Two-stage expander implant breast reconstruction is commonly performed after mastectomy. Salvage and long-term outcomes development of complications have not been well described. We examined a single surgeon's experience to study the rate reoperation secondary first-stage placement evaluate their outcomes. Better understanding salvage techniques may help guide future management.We retrospective analysis consecutive patients who underwent tissue (TE) for between December 2006 August 2015 with...

We tested our hypothesis that implantation of aligned nanofibrillar collagen scaffolds (BioBridge™) can both prevent and reduce established lymphedema in the rat model. Our authors report clinical cases demonstrate new lymphatic formation guided by BioBridge™ as seen near-infrared (NIR) fluoroscopy magnetic resonance (MR) lymphography.A model was utilized. A prevention group received immediately after lymphadenectomy. with autologous adipose-derived stem cells (ADSC; treatment group) or...

Mastectomy skin necrosis is a significant problem after breast reconstruction. This complication may lead to poor wound healing and need for implant removal, which delay subsequent oncologic treatment. We sought characterize factors associated with mastectomy propose management algorithm.A retrospective review was performed on consecutive patients undergoing implant-based reconstruction by the senior author from 2006 through 2015. Patient-level including age, race, body mass index, history...

A paradigm shift is underway in the world of humanitarian global surgery to address large unmet need for reconstructive surgical services low- and middle-income countries (LMICs). Here, we discuss ReSurge Global Training Program (RGTP), a model training capacity building developing world. The program includes an online curriculum, visiting educator trips, expert surgeon involvement, trainee competency tracking system, identification local outreach partners provide safe neediest patients...

To characterize the demographics and attitudes of US general surgery residents performing full-time research.Cross-sectional national survey administered after 2008 American Board Surgery In-Service Training Examination.Two hundred forty-eight residency programs.General residents.Survey administration.A third categorical interrupt to pursue research. our knowledge, there exist no comprehensive reports on such residents.Four fifty research 864 postgraduate year 3 (PGY-3) clinical completed...

Infection is a dreaded complication following 2-stage implant-based breast reconstruction that can prolong the reconstructive process and lead to loss of implant. This study aimed characterize outcomes reconstructions complicated by infection, identify patient surgical factors associated with use these develop an infection management algorithm.We performed retrospective review all consecutive senior author (2006-2015) collected data regarding demographics, medical history, operative...

Background: Plastic surgery is the most competitive specialty in medicine. We sought to identify factors associated with successful match of generation Y applicants into integrated plastic residency. Methods: utilized recent data from Charting Outcomes Match published by National Resident Matching Program 2011. had on US senior or independent applicant status, Alpha Omega (AOA) attendance top 40 medical schools, advanced degree and number contiguous ranks within surgery. Our main outcome...

Infantile hemangiomas (IHs) are the most common benign tumors of infancy and occur with greater than 60% prevalence on head neck. Despite their prevalence, little is known about pathogenesis this disease. Given predilection hemangioma incidence face its nonrandom distribution embryological fusion plates, we postulated that IHs derived from pericytes neural crest. We performed an analysis 15 specimens at various stages IH progression. Experiments included immunohistochemical staining,...

We asked if leptin and its cognate receptor were present in normal diseased parathyroid glands, so, whether they had any functional effects on hormone (PTH) secretion neoplasms.The glands acting through PTH play a critical role the regulation of serum calcium. Based leptin's recently discovered bone metabolism, we hypothesized these sites interaction between 2 hormones.From July 2010 to 2011, 96 patients enrolled prospective study hyperparathyroidism, all whom based their diagnosis candidacy...

Breast reconstruction improves the psychological well-being of patients with breast cancer. Patients who complete nipple-areolar are even more satisfied their final reconstructive result. Nipple flattening is a common complication. We hypothesized that injectable soft-tissue filler can be used to augment nipple projection in underwent reconstruction.This retrospective study and desired an enhanced postoperative projection. The single session injection hyaluronic acid as outpatient. was...

Background The medial sural artery perforator (MSAP) flap is an increasingly versatile and reliable for soft tissue reconstruction. This study investigates complication rates long‐term outcomes of the MSAP flap. Methods A retrospective review was performed on consecutive patients undergoing reconstruction at Chang Gung Memorial Hospital from 2006 through 2017. Patient demographics were assessed. Flap failure wound complications outcome measures. Results In cohort 246 that underwent a total...

Patients with breast cancer frequently opt to undergo reconstruction after mastectomy. The timing and aesthetic outcome of the may be affected by need for radiation therapy (RT). Delayed-immediate autologous (DIAR) is a novel surgical approach patients in whom adjuvant RT mastectomy preoperatively unknown.We sought evaluate difference clinical outcomes, patient satisfaction, cosmetic results between DIAR who underwent delayed reconstruction.A total 19 were retrospectively included.Patient...

Various surgical treatment modalities have been advocated for the of Dupuytren's disease. However, recurrence following disease remains a common problem. Previous studies demonstrated lower rates with use full-thickness skin graft. We therefore postulated that acellular dermal matrix may be associated similar outcome, based on inhibitory effect underlying myofibroblasts. performed retrospective cohort study 43 patients undergoing open fasciectomy from years 2005 to 2012 at our academic...

ChatGPT is a new open source AI platform released by its parent company, OpenAI, on November 30, 2022.1 The below text was the output from in response to query "write an article role of artificial intelligence plastic surgery research" entered January 2023. "Artificial (AI) has been revolutionizing various industries and research fields, including surgery. playing crucial facilitating research, advancing accuracy speed diagnosis treatment plans, improving patient outcomes. 1. Diagnosis...

Background: As the global burden of disease continues to rise, it becomes increasingly important determine sustainability specialty surgery in developing world. The authors aim (1) evaluate cost-effectiveness plastic and reconstructive world (2) quantify economic benefit. Methods: In this study, performed a retrospective analysis surgical trips by ReSurge International from 2014 2017. organization gathered data on trip information, cost, clinical characteristics. measured interventions using...

In this report, we describe a case of high anion gap metabolic acidosis with significant osmolal attributed to the ingestion liquor containing propylene glycol. Recently, several reports have characterized severe lactic occurring in setting iatrogenic unintentional overdosing medications that use glycol as diluent, including lorazepam and diazepam. To date, no studies explored potential effects excess alcohol intoxication. Our patient endorsed drinking large volumes cinnamon flavored...

Background Mastectomy skin necrosis is a significant problem after breast reconstruction. We sought to perform comparative analysis on this complication between patients undergoing autologous reconstruction and 2-stage expander implant Methods A retrospective review was performed consecutive or by the senior author from 2006 through 2015. Patient demographic factors including age, body mass index, history of diabetes, smoking, radiation were collected. Our primary outcome measure mastectomy...

Little is known about factors influencing time between diagnosis and definitive treatment in patients with ductal carcinoma situ (DCIS). We sought to determine the this delay implications on outcome. A retrospective review was performed of 127 DCIS who were treated surgical excision at an academic center from 2000 2003. The mean 39.5 days (range, 3 130 days). Age, race, tumor grade, histopathologic features not associated (P > 0.05). However, opted for breast-conserving surgery had a shorter...

Chromosomal instability is a potentially critical step in the development of colorectal cancer. The budding uninhibited by benzimidazole 1 ( BUB1 ) gene highly conserved protein that plays role at spindle assembly checkpoint during cell division. mutations function dominant-negative fashion and have been implicated causing dysfunctional kinetochore attachments, premature chromatid separation, accelerated mis-segregation whole chromosomes aneuploidy. observed patients with cancers. We report...