Annals of plastic surgery
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Annals of plastic surgery · Mar 2007
Case ReportsThe contemporary management of electrical injuries: resuscitation, reconstruction, rehabilitation.
Due to advances in resuscitation of patients with electrical injuries, new challenges in reconstruction and rehabilitation have emerged. This study is a comprehensive institutional review of a prospectively gathered database of patients with electrical injuries, from initial resuscitation through final impairment ratings. ⋯ Electrical injuries can produce significant morbidity despite relatively small burn sizes. Patients require early operative procedures for prevention of further injury. Timely reconstructive surgery may improve final function and return to productivity. Finally, continued reconstruction may ensure improved late outcomes. The plastic surgeon is essential to patients with electrical injuries through all phases of their care.
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Annals of plastic surgery · Mar 2007
Large-volume reduction mammaplasty: the effect of body mass index on postoperative complications.
Eighty-six women underwent modified inferior pedicled reduction mammaplasty. All were grouped according to body mass index (BMI): 14 in the overweight group, 51 in the obese group, and 21 in the morbidly obese group. The mean ages were 34, 35, and 36, respectively, for the 3 groups and were not statistically different. ⋯ Forty-seven percent of this group continued to have limited activity after breast reduction with a mean BMI of 37.8 kg/m2. The mean BMI of all women was 37.41 kg/m2 with a total BMI change of -0.4 kg/m2, suggesting that most women do not lose a significant amount of weight after breast reduction. There was no statistical difference in long-term BMI.