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17건 · 최신순-
Prepectoral breast reconstruction is safe in the setting of post-mastectomy radiation therapy.
[BACKGROUND] Many breast reconstruction patients undergo post-mastectomy radiation therapy (PMRT), which is well known to increase the risk of complications. There is limited data on outcomes and safety of prepectoral breast reconstruction …
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Establishing a Culture of Patient Safety, Quality, and Service in Plastic Surgery: Integrating the Fractal Model.
[PROBLEM] There are obstacles to effective nationwide implementation of a culture of patient safety. Plastic surgery faces unique challenges in this area because quality measures are not as well-established as in other fields. Plastic surge…
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Online Patient Resources for Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Readability Analysis.
[INTRODUCTION] Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an emerging issue facing the medical community. Government organizations such as the US Food and Drug Administration and specialty groups including the Am…
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Patient-Related Risk Factors for Worsened Abdominal Well-Being after Autologous Breast Reconstruction.
[BACKGROUND] Patient-reported lower satisfaction with the abdomen preoperatively is a strong predictor of undergoing DIEP flap surgery. The authors evaluated physical well-being of the abdomen before and after flap-based breast reconstructi…
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Comparison of arterial and venous implantable Doppler postoperative monitoring of free flaps: Systematic review and meta-analysis of diagnostic test accuracy.
[BACKGROUND] Early detection of vascular compromise following free flap microsurgical reconstruction is essential. This can lead to timely reoperations and flap salvage. Both arteries and veins are monitored postoperatively with implantable…
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Postoperative Free Flap Breast Protocol Optimizing Resources and Patient Safety.
[BACKGROUND] As deep inferior epigastric artery perforator (DIEP) flaps have gained popularity in breast reconstruction, the postoperative care of these patients, including the appropriate hospital length-of-stay and the need for intensive…
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Breast Reduction in Adults: Identifying Risk Factors for Overall 30-Day Postoperative Complications.
[BACKGROUND] Breast reduction is a commonly performed procedure. Understanding the postoperative complication profile is important for preoperative planning and patient education. [OBJECTIVES] The authors sought to assess complication rate…
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Women Continue to Be Underrepresented in Surgery: A Study of AMA and ACGME Data from 2000 to 2016.
[OBJECTIVE] In the past decade women have comprised nearly half of U.S. medical school graduates. However, women remain underrepresented among surgical residents and practicing surgeons. We conducted the current study to assess recent trend…
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Malpractice Litigation in Plastic Surgery: Can We Identify Patterns?
[BACKGROUND] Malpractice litigation has a significant impact on healthcare costs and important professional implications for healthcare providers. [OBJECTIVES] The authors sought to comprehensively characterize the litigation landscape in …
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Comparing Operative Performance between Independent and Integrated Plastic Surgery Residents.
[BACKGROUND] Anecdotally, faculty report that independent residents' operative skills differ from those of their integrated peers. This study compared operative competency between integrated (postgraduate years 4 to 6) and independent plast…
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Breast Pocket Irrigation with Antibiotic Solution at Implant Insertion: A Systematic Review and Meta-Analysis.
[BACKGROUND] Antibiotic irrigation is routinely used during implant insertion in augmentation mammoplasty procedures. However, the evidence for whether this reduces the incidence of infection or capsular contracture is unclear. [METHODS AN…
- Increasing Diversity in Plastic Surgery.
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Understanding Surgical Resident and Fellow Perspectives on Their Operative Performance Feedback Needs: A Qualitative Study.
[OBJECTIVE] Operative performance feedback is essential for surgical training. We aimed to understand surgical trainees' views on their operative performance feedback needs and to characterize feedback to elucidate factors affecting its val…
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Empirical validation of the Operative Entrustability Assessment using resident performance in autologous breast reconstruction and hand surgery.
[BACKGROUND] In 2013, we developed the Operative Entrustability Assessment (OEA) to facilitate evaluation and documentation of resident operative skills. This web-based tool provides real-time, transparent feedback to residents on operative…
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Matching Procedures at the Time of Immediate Breast Reconstruction: An American College of Surgeons National Surgical Quality Improvement Program Study of 24,191 Patients.
[BACKGROUND] The purpose of this study was to assess for compounded risk of postoperative morbidity with the addition of a simultaneous contralateral breast matching procedure at the time of mastectomy and immediate breast reconstruction. …
- Successful DIEP flap for breast reconstruction in a patient with prior abdominoplasty.
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A review of the surgical management of breast cancer: plastic reconstructive techniques and timing implications.
The oncologic management of breast cancer has evolved over the past several decades from radical mastectomy to modern-day preservation of chest and breast structures. The increased rate of mastectomies over recent years made breast reconstr…