- Reconstructive Surgery and Microvascular Techniques
- 3D Printing in Biomedical Research
- Circular RNAs in diseases
- Body Contouring and Surgery
- Cleft Lip and Palate Research
- MicroRNA in disease regulation
- Tuberculosis Research and Epidemiology
- Breast Cancer Treatment Studies
- Pelvic and Acetabular Injuries
- Diversity and Career in Medicine
- Electrospun Nanofibers in Biomedical Applications
- Surgical site infection prevention
- Trauma Management and Diagnosis
- Infectious Diseases and Mycology
- Tissue Engineering and Regenerative Medicine
- Facial Trauma and Fracture Management
- Orthopedic Surgery and Rehabilitation
- Mycobacterium research and diagnosis
- Trauma and Emergency Care Studies
- Breast Implant and Reconstruction
- Mobile Health and mHealth Applications
- Medical Malpractice and Liability Issues
- Extracellular vesicles in disease
- Craniofacial Disorders and Treatments
- Musculoskeletal synovial abnormalities and treatments
Penn State Milton S. Hershey Medical Center
2020-2024
A 56-year-old female with a history of meningioma status post subtotal resection (Simpson grade IV) and extensive radiation therapy presented osteoradionecrosis (O.R.N.) managed previously microvascular free flap (MVFF). The evaluation revealed worsening O.R.N. scalp defect 15 × 10 cm. patient underwent MVFF reconstruction utilizing latissimus muscle covered by meshed split-thickness skin graft (STSG). Her surgery was complicated delayed failure Serratia marcescens growth, which occurred...
A 76-year-old fisherman with a history of diabetes mellitus, coronary artery bypass grafting, and previous ipsilateral elbow wound presented 1-year hand pain swelling. Anti-inflammatories antibiotics were administered without improvement. Magnetic resonance imaging ultrasound demonstrated flexor tenosynovitis. Intraoperative cultures revealed Mycobacterium chimaera. The treatment course included 2 tenosynovectomies triple antimycobacterial therapy.Nontuberculous mycobacteria infections...
Background Following the integration of electronic health record (EHR) into healthcare system, concern has grown regarding EHR use on physician well-being. For surgical residents, time spent increases burden a demanding, hourly restricted schedule and detracts from honing skills. To better characterize these burdens, we sought to describe utilization patterns for plastic surgery residents. Methods Integrated resident March 2019 2020 was extracted via Cerner Analytics at tertiary academic...
Purpose: It is known from both anatomic and radiographic studies that the majority of cranial sutures begin fusing in early adulthood are fused by late adulthood. However, most focus on vault rather than base. Most clinicians treating patients with craniosynostosis interpreting behavior CT imaging. Therefore, purpose this study was to further clarify appearance base over natural human life span. Methods: Thirty scans head face were reviewed for each decade starting at 1 year up age 90. Scans...
With an increasing focus on multimodal pain control to reduce opioid requirements, regional and local anesthesia techniques have been investigated in bilateral reduction mammaplasty with variable results. The purpose of this study is compare tumescent pectoral nerve block II (PECS II) patients undergoing respect postoperative nausea, consumption, length stay, cost.A retrospective review for macromastia between November 2020 December 2021 was performed. Demographic information, operative...
As health care costs in the United States continue to rise, there is increasing attention on cost-saving measures. One area of investigation utility pathologic examination specimens from routine procedures with a suspected benign pathology. We assessed and cost analysis for wrist ganglion cyst excision.A retrospective cohort study all excisions performed by seven hand surgeons was conducted 2015 2019 at Penn State Hershey Medical Center. Preoperative intraoperative diagnoses, diagnosis,...
Trochanteric pressure wounds are a significant cause of morbidity among paraplegic and comorbid patients. Their surgical management requires femoral head ostectomy followed by robust soft tissue coverage both for dead space obliteration skin subcutaneous replacement. Many flap options their variations have been presented this purpose. We present unique methodology utilizing chimeric pedicled muscle anterolateral thigh (ALT) reconstruction. First, we 39-year-old male who underwent right...