A5000763518- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Body Contouring and Surgery
- Breast Cancer Treatment Studies
- Surgical site infection prevention
- Diversity and Career in Medicine
- Body Image and Dysmorphia Studies
- Bone fractures and treatments
- Venous Thromboembolism Diagnosis and Management
- Reconstructive Facial Surgery Techniques
- Mesenchymal stem cell research
- Trauma and Emergency Care Studies
- Organ and Tissue Transplantation Research
- Hospital Admissions and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Grief, Bereavement, and Mental Health
- Social Media in Health Education
- Health Systems, Economic Evaluations, Quality of Life
- Neurological disorders and treatments
- Mentoring and Academic Development
- Spectroscopy Techniques in Biomedical and Chemical Research
- Pectus Deformity Diagnosis and Treatment
- Healthcare Operations and Scheduling Optimization
- Cancer survivorship and care
- Medical Education and Admissions
Johns Hopkins Medicine
2014-2025
Johns Hopkins University
2012-2025
University of Maryland, Baltimore
2024
Johns Hopkins Hospital
2019-2024
MedStar Union Memorial Hospital
2024
Creative Commons
2019-2022
St. Louis Children's Hospital
2021
Virginia Commonwealth University
2021
Palo Alto University
2021
Stanford University
2021
<h3>Objective</h3>Venous thromboembolism is associated with substantial morbidity and mortality largely preventable. Despite this fact, appropriate prophylaxis vastly underutilized. To improve compliance best practice for VTE in hospitalized trauma patients, we implemented a mandatory computerized provider order entry–based clinical decision support tool. The system required completion of checklists risk factors contraindications to pharmacologic prophylaxis. With tool, were able determine...
All hospitalized patients should be assessed for venous thromboembolism (VTE) risk factors and prescribed appropriate prophylaxis. To improve best-practice VTE prophylaxis prescription all patients, we implemented a mandatory computerized clinical decision support (CCDS) tool. The tool requires completion of checklists to evaluate contraindications pharmacological prophylaxis, then recommends the risk-appropriate regimen.The objective study was examine effect quality improvement intervention...
Prepectoral breast reconstruction has reemerged as a promising alternative to submuscular implants, they place the patient at lower risk for pain, muscular impairment, and animation deformity. However, thinner amount of overlying tissue in prepectoral presents its own unique set challenges. A "rippling" deformity is seen some patients, which typically corrected with fat grafting. This report details our recommended technique grafting prepectorally implanted patient.
Breast reconstruction is becoming an increasingly important and accessible component of breast cancer care. We hypothesize that prepectoral patients benefit from lower short-term complications shorter periods to second-stage compared with individuals receiving in the subpectoral plane.An institutional review board-approved retrospective all adult postmastectomy tissue expanders (TEs) was completed for a 21-month period (n = 286).A total 286 underwent mastectomy followed by TE placement,...
Background: Prepectoral reconstruction using prosthetic devices has demonstrated a notable increase in popularity and confers number of advantages over subpectoral placement, including minimal animation, no pain secondary to muscle spasm, less device displacement or malposition. As such, more women with implants the dual-plane position are seeking remedy for animation deformities, chronic caused by implant The purpose this study was review outcomes following conversion from prepectoral...
Background: Breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) has entered the spotlight, as several high-profile media outlets have begun to relay evolving science public. This study aimed gauge baseline knowledge and concern regarding BIA-ALCL among adult laywomen within United States. Methods: Mechanical Turk was used survey 500 American women on self-reported demographics, prior experience with breast implants, 11 questions their BIA-ALCL. Responses were reviewed for...
Abstract Background As deep inferior epigastric artery perforator (DIEP) flaps have gained popularity in breast reconstruction, the postoperative care of these patients, including appropriate hospital length-of-stay and need for intensive unit (ICU) admission, has become a topic debate. At our institution, we adopted pathway that aims discharge on day 3, utilizing continuous tissue oximetry without ICU admission. This study to evaluate outcomes with this assess its safety feasibility...
Medical students applying to residency, including those from underrepresented groups, strongly value cultural fit and program diversity. Program websites social media are thus an influential information source for prospective applicants recruitment tool residencies. We evaluated whether how integrated plastic surgery residency display commitments diversity online.We 8 predetermined elements, (1) nondiscrimination (2) statements, (3) community resources, (4) faculty (5) resident biographies,...
Auricular burns represent a unique type of injury. The acute management and clinical course these injuries can be different from other facial burns. There is paucity literature pertaining to the epidemiology auricular Most studies focus on deformity reconstruction. aim this study was characterize epidemiology, treatment, outcomes Data all patients presenting regional burn center in 4-year period were reviewed those with identified. Demographic data, mechanism, insurance status, method need...
Infections following tissue expander (TE) placement are frequent complications in breast reconstruction. While surgery is a clean case, implant-based reconstruction has rates of infection up to 31%, decidedly higher than the typical 1% 2% rate surgical site infections (SSI). Few authors use Center for Disease Control's (CDC) SSI definition TE infections. We highlight how adoption consistent may change researched, categorized, and ultimately managed.Two researchers with definitional...
Roughly 80% of patients undergoing mastectomy in the United States opt for reconstruction with implants. The introduction acellular dermal matrices has allowed placement breast prostheses prepectoral plane, while a new carbon dioxide tissue expander (TE) (AeroForm) allows needle-free, patient-controlled expansion. These 2 novel technologies have ushered patient-centered era reconstruction, possibility reducing patient morbidity first time decades. We hypothesize that AeroForm expanders...
Prepectoral breast reconstruction promises to minimize animation deformity and decrease pain associated with subpectoral dissection tissue expansion. This latter benefit is particularly timely given the ongoing opioid epidemic; however, this theoretical remains be demonstrated clinically. As such, study aimed compare inpatient use prescription practices following prepectoral expander-based reconstruction. A retrospective review was performed of patients undergoing immediate expander...
Background: The AeroForm System, a needle-free, patient-controlled carbon dioxide-filled tissue expander, represents novel option for expansion in 2-stage breast reconstruction. This technology has previously been found to decrease time expansion, health-care utilization, and infection rates. purpose of this study was determine the economic impact reduced rate observed with expander as compared saline expansion. Methods: A decision model incorporating costs, quality-adjusted life years,...