- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Shoulder and Clavicle Injuries
- Body Contouring and Surgery
- Surgical site infection prevention
- Hernia repair and management
- Venous Thromboembolism Diagnosis and Management
- Acute Ischemic Stroke Management
- COVID-19 and healthcare impacts
- Cell Adhesion Molecules Research
- Omental and Epiploic Conditions
- Facial Rejuvenation and Surgery Techniques
- Neurological Complications and Syndromes
- Breast Cancer Treatment Studies
- Body Image and Dysmorphia Studies
- Tissue Engineering and Regenerative Medicine
- Surgical Sutures and Adhesives
- Cerebrovascular and Carotid Artery Diseases
- Sports injuries and prevention
- Electroconvulsive Therapy Studies
- Burn Injury Management and Outcomes
- Sinusitis and nasal conditions
- Hepatocellular Carcinoma Treatment and Prognosis
Ayub Medical College
2021-2024
Sports Surgery Clinic
2023-2024
Duke University
2024
Lady Reading Hospital
2024
Edinburgh Royal Infirmary
2024
University Hospitals Birmingham NHS Foundation Trust
2024
Queen Elizabeth Hospital Birmingham
2024
Stony Brook University Hospital
2009-2022
Stony Brook University
2008-2022
Stony Brook School
2022
Tissue expander/implant breast reconstructions by 5 surgeons at a single institution from 2005 to 2008 were retrospectively identified and divided into 2 cohorts: use of acellular dermal matrix (ADM, n = 75) versus standard submuscular placement (n 52). The ADM group had statistically significant higher rate infection (28.9% vs. 12.0%, P 0.022), reoperation (25.0% 8.0%, 0.011), expander explantation (19.2% 5.3%, 0.020), overall complications (46.2% 22.7%, 0.007). When stratifying size,...
Background: Soft-tissue defects surrounding the elbow can be a challenging problem for reconstructive surgeon. Multiple options are available, but there few published outcome studies. The authors performed an analysis of soft-tissue coverage to determine benefits and limitations various in this problematic area. Methods: A retrospective review was all requiring flap from 1988 2005. Patient demographics, defect characteristics, type flaps used, complications, long-term outcomes were analyzed....
The presence of the adhesion molecules intercellular molecule-1 (ICAM-1) and soluble vascular cell (VCAM-1) is associated with elevated risk cardiovascular disease. Subjects human immunodeficiency virus (HIV) disease have multiple factors for disease, including serum lipid levels, insulin resistance, levels ICAM-1 VCAM-1. This study assessed variables molecule in this patient population.Serum VCAM-1 were 31 subjects without HIV 52 Pearson correlation indicated a significant relationship...
Office-based plastic surgery has continued to rise in the past 2 decades with increased demand for cosmetic surgery. Although several large studies have shown safety of office-based surgery, current regulations place some restrictions on ambulatory surgical facilities. To provide further evidence-based literature we examine complication rates as a function anesthesia duration.This is retrospective review 2595 patients who underwent procedures between October 2000 and January 2005. All...
<b>Background</b> Venous congestion is a leading cause for free flap failure and still relies on clinical observation as the diagnostic gold standard. We sought to characterize blood flow in variable venous murine hind limb model using indocyanine green (ICG, SPY Pack, LifeCell, Branchburg, NJ) angiography. <b>Methods</b> Male Sprague–Dawley rats (Charles River, Hudson, NY) underwent bilateral partial amputation at inguinal ligament, leaving only femoral vessels femur intact. Complete...
Background Nipple-areolar complex (NAC) tattoos are an effective cosmetic solution for creating a finished look following breast reconstruction procedures. NAC prone to significant fading, leading patients seek revisions. This study was designed quantify changes in tattoo appearance over time. Methods A total of 71 images 39 were analyzed color and shape by 5 blinded medical student graders using customized scoring system. Subsequently, each image ColorPic software (Iconico, New York, NY)....
Postoperative infections are a major complication associated with tissue-expander-based breast reconstruction. The use of acellular dermal matrix (ADM) in this surgery has been identified as potential reservoir infection, prompting the development sterile ADM. Although aseptic and ADMs have investigated, no study focused on occurrence clinical outcome bacterial colonization before implantation.Samples AlloDerm, Ready-To-Use AlloMax were taken implantation. These samples incubated Tryptic soy...
Background: Tissue expander-based immediate breast reconstruction is currently the most common technique used for postmastectomy reconstruction. During mastectomy, axillary lymph nodes are biopsied to stage patients. The purpose of this study investigate postoperative complications with respect extent node dissection. Methods: A retrospective review all patients undergoing tissue at our institution from 2010 2012 was conducted. Charts were analyzed determine association between absolute...
Undifferentiated embryonal sarcoma is the uncommon malignant mesenchymal tumor of liver seen in children and young adults. Radiologic findings reflect solid to cystic appearances observed gross specimens. The discrepancy mass between ultrasound scan computed tomography hall mark this tumor. Ultrasonography typically show a large which hyperechoic or isoechoic (solid). Computed shows component This unique radiologic feature will help diagnosis tumour.
The lung is one of the deadliest sites breast cancer metastasis, particularly for triple negative (TNBC). We have previously shown that produces several soluble factors may enhance metastatic behavior TNBC, including E-, L-, and P-selectin. In this paper, we hypothesize lung-derived selectins promote TNBC serve as a potential therapeutic target. Lungs were isolated from mice used to generate lung-conditioned media (CM). Lung-derived immunodepleted migration proliferation assessed in response...
Background Use of Botulinum toxin type A ( BTX ‐ ) for facial wrinkles is well‐documented, but current methods subjective evaluation by clinicians and patients fail to objectively quantify the magnitude duration muscle paralysis. Objective (a) Determine locus muscular tension; (b) Quantify monitor paralysis subsequent return; (c) Continuously correlate appearance tension using non‐invasive digital image speckle correlation DISC measure treatment efficacy; (d) Corroborate objective data with...
As surgery becomes more successful for complicated malignancies, patients survive longer and can unfortunately develop subsequent malignancies. Surgical resection in these settings be treacherous manipulations of the patient's anatomy need to closely considered before embarking on major operations. We report a case patient who survived esophageal locally advanced cancer only new pancreatic head malignancy. Careful upfront planning allowed with an uncomplicated recovery. She underwent open...
Summary IgG4-related disease (IgG4-RD) is a rare but increasingly recognised condition, emerging as clinical entity following the observation of associations autoimmune pancreatitis. IgG4-RD characterised by extensive infiltration IgG4-positive plasma cells into multiple organs and raised serum IgG4 levels. Clinical manifestations classically include pancreatitis, lacrimal or salivary gland (formerly known Mikulicz disease) retroperitoneal fibrosis. More rarely, can cause pituitary...
To assess and compare glenoid version in patients with anterior shoulder instability (ASI), posterior (PSI), a control group.The operative notes of all that had undergone arthroscopic repair between January 2017 May 2022 were retrospectively reviewed. Magnetic resonance imaging scans then analyzed, was measured by single blinded observer. A P value <.05 considered statistically significant.There 100 included the ASI group, 65 PSI group. The mean versions for group -16°, -9.1°, -9.2° vault...
Sir: Posttraumatic frontal sinus infections can be life threatening, ranging from implant and osteomyelitis, to mucopyocele, meningitis, brain abscess.1,2 We present a new approach the management of these infections. Antibiotic-impregnated cement beads have been used extensively in treatment osteomyelitis long bones, but facial skeleton, it has only reported mandibular osteomyelitis.3,4 report three cases which antibiotic polymethylmethacrylate was successfully treat posttraumatic Three...
Background Hematomas after tissue expander immediate breast reconstruction (TE-IBR) pose a significant challenge during the recovery period. In this study, we aim to evaluate whether hematoma formation leads subsequent complications and how management can impact final reconstructive goals. Methods A single-institution retrospective review of TE-IBRs from 2001 2018 was performed using an established database. Demographics, medications, comorbidities, were identified. Implant loss defined as...
Abstract Introduction The open Latarjet (OL) procedure has shown excellent return to play (RTP) and low recurrence in athletes but there is limited published evidence for long term outcomes. purpose of this study was evaluate the outcomes 5-years post-operatively following OL procedure. Methods A retrospective review who underwent under a single surgeon with minimum 5-year follow-up performed. Multi-linear regression models were used factors affecting postoperative satisfaction, SSV level....