Price Graft

BACKGROUND: Historically, quality-of-care monitoring was performed separately for transcatheter and surgical aortic valve replacement (TAVR, SAVR). Using consensus indicators, we provide a global report on the quality of care for treatment of aortic stenosis across the highest-volume treatments: transfemoral (TF) TAVR, isolated SAVR, and SAVR combined with coronary artery bypass graft. METHODS: Retrospective observational cohort study of consecutive patients in a regional system of care...

UNLABELLED: *Correspondence, Liam Price: [email protected] OBJECTIVE: Pupil block with raised intraocular pressure (IOP) is a serious complication of Descemet's membrane endothelial keratoplasty (DMEK). To reduce the risk of pupil block, many surgeons perform a peripheral iridotomy (PI) before or during the procedure, which itself carries a risk of complications. This study demonstrates the outcomes of a method which does not require a PI. METHODS: Retrospective, single centre study of DMEK performed under two surgeons...

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BACKGROUND: The significance of atypical infiltrates (eosinophils or plasma cells) on endomyocardial biopsy (EMB) after pediatric heart transplant (HTx) is not known. We hypothesized that atypical infiltrates are associated with worse post-HTx outcomes. METHODS: We performed a retrospective cohort study of consecutive patients <21 years old who underwent primary HTx between 2013-2017. Multi-organ transplants were excluded. The presence of atypical infiltrates and burden of atypical infiltrates (rare versus predominant) on EMB was recorded...

BACKGROUND: Given the uncertainty of U.S. healthcare finances, an understanding of reimbursement trends has become increasingly important in the field of cardiac surgery. We aimed to assess Medicare reimbursement trends for common cardiac surgical procedures from 2000-2022. METHODS: Reimbursement data was extracted from the Centers for Medicare and Medicaid Services Physician Fee Schedule Look-Up Tool over the study period for six common cardiac operations: aortic valve replacement (AVR), mitral valve repair (MVr) and replacement (MVR), tricuspid valve replacement (TVR), Bentall procedure, and coronary artery bypass grafting (CABG)...

OBJECTIVE: Little is known about pricing for reconstructive procedures of the head and neck. As of January 2021, the Centers for Medicare and Medicaid Services requires hospitals to disclose payer-negotiated prices for services, offering new insight into prices for privately insured patients. STUDY DESIGN: Cross-sectional analysis. SETTING: Turquoise database. METHODS: Payer-negotiated facility fees for 41 reconstructive surgeries were grouped by procedure type: primary closure, skin grafts, tissue rearrangement, locoregional flaps, or free flaps...

PURPOSE: The aim of this study was to compare aqueous humor cytokine levels in eyes with an initial endothelial keratoplasty (EK) that cleared and later decompensated versus control eyes. METHODS: In this prospective case-control study, aqueous humor samples were collected under sterile conditions at the start of planned cataract or EK surgery in normal controls (n = 10), Fuchs dystrophy controls with no previous surgery (n = 10) or previous cataract surgery only (n = 10), eyes with Descemet membrane EK (DMEK) endothelial decompensation (n = 5), and eyes with Descemet stripping EK (DSEK) endothelial decompensation (n = 9)...

OBJECTIVE: Hyperparathyroidism (HPT) is nearly universal in patients with end-stage kidney disease. Kidney transplantation (KT) reverses HPT in many patients, but most studies have only focused on following calcium and not parathyroid hormone (PTH) levels. We sought to study the prevalence of persistent HPT post-KT at our center and its effect on graft survival. METHODS: Patients who underwent KT from January 2015 to August 2021 were included and characterized by post-KT HPT status at the most recent follow-up: resolved (achieving normal PTH post-KT) versus persistent HPT...

UNLABELLED: Despite an increasing surge of exosome use throughout the aesthetic arena, a paucity of published exosome-based literature exists. Exosomes are membrane-bound extracellular vesicles derived from various cell types, exerting effects via intercellular communication and regulation of several signaling pathways. The purpose of this review was to summarize published articles elucidating mechanisms and potential applications, report available products and clinical techniques, and prompt further investigation of this emerging treatment within the plastic surgery community...

UNLABELLED: *Correspondence, Liam Price: [email protected] OBJECTIVE: Pupil block with raised intraocular pressure (IOP) is a serious complication of Descemet's membrane endothelial keratoplasty (DMEK). To reduce the risk of pupil block, many surgeons perform a peripheral iridotomy (PI) before or during the procedure, which itself carries a risk of complications. This study demonstrates the outcomes of a method which does not require a PI. METHODS: Retrospective, single centre study of DMEK performed under two surgeons...

Several years have passed since the medical and scientific communities leaned towards tissue engineering as the most promising field to aid bone diseases and defects resulting from degenerative conditions or trauma. Owing to their histocompatibility and non-immunogenicity, bone grafts, precisely autografts, have long been the gold standard in bone tissue therapies. However, due to issues associated with grafting, especially the surgical risks and soaring prices of the procedures, alternatives are being extensively sought and researched...

PURPOSE: The aim of this study was to assess the long-term risk of steroid-induced ocular hypertension and the need for glaucoma treatment with long-term use of topical prednisolone acetate 1% in patients without preexisting glaucoma. METHODS: We retrospectively reviewed the charts of 211 patients without previous glaucoma, who underwent Descemet stripping endothelial keratoplasty (DSEK) and used topical prednisolone acetate long-term to prevent graft rejection...

INTRODUCTION: Free flap-based soft tissue reconstruction comes at the price of donor-site morbidity. Providing an opportunity to overcome this issue, the arteriovenous loop (AVL) technique allows for the de novo generation of axially vascularized soft tissue flaps from vein grafts embedded into different matrices. Thus far, the application of the AVL technique has been limited by insufficient long-term volume retention and poor tissue stability. Therefore, we investigated the suitability of a novel human dermal scaffold to improve volume retention and tissue stability...

BACKGROUND: Cosmetic surgery is a large portion of practice revenue for many plastic surgeons, and therefore understanding the economic principles of pricing is critical. While national averages provide a starting point for price determination, they may not reflect specific economic factors. Over the last decade, publicly reported pricing for cosmetic surgery has increased in prevalence, improving price transparency for patients and surgeons alike. OBJECTIVES: This study aims to compare publicly reported prices to national cosmetic surgery averages and identify variables that have the greatest impact on price determination...

Southern blight, caused by the soilborne fungus Athelia rolfsii, has increased in frequency and severity in the southern United States since the use of methyl bromide fumigation ceased. The objective of this study was to evaluate three cultivars of sticky nightshade (Solanum sisymbriifolium), previously used as tomato rootstocks because of resistance to root-knot nematode, for resistance to southern blight. Field experiments in infested soil were done in Georgia in 2020 and 2021 and in South Carolina in 2021...

BACKGROUND: Kidney transplantation is the treatment of choice for end-stage chronic kidney disease. It improves quality of life and increases life expectancy. At present, Niger is one of the poorest countries in the world does not practice kidney transplantation; thus, patients continue to be referred to other countries for transplantation. METHODS: This descriptive cross-sectional study was carried out at the Nephrology Department of the National Hospital Amirou Boubacar Diallo in Niamey, Niger over a 5-month period...

Background: The use of regenerative medicine as an "off label" treatment for musculoskeletal conditions has increased in recent years. However, the literature is sparse regarding the costs of these treatments to patients. Purposes : We sought to determine the patient-incurred costs for regenerative medicine treatments performed by physicians for musculoskeletal conditions in the United States, according to primary specialty, geographic region, practice setting, and years in practice. We also sought to characterize pre- and posttreatment protocols and image guidance use...

BACKGROUND: Increasing the posterior fossa volume is the mainstay of treatment for Chiari type 1 Malformation (C1M) and type 1.5 (C1.5M). Different options to restore CSF flow have been described but no consensus has been reached yet. Bony decompression of posterior cranial fossa with dural opening provides good results but at the price of complications such as pseudomeningocele and aseptic meningitis. A single center retrospective analysis was conducted to find any relationships between outcome and perioperative factors...

Optimal treatment of irreparable rotator cuff tears is still debated. Proponents of the superior capsule reconstruction (SCR) have previously used fascia lata autograft and acellular dermal allograft. Interest is growing in using fascia lata allograft as a new graft material. Well-designed biomechanical studies are important to understand the mechanical properties of the superior capsular tissue and fascia lata allograft. Recent biomechanical research shows that fascia lata allograft has similar initial stiffness (over the first 2 mm) and ultimate load compared to the native superior capsule...

Polymer N -heterocyclic carbenes (NHCs) are a class of robust surface ligands to provide superior colloidal stability for metal nanoparticles (NPs) under various harsh conditions. We report a general method to prepare polymeric NHCs and demonstrate that these polymer NHC-AgNPs are stable against oxidative etching and show high peroxidase activity. We prepared three imidazolium-terminated poly(methyl methacrylate) (PMMA), polystyrene (PS), and poly(2-(2-methoxyethoxy)ethyl methacrylate) (PMEO2 MA) through atom-transfer radical polymerization with an imidazole-containing initiator...