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https://www.readbyqxmd.com/read/27826475/resolution-of-cosmetic-buttock-injection-induced-inflammatory-reaction-and-heart-failure-after-excision-of-filler-material
#1
Chad A Purnell, Julian L Klosowiak, Jennifer E Cheesborough, Eugene Park, Andrew Bandy, Gregory A Dumanian
We present a case of a 66-year-old woman who developed heart failure and severe inflammatory reaction after the illicit cosmetic injections of polymethyl-methacrylate or polyacrylamide hydrogel from a primary care provider. After medical optimization, an en bloc excision of all injectable materials and gluteus muscle was performed, which resulted in exposure of bilateral sciatic nerves. Within 10 days, the patient's heart failure resolved and inflammatory state improved. This is the first known report of heart failure due to buttock injections and subsequent improvement after surgery...
October 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27757361/mesh-sutured-repairs-of-abdominal-wall-defects
#2
Steven T Lanier, Gregory A Dumanian, Sumanas W Jordan, Kyle R Miller, Nada A Ali, Stuart R Stock
: A new closure technique is introduced, which uses strips of macroporous polypropylene mesh as a suture for closure of abdominal wall defects due to failures of standard sutures and difficulties with planar meshes. METHODS: Strips of macroporous polypropylene mesh of 2 cm width were passed through the abdominal wall and tied as simple interrupted sutures. The surgical technique and surgical outcomes are presented. RESULTS: One hundred and seven patients underwent a mesh sutured abdominal wall closure...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27556611/operative-microsurgery
#3
Gregory A Dumanian
No abstract text is available yet for this article.
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27545993/reliable-complex-abdominal-wall-hernia-repairs-with-a-narrow-well-fixed-retrorectus-polypropylene-mesh-a-review-of-over-100-consecutive-cases
#4
Steven T Lanier, Jennifer E Fligor, Kyle R Miller, Gregory A Dumanian
BACKGROUND: Our objective was to determine outcomes for complex ventral hernia repairs in a large cohort of patients utilizing an operative construct employing retrorectus placement of a narrow, macroporous polypropylene mesh with up to 45 suture fixation points for force distribution. No consensus exists on the optimal technique for repair of complex ventral hernias. Current trends emphasize large meshes with wide overlaps and minimal suture fixation, though reported complications and recurrence remain problematic...
December 2016: Surgery
https://www.readbyqxmd.com/read/27532614/development-of-international-outcomes-instrument-for-hand-and-upper-extremity-burn-scar-contracture-release
#5
Lawrence Cai, Joseph Lippi, Jay Dumanian, Mohan Krishna Dangol, Matthew Klein, Yvonne Karanas, Vinita Puri, Shankar Man Rai, James Chang
Burn scar contractures remain a common source of severe disability in resource-limited countries. However, existing outcome measurements are unable to fully capture the impact of the scar contracture and surgical attempts at correction. To that end, we have developed a new outcome instrument, the Stanford-ReSurge Burn Scar Contracture Scale-Upper Extremity that can be used as a measurement of disability and reconstructive procedure outcomes. The outcome instrument was created through item generation, item reduction, and preliminary field testing...
August 15, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27475223/open-repair-of-incisional-ventral-abdominal-hernias-with-mesh-leads-to-long-term-improvement-in-pain-interference-as-measured-by-patient-reported-outcomes
#6
Eugene Park, Jennifer E Cheesborough, Jason M Souza, Gregory A Dumanian
BACKGROUND: The Patient-Reported Outcomes Measurement Information System was used to evaluate the effects of open incisional ventral hernia repair on hernia-related pain. METHODS: All patients who underwent elective repair of a primary or recurrent midline incisional hernia over a 3-year period completed Patient-Reported Outcomes Measurement Information System pain surveys and rated their pain intensity on a visual analogue scale. A retrospective review of these patients was performed...
June 18, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27340257/treatment-of-foot-and-ankle-neuroma-pain-with-processed-nerve-allografts
#7
Jason M Souza, Chad A Purnell, Jennifer E Cheesborough, Armen S Kelikian, Gregory A Dumanian
BACKGROUND: Localized nerve pain in the foot and ankle can be a chronic source of disability after trauma and has been identified as the most common complication following operative interventions in the foot and ankle. The superficial location of the injured nerves and lack of suitable tissue for nerve implantation make this pain refractory to conventional methods of neuroma management. We describe a novel strategy for management using processed nerve allografts to bridge nerve gaps created by resection of both end neuromas and neuromas-in-continuity...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26910684/postoperative-flank-defects-hernias-and-bulges-a-reliable-method-for-repair
#8
Chad A Purnell, Eugene Park, Sergey Y Turin, Gregory A Dumanian
BACKGROUND: Although there is a high incidence of flank defects after lateral abdominal access, there is a paucity of large studies discussing this problem. Most studies express nihilism regarding their surgical management. The goal of this study was to describe the authors' conceptualization of flank defects, with a determination of the number of true hernias versus bulges, and outcomes of surgical repair in these patients. METHODS: The authors carried out a 13-year retrospective review of 31 consecutive flank defects repaired by the senior author (G...
March 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26811865/use-of-a-harvested-radial-artery-graft-with-preservation-of-the-vena-comitantes-to-reduce-spasm-risk-and-improve-graft-patency-for-extracranial-to-intracranial-bypass-technical-note
#9
REVIEW
Najib E El Tecle, Samer G Zammar, Youssef J Hamade, Tarek Y El Ahmadieh, Rami James N Aoun, Allan D Nanney, Hunt H Batjer, Gregory A Dumanian, Bernard R Bendok
BACKGROUND AND SIGNIFICANCE: The vessels of choice for cerebrovascular high-flow direct bypass procedures are the radial artery and the saphenous vein. Radial artery grafts have become favored over saphenous vein grafts because of higher patency rates and better size matching to appropriate recipient vessels. Radial grafts are prone to spasm however, and this may be seen in 4-10% of cases and can be associated with ischemic sequelae. The standard technique for radial artery harvest calls for complete separation of the artery from its adventitial attachments and associated venous network...
March 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/26518865/rectum-diastasis-post-partum-floppy-wall-obscure-groin-pain-in-women
#10
J Hu, D Lomanto, G Dumanian, J Cheesborough, J Ponten, M Hameeteman, S Nienhuijs, H Zahiri, M Benenati, U Sibia, B Sivak, A Park, I Belyansky, C S Huang, T Verhagen, M J A Loos, M R M Scheltinga, R M H Roumen, F Morfesis, B Rose, E Zarrinkhoo, S Towfigh, J Miller, A Messina Campanella, S Licheri, M Barbarossa, G Porceddu, G Ferraro, F Virdis, I Reccia, S Aresu, A Pisanu
No abstract text is available yet for this article.
April 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26518796/recent-innovations-daily-problems
#11
Y Tsai, N Ross, H Niebuhr, M Sailer, F Köckerling, L Sun, Y M Shen, J Chen, S J Liu, F Q Chen, G Y Yang, C Berney, P Malouf, D Suarez, J L Tavera, J Ocadiz, T Chen, J Wang, R Mancini, G Pattaro, F Ceci, E Spaziani, B Bansa, P Lal, R Sharma, G Pradhan, J Chander, V K Ramteke, S Wijerathne, N Agarwal, D Liem, D Lomanto, J Warren, W Cobb, J Ewing, A Carbonell, O Guillaume, E Holl, J Park, X Monforte, H Redl, A Petter-Puchner, S Gruber-Blum, A Teuschl, E Yoshihara, H Pottel, M D'Hondt, P Jadhav, T Nagahama, M Ando, K Ami, H Amagasa, H Ganno, K Arai, M Kitamura, K El-Hayek, J Yoo, M Phillips, E Pauli, J Bittner, M Kroh, D Garcia, T Furtado, L Alberti, C Neto, P Hubner, A Alves, C Oliveira, J Vianna, C Campolina, G Dumanian, Z Dumanian, A Tulaimat, S Chen, L J Liu, A Guttadauro, S Frassani, D Macchini, A Bertolini, M Maternini, F Gabrielli, V Subramanian, D Venditti, A De Majo, G Sena, G Lisi, F De Sanctis, G Petrella, A Porwal, M Jadhav, M Stein, L Kaveggia, J Clift, W Noda, H Niebuhr, N Ross, H Niebuhr, N Ross, H Niebuhr, N Ross, H Niebuhr, N Ross, H Niebuhr
No abstract text is available yet for this article.
April 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/26397800/reply-simultaneous-prosthetic-mesh-abdominal-wall-reconstruction-with-abdominoplasty-for-ventral-hernia-and-severe-rectus-diastasis-repairs
#12
LETTER
Gregory A Dumanian, Jennifer E Cheesborough
No abstract text is available yet for this article.
January 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26314220/targeted-muscle-reinnervation-in-the-upper-extremity-amputee-a-technical-roadmap
#13
REVIEW
Michael S Gart, Jason M Souza, Gregory A Dumanian
Targeted muscle reinnervation (TMR) offers the potential for improved prosthetic function by reclaiming the neural control information that is lost as a result of upper extremity amputation. In addition to the prosthetic control benefits, TMR is a potential treatment for postamputation neuroma pain. Here, we present our surgical technique for TMR nerve transfers in transhumeral and shoulder disarticulation patients.
September 2015: Journal of Hand Surgery
https://www.readbyqxmd.com/read/26184351/prospective-repair-of-ventral-hernia-working-group-type-3-and-4-abdominal-wall-defects-with-condensed-polytetrafluoroethylene-motifmesh-mesh
#14
Jennifer E Cheesborough, Jing Liu, Derek Hsu, Gregory A Dumanian
BACKGROUND: Treatment of clean-contaminated and contaminated ventral hernia defects remains controversial. Newer prosthetic materials may play an important role in these patients. METHODS: Ten patients with Ventral Hernia Working Group types 3 and 4 were prospectively enrolled and subsequently treated with direct supported repairs with condensed fenestrated polytetrafluoroethylene mesh. The primary outcome was hernia occurrence at 1 year after surgery. Secondary outcomes included surgical site infection, surgical site occurrence, medical complications, pain, and other patient-reported outcomes...
January 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26154703/experimental-study-of-the-characteristics-of-a-novel-mesh-suture
#15
G A Dumanian, A Tulaimat, Z P Dumanian
BACKGROUND: The failure of sutures to maintain tissue in apposition is well characterized in hernia repairs. A mesh suture designed to facilitate tissue integration into and around the filaments may improve tissue hold and decrease suture pull-through. METHODS: In vitro, the sutures were compared for resistance to pull-through in ballistics gel. In vivo, closure of midline laparotomy incisions was done with both sutures in 11 female pigs. Tissue segments were subsequently subjected to mechanical and histological testing...
September 2015: British Journal of Surgery
https://www.readbyqxmd.com/read/26090290/flap-reconstruction-for-esophageal-perforation-complicating-anterior-cervical-spinal-fusion-an-18-year-experience
#16
Philip J Hanwright, Chad A Purnell, Gregory A Dumanian
BACKGROUND: Esophageal injury following anterior cervical discectomy and fusion (ACDF) poses a significant reconstructive challenge. Buttressing flap repairs have proven beneficial; however, there remains a paucity of evidence to guide optimal flap selection. METHODS: A retrospective chart review was performed for patients who presented to the senior author with esophageal perforations after ACDF from 1995 until present. Demographic, clinical, and postoperative details were collected...
May 2015: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/25942267/abstract-157-in-vivo-evaluation-of-a-novel-suture-design-for-abdominal-wall-closure
#17
Jason M Souza, Gregory A Dumanian
No abstract text is available yet for this article.
March 2014: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25792587/sonographic-evaluation-of-common-peroneal-neuropathy-in-patients-with-foot-drop
#18
Thomas H Grant, Imran M Omar, Gregory A Dumanian, Christy B Pomeranz, Vanessa A Lewis
The common peroneal nerve arises from the sciatic nerve and is subject to a variety of abnormalities. Although diagnosis is often is based on the clinical findings and electrodiagnostic tests, high-resolution sonography has an increasing role in determining the type and location of common peroneal nerve abnormalities and other peripheral nerve disorders. This article reviews the normal sonographic appearance of the common peroneal nerve and the findings in 21 patients with foot drop related to common peroneal neuropathy...
April 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/25685105/targeted-muscle-reinnervation-and-advanced-prosthetic-arms
#19
Jennifer E Cheesborough, Lauren H Smith, Todd A Kuiken, Gregory A Dumanian
Targeted muscle reinnervation (TMR) is a surgical procedure used to improve the control of upper limb prostheses. Residual nerves from the amputated limb are transferred to reinnervate new muscle targets that have otherwise lost their function. These reinnervated muscles then serve as biological amplifiers of the amputated nerve motor signals, allowing for more intuitive control of advanced prosthetic arms. Here the authors provide a review of surgical techniques for TMR in patients with either transhumeral or shoulder disarticulation amputations...
February 2015: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/25626817/in-vivo-evaluation-of-a-novel-mesh-suture-design-for-abdominal-wall-closure
#20
Jason M Souza, Zari P Dumanian, Anandev N Gurjala, Gregory A Dumanian
BACKGROUND: The authors present a novel mesh suture design aimed at minimizing the early laparotomy dehiscence that drives ventral hernia formation. The authors hypothesized that modulation of the suture-tissue interface through use of a macroporous structure and increased aspect ratio (width-to-height ratio) would decrease the suture pull-through that leads to laparotomy dehiscence. METHODS: Incisional hernias were produced in 30 rats according to an established hernia model...
February 2015: Plastic and Reconstructive Surgery
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