Improvements in surgical techniques have allowed us to achieve primary closure a high percentage of large abdominal hernia repairs. However, postoperative wound complications remain common. The benefits negative-pressure therapy (NPWT) the management open wounds are well described literature. Our study investigates effects incisional NPWT after wall.A retrospective chart review was performed for period between September 2008 and May 2011 analyze outcomes patients treated postoperatively with...

Given the wide application of autologous fat grafting, a new emphasis on processing techniques has emerged in an effort to limit unpredictable degrees resorption often seen with this procedure. With growing interest regenerative medicine, approaches supplement grafts adipose-derived stem cells are evolving hopes promoting vascularization and neoadipogenesis.The authors evaluated outcomes most common for grafting--decantation, washing, high-speed centrifugation--and stromal vascular...

Background: The authors present their grading scale and the outcomes of largest cohort top surgery published to date. Application this system can help determine which patients will benefit from a subcutaneous mastectomy with free nipple graft versus circumareolar technique, primary endpoint being need for aesthetic revisions. Methods: reviewed database transgender males who underwent bilateral between 2006 2015. Data collected included age, body mass index, American Society Anesthesiologists...

Introduction Recently, several single center studies have suggested a protective effect of the influenza vaccine against severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This study utilizes continuously updated Electronic Medical Record (EMR) network to assess possible benefits vaccination mitigating critical adverse outcomes in SARS-CoV-2 positive patients from 56 healthcare organizations (HCOs). Methods The de-identified records 73,346,583 were retrospectively screened. Two...

Abstract Introduction Silicone Lymphadenopathy (SL) is a complication of breast implants that involves migration silicone to nearby soft tissue/lymph nodes. Data on its clinical features and management scarce. We aimed identify the presentation SL. Methods A single-institution retrospective cohort study was conducted from our institutional imaging system where search terms “Silicone lymphadenopathy”, “silicone adenitis” adenopathy” were used patients with SL (January 2016–September 2023)....

The increasing global emphasis on sustainability necessitates robust mathematical modelling and optimization techniques to enhance the efficiency of renewable sustainable products. This paper explores advanced deterministic stochastic models, including linear nonlinear programming, dynamic systems, game theory, variational methods, optimize resource utilization minimize environmental impact. Multi-objective approaches, such as Pareto constrained are examined for balancing economic ecological...

Background: Microsurgery is a core component of United States (US) plastic surgery residency curriculum. This study compares publicly available information on microsurgery curricula and training among US programs, while evaluating the background experience microsurgeon faculty at these institutions. Methods: The authors performed cross-sectional web-search search 103 accredited programs in March 2023. Publicly evaluated for each program included non-clinical education, clinical microsurgical...

Background: Complex abdominal wall reconstruction is beset by postoperative complications. A recent meta-analysis comparing the use of closed-incision negative-pressure therapy to standard dressings found a statistically significant reduction in surgical-site infection. The gaining acceptance this population; however, economic impact innovative dressing remains unknown. In study, cost-utility analysis was performed assessing and following closure incisions high-risk patients. Methods:...

An increasing number of women may be choosing mastectomy over breast-conserving surgery for breast cancer as well undergoing more bilateral resection, immediate reconstruction, and prophylactic operations. Women who had operations between 2005 2011 were selected from the National Surgical Quality Improvement Program database. Annual trends explored using robust Poisson multivariable regression predictors versus surgery. A total 85,401 identified. Mastectomy increased to 2011, starting at 40...

Breast prosthesis infections are challenging and traditionally managed with removal delayed reconstruction. Single-application negative pressure wound therapy instillation dwell (NPWTi-d) has shown promise for salvaging infected implants, though prior studies have been small heterogeneous. This study analyzes outcomes compares protocols from four institutions. Data were collected on 56 patients (59 breasts) who underwent NPWTi-d salvage peri-prosthetic infections. Patients fewer than 3...

BACKGROUND: Adipose stromal vascular fraction (SVF) is an important source of adipose-derived mesenchymal stem cells (ADMSCs) that are used in regenerative medicine.1 Numerous procedures including mechanical and enzymatic methods have been to obtain (SVCs) from adipose tissue.2 The cellular composition SVF obtained may effect on its capabilities. Therefore, we compared the yield SVCs lipoaspirates after centrifugation, vortexing collagenase digestion. METHODS: Subcutaneous tissue was 9...

Learning Objectives: After reading this article, the participant should be able to: 1. Understand basics of negative-pressure wound therapy and practical uses various vacuum-assisted closure dressings. 2. mechanisms action therapies other important adjuncts, such as perfusion imaging. 3. Discuss evidence for hyperbaric oxygen in care. Summary: Wound healing requires creating an environment that supports process while decreasing inflammation infection. Negative-pressure has changed way...

Purpose. Congenital anomalies and injuries of the hand are often undertreated in low-middle income countries (LMICs). Humanitarian missions to LMICs commonplace, but few exclusively surgery have been reported none attempted demonstrate their cost-effectiveness. We present first study evaluating cost-effectiveness a humanitarian mission Honduras as method reducing global burden surgically treatable disease. Methods. Data were collected from San Pedro Sula, Honduras. Costs estimated for local...

Abstract Acellular dermal matrix ( ADM ) is commonly employed to create an inferior pocket for the tissue expander in two‐stage breast reconstruction. The authors sought determine whether placement of during first stage reconstruction decreases amount capsule formation at implant exchange. Patients who underwent mastectomy and were included this study. Two biopsies obtained time exchange, one from adjacent other area pectoralis muscle. Pathology analysis was performed on each sample. Ten...

Background We sought to identify patient comorbidities that predict complications after tissue flap sternal reconstruction. Methods A retrospective study, December 1989 2010, analyzed numerous comorbidities, including diabetes mellitus (DM), hypertension (HTN), coronary artery disease, congestive heart failure (CHF), and renal insufficiency, as independent risk factors for postoperative complications. Pearson χ2 test, Fisher exact 2-sample t median-unbiased estimation were used data...