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Effect on Timing of Free Flap Breast Reconstruction on Mastectomy Skin Necrosis.
Deep inferior epigastric perforator (DIEP) flap is a common autologous breast reconstruction option. DIEP flap may be performed immediately on the day of mastectomy (immediate DIEP) or at a later date typically following placement of a tiss…
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Effect of glucagon-like peptide-1 agonists on deep inferior epigastric perforator flap breast reconstruction outcomes in obese patients: A study of 5618 patients.
Glucagon-like peptide-1 (GLP-1) agonists are frequently prescribed to manage obesity and diabetes. The effect of GLP-1 agonists on DIEP flap outcomes is unknown. This study compares outcomes in patients with class I/II obesity (BMI 30-40 kg…
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Impact of a Microsurgical Curriculum on Intraoperative Efficiency and Technical Skills in Free Flap Breast Reconstruction.
Microsurgery is an essential component of plastic surgery, yet its technical demands and steep learning curve pose challenges for trainees. The Fundamentals of Microsurgery (FMS) curriculum is a structured, competency-based simulation train…
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Nipple malposition following nipple sparing mastectomy: Evaluation of secondary correction in prepectoral implant-based breast reconstruction.
Ptosis can be a relative contraindication to nipple sparing mastectomy (NSM). Although a mastopexy-type approach can be performed during mastectomy, this requires very well perfused skin flaps and possibly intraoperative adjustments with th…
- Immediate Lymphatic Reconstruction: Effect on Oncoplastic Breast Reconstruction Following Partial Mastectomy.
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Oxylipins in Breast Implant-Associated Systemic Symptoms.
[BACKGROUND] A subset of females with breast implants have reported a myriad of nonspecific systemic symptoms collectively termed systemic symptoms associated with breast implants (SSBI). SSBI symptoms are similar to manifestations associat…
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Surgical management of lymphedema: prophylactic and therapeutic operations.
[PURPOSE OF REVIEW] Lymphedema is chronic limb swelling from lymphatic dysfunction and is currently incurable. Breast-cancer related lymphedema (BCRL) affects up to 5 million Americans and occurs in one-third of breast cancer survivors foll…
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Fundamentals of Microsurgery: A Novel Simulation Curriculum Based on Validated Laparoscopic Education Approaches.
[BACKGROUND] Microsurgical techniques have a steep learning curve. We adapted validated surgical approaches to develop a novel, competency-based microsurgical simulation curriculum called Fundamentals of Microsurgery (FMS). The purpose of …
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A Novel Framework for Optimizing Efficiency and Education in Microsurgical Breast Reconstruction.
Deep inferior epigastric perforator (DIEP) flaps are becoming the most frequent choice for autologous breast reconstruction. There are many benefits to DIEP flaps, but the procedures can be lengthy and have a steep learning curve. The balan…
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The no-vertical scar technique for oncoplastic breast reconstruction.
[INTRODUCTION] Oncoplastic reconstruction can optimize breast conserving therapy. Nipple loss is a concern in patients with significant ptosis and breast hypertrophy particularly with pedicle undermining during tumor resection. The modified…
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Breast Implant-Associated Immunological Disorders.
[BACKGROUND] Breast implants are commonly placed postbreast cancer reconstruction, cosmetic augmentation, and gender-affirming surgery. Breast implant illness (BII) is a systemic complication associated with breast implants. Patients with B…
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Do Patient Expectations of Discharge Affect Length of Stay after Deep Inferior Epigastric Perforator Flap for Breast Reconstruction?
[BACKGROUND] Deep inferior epigastric artery perforator (DIEP) flap is a common method of breast reconstruction. Enhanced recovery after surgery (ERAS) postoperative protocols have been used to optimize patient outcomes and facilitate shor…
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Advantages of the Delayed-Immediate Microsurgical Breast Reconstruction: Extending the Choice.
[BACKGROUND] Deep inferior epigastric perforator (DIEP) reconstruction can be performed in an immediate (at time of mastectomy), delayed-immediate (immediate tissue expander followed by staged DIEP), or delayed timing following mastectomy.…
- Plastic Surgery Innovation through War, Disaster, and Pandemic.
- Virtual Has Become the Reality: Shifting Applicant Attitudes toward Virtual Plastic Surgery Residency Interviews.
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Evaluation of an Extended-duration Chemoprophylaxis Regimen for Venous Thromboembolism after Microsurgical Breast Reconstruction.
[UNLABELLED] Patients undergoing free flap breast reconstruction are at a high risk for venous thromboembolism based upon Caprini scores. Guidelines for venous thromboembolism prophylaxis recommend high-risk groups receive extended chemopro…
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Virtual Interviews for the Independent Plastic Surgery Match: A Modern Convenience or a Modern Misrepresentation?
[OBJECTIVE] The virtual interview for residency and fellowship applicants has previously been utilized preliminarily in their respective processes. The COVID-19 pandemic forced many programs to switch to a virtual interview process on short…
- The Virtual Visiting Professor: Temporary Form of COVID-19 Social Distancing or Potential Paradigm Shift?
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Systematic Review of the Surgical Treatment of Extremity Lymphedema.
Although conservative management of lymphedema remains the first-line approach, surgery is effective in select patients. The purpose of this study was to review the literature and develop a treatment algorithm based on the highest quality …
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iPad integration in plastic surgical training: optimizing clinical efficiency, education, and compliance with the health insurance portability and accountability act.
The authors share their experience with the issuance of iPads to all residents, faculty, and physician extenders in their plastic surgical division. They found that these devices (1) optimized compliance with the Health Insurance Portabilit…
- Independent plastic surgery residency match rate trend.