Background Ad hoc and patient-reported outcome measures not specific to transgender surgery limit assessment of the impact gender-affirming procedures. Patient-Reported Outcomes Measurement Information System (PROMIS) was developed as an objective validated instrument measure patient-related outcomes. In our study, we aimed describe analyze mean T-score changes in PROMIS before after mastectomy. Methods A single-institution retrospective review a prospectively maintained database conducted...

Introduction Noncultured autologous skin cell suspensions (ASCS) have been applied to burn wounds with comparable results split-thickness grafts (STSG) while reducing donor graft size and morbidity, making it ideal for patients large total body surface area (TBSA) burns. However, there is significant cost associated ASCS. This study aims compare the of wound coverage per operative minute ASCS versus STSG, hypothesizing that utilizing decreases time definitive wounds, thereby offsetting unit...

Abstract Introduction Burn injuries are traumatic events that can lead to both substantial physical impairment and profound psychological consequences. Among these, Post-Traumatic Stress Disorder (PTSD) is a prevalent mental health outcome in burn injury survivors. This study aims investigate the demographic, clinical, injury-related factors contribute development of PTSD survivors, offering deeper understanding its impact. Methods retrospective chart review analyzed data from 95 patients...

Both biologic and permanent (synthetic) meshes are used for abdominal wall reconstruction. Biologic mesh has the advantage of eventual incorporation, which makes it generally preferred in contaminated patients compared with synthetic (Ann Surg. 2013;257:991-996). However, been shown to have decreased long-term hernia recurrence despite increased complications (JAMA 2022;157:293-301). Ovitex (TelaBio, Ltd, Auckland, New Zealand) is a combined reinforced Prolene suture weave that theoretically...

Background The importance of adaptable and up-to-date plastic surgery graduate medical education (GME) has taken on new meaning amidst accelerating surgical innovation increasing calls for competency-based training standards. We aimed to examine the extent which procedures residents perform, as represented in case log data, align with 2 core standardized components GME: ACGME (Accreditation Council Graduate Medical Education) minimum procedure count requirements PSITE (Plastic Surgery...

Negative-pressure wound therapy (NPWT) over split thickness skin grafts can control exudate, decrease infection rates, and improve revascularization. However, no study specifically addresses differences in outcomes between meshed/perforated non-meshed autologous dressed with NPWT. Through retrospective chart review, patients undergoing grafting a NPWT dressing for any burn injury 10-month period were identified. Data on etiology, graft take, or graft, size, seroma/hematoma incidence...

Acellular dermal matrices (ADMs) are used for soft tissue augmentation across surgical specialties. Since allograft incorporation depends on direct opposition between the ADM and a vascular bed, seroma formation can be detrimental to incorporation. most products available in many meshed perforated forms, there is lack of consistency manufacture designs. We set out determine fluid egress properties increase surface area resulting from common cut patterns.Three patterns were studied: 1 2...

Background The use of left ventricular assist devices (LVADs) for patients with end-stage cardiac failure awaiting heart transplantation has become increasingly common. However, device–related infections remain a major problem complicating their long-term use. Retrospective review previously shown decrease in lifetime return to operating room (RTOR) no change 90-day complications when muscle or omental flap is used coverage after washout infection. We wished determine if early plastic...

Background Pharyngeal flap (PF) surgery is effective at improving velopharyngeal sufficiency, but historical literature shows a concerning prevalence rate of obstructive sleep apnea (OSA), reported as high 20%. Our institution has developed protocol to minimize risk postoperative complications and increase safety PF surgery. We hypothesize that (1) preoperative staged removal significant adenotonsillar tissue along with (2) multiview videofluoroscopy guide patient-specific surgical approach...

PURPOSE: While chronic left ventricular assist device (LVAD) driveline infection is a common complication in patients who receive VAD implant as bridge to transplant, infections typically resolve after orthotopic heart transplant (OHT) and LVAD explant. In this report we describe two with antibiotic resistant presented recurrent their pocket site weeks explant, complicating the healing of corresponding thoracic abdominal wounds. METHODS: The patient charts were reviewed retrospectively...

Background The use of left ventricular assist devices (LVADs) for patients with end-stage cardiac failure awaiting heart transplantation has become increasingly common. However, device–related infections remain a major problem complicating their long-term use. Poor data exist to determine how manage these after operative debridement. Methods Patients who underwent insertion device and had subsequent readmission LVAD infection at the University Rochester Medical Center from 2012 2022 were...

PURPOSE: The use of ventricular assist devices (LVADs) for patients with end-stage cardiac failure has become increasingly common. However, device-related infections remain a major problem. We wished to determine if early plastic surgery intervention led decreased length stay these patients. METHODS: LVAD readmitted infection at single institution from 2008-2021. Patients were followed retrospectively an average 3.2 years. Patient demographics, preoperative diagnosis/disease state, type...

The use of "mesh" in implant-based reconstruction is widespread, with both acellular dermal matrices (ADMs) and extracellular (ECMs) being used, especially prepectoral device placement. This study compared Ovitex (ovine ECM) versus human cadaveric ADMs to determine safety profiles cost-effectiveness.

Abstract Background In recent years, there has been a shift toward nipple-sparing mastectomy (NSM) techniques which often negates the need for reconstruction with exposed cutaneous donor flap tissues. Although monitoring of buried flaps have proposed, none able to provide benefits that come via near-infrared spectroscopy (NIRS). Therefore, we herein propose novel method deepithelialized tissues deep using NIRS technology. Methods An NSM free was performed. The designed skin island placement...

PURPOSE: Proper wound care of the split-thickness skin graft donor sites is critical to reduce time complete re-epithelialization, thus allowing for re-use site, and prevent significant morbidity(1). Optimal donor-site dressings promote healing by preventing desiccation, removing excess exudate, gaseous exchange, accelerating re-epithelialization. Products coverage split thickness wounds can be loosely divided into occlusive/semi-occlusive vs non-occlusive. No large-scale studies have been...

PURPOSE: Limited comparability between study groups can generate significant selection and observer bias when evaluating the efficacy of SPY system fluorescence imaging for implant-based breast reconstruction (IBBR). Herein, we compared surgical outcomes complications during first stage reconstructions intraoperatively evaluated with using clinical assessment a matched analysis. METHODS: We conducted retrospective review patients undergoing total mastectomy immediate two-stage IBBR TEs...