Abstract Background Medical student burnout can cause emotional and physical exhaustion detachment. The objectives of this study were to evaluate using the Maslach Burnout Inventory-Student Survey (MBI-SS), identify factors that may predict burnout, assess wellness initiatives effectiveness at reducing burnout. Methods MBI-SS was administered all medical students (Classes 2019 2022) University Illinois College Medicine (UICOM) from February May 2019. Factor analysis internal consistency...

Background: The modified five-item frailty index is a validated and effective tool for assessing risk in surgical candidates. authors sought to compare the predictive ability of established factors complications free flap breast reconstruction. Methods: 2012 2018 American College Surgeons National Surgical Quality Improvement Program database was queried reconstructive procedures. Univariate multivariate regression analysis models were used assess how commonly stratify (age, body mass index,...

Background Despite evidence supporting the safety of breast implants, some women associate their implants with adverse health effects and have called this syndrome “breast implant illness.” We sought to characterize illness symptoms report how removal affects symptoms.Methods An anonymous 20 question survey was administered Facebook group: “UTAH Breast Implant Illness” these attributed implants. Several questions allowed us evaluate affected women’s symptoms.Results Of 182 respondents, 97%...

Background In March 2021, the United States Food and Drug Administration (FDA) safety communication cautioned against use of acellular dermal matrix (ADM) products in breast reconstruction reiterated that FDA does not approve ADM surgery. This study aims to assess reconstruction. Methods Women who underwent non-ADM assisted tissue expander (TE)-based were identified using National Surgical Quality Improvement Program database (2012-2019). Trends over time, 30-day outcomes surgical site...

Background: Studies have cited possible complications and increased fluid accumulation in implant-based breast reconstruction using acellular dermal matrix. The authors propose a novel approach, manually meshing matrix skin graft mesher before use expander-based reconstruction. investigated postoperative drain time, complication rates, pain, length of hospital stay meshed versus unmeshed cohorts. Methods: One hundred fourteen patients 194 reconstructed breasts were included overall. Of...

The introduction of acellular dermal matrix (ADM) to breast reconstruction has allowed surgeons reexplore the prepectoral implant placement technique in postmastectomy reconstruction. Our institution adopted a novel approach using meshed ADM lessen financial burden increased utilization with This is retrospective, single-center review two-stage human-derived for anterior prosthesis coverage. Patient demographics, oncologic data, perioperative characteristics, and complications were examined...

Abstract Background: Medical student burnout can cause emotional and physical exhaustion detachment. The objectives of this study were to evaluate using the Maslach Burnout Inventory-Student Survey (MBI-SS), identify factors that may predict burnout, assess wellness initiatives effectiveness at reducing burnout. Methods: MBI-SS was administered all medical students (Classes 2019 2022) University Illinois College Medicine (UICOM) from February May 2019. Factor analysis internal consistency...

Electronic cigarette (e-cigarette) use has grown exponentially since its introduction to the US market in 2007.1 Sales went largely unregulated until 2016, when Food and Drug Administration expanded tobacco laws encompass manufacturing, distribution, marketing of e-cigarette products.2,3 Production safety standards are still being established. Rechargeable lithium batteries used have been reported combust. The Fire 195 cases explosions fires from 2009 2016. proximity can cause serious burns...

Although veterans represent a significant proportion (7%) of the USA population, COVID-19 disease impact within this group has been underreported. To bridge gap, study was undertaken. A total 419,559 veterans, who tested positive for in Veterans Affairs hospital system from March 1st, 2020 to December 31st, 2021 with 60-days follow-up, included retrospective review. Primary outcome measures age-adjusted incidences and relative hospitalization, mechanical ventilation, case-fatality outcomes....

Medical photography has become essential to patient care, trainee education, and research in highly visual specialties such as plastic surgery. As smartphone technology advances, surgeons trainees are using their personal smartphones take medical photographs prompting ethical legal concerns about consent privacy. This study aims determine the prevalence of use for among surgery trainees, evaluate encryption practices, establish understanding current guidelines. Through a survey 71 throughout...

Abstract Background There is limited evidence for appropriate postoperative opioid prescribing in autologous breast reconstruction. We sought to describe outpatient prescription use following discharge after deep inferior epigastric perforator (DIEP) reconstruction with and without an educational video. Methods Patients undergoing DIEP were given a 28-day pain medication logbook from August 2022 June 2023. Our practice implemented video upon on proper consumption. Descriptive statistics...

Case: An overall healthy 48-year-old man suffered a left foot mangled crush injury resulting in post-transmetatarsal amputation and subsequently developing painful neuroma on the plantar surface of foot. To avoid zone injury, targeted muscle reinnervation was used to treat by coapting tibial nerve motor point flexor hallucis longus (FHL) muscle. At 1-year follow-up, patient reported no pain at rest, returned work, could ambulate with an orthosis for 30 minutes. Conclusion: Rare coaptations...

Summary: Both internal and external tissue expanders take advantage of the innate adaptive mechanisms skin exerts in response to mechanical tension, known as stress-relaxation phenomenon. Internal expander use is time-consuming can be complicated by infection extrusion. In this case series, continuous used manage large pediatric wounds were assessed. Fourteen patients (ages: 4 days 17 years) with underwent expansion intraoperatively. The success wound closure was addition, size patient’s...

The cell survival theory and the replacement contribute to current thinking regarding free adipose graft persistence after transplantation influence principles applied autologous fat transfer procedures. Both theories necessitate reestablishment of circulation for survival. To minimize ischemic death, according Khouri, grafts should be injected with at most 1.6-mm-wide ribbons optimize graft-to-recipient interface oxygen diffusion neovascularization. is eventually incorporated into...

In the United States, top 1% and 5% of health care spenders account for 23% 50% total spending, respectively. These high have been coined term super utilizers (SU). The aim this study was to identify characteristics associated with these patients aid in developing public interventions aimed at transitioning out SU category thus ultimately helping control costs. authors utilized Utah All-Payer Claims Database Population from 2013 2015 demographics, comorbid conditions, utilization, cost...

Case: A 7-week-old girl presented with a recurrent primitive myxoid mesenchymal tumor of infancy requiring extensive resection lower back musculature, L3–S2 vertebral bodies, and left L5 nerve root. Reconstruction consisted transverse rectus abdominis muscle (TRAM) flow-through to free fibular flap reconstruct the bony defect fill soft-tissue void. One-year postoperative imaging revealed well-incorporated fibula graft. At 30-month follow-up, patient can bear weight on autograft while sitting...

Due to extended life expectancy and recent improvements in surgical techniques, limb salvage has replaced amputation as the gold standard is now performed 90-95% of upper extremity malignancies. However, many these procedures are associated with significant postsurgical complications. In particular, clavicula pro humero (CPH) procedure high rates nonunion. We present our experience using free vascularized fibular flap (VFF) after failure or nonunion original CPH pediatric population.Five...

Abstract Background: Medical student burnout can cause emotional and physical exhaustion detachment. The objectives of this study were to evaluate using the Maslach Burnout Inventory-Student Survey (MBI-SS). Factors that may predict wellness initiatives reduce assessed. Methods: MBI-SS was administered all medical students (Classes 2019 2022) at University Illinois College Medicine (UICOM) from February May 2019. Factor analysis internal consistency Mean MSBI-SS subscale scores for...

No guidelines exist regarding management of breast tissue for transmasculine and gender-nonconforming individuals. This study aims to investigate the experiences practices perioperative cancer risk among American Society Plastic Surgeons members performing chest masculinization surgery.An anonymous, online, 19-question survey was sent 2517 U.S.-based in October 2019.A total 69 responses were analyzed. High-volume surgeons more likely from academic centers (OR, 4.88; 95 percent CI, 1.67...

SOCIETY OF CRITICAL CARE MEDICINE 34TH CONGRESS PHOENIX, ARIZONA, USA JANUARY 15-19, 2005: Poster Presentation: Basic Science: Cardiovascular Physiology & Cell Biology

BACKGROUND: In March 2021, the United States Food and Drug Administration (FDA) safety communication cautioned against use of acellular dermal matrix (ADM) products in breast reconstruction reiterated that FDA does not approve ADM surgery (1). However, despite its off-label use, is becoming increasingly popular (2, 3). Considering new ADM’s consistent utilization, we sought to evaluate a nationally representative large group patients through American College Surgeons National Surgical...