Hydroxychloroquine, chloroquine, and azithromycin have been used for treatment of COVID-19, but may cause QT prolongation. Minority populations are disproportionately impacted by COVID-19. This study evaluates the risk prolongation subsequent outcomes after administration these medications in largely underrepresented minority COVID-19 patients.

Patients undergoing autologous breast reconstruction have higher rates of patient-reported satisfaction compared to patients prosthetic reconstruction. Obesity has been shown increase postoperative complications in both microsurgical and implant reconstructions. The authors evaluated the effects on outcomes quality life obese patients.A retrospective review who underwent from January 2009 December 2017 was conducted. were divided into two cohorts: two-stage tissue expander/implant-based...

Mastectomy flap necrosis (MFN) is a common complication of immediate breast reconstruction that greatly affects patient satisfaction and cosmetic outcomes. Topical nitroglycerin ointment, with its low cost negligible side effects, has been shown to significantly decrease the incidence MFN in implant-based reconstruction, but utility not studied autologous reconstruction.With institutional review board approval, prospective cohort study was performed all consecutive patients undergoing...

Abstract Background Given the relatively small size of thigh-based flaps and possible necessity for a multiflap reconstruction, it is imperative to arrive at an accurate estimation flap weight during preoperative planning. It was our objective develop novel technique profunda artery perforator (PAP) weight. Methods All patients that underwent transverse PAP breast reconstruction two institutions were retrospectively reviewed. Subcutaneous tissue thicknesses measured on axial computed...

While the number of female plastic surgeons has continued to increase over time, surgery historically been a male-dominated profession with only 15% practicing being female. Microsurgery, as subspecialty, long perceived an even more male-centric career path. The objective this study was determine representation females in subspecialty field microsurgery and impact microsurgical fellowship training.

Background: Studies demonstrating the positive impact of body contouring on sustained weight loss in bariatric patients describe a narrow cohort. We sought to evaluate post procedures minority race patients. Methods: A retrospective review surgery at single institution was performed. Patients were grouped by: (1) those that underwent contouring, (2) had consultation but did not undergo and (3) without consultation. Body mass index (BMI) excess (EBWL) over 7 years primary outcomes. Results:...

Purpose Pain is a common side effect of intravenous injection propofol. We conducted randomized, prospective, single-blinded controlled trial to assess the efficacy vibration analgesia on pain during propofol infusion in ambulatory surgery. Methods After institutional review board approval, 100 patients undergoing elective surgery with general anesthesia were randomized into 2 groups. A control group (n = 50) consisted who received without analgesia. treatment using Buzzy device. was...

Surgical procedures with loupe magnification, headlights, and microscopes expose craniofacial surgeons to mechanical stress that can increase risk of long-term musculoskeletal pain injury. Identifying the prevalence cause work-related discomfort may guide preventative strategies prolong well-being, job satisfaction, greater duration surgical careers.A 29-question online survey was distributed surgeon members American Cleft Palate-Craniofacial Association. Eight hundred seventy-three surveys...

Background: The standard of care distal radius fractures requiring operative intervention involves restoration anatomical alignment radiologically by comparing preoperative films and intraoperative fluoroscopy with established values based on population norms. objective this study is to evaluate the use plain radiographs obtained from uninjured wrist patients who present unilateral displaced as a measure successful achievement realignment. Methods: A retrospective review was performed 133...

The standard flap harvest is performed under loupe dissection. It not infrequently that a medical student or physician assistant participates in the role of first second assist. Such scenarios have impressed upon us observation these surgical assistants seldom use loupes any other form visual magnification. reasons for this are likely multifaceted and may be related to cost as well perceived opinions colleagues. benefit encouraging optical aid among encompasses an augmented learning...

Abstract Background Microsurgical reconstruction for bilateral mastectomy defects after unilateral radiation often results in asymmetry, despite both flap tissues never being radiated. Methods Photos of 16 patients who received prior to one breast and underwent abdominal free were taken postoperatively. Layperson expert assessment attained via online crowdsourcing a panel attending surgeons senior residents. Stratification by interflap weight differences was done subanalysis. Results A total...

Purpose: There is mounting evidence to support universal adoption of enhanced recovery after surgery (ERAS) pathways in patients undergoing microsurgical breast reconstruction. Champions ERAS cite its ability safely decrease length hospital stay and opioid requirements. However, this data entirely based upon treated with abdominal-based free flaps fails considering the growing popularity alternative donor sites. The authors sought examine outcomes both thigh reconstruction before...

While work related musculoskeletal disorders have been well recognized among all surgeons, and microsurgeons in particular; their prevention treatment are presently unknown. Our study aims to define the impact of ailments on investigate trends microsurgeon injury treatment. An electronic survey was sent members American Society Reconstructive Microsurgery. The solicited surgeon demographics, microsurgical volume, equipment usage, history injury, interventions / modalities used address...

Accurate flap weight estimation is crucial for preoperative planning in microsurgical breast reconstruction; however, current methods are time consuming. It was our objective to develop a parsimonious and accurate formula the of abdominal-based free weight. Patients who underwent hemi-abdominal-based tissue transfer reconstruction at single institution were retrospectively reviewed. Subcutaneous thicknesses measured on axial computed tomography angiograms several predetermined points....