Abstract Introduction : The profunda artery perforator (PAP) flap is a new addition to our reconstructive armamentarium. In effort better understand patient candidacy for the PAP we characterized perforators on preoperative imaging. Methods: A retrospective review was completed of 40 posterior thigh computed tomography angiographies and magnetic resonance by four plastic surgeons. positioning patient, type study, number perforators, size were documented. location documented an x – y ‐axis....

The use of bone-anchored osseointegration implants for amputation reconstruction continues to expand throughout the world. Benefits are thought include elimination socket-related problems and improved control proprioception prosthetic limb. Reported outcomes have been positive, but skepticism remains with regard risk infection implant failure. Further results from early adopters therefore needed prior widespread acceptance regulatory approval.A retrospective review first 31 consecutive...

The Oxfordshire Community Stroke Project is a prospective study of all new cases stroke and transient ischaemic attack in defined population about 103 000 patients registered with 49 general practitioners; every case assessed by neurologist most undergo CT scan or are examined post mortem, both, to ensure accurate diagnosis. Out 404 the first year, 168 had suffered stroke, 52 recurrent 41 attack; 143 were excluded. Of their 153 (91%) seen 149 (89%) came necropsy. pathological diagnosis was...

Objectives/Goals: Imaging neuromas, benign tumors of nerve tissue, can be difficult in amputees with osseointegrated (OI) prostheses, which a metal rod is implanted into the residual limb. Magnetic resonance imaging inadequate due to metal. The aim this study assess use ultrasound detect neuromas patients OI prostheses. Methods/Study Population: This single-institutional observational 7 undergoing lower limb Lower extremity ultrasounds 2-D grayscale and Doppler were completed at...

Abstract Introduction The September 11th attacks were a unique disaster with numerous patients and extensive injury burden. aim of this study was to provide an update on the long-term psychological recovery victims treated at burn center following attacks. Methods A mixed methods approach completed using cross-sectional analysis survey health outcomes qualitative interview for each patient. All our institution’s injuries sustained during Interviews reviewed trends in impacts. Results Our...

Background Nipple-sparing mastectomy (NSMs) and the deep inferior epigastric perforator (DIEP) flap for breast reconstruction represent latest evolutions of reconstructive surgery, with resemblance to aesthetics feel natural without needing additional nipple or tattooing. Despite clinical adoption these advances, current literature autologous after NSM remains limited. Herein, we classify incidence predictors most common complications in patients undergoing DIEP over a 10-year period....

Background Loss of breast sensation after mastectomy and reconstruction is associated with decreased psychosocial outcomes quality-of-life, spurring applications peripheral nerve repair to autologous reconstruction. While direct coaptation the gold standard for neurotization, development allografts has increased candidacy neurotization. Herein, we investigate long-term sensory BREAST-Q in patients receiving deep inferior epigastric perforator (DIEP) flap neurotized by allograft. Methods...

Purpose This study explores the impact of chemotherapy and radiation therapy (XRT) on breast sensation in patients undergoing mastectomy with immediate reconstruction. Methods prospective study, conducted from 2019 to 2024, focused implant-based or neurotized deep inferior epigastric perforator (DIEP) flap Neurosensory testing was performed preoperatively at defined postoperative intervals using a pressure-specified sensory device. Patients were stratified by type reconstruction oncologic...

Introduction Breast reduction has the potential to alter sensation of breast and nipple-areolar complex (NAC) due intraoperative sensory nerve disruption. There is currently a paucity available literature pertaining changes following reduction, results are inconclusive variability findings. This study aims assess superior superomedial Wise pattern as well any impact on patient satisfaction. Methods Sensation was tested using AcroVal pressure-specified device in nine regions breast: outer...

Background Osseointegrated (OI) prostheses are a novel alternative solution for patients with lower-limb amputations. Plastic surgeons becoming increasingly involved in providing concurrent thigh lifts (CTLs) to reduce soft tissue redundancy around the implant. Because of limited mobility, many present higher body mass indexes (BMIs) and may benefit from CTL. This study aimed evaluate outcomes obese OI who underwent CTL compared those did not. Additionally, we compare normal BMIs without...

Background Impaired breast sensation can be a devastating consequence of mastectomy and reconstruction with significant impacts on quality life. Few studies have examined the relationship between objective sensory results patient-reported outcomes. Herein, we cutaneous different anatomic regions BREAST-Q scores in patients autologous alloplastic reconstruction. Methods Patients postmastectomy completed underwent testing pressure-specified device. responses measurements were paired; any...

Background The deep inferior epigastric perforator (DIEP) flap can be reliably neurotized for autologous breast reconstruction. In standard fashion, a sensory branch of intercostal nerve T11 or T12 the DIEP is coapted to anterior cutaneous T3 at recipient site. this study, we compare objective sensation recovery and patient-reported sensation, flaps innervated by versus T12. Methods Patients undergoing reconstruction after mastectomy were prospectively identified. All coaptation was...

Background Inadequate postoperative pain relief places patients at risk for increased morbidity, including surgical complications and chronic pain. Previous studies have shown that just one dose of methadone can achieve better analgesia than multiple doses short-acting opioids. This study aims to evaluate the effectiveness our Enhanced Recovery After Surgery (ERAS) protocol deep inferior epigastric perforator flap breast reconstruction centered around a single weight–based intraoperative...

Purpose The coronavirus disease 2019 (COVID-19) pandemic was an unprecedented period that fundamentally reshaped healthcare delivery worldwide. Among the significant changes a shift toward same-day discharge (SDD) across all surgical specialties. This study focuses on immediate alloplastic reconstruction, with objectives to quantify increase in SDDs, evaluate associated safety outcomes, and investigate racial disparities resulting from these changes. Methods Using data National Surgical...

Abstract Introduction The September 11th attacks were a unique disaster with numerous patients and extensive injury burden. aim of this study was to provide an update on the long-term health functional recovery victims treated at burn center following attacks. Methods A mixed methods approach completed by using cross-sectional analysis survey outcomes qualitative interview for each patient. All our institution’s injuries sustained during Interviews reviewed trends in functionality. Results...

Background There are many intraoperative techniques and washes that used to prevent bacterial contamination during breast reconstruction. Low-dose chlorhexidine gluconate (CHG) is a low-pressure irrigation offers broad spectrum activity against microorganisms. Its use has been shown decrease load in various implants. The aim of the study was evaluate ability low-dose CHG decreasing detection postoperative infections drainless tissue expander-based Methods This single surgeon including...

Introduction Patients with lower extremity amputations using a classic socket prosthesis face many challenges related to the socket-limb interface. The adaptation of osseointegration has allowed for attachment directly bone, eliminating this interface and providing mechanical benefits. Contrary prosthesis, osseointegrated requires reducing minimizing soft tissue envelope. Studies have shown that patients who undergone placement these implants high rates reoperation redundancy. purpose our...

Background: Thin patients have fewer autologous options in postmastectomy reconstruction and are frequently limited to device-based techniques. The latissimus dorsi flap remains a viable option with which provide coverage, although for certain the donor scar can be point of contention. scarless is way mitigating these concerns. authors present their 6-year single-surgeon experience reconstruction. Methods: A retrospective review was performed. Charts from 2003 2009 were queried demographic...

Smoking has been associated with wound healing complications and overall morbidity in multiple specialties, including plastic surgery. From 2005 to 2014, smoking prevalence among U.S. adults decreased from 20.9 percent 16.8 percent. This study aims investigate whether surgery patients paralleled the national trend was an independent risk factor for postoperative complications.The 2014 American College of Surgeons National Surgical Quality Improvement Program database used examine 30-day...