Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · May 2013
Comparative StudyBreast reconstruction modality outcome study: a comparison of expander/implants and free flaps in select patients.
Choosing a breast reconstructive modality after mastectomy is a critical step involving complex decisions. The authors provide outcomes data comparing two common reconstructive modalities to assist patients and surgeons in preoperative counseling and discussions. ⋯ : Therapeutic, III.
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Plast. Reconstr. Surg. · May 2013
Local anesthetics in liposuction: considerations for new practice advisory guidelines to improve patient safety.
The Practice Advisory on Liposuction published by the American Society of Plastic Surgeons provides a thorough review of anesthetic techniques and guidelines for surgeons who perform liposuction. However, there is evidence to support several changes to the anesthetic infiltrate guidelines that will improve patient safety. These proposed recommendations will have the most impact on patients undergoing office-based procedures, where dedicated anesthesia providers may not be present, but they should also guide practice in both ambulatory care centers and hospitals. The primary foci of the proposed changes include restrictions on bupivacaine use and creation of lidocaine concentration guidelines.
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Plast. Reconstr. Surg. · May 2013
Clinical TrialPreexpanded perforator flaps of the dorsolateral trunk in pediatric patients.
Contractures and broad scars of the axilla, anterior chest wall, and neck have detrimental effects on functional, physical, and psychological development of children. Perforator flaps have already been shown to be reliable options for the reconstruction of contractures, but there have been no reports demonstrating the value of preexpanded perforator flaps of the dorsolateral trunk region in the treatment of extensive contractures and scars of pediatric patients. The purpose of this study was to demonstrate these techniques by a case series formed of pediatric patients with broad scars and contractures of the anterior chest wall, axilla, neck, and breasts. ⋯ : Therapeutic, IV.