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https://www.readbyqxmd.com/read/29770862/is-latin-america-ready-to-identify-anaplastic-large-cell-lymphoma-in-breast-implants-patients-regional-encounter-during-the-national-plastic-surgery-meeting-in-cancun-mexico
#1
EDITORIAL
Guillermo Ramos-Gallardo, Jesus Cuenca-Pardo, Lazaro Cardenas-Camarena, Hector Duran-Vega, Eugenio Rodríguez-Olivares, Jorge Enrique Bayter-Marin, Gerardo Levelier De Doig Alvear, Guillermo Vazquez, Montserrat Fontbona-Torres, Ricardo Galán-Suárez, Gabriela Guzman-Stein, Sergio Guzmán-Padilla, Guillermo Echeverría-Roldán, Jose Fernando Silva-Gavarrete, Alfonso Vallarta-Rodríguez, Livia Contreras-Bulnes, Carlos Guillemro Oaxaca-Escobar, Isabel Caravantes-Cortes, María Eugenia Flores, Jorge Cowes-McGowen, María Liz Maciel-Sosa, Ricardo Delgado-Binasco, Linda Rincón-Rubio
INTRODUCTION: Anaplastic large cell lymphoma associated with breast implants is receiving increased attention. Most cases have been reported in Europe, North America (USA and Canada), Australia and New Zealand. Fewer cases have been reported in Latin America (including Mexico), Africa and Asia. METHODS: This report was delivered during our national plastic surgery meeting in Cancun in May 2017. Before the meeting, two participants reviewed the literature. The review was performed using the following information sources: PubMed, Embase, Cochrane, Fisterra, Google Scholar and LILACS, with entries from 1980 to August 2015 in several languages (English, Spanish, French and Portuguese)...
May 16, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29753181/weighted-regularized-statistical-shape-space-projection-for-breast-3d-model-reconstruction
#2
Guillermo Ruiz, Eduard Ramon, Jaime García, Federico M Sukno, Miguel A González Ballester
The use of 3D imaging has increased as a practical and useful tool for plastic and aesthetic surgery planning. Specifically, the possibility of representing the patient breast anatomy in a 3D shape and simulate aesthetic or plastic procedures is a great tool for communication between surgeon and patient during surgery planning. For the purpose of obtaining the specific 3D model of the breast of a patient, model-based reconstruction methods can be used. In particular, 3D morphable models (3DMM) are a robust and widely used method to perform 3D reconstruction...
May 2, 2018: Medical Image Analysis
https://www.readbyqxmd.com/read/29750761/-toradol%C3%A2-following-breast-surgery-is-there-an-increased-risk-of-hematoma
#3
Brittany N Nguyen, Ruth J Barta, Christine Stewart, Cherrie A Heinrich
BACKGROUND: Ketorolac tromethamine (Toradol), a nonsteroidal antiinflammatory drug, is used with increased frequency given its success in postoperative pain control and the subsequent decreased need for narcotics. Its use has been limited in plastic surgery for fear of postoperative bleeding and hematoma formation. In this study of breast surgery patients, we investigated whether ketorolac increased the risk of postoperative hematoma formation. METHODS: After obtaining institutional review board approval, we retrospectively reviewed the records of patients undergoing breast surgery (breast reduction and autologous or implant based reconstruction) from January 2012 through December 2014...
March 15, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29750758/quality-of-surgical-outcomes-reporting-in-plastic-surgery-a-15-year-analysis-of-complication-data
#4
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/29746276/deepithelialized-skin-reduction-preserves-skin-and-nipple-perfusion-in-immediate-reconstruction-of-large-and-ptotic-breasts
#5
Danielle H Rochlin, Dung H Nguyen
BACKGROUND: Women with large and/or ptotic breasts are often not considered candidates for nipple-sparing mastectomy (NSM) and/or immediate breast reconstruction given difficulties avoiding ischemic complications and achieving a favorable aesthetic result. We report a novel technique involving deepithelialized skin reduction to simultaneously reduce the skin envelope and preserve perfusion to the skin and nipple in immediate breast reconstruction for women that fit this high-risk anatomic profile...
April 30, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29714655/localized-morphea-after-breast-implant-for-breast-cancer-a-case-report
#6
A Moretti, F Bianchi, I V Abbate, G Gherardi, M Bonavita, E Passoni, G Nazzaro, A Bramati, M C Dazzani, S Piva, E Paternò, N Frungillo, G Farina, N La Verde
PURPOSE: Early breast cancer follow-up guidelines for patients who underwent surgery suggest a regular and accurate clinical examination of the breast area, for an early identification of cutaneous or subcutaneous breast cancer relapse. Nonetheless, breast skin lesions arising in patients treated with mastectomy for breast cancer can be caused by several diseases. A series of diagnostic hypotheses should be considered, not only focusing on cutaneous metastasis, but also on dermatologic and systemic diseases...
March 1, 2018: Tumori
https://www.readbyqxmd.com/read/29710686/capsular-fibrosis-in-aesthetic-and-reconstructive-cancer-patients-a-retrospective-analysis-of-319-cases
#7
Britta Kuehlmann, Rebekka Burkhardt, Nina Kosaric, Lukas Prantl
BACKGROUND: Implant-based breast augmentation is one of the most frequently performed operations in plastic surgery worldwide, for aesthetic and reconstructive reasons. Capsular fibrosis is the most common long-term foreign body response after breast implant augmentation. OBJECTIVE: To compare the occurrence of capsular contracture in aesthetic and reconstructive-cancer patients, including those patients who received radiotherapy prior to breast reconstruction with implants...
April 14, 2018: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/29705287/a-population-based-audit-of-surgical-practice-and-outcomes-of-oncoplastic-breast-conservations-in-scotland-an-analysis-of-589-patients
#8
Laszlo Romics, E Jane Macaskill, Teresa Fernandez, Louise Simpson, Elizabeth Morrow, Vassilis Pitsinis, Sian Tovey, Matthew Barber, Yazan Masannat, Sheila Stallard, Eva Weiler-Mithoff, Andrew Malyon, James Mansell, Esther J Campbell, Julie Doughty, J Michael Dixon
INTRODUCTION: Current evidence for oncoplastic breast conservation (OBC) is based on single institutional series. Therefore, we carried out a population-based audit of OBC practice and outcomes in Scotland. METHODS: A predefined database of patients treated with OBC was completed retrospectively in all breast units practicing OBC in Scotland. RESULTS: 589 patients were included from 11 units. Patients were diagnosed between September 2005 and March 2017...
April 13, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29697636/the-evolving-presence-of-women-in-academic-plastic-surgery-a-study-of-the-past-40-years
#9
Natalie M Plana, Kimberly S Khouri, Catherine C Motosko, Marleigh J Stern, Lavinia Anzai, Grace Poudrier, Jonathan P Massie, J Rodrigo Diaz-Siso, Roberto L Flores, Alexes Hazen
BACKGROUND: Among surgical subspecialties, plastic surgery holds the highest percentage of women, and, the female contingent of board-certified plastic surgeons and trainees has grown steadily. However, their academic impact has been underestimated. We present the academic footprint of female plastic surgeons over the past 40 years. METHODS: A list of female plastic surgeons currently active at, and retired from, Accreditation Council for Graduate Medical Education-accredited plastic surgery residency programs was compiled...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29697608/happy-and-unhappy-patients-a-quantitative-analysis-of-online-plastic-surgeon-reviews-for-breast-augmentation
#10
Robert G Dorfman, Chad Purnell, Cecil Qiu, Marco F Ellis, C Bob Basu, John Y S Kim
BACKGROUND: Online reviews have become modern versions of the word-of-mouth recommendation, and prospective patients are increasingly consulting them before making decisions about their surgical care. The authors' objectives were to (1) identify trends in the use of online reviews, and (2) important reasons for patient satisfaction and dissatisfaction with aesthetic surgery. The authors selected breast augmentation as the primary procedure of interest. METHODS: Reviews of the top 10 to 20 most reviewed plastic surgeons in each of six large metropolitan areas were obtained from Google, Yelp, and RealSelf...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29668511/cosmetic-surgeon-representation-ensuring-board-certification-transparency-and-patient-awareness
#11
Oren Tessler, Lynn Bourn, Samuel J Lin, Charles Dupin, Gerhard S Mundinger, Charles Patterson, Hugo St Hilaire, Matthew Bartow, Radbeh Torabi, Michael Hanemann
BACKGROUND: Previous studies revealed that patients preferred plastic surgeons over cosmetic surgeons for surgical procedures, but few knew that any physician with a medical degree was legally qualified to perform cosmetic surgery. Results also indicated that a primary consideration for patients in selecting a surgeon was board certification. Although patient preferences concerning aesthetic surgery have previously been surveyed, no study examined a consumer's ability delineate between specialties based on Web sites...
April 17, 2018: Annals of Plastic Surgery
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
#12
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/29663703/cytological-features-of-breast-peri-implant-papillary-synovial-metaplasia
#13
José A Jiménez-Heffernan, Carmen Bárcena, Patricia Muñoz-Hernández
Synovial metaplasia is a peculiar form of metaplasia seen in the inner lining of the fibrous capsule that surrounds breast implants. Since the description of breast-implant associated anaplastic large cell lymphoma it is increasingly common to receive periprosthetic breast fluid collections for pathologic analysis. We describe a case of breast-implant papillary synovial metaplasia that showed remarkable cytologic findings. A review of the medical literature revealed one previous cytologic description. The patient, A 53-year-old woman underwent surgery because of capsular contracture of textured, silicone breast implants...
April 16, 2018: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/29656223/delay-of-adjuvant-radiotherapy-due-to-postoperative-complications-after-oncoplastic-breast-conserving-surgery
#14
Nadine S Hillberg, Marleen A J Meesters-Caberg, Jop Beugels, Bjorn Winkens, Yvonne L J Vissers, Tom J M van Mulken
BACKGROUND: In the past a mastectomy was the first approach of treating breast cancer. Oncoplastic techniques combined with breast conserving surgery (BCS) and radiotherapy has become an alternative to mastectomy in patients with non-metastasized breast cancer. The aim of this study was to analyse the amount and types of complications occurring after oncoplastic BCS before and after adjuvant radiotherapy and the delay of adjuvant therapy due to the complications. METHOD: A retrospective study based on all patients who received immediate oncoplastic BCS by a plastic surgeon at two medical hospitals in The Netherlands between 2013 and 2015...
June 2018: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/29649062/national-mortality-rates-after-outpatient-cosmetic-surgery-and-low-rates-of-perioperative-deep-vein-thrombosis-screening-and-prophylaxis
#15
Alexandra Bucknor, Sabine Egeler, Austin Chen, Anmol Chattha, Parisa Kamali, Gary Brownstein, Lawrence Reed, David Watts, Samuel J Lin
BACKGROUND: Concerns have arisen over reports of deaths occurring after certain outpatient plastic surgery procedures. Here, we present a detailed analysis of the American Association for the Accreditation of Ambulatory Surgical Facilities (AAAASF) database and report on deaths occurring after outpatient cosmetic surgical procedures, causative factors, and venous thromboembolism (VTE) screening rates. METHODS: A retrospective analysis of the AAAASF database was performed for the years 2012-2017...
March 29, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29643164/complications-in-breast-augmentation-with-textured-versus-smooth-breast-implants-a-systematic-review-protocol
#16
Chenglong Wang, Jie Luan, Adriana C Panayi, Dennis P Orgill, Minqiang Xin
INTRODUCTION: Breast augmentation is one of the most popular aesthetic plastic surgeries worldwide. There are various types of breast implants, and these can be categorised into different broad groups based on their content, shape or surface, to name a few. When looking at the surface of the shell, they can be categorised into two main kinds: textured and smooth implants. To our knowledge, a literature review and meta-analysis of the complications of these two types of implants when used for aesthetic breast augmentation has yet to be written...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29619356/delivering-breast-reconstruction-information-to-patients-women-report-on-preferred-information-delivery-styles-and-options
#17
Carmen Webb, Vishal Sharma, Claire Temple-Oberle
Purpose: To discover missed opportunities for providing information to women undergoing breast reconstruction in an effort to decrease regret and improve patient education, teaching modalities, and satisfaction. Method: Thirty- to 45-minute semi-structured interviews were conducted exploring patient experiences with information provision on breast reconstruction. Purposeful sampling was used to include women with a variety of reconstruction types at different time points along their recovery...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29608639/transition-to-nonopioid-analgesia-does-not-impair-pain-control-after-major-aesthetic-plastic-surgery
#18
Thu-Hoai C Nguyen, Nicholas F Lombana, Dmitry Zavlin, Clayton L Moliver
Background: Multimodal analgesic protocols are increasingly favored over traditional opioid regimens due to decreased adverse side effects and reduced opioid consumption. Concomitant use of selective cyclooxygenase (COX)-2 inhibitor celecoxib and anticonvulsant gabapentin have been proposed to adequately control acute postoperative pain. Objectives: To determine efficacy of postoperative pain control using nonopioid pain regimen vs traditional opioids for all aesthetic plastic surgery procedures...
March 28, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29606583/cost-analysis-of-enhanced-recovery-after-surgery-in-microvascular-breast-reconstruction
#19
Christine Oh, James Moriarty, Bijan J Borah, Kristin C Mara, William S Harmsen, Michel Saint-Cyr, Valerie Lemaine
BACKGROUND: Enhanced recovery after surgery (ERAS) pathways have been shown in multiple surgical specialties to decrease hospital length of stay (LOS) after surgery. ERAS in breast reconstruction has been found to decrease hospital LOS and inpatient opioid use. ERAS protocols can facilitate a patient's recovery and can potentially increase the quality of care while decreasing costs. METHODS: A standardized ERAS pathway was developed through multidisciplinary collaboration...
March 2, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29605247/breast-reconstruction-after-breast-conservation-therapy-for-breast-cancer
#20
Filip E F Thiessen, Wiebren A A Tjalma, Thierry Tondu
Conservative breast surgery followed by irradiation, often referred to as Breast conserving therapy (BCT), has replaced modified radical mastectomy for the treatment of early stage invasive breast cancer and ductal carcinoma in situ (DCIS). About 10% to 40% of the patients treated with BCT have poor cosmetic outcome results. Small tumours in large breasts can be successfully treated by lumpectomy and radiotherapy, with good cosmetic outcome. However when the tumour breast ratio is higher, the cosmetic outcome can be very disappointing...
March 27, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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