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https://www.readbyqxmd.com/read/29750758/quality-of-surgical-outcomes-reporting-in-plastic-surgery-a-15-year-analysis-of-complication-data
#1
Rajiv P Parikh, Ketan Sharma, Ali A Qureshi, Michael J Franco, Terence M Myckatyn
BACKGROUND: Postoperative complication data are integral to assessing patient outcomes and identifying areas to improve quality in surgical care. Accurate appraisal of surgical techniques requires consistency and reliability in complication data reporting. The purpose of this study was to analyze the quality of complication reporting in plastic surgery. METHODS: The authors critically reviewed the literature from January 1st, 2000 to December 31st, 2014 to identify articles reporting surgical outcomes after 3 index procedures (autologous breast reconstruction, prosthetic breast reconstruction and reduction mammaplasty)...
March 15, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29725545/single-stage-nipple-sparing-mastectomy-and-reduction-mastopexy-in-the-ptotic-breast
#2
M E Pontell, N Saad, A Brown, M Rose, R Ashinoff, A Saad
Purpose: Given the proposed increased risk of nipple-areolar complex (NAC) necrosis, nipple-sparing mastectomy (NSM) is generally not recommended for patients with large or significantly ptotic breasts. NAC preserving strategies in this subgroup include staged or simultaneous NSM and reduction mastopexy. We present a novel approach towards simultaneous NSM and reduction mastopexy in patients with large, ptotic breasts. Methods: Literature pertaining to NSM for women with large, ptotic breasts was reviewed and a surgical approach was designed to allow for simultaneous NSM and reduction mastopexy in such patients...
2018: Plastic Surgery International
https://www.readbyqxmd.com/read/29707458/ketorolac-may-increase-hematoma-risk-in-reduction-mammaplasty-a-case-control-study
#3
Jouseph O Barkho, Yu Kit Li, Eric Duku, Achilleas Thoma
Background: Ketorolac is a potent nonsteroidal anti-inflammatory drug that has valuable analgesic properties but also a hypothetical risk of increased bleeding due to inhibition of platelet activation. The clinical significance of this risk, however, is unclear when it is used after reduction mammaplasty. Our study objective was to therefore examine the association between ketorolac exposure and hematoma occurrence after breast reduction surgery. We hypothesized that there was no association between ketorolac exposure and hematoma occurrence in breast reduction surgery...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29701754/evaluating-the-effect-of-implantable-mesh-in-mammaplasty
#4
Eric Swanson
No abstract text is available yet for this article.
April 25, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29617008/erratum-incisional-negative-pressure-wound-therapy-for-prevention-of-wound-healing-complications-following-reduction-mammaplasty-erratum
#5
(no author information available yet)
[This corrects the article DOI: 10.1097/GOX.0000000000001560.].
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29595718/breast-cancer-following-augmentation-mammaplasty-a-case-control-study
#6
Michael Sosin, Chaitan Devulapalli, Charles Fehring, Edward R Hammond, Shawna C Willey, Eleni A Tousimis, Scott L Spear, Maurice Y Nahabedian, Elizabeth D Feldman
BACKGROUND: The purpose of this study was to determine whether augmentation mammaplasty, implant type, and implant location affect breast cancer detection, stage, and treatment. METHODS: An institutional case-control study was performed of patients with prior breast augmentation undergoing breast cancer treatment from 2000 to 2013. Controls were propensity matched and randomized, and data were retrospectively reviewed. RESULTS: Forty-eight cases and 302 controls were analyzed...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29548531/oncoplastic-reduction-mammaplasty-an-effective-and-safe-method-of-breast-conservation
#7
Angelena Crown, Nicketti Handy, Flavio G Rocha, Janie W Grumley
INTRODUCTION: Oncoplastic breast conserving surgery (BCS) can enhance both cosmetic and oncologic breast cancer outcomes. This study evaluates the outcomes and complications associated with oncoplastic reduction mammaplasty performed by surgical breast oncologists. METHODS: A single institution retrospective chart review of patients undergoing oncoplastic reduction mammaplasty by a surgical breast oncologist for the treatment of breast cancer. RESULTS: Seventy-one patients were identified...
May 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29506754/discussion-of-oncoplastic-reduction-mammaplasty-an-effective-and-safe-method-of-breast-conservation
#8
Elaine McKevitt
No abstract text is available yet for this article.
May 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29466511/comparison-between-different-methods-of-breast-implant-volume-choice-and-degree-of-postoperative-satisfaction
#9
Rafael Daibert DE Souza Motta, Ana Claudia Weck Roxo, Fabio Xerfan Nahas, Fernando Serra-Guimarães
OBJECTIVES: to assess the degree of patient satisfaction after undergoing breast augmentation and compare three different, easy, inexpensive and universal methods of preoperative choice of breast implant volume. METHODS: a prospective study was carried out at University Hospital Pedro Ernesto of State University of Rio de Janeiro, in 94 women from Rio de Janeiro, aged 18 to 49 years, submitted to breast augmentation mammaplasty with breast implant due to hypomastia...
February 19, 2018: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/29464150/incisional-negative-pressure-wound-therapy-for-prevention-of-wound-healing-complications-following-reduction-mammaplasty
#10
Robert D Galiano, Donald Hudson, Joseph Shin, René van der Hulst, Volkan Tanaydin, Risal Djohan, Franck Duteille, John Cockwill, Sarah Megginson, Elizabeth Huddleston
Background: It has been proposed that negative pressure wound therapy (NPWT) applied prophylactically to a closed incision may decrease the incidence of wound complications. Patients undergoing reduction mammaplasty are at risk of wound complications such as delayed healing, infection, and dehiscence, and the bilateral nature of the surgery allows for a within-patient randomized study to evaluate incisional NPWT's effect in reducing healing complications. Methods: In this multicenter trial, 200 patients undergoing bilateral reduction mammaplasty were treated with PICO Single-Use NPWT System or standard wound-care dressings randomized to right or left breast for up to 14 days to enable within-patient comparison...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29433957/liposuction-assisted-four-pedicle-based-breast-reduction-lafpbr-a-new-safer-technique-of-breast-reduction-for-elderly-patients
#11
Simone La Padula, Barbara Hersant, Warren Noel, Jean Paul Meningaud
As older people increasingly care for their body image and remain active longer, the demand for reduction mammaplasty is increasing in this population. Only a few studies of reduction mammaplasty have specifically focussed on the outcomes in elderly women. We developed a new breast reduction technique: the Liposuction-Assisted Four Pedicle-Based Breast Reduction (LAFPBR) that is especially indicated for elderly patients. The aim of this paper was to describe the LAFPBR technique and to determine whether it could be considered a safer option for elderly patients compared to the superomedial pedicle (SMP) technique...
May 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29425275/breast-hypertrophy-reduction-mammaplasty-and-body-image
#12
Cristiane Costa Fonseca, Daniela Francescato Veiga, Edgard da Silva Garcia, Isaías Vieira Cabral, Monique Maçais de Carvalho, Maria José Azevedo de Brito, Lydia Masako Ferreira
Background: Body image dissatisfaction is one of the major factors that motivate patients to undergo plastic surgery. However, few studies have associated body satisfaction with reduction mammaplasty. Objectives: The aim of this study was to evaluate the impact of breast hypertrophy and reduction mammaplasty on body image. Methods: Breast hypertrophy patients, with reduction mammaplasty already scheduled between June 2013 and December 2015 (mammaplasty group, MG), were prospectively evaluated through the body dysmorphic disorder examination (BDDE), body investment scale (BIS), and breast evaluation questionnaire (BEQ55) tools...
February 7, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29401125/masculinizing-top-surgery-a-systematic-review-of-techniques-and-outcomes
#13
Stelios C Wilson, Shane D Morrison, Lavinia Anzai, Jonathan P Massie, Grace Poudrier, Catherine C Motosko, Alexes Hazen
BACKGROUND: Chest wall masculinization by means of mastectomy is an important gender affirming surgery for transmasculine and non-binary patients. Limited data exist comparing commonly used techniques in masculinizing top surgery, and most are single institution studies. METHODS: A systematic review was performed on primary literature dedicated specifically to the technical aspects and outcomes of mastectomy for masculinizing top surgery. For each study, patient demographics and surgical outcomes were compared...
February 2, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29389707/characterizing-breast-deformities-after-massive-weight-loss-utilizing-the-pittsburgh-rating-scale-to-examine-factors-affecting-severity-score-and-surgical-decision-making-in-a-retrospective-series
#14
John Henry Pang, Demetrius M Coombs, Isaac James, Jordan Fishman, J Peter Rubin, Jeffrey A Gusenoff
BACKGROUND AND OBJECTIVES: Massive weight loss (MWL) can result in variable contour deformities of the breasts. The Pittsburgh Rating Scale (PRS) was designed to describe the multitude of deformities after MWL and recommends operations to consider for surgical improvement. We present the first comprehensive description of breast deformities in a large sample of MWL patients, examine factors affecting the severity of deformities, and report the correlation between PRS score and surgical decision making...
March 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29352346/the-evolution-of-breast-reduction-publications-a-bibliometric-analysis
#15
Ümran Muslu
OBJECTIVE: This study aims to make a bibliometric analysis of the studies on breast reduction (BR) between the years 1980 and 2016 and identify important studies through trend topics as well as active authors, countries, universities, scientific journals, and citation and co-citation analyses about BR. BACKGROUND: Although BR looks like one of the cosmetic surgeries performed in order to restore the woman's appearance, in fact it is a reconstructive surgery that eliminates back pain, stance disorder, headache, shoulder pain, back and cervical disk hernia, difficulty in breathing, hollowness caused by bra straps, hygiene problems under breasts (e...
January 19, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29280857/microbial-evaluation-in-capsular-contracture-of-breast-implants
#16
Marilena Galdiero, Fabio Larocca, Maria Rosaria Iovene, Francesca Martora, Gorizio Pieretti, Virginia D'Oriano, Gianluigi Franci, Giuseppe Ferraro, Francesco d'Andrea, Giovanni Francesco Nicoletti
BACKGROUND: Capsular contracture around breast implants is a severe and unpredictable complication experienced by up to 50 percent of patients after breast augmentation and reconstruction, and represents a major cause leading to reoperation. Several lines of evidence point to the involvement of subclinical infections and of bacterial biofilm formation. METHODS: To reduce the incidence of capsular contracture following mammaplasty, the authors studied the correlation between contamination by exogenous and endogenous bacterial flora and the capacity to develop bacterial biofilm in mammary implants...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29218474/superomedial-pedicle-vertical-scar-breast-reduction-objective-and-subjective-assessment-of-breast-symmetry-and-aesthetics
#17
Ofir Ron, Amir Inbal, Ehud Arad, Arik Zaretski, David Leshem, Ravit Yanko, Eyal Gur, Yoav Barnea
BACKGROUND: The superomedial vertical scar breast reduction (SVBR) described by Hall-Findlay is gaining popularity among surgeons worldwide. The aim of this study was to evaluate its long-term aesthetic outcome, the extent of quality of life improvement and the factors that influence patient satisfaction and reviewers' evaluation of aesthetic/surgical outcome. METHODS: In this historical prospective study, we included women who underwent SVBR at least one year prior to enrollment and responded to a quality of life questionnaire...
December 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29184739/review-of-494-consecutive-breast-augmentation-patients-system-to-improve-patient-outcomes-and-satisfaction
#18
John F Diaz
Background: Breast augmentation continues to be one of the most common surgical procedures performed by plastic surgeons. As implant options expand, controlling the numerous variables required for a successful result will prove increasingly challenging. The purpose of this study was to outline specific steps that can be taken during the patient consultation and during surgery to decrease complications and improve overall patient satisfaction and patient outcomes. Methods: A retrospective review of 494 consecutive patients who underwent primary augmentation mammaplasty performed by a single surgeon was undertaken...
October 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29124379/use-of-the-breast-q%C3%A2-survey-in-the-prospective-evaluation-of-reduction-mammaplasty-outcomes
#19
Isaias Vieira Cabral, Edgard da Silva Garcia, Rebecca Neponucena Sobrinho, Natália Lana Larcher Pinto, Yara Juliano, Joel Veiga-Filho, Lydia Masako Ferreira, Daniela Francescato Veiga
INTRODUCTION: BREAST-Q™ is a patient-reported outcomes survey instrument with a specific module that evaluates breast reduction surgery. It allows assessment of patient's satisfaction with received treatment and evaluates the impact of surgery on different aspects of the patient's quality of life. This article aims to assess the satisfaction and quality of life of patients who underwent reduction mammaplasty. MATERIALS AND METHODS: Women aged between 18 and 60 years, with a body mass index ranging from 19 to 30 kg/m2 , who were already scheduled for reduction mammaplasty, were included in the study...
April 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29095194/liposomal-bupivacaine-may-benefit-select-reduction-mammaplasty-patients
#20
Shana S Kalaria, Stefanos Boukovalas, Pablo L Padilla, Jacquelynn P Tran, Ramon T Li, Linda G Phillips
BACKGROUND: Postoperative pain control can be challenging in reduction mammaplasty patients. This study compares perioperative liposomal bupivacaine (Exparel; Pacira Pharmaceuticals, Inc, San Diego, Calif) with standard local anesthetics to determine if liposomal bupivacaine decreases opioid and antiemetic use, impacting length of stay and complication rates, thus improving patient outcomes. METHODS: A retrospective review of 170 reduction mammaplasty patients was performed...
March 2018: Annals of Plastic Surgery
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