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https://www.readbyqxmd.com/read/29340628/the-importance-of-umbilical-blood-supply-and-umbilical-delay-in-secondary-abdominoplasty-a-case-report
#1
Fereydoun Don Parsa, Justin Cheng, Michael S Hu, Leslie Kim, Nikki Castel, Alan A Parsa
The umbilicus is an important aesthetic landmark of the abdomen. It possesses a dual blood supply that allows it to survive either on its stalk if the skin surrounding the umbilicus is incised, or through the surrounding subdermal circulation if the stalk is transected. This is an important concept to consider in order to avoid umbilical ischemia and necrosis during abdominoplasty, especially if there is any past surgical history suggesting alteration to its blood supply. This case study depicts this importance and the importance of the use of delay in order to improve perfusion to the umbilicus prior to secondary abdominoplasty...
January 11, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29319578/safety-and-utility-of-the-drainless-abdominoplasty-in-the-post-bariatric-surgery-patient
#2
Sidhbh Gallagher, Tahereh Soleimani, Christine Wang, Sunil Tholpady, Christopher Jones, William Sando
INTRODUCTION: Surgical drains are used in abdominoplasty patients to combat wound closure disruption by hematoma or seroma formation. Several recent publications have described techniques that allow abdominoplasty to be performed safely without the need for surgical drains. This has not, however, been described in the case of the bariatric patient, who is often considered to be of higher postoperative complication risk. Here, we describe our experience of the drainless abdominoplasty in patients who have undergone massive weight loss (MWL) after a bariatric procedure...
February 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29280880/umbilicus-reconstruction-with-bilateral-square-pumpkin-teeth-advancement-flaps
#3
Chad A Purnell, Sergey Y Turin, Gregory A Dumanian
The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e.g., an abdominoplasty). The reconstruction has been performed in over 50 patients with a vertical midline incision and five patients without a midline incision. The only complications noted were persistent serous drainage in several patients with vertical incision and inadequate depth in one patient without a midline incision...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29280865/development-and-internal-validation-of-the-abdominoplasty-risk-calculator
#4
Michael M Vu, Marco F Ellis, Jordan T Blough, Karol A Gutowski, John Y S Kim
BACKGROUND: Risk calculators are an emerging tool that provide granular, individualized risk estimation. Presently, there is a paucity of risk calculators specific to plastic surgery. Abdominoplasty is a popular plastic surgery procedure associated with moderate risks of complications, such as surgical-site infection and dehiscence, and would benefit from the ability to provide patients with accurate, personalized risk assessment. METHODS: Abdominoplasties from the National Surgical Quality Improvement Program 2005 to 2014 database were identified by Current Procedural Terminology code...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29280863/corset-trunkplasty-recommended-with-abdominal-skin-laxity-and-open-cholecystectomy-scar
#5
Edwin Acevedo, Kumar S Nadhan, Marc Everett, Alexander Moya, James P Bradley
BACKGROUND: Patients undergoing abdominoplasty with previous upper abdominal wall scars are at an increased risk for postoperative complications. The corset trunkplasty is a newer technique to treat abdominal wall laxity of the entire anterolateral abdomen while incorporating any previous open cholecystectomy scar. The authors performed a comparative outcomes study to determine whether the corset procedure would decrease the incidence of postoperative complications in patients with abdominal wall laxity and an open cholecystectomy scar when compared with traditional abdominoplasty...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29218473/the-bidirectional-absorbable-no-drain-abdominoplasty
#6
Joseph B O'Connell
This article outlines the author's technique, and the concepts of Bidirectional, Absorbable, No-Drain Abdominoplasty (BAND-Abdominoplasty). The attendant advantages and disadvantages are reviewed in the context of a retrospective, 5-year, single surgeon series. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer...
December 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29198187/unusual-presentation-of-prune-belly-syndrome-a-case-report
#7
Abayneh Girma Demisse, Ashenafi Berhanu, Temesgen Tadesse
BACKGROUND: Prune belly syndrome is a rare congenital malformation of unknown etiology, with the following triad of findings: abdominal muscle wall weakness, undescended testes, and urinary tract abnormalities. In most cases, detection of prune belly syndrome occurs during neonatal or infancy period. In this case report, we describe a 12-year-old boy from Ethiopia with the triad of findings of prune belly syndrome along with skeletal malformations. We are unaware of any previous report of prune belly syndrome in Ethiopia...
December 4, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29185021/surgical-training-and-standardised-management-guidelines-improved-the-30-day-complication-rate-after-abdominoplasty-for-massive-weight-loss
#8
E Swedenhammar, B Stark, A Hedén Hållstrand, M Ehrström, J Gahm
BACKGROUND: An increasing number of patients need reconstructive surgery after massive weight loss. The hypothesis was that surgical experience together with standardised management guidelines significantly decreases early complication rates after abdominoplasty for massive weight loss. The primary aim was to assess the 30-day complication rate after abdominoplasty following increased surgical training and experience. The secondary aim was to assess whether optimised management guidelines have an impact on the complication rate and patient safety...
November 28, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29158895/a-journey-through-liposuction-and-liposculture-review
#9
REVIEW
Elisa Bellini, Michele P Grieco, Edoardo Raposio
Introduction: Nowadays, liposuction is the most frequently performed aesthetic surgery procedure in Western Countries. This technique has had rapid development since the 1970s, when it was experimented for the first time by A. and G. Fischer. It is currently widely used in clinical practice for many different situations in aesthetic, reconstructive and functional fields. Materials and methods: This review aims to describe the historical evolution of liposuction by analyzing the transformation of the method in function of the introduction of innovative ideas or instruments...
December 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29158739/human-admc-derived-adipocyte-thermogenic-capacity-is-regulated-by-il-4-receptor
#10
Fernando Lizcano, Diana Vargas, Ángela Gómez, Astrid Torrado
Type two innate immune system is anti-inflammatory and may play an important role as the means whereby "browning" is induced in subcutaneous adipocytes. It was shown that IL-4 may influence the fate of adipose cell precursors by promoting differentiation towards more thermogenic adipocytes in mice. Here, we investigated the influence of IL-4 and IL-4 receptor, a type two immune cytokine pathway, on the metabolic activity and thermogenic potential of human adipocytes differentiated from adipose-derived mesenchymal stem cells (ADMSCs) obtained from subcutaneous samples of healthy women undergoing abdominoplasty...
2017: Stem Cells International
https://www.readbyqxmd.com/read/29145604/commentary-on-incidence-and-predictors-of-venous-thromboembolism-in-abdominoplasty
#11
James C Grotting, K Kye Higdon, Varun Gupta, Julian Winocour
No abstract text is available yet for this article.
November 14, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29141056/in-vivo-histological-analysis-of-a-fractional-co2-laser-system-intended-for-treatment-of-soft-tissue
#12
Elisabeth Hurliman, Brian Zelickson, Jeffrey Kenkel
<p>BACKGROUND: Fractional ablative lasers have been shown to be safe and effective for improving wrinkles, scars, skin texture, and dyspigmentation. However, the exact effects of this technology in vivo on epidermal and dermal skin constituents have not been delineated. This study evaluated the in vivo histological effects over time of treatment with a fractional ablative CO2 system, using different treatment parameters. MATERIALS AND METHODS: Healthy adult volunteers were enrolled in this multicenter clinical study...
November 1, 2017: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/29138638/tissue-source-and-cell-expansion-condition-influence-phenotypic-changes-of-adipose-derived-stem-cells
#13
Lauren H Mangum, Shanmugasundaram Natesan, Randolph Stone, Nicole L Wrice, David A Larson, Kyle F Florell, Barbara A Christy, Maryanne C Herzig, Andrew P Cap, Robert J Christy
Stem cells derived from the subcutaneous adipose tissue of debrided burned skin represent an appealing source of adipose-derived stem cells (ASCs) for regenerative medicine. Traditional tissue culture uses fetal bovine serum (FBS), which complicates utilization of ASCs in human medicine. Human platelet lysate (hPL) is one potential xeno-free, alternative supplement for use in ASC culture. In this study, adipogenic and osteogenic differentiation in media supplemented with 10% FBS or 10% hPL was compared in human ASCs derived from abdominoplasty (HAP) or from adipose associated with debrided burned skin (BH)...
2017: Stem Cells International
https://www.readbyqxmd.com/read/29131778/adventures-and-misadventures-in-plastic-surgery-and-soft-tissue-implants
#14
Dana J Lin, Tony T Wong, Gina A Ciavarra, Jonathan K Kazam
Soft-tissue augmentation and implants are increasingly seen by the radiologist as more techniques emerge for a variety of indications and locations. Some surgical and implant procedures are performed for purely cosmetic reasons in otherwise healthy patients seeking to improve their body image, and some are performed for reconstruction after cancer or other chronic illnesses. Abdominoplasty, liposuction, and autologous fat grafting can be performed for abdominal and gluteal contouring. Injection of liquid injectable silicone has historically been fraught with legal issues, although it continues to be used for augmentation in a variety of anatomic locations...
November 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29117339/incidence-and-predictors-of-venous-thromboembolism-in-abdominoplasty
#15
Geoffrey R Keyes, Robert Singer, Ronald E Iverson, Foad Nahai
Background: The prevention of venous thromboembolism (VTE) is a high priority in aesthetic surgery. Abdominoplasty is the aesthetic procedure most commonly associated with VTE, yet the mechanisms for the development of VTE associated with this procedure are unclear. Objectives: The purpose of this study was to analyze the incidence and predictors of VTE in patients undergoing abdominoplasty procedures in outpatient surgery centers using data from the Internet Based Quality Assurance Program (IBQAP)...
October 8, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29094151/association-of-autoimmune-connective-tissue-disease-with-abdominoplasty-outcomes-a-nationwide-analysis-of-outcomes
#16
Gustavo A Rubio, Leela S Mundra, Seth R Thaller
No abstract text is available yet for this article.
November 1, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29068923/impact-of-patient-subtype-and-surgical-variables-on-abdominoplasty-outcomes-a-12-year-massachusetts-general-hospital-experience
#17
Akhil K Seth, Alex M Lin, William G Austen, Robert H Gilman, Gregory G Gallico, Amy S Colwell
BACKGROUND: The traditional abdominoplasty is one of the most common surgical procedures performed. This study evaluates the impact of different surgical techniques and clinical patient factors on abdominoplasty outcomes. METHODS: A retrospective review of consecutive patients undergoing abdominoplasty was performed. RESULTS: Seven hundred seventy-nine patients with a mean age of 43.7 years and a body mass index of 27 kg/m underwent abdominoplasty...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29062646/calcium-hydroxylapatite-combined-with-microneedling-and-ascorbic-acid-is-effective-for-treating-stretch-marks
#18
Gabriela Casabona, Paula Marchese
BACKGROUND: Stretch marks can have a negative psychological impact on some individuals. Methods are available for treating stretch marks, but high-quality evidence supporting their use is limited. We treat stretch marks using injections of diluted calcium hydroxylapatite (CaHA, Radiesse) filler combined with microneedling and topical ascorbic acid. This retrospective study evaluated the effectiveness of this combined therapy. METHODS: Subjects presented with red (n = 25) or white (n = 10) striae on their buttocks, thighs, knees, abdomen, and breasts...
September 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29062640/10-years-later-lessons-learned-from-an-academic-multidisciplinary-cosmetic-center
#19
Jenny T Chen, Harry S Nayar, Venkat K Rao
BACKGROUND: In 2006, a Centers for Medicare and Medicaid Services-accredited multidisciplinary academic ambulatory surgery center was established with the goal of delivering high-quality, efficient reconstructive, and cosmetic services in an academic setting. We review our decade-long experience since its establishment. METHODS: Clinical and financial data from 2006 to 2016 are reviewed. All cosmetic procedures, including both minimally invasive and operative cases, are included...
September 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29062240/a-randomized-phase-iib-study-investigating-oliceridine-trv130-a-novel-%C3%A2%C2%B5-receptor-g-protein-pathway-selective-%C3%AE-gps-modulator-for-the-management-of-moderate-to-severe-acute-pain-following-abdominoplasty
#20
Neil Singla, Harold S Minkowitz, David G Soergel, David A Burt, Ruth Ann Subach, Monica Y Salamea, Michael J Fossler, Franck Skobieranda
BACKGROUND: Oliceridine (TRV130), a novel μ-receptor G-protein pathway selective (μ-GPS) modulator, was designed to improve the therapeutic window of conventional opioids by activating G-protein signaling while causing low β-arrestin recruitment to the μ receptor. This randomized, double-blind, patient-controlled analgesia Phase IIb study was conducted to investigate the efficacy, safety, and tolerability of oliceridine compared with morphine and placebo in patients with moderate to severe pain following abdominoplasty (NCT02335294; oliceridine is an investigational agent not yet approved by the US Food and Drug Administration)...
2017: Journal of Pain Research
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