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Comment on: "A structured pathway for accelerated postoperative recovery reduces hospital stay and cost of care following microvascular breast reconstruction without increased complications".
We read with great interest a recent article by O'Neill et al. on the implementation of an accelerated postoperative recovery protocol following DIEP flap breast reconstruction. Our department has formally introduced a DIEP Enhanced Recover…
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Orthoplastic Management of Open Midfoot Injuries: Is Functional Limb Salvage Possible?
High energy open midfoot injuries are uncommon but devastating injuries. A combination of complex fracture dislocations and soft tissue injury patterns render reconstruction challenging. The aim of this study was to assess the surgical and …
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Avoiding the night terrors: the effect of circadian rhythm on post-operative urine output and blood pressure in free flap patients.
Multiple studies demonstrate the importance of goal-directed fluid regimens in avoiding complications. These regimens do not take account of circadian fluctuations in urine output (UO), MAP (mean arterial pressure) and pulse rate (PR). This…
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Enhanced Recovery Pathways for Flap-Based Reconstruction: Systematic Review and Meta-Analysis.
[BACKGROUND] Enhanced Recovery After Surgery (ERAS) pathways are known to improve patient outcomes after surgery. In recent years, there have been growing interest in ERAS for reconstructive surgery. [OBJECTIVES] To systematically review a…
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The Ever-Present Costs of Cosmetic Surgery Tourism: A 5-Year Observational Study.
[BACKGROUND] Cosmetic surgery tourism is an ever-growing industry. Despite its associated risks, an increasing number of patients are presenting to NHS services with resulting complications. This study aims to evaluate the current presentat…