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https://www.readbyqxmd.com/read/28654593/population-health-implications-of-medical-tourism
#1
Kian Adabi, Carrie S Stern, Katie E Weichman, Evan S Garfein, Aravind Pothula, Lawrence Draper, Oren M Tepper
BACKGROUND: Fifteen million U.S. patients each year seek medical care abroad; however, there are no data on outcomes and follow-up of these procedures. This study aims to identify, evaluate, and survey patients presenting with complications from aesthetic procedures abroad and estimate their cost to the U.S. health care system. METHODS: A single-center retrospective review was conducted. A cohort of patients presenting with complications from aesthetic procedures performed abroad was generated...
July 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28649475/solid-pseudopapillary-tumor-of-the-pancreas-an-unusual-cause-of-abdominal-pain
#2
Talal El Imad, Fady G Haddad, Mayurathan Kesavan, Liliane Deeb, Sherif Andrawes
Solid-pseudopapillary neoplasm (SPN) of the pancreas is a rare tumor that accounts for less than one percent of pancreatic tumors. The diagnosis could be challenging as SPN tend to manifest with nonspecific abdominal symptoms, variable radiological features, and inconsistent morphology. The cellular origin of SPN is unclear and might involve ductal, acinar and endocrine stem cells.  We report a rare case of a 27-year-old female who presented with intermittent abdominal pain for two years, associated with a decrease in appetite...
May 16, 2017: Curēus
https://www.readbyqxmd.com/read/28644260/intravenous-alteplase-for-acute-stroke-and-pulmonary-embolism-in-a-patient-with-recent-abdominoplasty
#3
Michael E Christiansen, Gyanendra Kumar, Raman C Mahabir, Richard A Helmers, Bernard R Bendok, Cumara B O'Carroll
INTRODUCTION: Major surgery in the past 14 days is a relative contraindication to treatment of acute stroke with intravenous (IV) alteplase. The 2016 American Heart Association/American Stroke Association scientific statement discussing inclusion and exclusion criteria for alteplase in acute stroke allows for provider judgment citing a lack of evidence to support surgery as an absolute contraindication. CASE REPORT: A 59-year-old woman presented with acute left hemiparesis, dysarthria, and acute respiratory failure...
July 2017: Neurologist
https://www.readbyqxmd.com/read/28634702/rectus-abdominis-fat-transfer-raft-in-lipoabdominoplasty-a-new-technique-to-achieve-fitness-body-contour-in-patients-that-require-tummy-tuck
#4
Stefan Danilla
OBJECTIVE: To describe a new technique to achieve a fit-look in lipoabdominoplasty patients through liposculpture and rectus abdominis fat transfer (RAFT). METHODS: Patients with a body mass index under 26 and of both genders scheduled for abdominoplasty or body lift were selected for this procedure. Fat was transferred directly to the rectus abdominis muscle after flap elevation during lipoabdominoplasty. RESULTS: A total of 26 patients were operated on with this technique...
June 20, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28624266/-trochanteric-under-gluteus-lift-or-bodylift-technique-for-massive-trochanteric-lipodystrophy-about-11-cases
#5
L Ruffenach, C Bruant-Rodier, E Robert, F Bodin, C Dissaux
INTRODUCTION: There is a growing demand for weight loss sequelae. Some women have a particular morphology with a major trochanteric excess that warrants specific treatment. MATERIALS AND METHODS: On the basis of the technique published in 1964 by Pitanguy, the authors suggest a lift of the external face of the thigh with the scar redrawing the lower part of the buttock, from the gluteal fold to the inguinal region by crossing the trochanteric region. Eleven cases of major trochanteric excess after slimming are presented...
June 14, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28600616/utilization-of-body-contouring-procedures-following-weight-loss-surgery-a-study-of-37-806-patients
#6
Maria S Altieri, Jie Yang, Jihye Park, David Novikov, Lijuan Kang, Konstantinos Spaniolas, Andrew Bates, Mark Talamini, Aurora Pryor
BACKGROUND: Bariatric surgery has substantial health benefits; however, some patients desire body contouring (BC) procedures following rapid weight loss. There is a paucity of data regarding the true rate of BC following bariatric procedures. The purpose of our study is to examine the utilization of two common procedures, abdominoplasty, and panniculectomy, following bariatric surgery in New York State. METHODS: The SPARCS longitudinal administrative database was used to identify bariatric procedures by using ICD-9 and CPT codes between 2004 and 2010...
June 9, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28595337/response-to-the-association-of-progressive-tension-sutures-and-drains-seems-to-decrease-the-drainage-output-and-seroma-formation-in-abdominoplasty
#7
Samer Jabbour, Rani Makhoul, Cyril Awaida, Philippe Levan, Taliah Schmitt, Marwan Nasr
No abstract text is available yet for this article.
June 8, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28595279/the-association-of-progressive-tension-sutures-and-drains-seems-to-decrease-the-drainage-output-and-seroma-formation-in-abdominoplasty
#8
Hristo Shipkov
No abstract text is available yet for this article.
June 8, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28567473/body-contouring-after-massive-weight-loss-a-personal-integrated-approach
#9
Manuel Maia, Diana Costa Santos
BACKGROUND: After massive weight loss, patients typically presented with skin redundancy, which causes enormous esthetic, physical, medical and psychological problems. The growing number of patients with these sequelae triggered an increase in the search for body contouring procedures, which in turn produced an important development in the post-bariatric reconstructive surgery. METHODS: The author describes the principles of a personal approach in post-bariatric reconstructive surgery...
May 31, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28511445/neoumbilicoplasty-in-a-laparoscopic-port-site-description-of-a-new-technique-and-review-of-literature
#10
Aravind Menon, Alagesan Ganapathi
The umbilicus contributes significantly to the cosmetic appearance of the abdomen especially in women. Loss of umbilicus may result not only in cosmetic disfigurement but also in significant psychological effects. Omphalectomy may accompany certain surgical procedures like ventral hernia repairs and abdominoplasty. For such patients, many techniques have been described by various authors in literature for creation of a neoumbilicus for good cosmetic appearance. In this report, we describe how a laparoscopic port site was utilized to create a neoumbilicus in a patient who required omphalectomy as a part of large umbilical hernia repair...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28482000/a-meta-analysis-of-the-effects-of-abdominoplasty-modifications-on-the-incidence-of-postoperative-seroma
#11
Ben Ardehali, Francesca Fiorentino
Background: Seroma is the most common complication of abdominoplasty. Certain modifications to abdominoplasty may reduce the risk of seroma. Objectives: The authors evaluated the incidence of seroma for 3 abdominoplasty techniques: preservation of Scarpa's fascia, placement of progressive tension (or quilting) sutures, and application of fibrin glue. Methods: In this systematic review and meta-analysis, the Cochrane Library, MEDLINE, Embase, and the International Clinical Trials Registry Platform (World Health Organization) were searched to identify studies of patients who underwent abdominoplasty with seroma as a potential "outcome...
May 6, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28456757/panniculus-morbidus-obesity-related-abdominal-wall-lymphoedema
#12
Michael G Fadel, Michail Chatzikonstantinou, Charlotte Gilchrist, Brian Andrews
A 52-year-old female patient presented with a massive abdominal wall swelling that adversely affected her lifestyle. Imaging revealed significant subcutaneous oedema and the presence of grossly distended veins. Subsequently, she underwent a 'toilet' panniculectomy and abdominoplasty. We describe the surgical technique used to retract the lymphoedematous tissue facilitating excisional surgery, and discuss the pathophysiology of this condition and the possible contribution of venous obstruction to the development of subcutaneous oedema...
April 29, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28445359/the-impact-of-body-contouring-procedures-on-urologic-outcomes-in-massive-weight-loss-patients
#13
Oren P Mushin, Franca S Kraenzlin, Anees Fazili, Ahmed Ghazi, Ronald P Bossert
BACKGROUND: Post-massive weight loss body contouring is a growing area of plastic surgery. Studies have shown preexisting urinary incontinence amelioration in patients undergoing abdominal body-contouring procedures. These studies are small, focus on cosmetic abdominoplasties, and lack use of standardized surveys. The purpose of this study was to evaluate urinary incontinence endpoints in massive weight loss patients undergoing body-contouring procedures. METHODS: A retrospective review was conducted over a 6-year period...
May 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28442833/a-randomised-prospective-study-to-evaluate-preperitoneal-mesh-repair-versus-onlay-mesh-repair-and-laparoscopic-ipom-in-incisional-hernia-surgery
#14
S Natarajan, S Meenaa, K A Thimmaiah
Incisional hernia remains a very common postoperative complication. These are encountered with an incidence of up to 20 % following laparotomy. These hernias enlarge over time, making the repair difficult, and serious complications like bowel obstruction, strangulation and enterocutaneous fistula can occur. Hence, elective repair is indicated to avoid these complications. Implantation of a prosthetic mesh is nowadays considered as the standard treatment due to low hernia recurrence. The most common mesh repair techniques used are the onlay repair, sublay repair and laparoscopic intraperitoneal onlay mesh (IPOM)...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28405750/efficacy-and-safety-of-scarpa-fascia-preservation-during-abdominoplasty-a-systematic-review-and-meta-analysis
#15
Xiangyang Xiao, Limin Ye
INTRODUCTION: Scarpa fascia preservation might be a promising approach to reduce seroma and other complications after abdominoplasty. However, the results remained controversial. We conducted a systematic review and meta-analysis to evaluate the efficacy and safety of scarpa fascia preservation in patients with abdominoplasty. METHODS: PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials and clinical controlled trials assessing the effect of scarpa fascia preservation versus control (without scarpa fascia) during abdominoplasty were included...
January 27, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28398540/commentary-on-the-retro-rectus-prosthesis-for-core-myofascial-restoration-in-cosmetic-abdominoplasty
#16
Fabio Xerfan Nahas
No abstract text is available yet for this article.
April 8, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28373000/abdominoplasty-in-prune-belly-syndrome-modifications-in-monfort-technique-to-address-variable-patterns-of-abdominal-wall-weakness
#17
Edwin A Smith, Arun Srinivasan, Hal C Scherz, Anthony J Tracey, Bruce Broecker, Andrew J Kirsch
INTRODUCTION: Abdominoplasty is an important component of the management of children with prune belly syndrome (PBS). While there are features of the abdominal defect in PBS which are common to all patients, there will be differences unique to each patient that should be taken into consideration in surgical planning. Specifically, we have come to realize that although the Monfort procedure assumes a symmetric pattern of abdominal wall laxity, this symmetry is rarely present. OBJECTIVE: The aim of this report is to describe our modifications and review our outcomes for the Monfort procedure which more completely address correction of the abdominal wall laxity including both common and uncommon features while positioning the umbilicus to a more anatomically correct position (Figure)...
March 22, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28369226/commentary-on-age-as-a-risk-factor-in-abdominoplasty
#18
K Kye Higdon
No abstract text is available yet for this article.
May 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28364533/drainless-abdominoplasty-using-barbed-progressive-tension-sutures
#19
Kathryn V Isaac, Frank Lista, Mark P McIsaac, Jamil Ahmad
We describe our current technique of drainless abdominoplasty using barbed progressive tension sutures. The perioperative management and detailed steps of procedure are outlined, including indications for concomitantly performing liposuction and repair of diastasis of the rectus abdominis muscles. This approach reliably improves abdominal contour, minimizes complications, and is straightforward to learn and perform.
April 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28364525/complications-after-cosmetic-surgery-tourism
#20
Holger J Klein, Dario Simic, Nina Fuchs, Riccardo Schweizer, Tarun Mehra, Pietro Giovanoli, Jan A Plock
Background: Cosmetic surgery tourism characterizes a phenomenon of people traveling abroad for aesthetic surgery treatment. Problems arise when patients return with complications or need of follow-up care. Objectives: To investigate the complications of cosmetic surgery tourism treated at our hospital as well as to analyze arising costs for the health system. Methods: Between 2010 and 2014, we retrospectively included all patients presenting with complications arising from cosmetic surgery abroad...
April 1, 2017: Aesthetic Surgery Journal
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