Objectives Evaluate the effects of electrocautery, microdebrider, and coblation techniques on outpatient pediatric adenoidectomy costs complications. Study Design Observational retrospective cohort study. Methods An observational study was performed in a multihospital network using standardized accounting system. Children < 18 years age who underwent were included from January 2008 to September 2015. Cases with additional procedures excluded. The cohorts divided into children or coblator...

The Wise pattern adapted to mastectomy incisions has become a valuable asset for breast reconstruction in patients with large and ptotic breasts. authors compared the time exchange, initiate postmastectomy radiotherapy, complication rates between transverse incision reconstructions.Records of who underwent immediate, two-stage, implant-based (IBBR) January 2011 December 2020 were retrospectively reviewed. Two cohorts according pattern: versus pattern. Complications after propensity score...

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...

PURPOSE: The wise pattern adapted to the mastectomy incisions has become a valuable asset for breast reconstruction in patients with large and ptotic breasts. Herein, we compared time exchange, initiate postmastectomy radiotherapy (PMRT) complications rate between reconstructions performed versus transverse incision pattern. METHODS: We retrospectively reviewed record of who underwent immediate two-stage implant-based (IBBR) January 2011 December 2020. Two cohorts were according pattern:...

The validity of the TritonWear ® device to measure swimming performance was investigated, with a pre-determined analytical goal 6%. Twenty youth swimmers completed 100 m swim in 25 pool, breaststroke or freestyle wearing device, whilst being filmed above and below water three cameras. 95% limits agreement (95% LoA) coefficient variation (CV%) were used calculate error. Systematic biases ( P < 0.05) found between two systems only for distance per stroke during breaststroke. Freestyle...

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...

Traditional dogma regarding management of rheumatoid arthritis (RA) patients with trigger digit symptoms holds that A1 pulley release should be avoided. Surgical was thought to further destabilize the metacarpophalangeal joint. Biologic disease modifying anti-rheumatic drugs (DMARDs) have limited development hand deformities. Despite advances in RA treatment, many textbooks continue discourage patients. The aim this study determine if belief is consistent current trends surgical digits...

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: 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...

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...

Background Medical tourism is an increasingly popular practice among cosmetic surgery patients. These procedures place patients at risk of infection by rapidly growing Mycobacterium . Rapidly (RGM) a relatively rare within developed nations. Management options vary, although all pose significant morbidity to We present 2 cases treated our institution and comprehensive literature review RGM in who have undergone developing nations, analyzing its associated morbidity. Methods This...

To determine whether performing tonsillectomy at the time of Furlow palatoplasty for treatment cleft palate related velopharyngeal insufficiency (VPI) incurs increased surgical complications or compromises speech outcomes.A retrospective review patients who had and outcomes surgery in VPI.A single academic center between January 2015 2022.Patients with submucous (SMC) prior straight line primary presenting VPI.Simultaneous conversion tonsillectomy.Primary outcome measures include...

PURPOSE: Abdominoperineal resection (APR) includes of the sigmoid, rectum, anus and occasionally portions posterior vaginal. Reconstruction this defect requires appropriate tissue bulk to support perineal structures resurface vaginal wall. Several techniques have been used in reconstruction with some debate concerning gold standard. We present a case series showing that IGAP V-Y flaps are able reconstruct vaginectomy defects. METHODS: Single center retrospective review 8 patients who...