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https://www.readbyqxmd.com/read/29666911/dual-coverage-of-the-inferior-pole-with-conjoined-fascial-flap-and-acellular-dermal-matrix-for-immediate-one-stage-breast-reconstruction-with-a-prosthetic-implant
#1
Seo H Lee, Yong S Chun, Heung K Park, Yang W Kim, Young W Cheon
BACKGROUND: Elevation of a conjoined fascial flap composed of the pectoralis major, serratus anterior, and external oblique fascia is a type of surgical technique using autologous tissue to cover the lower pole after immediate one-stage direct-to-implant (DTI) breast reconstruction. However, volumetric breast implants hinder use of this technique alone. For better structural stability and more aesthetically favorable breast contour in large breasts, we have devised a technique involving dual coverage of the lower pole by a conjoined fascial flap and acellular dermal matrix (ADM)...
April 17, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29665804/immediate-implant-replacement-with-diep-flap-a-single-stage-salvage-option-in-failed-implant-based-breast-reconstruction
#2
Miguel De La Parra Marquez, Ricardo Fernandez-Riera, Hector Vela Cardona, Jesus María Rangel Flores
BACKGROUND: Implant-based immediate breast reconstruction after skin-sparing mastectomy has shown a significant improvement in patients' quality of life, making the procedure steadily more popular year after year. However, this technique has a high morbidity rate, including skin necrosis and implant exposure. METHODS: A retrospective review of a prospectively held database for autologous breast reconstruction in our institution of the last 5 years found eight cases with exposed implants after nipple-sparing mastectomy and immediate reconstruction...
April 17, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29659450/aseptic-freeze-dried-vs-sterile-wet-packaged-human-cadaveric-acellular-dermal-matrix-adm-in-immediate-tissue-expander-breast-reconstruction-a-propensity-score-analysis-study
#3
Summer E Hanson, Jesse D Meaike, Jesse C Selber, Jun Liu, Liang Li, Victor J Hassid, Donald P Baumann, Charles E Butler, Patrick B Garvey
BACKGROUND: Although multiple acellular dermal matrix (ADM) sources exist, it is unclear how ADM processing impacts complication rates. We compared complications between two preparations of human cadaveric ADM (freeze dried [hADM-FD] and ready to use [hADM-RTU]) in immediate tissue expander (TE) breast reconstruction to analyze the effect of processing on complications. HADM-FD is aseptic while hADM-RTU is sterilized and wet-packaged. METHODS: We retrospectively reviewed all TE breast reconstructions with hADM-FD or hADM-RTU at a single center between 2006 and 2016...
January 20, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29656131/postoperative-treatment-following-open-incisional-hernia-repair-a-survey-and-a-review-of-literature
#4
Christoph Paasch, Stefan Anders, Martin W Strik
INTRODUCTION: Incisional hernias of the abdominal wall are frequent complication after laparotomy (9-20%). Open incisional hernia repair with sublay mesh placement (SMP) on the posterior rectus sheath is described as being a sufficient method for repairing incisional hernia. In order to ensure wound healing and to therefore prevent recurrence, carrying an abdominal binder (AB) or a pressure dressing (PD) and physical rest for a certain time is the common postoperative recommendation, though the evidence for post-operative treatment is low...
April 12, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29652212/development-of-a-normal-tissue-complication-probability-model-for-late-unfavourable-aesthetic-outcome-after-breast-conserving-therapy
#5
Isabelle Kindts, Gilles Defraene, Annouschka Laenen, Saskia Petillion, Erik Van Limbergen, Tom Depuydt, Caroline Weltens
PURPOSE/OBJECTIVES: To develop a normal tissue complication probability (NTCP) model for late unfavourable aesthetic outcome (AO) after breast-conserving therapy. MATERIAL AND METHODS: The BCCT.core software evaluated the AO using standardized photographs of patients treated between 2009 and 2014. Dose maps in 2 Gy equivalents were calculated assuming α/β = 3.6 Gy. Uni- and multivariable logistic regression analysis was performed to study the predictive value of clinicopathological and dosimetric variables for unfavourable AO...
April 13, 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29651400/management-of-a-case-of-mucor-colonization-in-breast-tissue-expander-seroma-pocket
#6
Danielle N Atwood, Pallavi A Kumbla, Brian Yuen, James C Yuen
Mucormycosis has a mortality rate reaching 90%, and is imperative that therapy be initiated rapidly once a diagnosis is made. Successful treatment consists of management of underlying risk factors, surgical debridement, and antifungal therapies. The dilemma whether or not to pursue extensive debridement presents when the wound is cultured positive but the patient is not systemically ill. We present the first reported case of successful medical treatment of a seroma pocket colonized with mucor in a patient undergoing bilateral reconstruction with tissue expander and acellular dermal matrix...
January 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29650263/-should-surgeons-keep-performing-drainage-after-breast-reduction
#7
N Vidali, A Chevet-Noel, P Ringenbach, J B Andreoletti
OBJECTIVE: Despite the absence of "evidence-based medicine", the use of closed suction drainage in breast surgery is currently the standard practice. Its goal is to minimize the amount of fluid at the operation site, the dead space that can involve postoperative complications. The purpose of this study is to demonstrate that with or without drainage the complication rate is unchanged. METHODS: We conducted a retrospective and comparative study of two groups of breast reduction with and without drainage...
April 9, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29643729/resterilized-polypropylene-mesh-for-inguinal-hernia-repair
#8
Isaac Assam Udo, Ifeanyi A Onwuezobe, Kingsley U Umeh
Purpose: The use of prosthetic biomaterials for reconstructing and reinforcing the posterior wall of the inguinal canal reduces the incidence of hernia recurrence. Cost, availability of mesh, and perhaps reluctance to adopt a new technique are factors which prevent widespread practice of hernioplasty in low-resource settings. Use of resterilized mesh significantly reduces the cost of hernioplasty and is safe. Patients and Methods: Sheets of 30 cm × 30 cm polypropylene mesh were cut into 16 cm × 8 cm to produce mesh strips which were repackaged into SELFSEAL® (Medical Action Industries Inc...
January 2018: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/29642467/proton-partial-breast-irradiation-detailed-description-of-acute-clinico-radiologic-effects
#9
Valentina Ovalle, Eric A Strom, Simona Shaitelman, Karen Hoffman, Richard Amos, George Perkins, Welela Tereffe, Benjamin D Smith, Michael Stauder, Wendy Woodward
Introduction: Accelerated partial breast irradiation (APBI) with protons results in a very different acute effect profile than standard whole breast irradiation. We reviewed our initial experience with proton APBI and felt that a detailed description of these effects were needed to permit a common tool to compare experience with this developing technology. Methods: Sixty sequential patients treated with proton APBI on a prospective protocol were evaluated and 43 patients with a minimum six-month follow-up underwent detailed photographic and radiologic analysis...
April 7, 2018: Cancers
https://www.readbyqxmd.com/read/29629896/the-v-y-flap-technique-in-complicated-and-recurrent-pilonidal-sinus-disease
#10
Yavuz Savas Koca, Ihsan Yıldız, Mustafa Ugur, Ibrahim Barut
OBJECT VES: This study presents early and long term (5 years) outcome of 61 complicated pilonidal sinus disease cases undergoing V-Y advancement flap method together with the literature data. METHOD: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size ≥ 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. A total of 61 patients were included in the study...
2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29623550/evaluation-of-adaptive-radiotherapy-art-by-use-of-replanning-the-tumor-bed-boost-with-repeated-computed-tomography-ct-simulation-after-whole-breast-irradiation-wbi-for-breast-cancer-patients-having-clinically-evident-seroma
#11
Omer Sager, Ferrat Dincoglan, Bora Uysal, Selcuk Demiral, Hakan Gamsiz, Yelda Elcim, Esin Gundem, Bahar Dirican, Murat Beyzadeoglu
PURPOSE: The aim of this study is to evaluate adaptive radiotherapy (ART) by use of replanning the tumor bed boost with repeated computed tomography (CT) simulation after whole breast irradiation (WBI) for breast cancer patients having clinically evident seroma. MATERIALS AND METHODS: Forty-eight patients with clinically evident seroma at the time of planning CT simulation for WBI were included. Two RT treatment plannings were generated for each patient based on the initial CT simulation and tumor bed boost CT simulation to assess seroma and boost target volume (BTV) changes during WBI...
April 5, 2018: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/29620963/minimal-invasive-linea-alba-reconstruction-for-the-treatment-of-umbilical-and-epigastric-hernias-with-coexisting-rectus-abdominis-diastasis
#12
Gernot Köhler, Ines Fischer, Richard Kaltenböck, Rudolf Schrittwieser
INTRODUCTION: Patients with umbilical or epigastric hernias benefit from mesh- based repairs, and even more so if a concomitant rectus diastasis (RD) is present. The ideal technique is, however, still under debate. In this study we introduce the minimal invasive linea alba reconstruction (MILAR) with the supraaponeurotic placement of a fully absorbable synthetic mesh. MATERIALS AND METHODS: Midline reconstruction with anterior rectus sheath repair and mesh augmentation by an open approach is a well-known surgical technique for ventral hernia repair...
April 5, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29608530/optimal-use-of-surgical-drains-evidence-based-strategies
#13
Ibrahim Khansa, Lara Khansa, Joseph Meyerson, Jeffrey E Janis
BACKGROUND: Closed-suction drains are a widely-used tool to reduce the incidence of seroma whenever potential spaces are surgically created. However, few studies have examined the parameters that affect drain efficacy. METHODS: An in vitro model was created to assess the effects of tubing length, tubing size, tubing type, fluid viscosity, fluid clotting, evacuator type, evacuator squeeze method, evacuator fill and evacuator pressure on the performance of closed-suction drains...
March 21, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29596197/quilting-sutures-after-latissimus-dorsi-breast-reconstruction-in-breast-cancer-patients-might-lead-to-reduced-risk-of-developing-arm-lymphedema-by-reducing-seroma-risk
#14
https://www.readbyqxmd.com/read/29595716/sientra-allox2-short-term-case-study-surgical-pearls-and-roundtable-discussion
#15
Kamakshi R Zeidler, Peter J Capizzi, Troy A Pittman
BACKGROUND: The AlloX2 Breast Tissue Expander (Sientra, Santa Barbara, Calif.) is a unique device that contains a second port to allow for transdermal communication with the pocket around the implant. The injection dome of this expander contains two ports; one is used for traditional saline injection, and a new second port facilitates fluid drainage from the periprosthetic space through an integral drain. The AlloX2 allows for the treatment of seromas and diagnostic fluid sampling to identify bacteria and hone antibiotic treatment in the setting of periprosthetic infection...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29595715/risk-factor-analysis-for-capsular-contracture-a-10-year-sientra-study-using-round-smooth-and-textured-implants-for-breast-augmentation
#16
M Bradley Calobrace, W Grant Stevens, Peter J Capizzi, Robert Cohen, Tess Godinez, Maggi Beckstrand
BACKGROUND: Despite the increased understanding of surgical best practices, capsular contracture remains the most commonly reported complication and reason for reoperation following breast implant surgery. This study provides a long-term update to a previous investigation of potential contributing risk factors for capsular contracture in primary augmentation patients. METHODS: The data used for this analysis include 5,122 implants in 2,565 primary augmentation patients implanted by 34 surgeons based on long-term results from Sientra's clinical study...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29593862/surgical-removal-of-fibrous-axillary-seroma-pocket-and-closing-of-dead-space-using-a-lattisimus-dorsi-flap
#17
J van Bastelaar, L M van Roozendaal, M Meesters-Caberg
Seroma formation after axillary dissection is a common problem in breast cancer surgery. We report the case of a 68-year-old female with breast cancer who underwent a wide local excision and axillary clearance due to stage III breast cancer. Patient received post-operative whole breast irradiation therapy and developed a painful, infected seroma one month after surgery. This was treated with antibiotic therapy after which the infection subsided. One year after surgery patient presented with a painful persisting seroma in the left axilla...
March 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29588915/recurrent-8-year-ongoing-unilateral-breast-seroma-formation-after-pip-implant-removal-a-case-report-and-review-of-the-literature
#18
Sonja Kästner, Felix Julian Paprottka, Phillipp Gonser, Manuel De Villegas López, Kai Oliver Kaye
Late seroma formation is a rare complication after implant-based breast enlargement surgery and even less frequent after implant removal. This case report presents a case of painful recurrent seroma formation after the removal of a ruptured Poly Implants Prothèse implant. A 52-year-old patient presented herself in our clinic with a clinical history of recurrent unilateral seroma of the right breast over a period of 8 years after the initial unilateral implant removal. Removal of the remaining implant and complete bilateral capsulectomy was performed...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29580281/a-retrospective-review-of-146-active-and-passive-fixation-bradycardia-lead-implantations-in-74-dogs-undergoing-pacemaker-implantation-in-a-research-setting-of-short-term-duration
#19
Lynne E Swanson, Barbara A Huibregtse, Brian A Scansen
BACKGROUND: Canine veterinary patients increasingly benefit from implantation of transvenous pacemakers for bradyarrhythmias. No published data exist examining procedural outcomes of pacemaker implantation performed in the preclinical laboratory. The purpose was to review short term complication, infection, dislodgement, penetration rates, plus overall morbidity following pacemaker implantation in the research setting. A retrospective review of 74 Class A purpose-bred mongrels implanted with active (n = 89) and passive fixation (n = 57) intracardiac leads for dual (n = 72) or single (n = 2) chamber pacing was performed...
March 27, 2018: BMC Veterinary Research
https://www.readbyqxmd.com/read/29578094/absorbable-versus-non-absorbable-tacks-for-mesh-fixation-in-laparoscopic-ventral-hernia-repair-a-systematic-review-and-meta-analysis
#20
REVIEW
Rao Muhammad Asaf Khan, Mumtaz Bughio, Baqar Ali, Shahin Hajibandeh, Shahab Hajibandeh
OBJECTIVES: To investigate the outcomes of absorbable versus non-absorbable tacks in patients undergoing laparoscopic ventral hernia repair. METHODS: We performed a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards. We conducted a search of electronic information sources, including MEDLINE; EMBASE; CINAHL; the Cochrane Central Register of Controlled Trials (CENTRAL); the World Health Organization International Clinical Trials Registry; ClinicalTrials...
March 22, 2018: International Journal of Surgery
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