Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Jan 2015
Comparative StudyDeep inferior epigastric artery perforator flap donor-site closure with cannula-assisted, limited undermining, and progressive high-tension sutures versus standard abdominoplasty: complications, sensitivity, and cosmetic outcomes.
In deep inferior epigastric artery perforator (DIEP) flap breast reconstruction, abdominal donor-site cosmetic and sensibility outcomes and the closure technique have drawn little attention in the literature, with many surgeons still following the principles of standard abdominoplasty. In this article, the authors report their experience with the cannula-assisted, limited undermining, and progressive high-tension suture ("CALP") technique of DIEP donor-site closure compared with standard abdominoplasty. ⋯ Therapeutic, II.
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Plast. Reconstr. Surg. · Jan 2015
Flap coverage outcomes following vascular injury and repair: chronicling a decade of severe war-related extremity trauma.
Combat-related extremity injuries frequently require vascular repair within the combat theater before undergoing definitive reconstruction. This study examines the outcomes of early vascular repair with secondary soft-tissue extremity reconstruction over the past decade of war trauma. ⋯ Therapeutic, III.
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Plast. Reconstr. Surg. · Jan 2015
Optimal axon counts for brachial plexus nerve transfers to restore elbow flexion.
Nerve transfer surgery has revolutionized the management of traumatic brachial plexus injures. However, the optimal size ratio of donor to recipient nerve has yet to be elucidated. The authors investigated the axon count ratios of ulnar and median fascicular transfers to restore elbow flexion. The authors hypothesized that donor nerve axon counts would be correlated with historical success of various nerve transfers used to restore elbow flexion. ⋯ In nerve transfers to restore elbow flexion, an appropriate size match between donor and recipient nerves appears to be a factor affecting clinical success. These data support a donor-to-recipient axon count ratio greater than 0.7:1 as the goal for brachial plexus nerve transfers to restore elbow flexion.
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Plast. Reconstr. Surg. · Jan 2015
Clinicians performing cosmetic surgery in the community: a nationwide analysis of physician certification.
Practitioners who are not board-certified by the American Board of Plastic Surgery are practicing cosmetic surgery. The extent of this issue across the United States has yet to be examined in detail. ⋯ Many clinicians performing cosmetic surgery are not board-certified. This finding has important implications for patient safety.