…
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The Fibula Free Flap for Salvage of Complications After Orthopedic Extremity Bony Fixation in Oncologic Patients.
[BACKGROUND] Advances in orthopedic oncology have significantly improved outcomes following extremity tumor resections; however, complications like nonunion, hardware failure, and radiation-induced fractures can occur after orthopedic fixat…
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Preoperative Lower Back Pain is a Risk Factor for Worse Physical Well-Being of the Abdomen After Breast Reconstruction.
Abdominally based free flap breast reconstruction offers excellent long-term outcomes, but donor-site morbidity remains a concern. Lower back pain is a prevalent musculoskeletal condition that may impair core stability and abdominal donor-s…
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Changes to Chest Surface Anatomy Following Exchange From Anatomic Textured Implants to Smooth Round Implants in Breast Reconstruction: A Preliminary 3D Imaging Analysis.
Increased awareness of textured breast implants' association with breast implant-associated anaplastic large cell lymphoma has led to rising rates exchange from textured anatomic implants to smooth round implants, which can alter breast est…
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Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy.
[BACKGROUND] Insurance type can serve as a surrogate marker for social determinants of health and can influence many aspects of the breast reconstruction experience. We aimed to examine the impact of insurance coverage on patients reported…
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Long-Term Opioid Use After Free Flap Breast Reconstruction: Incidence and Associated Factors.
Opioid dependence can occur in 6% to 10% of patients undergoing breast reconstruction. With the expansion of interdisciplinary initiatives to decrease opioid use after surgery, an updated look at the incidence of and risk factors for prolon…
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Perioperative Venous Thromboembolism Chemoprophylaxis Does Not Increase Risk of Complications in Free Flap Breast Reconstruction.
[BACKGROUND] Patients undergoing abdominal-based free flap breast reconstruction are at risk for perioperative venous thromboembolism (VTE), but the optimal anticoagulation protocol remains unknown. We hypothesized that a standardized chemo…
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Fifty years of free tissue transfer: the past, present and future of microsurgical reconstruction.
G. Ian Taylor and Rollin Daniel described the first fasciocutaneous vascularized free tissue transfer in 1973 using the groin flap. Over the last 50 years, the field of microsurgery has advanced significantly, with the advent of improved su…
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Improving the Evaluation of Aesthetic Outcomes in DIEP Flap Breast Reconstruction: Validation of the Aesthetic Grading Tool.
[INTRODUCTION] This study aimed to develop and validate an aesthetic grading tool (AGT) for bilateral DIEP flap breast reconstruction and investigate the correlation of BREAST-Q scores with perceived aesthetic outcomes. [METHODS] The AGT u…
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Combined Autologous Breast Reconstruction and Gynecologic Procedures: Does Timing Affect Clinical and Patient-Reported Outcomes?
[BACKGROUND] Patients with or at risk for breast cancer may opt for risk-reducing gynecologic surgeries, including bilateral salpingo-oophorectomies and/or total abdominal hysterectomy. The timing and safety of combining these procedures wi…
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Moving Toward the Outpatient DIEP Flap: Factors Influencing Early Discharge.
[BACKGROUND] Enhanced recovery after surgery (ERAS) protocols can reduce the length of stay (LOS) for surgical patients, including those undergoing unilateral deep inferior epigastric artery perforator (DIEP) flap breast reconstruction, all…
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Optimizing venous thromboembolism chemoprophylaxis in abdominal-based breast reconstruction: a narrative review of evidence and practice.
[BACKGROUND AND OBJECTIVE] Venous thromboembolism (VTE) remains a leading cause of preventable morbidity and mortality in surgical patients, with individuals undergoing abdominal-based free flap breast reconstruction representing a particul…
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Surgical Management of Textured Breast Implants: Assessing Risk and Analyzing Patient-Reported Outcomes.
[BACKGROUND] Textured implants have been linked to breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL). Patients who undergo explantation have options for reconstruction, but data on safety and patient-reported outcomes (PRO…
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Early Complications in Prepectoral Breast Reconstructions with and without Acellular Dermal Matrix: A Preliminary Analysis of Outcomes.
[BACKGROUND] Prepectoral tissue expander (TE) placement for two-stage postmastectomy reconstruction is usually performed in conjunction with insertion of acellular dermal matrix (ADM). However, the effects of ADM use on TE loss or other ear…
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Clinical, functional, and patient-reported outcomes of radial forearm versus anterolateral thigh free tissue transfer for reconstruction of glossectomy defects.
[BACKGROUND] There is a lack of literature of health-related quality of life endpoints for radial forearm (RF) versus anterolateral thigh (ALT) free flap reconstruction for glossectomy defects. Our goal was to perform a comprehensive evalua…
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Analyzing mastectomy and reconstruction weight in immediate autologous breast reconstruction: A preliminary study.
[BACKGROUND] This study aims to explore the ideal breast size by assessing the relationship between mastectomy to free flap weight ratio and complications as well as patient-reported outcomes in autologous breast reconstruction (ABR). [MET…
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Alternative donor sites in autologous breast reconstruction: a clinical practice review of the PAP flap.
Breast cancer is currently the most common cancer in female patients in the United States and around the world, with over 2 million new cases of breast cancer diagnosed in 2020. Subsequently, breast reconstruction after mastectomy is also b…
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Prepectoral implant reconstruction in the setting of post-mastectomy radiation.
Prepectoral breast reconstruction after mastectomy is a more commonly performed technique in recent years due to its numerous advantages over subpectoral breast reconstruction. This study reviews the current state of clinical outcomes for p…
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Novel Strategies for Evaluating and Improving Plastic Surgery Applicant Selection.
Residency applicant evaluation and selection is a critical part of developing and maintaining a high-quality plastic surgery residency program. Currently, many programs rely on objective measures such as the United States Medical Licensing …
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How to Optimize Prepectoral Breast Reconstruction.
Prepectoral breast reconstruction has become a popular method of postmastectomy breast reconstruction due to its numerous benefits in properly selected patients. Prepectoral reconstruction, as compared with retropectoral position, offers th…