Article
Oncology
Victoria Huynh, Kathryn Colborn, Shelby Smith, Levi N. Bonnell, Gretchen Ahrendt, Nicole Christian, Simon Kim, Dan D. Matlock, Clara Lee, Sarah E. Tevis
Summary: This study aimed to compare longitudinal patient-reported outcomes between breast cancer patients undergoing lumpectomy and mastectomy, finding that mastectomy patients experienced significantly greater decreases in breast satisfaction, psychosocial well-being, and sexual well-being over time compared with lumpectomy patients, with lumpectomy patients more likely to return to baseline scores at 3 and 6 months postoperatively. Understanding these differences can inform early intervention strategies to prevent long-term morbidities.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Jihye Park, Juan L. Rodriguez, Katie M. O'Brien, Hazel B. Nichols, M. Elizabeth Hodgson, Clarice R. Weinberg, Dale P. Sandler
Summary: The study showed that prognostic and cancer treatment-related factors can impact health-related quality of life (HRQOL) in breast cancer survivors, and poor HRQOL may increase mortality risk. Evaluating HRQOL is important as it may serve as a tool for optimizing survivorship care.
Article
Oncology
Shiao Li Oei, Anja Thronicke, Gerrit Grieb, Friedemann Schad, Jessica Gross
Summary: This study aimed to evaluate the impact of different surgical options on the quality of life (QoL) of breast cancer patients. The results showed that patients who underwent breast-conserving surgery reported significantly better QoL, while those who underwent mastectomy experienced a decline in QoL immediately after surgery, but gradually improved after 24 months.
Article
Oncology
David W. Lim, Helene Retrouvey, Isabel Kerrebijn, Kate Butler, Anne C. O'Neill, Tulin D. Cil, Toni Zhong, Stefan O. P. Hofer, David R. McCready, Kelly A. Metcalfe
Summary: The study found that women undergoing unilateral mastectomy had higher breast satisfaction and psychosocial well-being scores compared to those undergoing unilateral or bilateral mastectomy. Additionally, cancer-related distress, anxiety, and depression scores significantly decreased after surgery, regardless of the surgical procedure.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Kathy Dempsey, Erin Mathieu, Meagan Brennan, Kylie Snook, Julia Hoffman, Ian Campbell, Jenni Scarlet, Heather Flay, April Wong, Frances Boyle, Madeleine King, Andrew Spillane
Summary: This study aimed to explore the impact of mastectomy with or without breast reconstruction on women's perceptions of HRQOL. The results showed that breast reconstruction can improve HRQOL, and the choice of reconstruction method is important.
Review
Surgery
Rachel Xue Ning Lee, Maria Joao Cardoso, Kwok-Leung Cheung, Ruth M. Parks
Summary: The uptake of postmastectomy immediate breast reconstruction (PMIBR) in older women is significantly lower than in younger women, and there are definable (and some correctable) barriers to this trend.
BRITISH JOURNAL OF SURGERY
(2022)
Article
Environmental Sciences
Stana Pacaric, Zelimir Orkic, Marko Babic, Nikolina Farcic, Andrea Milostic-Srb, Robert Lovric, Ivana Barac, Stefica Miksic, Jasenka Vujanic, Tajana Turk, Zvjezdana Gvozdanovic, Dragica Pavlovic, Nika Srb, Ivana Pacaric
Summary: Mastectomy has a negative impact on the well-being of patients, and breast reconstruction is important for improving their quality of life. This study assessed the quality of life of patients who underwent immediate or delayed breast reconstruction after mastectomy, and found that immediate breast reconstruction improved physical health, while delayed reconstruction had a negative impact on mental health.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Surgery
Soo Kyung Ahn, Sohee Oh, Jongjin Kim, Jung-Seok Choi, Ki-Tae Hwang
Summary: This study assessed the impact of different types of breast surgery on rates of psychological disorders in breast cancer patients, and found that overall psychological disorders and insomnia rates were lower in patients who underwent total mastectomy (TM) compared to partial mastectomy (PM). Furthermore, breast reconstruction surgery (RS) after TM was associated with reduced rates of psychological disorders and insomnia in younger patients (< 50 years) and those who underwent sentinel lymph node biopsy.
WORLD JOURNAL OF SURGERY
(2022)
Article
Oncology
Susie X. Sun, Zhigang Duan, Henry M. Kuerer, Sarah M. DeSnyder, Carrie Cunningham, Hui Zhao, Sharon H. Giordano
Summary: This study examined the rate and risk factors for emergency department (ED) visits following outpatient breast cancer surgery. The findings showed that a substantial number of patients returned to the ED within 30 days of surgery, but most did not require hospital admission. Factors such as race, income, marital status, cancer stage, and comorbidity score were found to be predictors of ED visits.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Kathy Dempsey, Erin Mathieu, Meagan Brennan, Kylie Snook, Julia Hoffman, Ian Campbell, Jenni Scarlet, Heather Flay, April Z. H. Wong, Frances Boyle, Madeleine King, Andrew Spillane
Summary: This study found that women recover from the negative impact of mastectomy on body image within four years of surgery, regardless of whether they have immediate, delayed, or no reconstruction. Having the choice of breast reconstruction options appears to be important for improving body image outcomes. A follow-up period of four years seems to be suitable for future studies in this area.
Article
Oncology
Susie X. Sun, Zhigang Duan, Henry M. Kuerer, Sarah M. DeSnyder, Carrie Cunningham, Hui Zhao, Sharon H. Giordano
Summary: This study aimed to investigate the rate and risk factors of emergency department (ED) visits following outpatient breast cancer surgery. The study found that although a substantial number of patients returned to the ED, most did not require hospital admission, indicating that a large proportion of these visits could have been avoided. Several clinical and socioeconomic predictors of postoperative ED visits were identified, which will aid in the development of patient risk profiling tools.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Basilio Duenas-Rodriguez, Joaquin Navarro-Cecilia, Carolina Luque-Lopez, Belen Sanchez-Andujar, Juan Arsenio Garcelan-Trigo, Maria Jesus Ramirez-Exposito, Jose Manuel Martinez-Martos
Summary: This study evaluated postoperative complications, aesthetic results, and satisfaction outcomes in patients with breast cancer who underwent skin-sparing or nipple-sparing mastectomy with immediate prosthetic reconstruction. The use of a biological mesh during reconstruction resulted in lower implant loss and higher satisfaction rates.
Article
Oncology
Catherine Pesce, Jennifer Jaffe, Kristine Kuchta, Katharine Yao, Mark Sisco
Summary: Although patients who undergo mastectomy have less long-term breast satisfaction, all patients can expect to experience similar improvements in anxiety and psychosocial well-being. Efforts should be made to ensure that patients feel informed and confident before surgery, as this is the greatest predictor of better outcomes. Women who felt very confident and very informed before surgery had lower anxiety, lower fear of recurrence, better psychosocial well-being, and greater breast satisfaction at 15 months postoperatively.
BREAST CANCER RESEARCH AND TREATMENT
(2021)
Article
Oncology
Yu Zhang, Fuxiu Ye, Yun Teng, Jin Zheng, Chunlu Li, Ruilan Ma, Haichen Zhang
Summary: Immediate implant-based breast reconstruction (IBBR) has shown better radiation dosimetry distribution and higher quality of life without more complications of radiotherapy compared to non-reconstruction group in breast cancer patients after modified radical mastectomy.
FRONTIERS IN ONCOLOGY
(2023)
Article
Medicine, General & Internal
Angelica E. Lang, Stephan Milosavljevic, Clark R. Dickerson, Catherine M. Trask, Soo Y. Kim
Summary: Breast cancer survivors may experience kinematic alterations in scapular motion during an overhead reach task, which may increase the risk of developing rotator cuff disease. The type of surgery and the presence of impingement pain were found to have significant effects on scapular kinematics. These alterations may worsen over time.
ANNALS OF MEDICINE
(2022)
Article
Oncology
Matthew G. Parry, Jemma M. Boyle, Julie Nossiter, Melanie Morris, Arunan Sujenthiran, Brendan Berry, Paul Cathcart, Ajay Aggarwal, Jan van der Meulen, Heather Payne, Noel W. Clarke
Summary: This study found that there is significant variation in radical local treatment for high-risk localized or locally advanced prostate cancer among hospitals. This variation is primarily influenced by patient age and comorbidities, as well as socioeconomic deprivation and ethnicity, with older patients showing the highest level of variation.
PROSTATE CANCER AND PROSTATIC DISEASES
(2023)
Article
Oncology
Julie Nossiter, Melanie Morris, Thomas E. Cowling, Matthew G. Parry, Arunan Sujenthiran, Ajay Aggarwal, Heather Payne, Jan van der Meulen, Noel W. Clarke, Paul Cathcart
Summary: Increased radical prostatectomy volume does not have a significant association with longer-term functional outcomes. Hospitals in England already perform enough RP procedures to achieve satisfactory results.
PROSTATE CANCER AND PROSTATIC DISEASES
(2023)
Article
Oncology
Matthew G. Parry, Julie Nossiter, Melanie Morris, Arunan Sujenthiran, Ted A. Skolarus, Brendan Berry, Arjun Nathan, Paul Cathcart, Ajay Aggarwal, Jan van der Meulen, Quoc-Dien Trinh, Heather Payne, Noel W. Clarke
Summary: There are differences in the treatment of prostate cancer between the United States and England, with US patients more likely to receive radical local treatment. This raises concerns of potential over-treatment for low-risk disease (CPG1) in the US and under-treatment of clinically significant disease (CPG3-5) in England.
PROSTATE CANCER AND PROSTATIC DISEASES
(2023)
Article
Dentistry, Oral Surgery & Medicine
K. J. Fitzsimons, M. J. Hamilton, J. van der Meulen, J. Medina, M. A. H. Wahedally, M. H. Park, C. J. H. Russell
Summary: This study analyzed data from children receiving cleft care in English NHS hospitals between 2000 and 2012 and found that congenital malformations are common among children born alive with a cleft, affecting over half of some cleft subgroups.
CLEFT PALATE CRANIOFACIAL JOURNAL
(2023)
Article
Urology & Nephrology
Ajay Aggarwal, Lu Han, Alison Tree, Daniel Lewis, Tom Roques, Vijay Sangar, Jan van Der Meulen
Summary: This study assesses the impact of centralization of prostate cancer surgery and radiotherapy services on the choice of treatment for patients. The results show that the type of treatment received by patients is influenced by the relative proximity of treatment centers to their place of residence.
Article
Obstetrics & Gynecology
Harriet Aughey, Jennifer Jardine, Hannah Knight, Ipek Gurol-Urganci, Kate Walker, Tina Harris, Jan van der Meulen, Jane Hawdon, Dharmintra Pasupathy
Summary: This cohort study analyzed electronic health records to describe the rates and risk factors associated with iatrogenic and spontaneous preterm birth, as well as the variation in rates between different hospitals. The study found that just over half of all preterm births were iatrogenic and that iatrogenic and spontaneous sub-groups had different maternal demographic and clinical risk factors. There was also more variation between hospitals in rates of iatrogenic preterm births compared to spontaneous preterm births.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Letter
Obstetrics & Gynecology
Ipek Gurol-Urganci, Jennifer Jardine, Tina Harris, Asma Khalil, Jan van der Meulen
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Gastroenterology & Hepatology
Tommy Ivanics, Marco P. A. W. Claasen, Madhukar S. S. Patel, Emmanouil Giorgakis, Shirin E. E. Khorsandi, Parthi Srinivasan, Andreas Prachalias, Krishna Menon, Wayel Jassem, Miriam Cortes, Blayne A. A. Sayed, Amit K. K. Mathur, Kate Walker, Rhiannon Taylor, Nigel Heaton, Neil Mehta, Dorry L. L. Segev, Allan B. B. Massie, Jan H. P. van Der Meulen, Gonzalo Sapisochin, David Wallace
Summary: Comparing the utilization and outcomes of DCD LT between the UK and the US provides insights into the international differences. The study found that although the use of DCD livers increased in both countries, the long-term transplant outcomes in the UK were superior to those in the US.
LIVER INTERNATIONAL
(2023)
Article
Surgery
Ajay Aggarwal, Lu Han, Jemma Boyle, Daniel Lewis, Angela Kuyruba, Michael Braun, Kate Walker, Nicola Fearnhead, Richard Sullivan, Jan Van Der Meulen
Summary: This study investigated factors associated with cancer patients' choice of treatment location. The results showed that travel time was strongly associated with treatment location. The association was weaker for younger, more affluent patients and those from rural areas. For rectal cancer patients, they were more likely to travel to hospitals designated as specialist colorectal cancer surgery centers and hospitals performing robotic surgery for rectal cancer. Patients were less likely to travel to hospitals deemed to have inadequate care by the national quality regulator. Patients were not more likely to travel to hospitals with better 2-year bowel cancer mortality outcomes.
Editorial Material
Obstetrics & Gynecology
Ipek Gurol-Urganci, Jennifer Jardine, Fran Carroll, Alissa Fremeaux, Patrick Muller, Sophie Relph, Lara Waite, Kirstin Webster, Sam Oddie, Jane Hawdon, Tina Harris, Asma Khalil, Jan van der Meulen
Summary: The provision of care in maternity services requires a delicate balance between supporting the natural process of childbirth and clinical interventions when necessary. However, there is a lack of consensus on clinical guidelines for maternity care, leading to significant variations in induction of labor and cesarean delivery rates between hospitals in the United Kingdom. This study aimed to examine the association between rates of induction of labor and emergency cesarean delivery with adverse perinatal outcomes.
OBSTETRICAL & GYNECOLOGICAL SURVEY
(2023)
Article
Medicine, General & Internal
David Etoori, Min Hae Park, Ruth Marion Blackburn, Kate J. Fitzsimons, Sophie Butterworth, Jibby Medina, Louise Mc Grath-Lone, Craig Russell, Jan van der Meulen
Summary: This study observed a significant reduction in the number and delays in timing of first primary cleft lip and palate repair procedures in England during the first year of the COVID-19 pandemic. The number of procedures decreased by 17.8%, and the timing of the surgeries was delayed by an average of 1.6 months.
Article
Oncology
Arunan Sujenthiran, Matthew G. Parry, Joanna Dodkins, Julie Nossiter, Melanie Morris, Brendan Berry, Arjun Nathan, Paul Cathcart, Noel W. Clarke, Heather Payne, Jan van der Meulen, Ajay Aggarwal
Summary: This study compared the toxicity of radiation therapy to the prostate bed and pelvic lymph nodes with radiation therapy to the prostate bed only in patients with recurrent prostate cancer following radical prostatectomy. The results showed no significant difference in gastrointestinal and genitourinary toxicity between the two treatment strategies at 5 years.
CLINICAL AND TRANSLATIONAL RADIATION ONCOLOGY
(2023)
Article
Medicine, General & Internal
Patrick Muller, Amar M. Karia, Kirstin Webster, Fran Carroll, George Dunn, Alissa Fremeaux, Tina Harris, Hannah Knight, Sam Oddie, Asma Khalil, Jan van der Meulen, Ipek Gurol-Urganci
Summary: This study analyzed a database of maternity admissions in the English National Health Service (NHS) to investigate the association between induction of labor (IOL) at 39 weeks and adverse perinatal outcomes in low-risk pregnancies. The researchers found evidence that IOL in low-risk pregnancies can lead to a small reduction in adverse perinatal outcomes, with 360 inductions associated with the avoidance of 1 adverse outcome. The benefits of induction were observed mainly in women from socioeconomically deprived areas and nulliparous women.
Article
Orthopedics
T. O. Smith, J. Dainty, D. T. Loveday, A. Toms, A. J. Goldberg, L. Watts, M. W. Pennington, J. Dawson, J. van der Meulen, A. J. MacGregor
Summary: This study aimed to investigate the 12-month outcomes of patients undergoing total ankle arthroplasty (TAA) and analyze the predictors of these outcomes. The results showed significant improvements in patient-reported outcome measures (PROMs) at 6 and 12 months after TAA compared to preoperative scores. The study also found that the most improvement occurred between preoperative and 6 months postoperative, with little further improvement at 12 months. Older age and more advanced radiological signs of ankle osteoarthritis at baseline were associated with greater improvements in PROMs. These findings provide important information for counseling younger patients and those with earlier ankle disease on the expectations of TAA.
BONE & JOINT JOURNAL
(2023)
Letter
Surgery
Arif Tri Prasetyo, Lisa Y. Hasibuan, Kevin Leonard Suryadinata
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Peter J. Nicksic, D'Andrea T. Donnelly, Weifeng Zeng, Allison J. Seitz, Samuel O. Poore, Aaron J. Suminski, Aaron M. Dingle
Summary: The study demonstrates that trigeminal nerve stimulation (TNS) or peripheral nerve stimulation (PNS) can improve functional outcomes of peripheral nerve injury in rats. This finding is important in translating the therapy as a non-invasive treatment for high, mixed nerve injuries in humans.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
K. Can Bayezid, Suat Morkuzu, Erdem Karabulut, Adam Bajus, Libor Streit
Summary: This study compared the spontaneity outcomes of the most preferred neurotization methods in facial reanimation surgery. The results showed that dual innervation and contralateral facial nerve-driven strategies achieved the most promising outcomes, while motor nerve to the masseter had lower potential to elicit spontaneous smile.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Letter
Surgery
Hinpetch Daungsupawong, Viroj Wiwanitkit
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Zidi Yu, Ziwei Zhang, Xiancheng Wang, Dandan Song, Quanding Yan, Yang Sun, Xiang Xiong, Xianxi Meng, Wenbo Li, Zhongjie Yi
Summary: Pathological psychologies such as anxiety, depression, and body dysmorphic disorder (BDD) are common in female patients scheduled to undergo rhinoplasty. BDD is more likely to be associated with depression. Rhinoplasty has little psychological impact on patients, but female patients with BDD are more likely to be dissatisfied with the surgery.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Lei Wang, Qian Zhu, Yuanyuan Zhang, Yulin Miao, Huan Liu, Fengli Gao
Summary: This comparative observational study found that microscopic varicocoelectomy had higher sperm motility and showed significant improvements in certain postoperative parameters compared to laparoscopic varicocoelectomy. Neither group experienced testicular atrophy.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Mohamed Dalmar, Mohamed El Sheikh, Richard Baker, Rajan Uppal
Summary: This study analyzed complications following cosmetic surgeries managed by plastic surgery services at Heatherwood and Wexham Park hospitals in 2022, including procedures performed internationally. The majority of complications were related to breast cosmetic surgery and abdominoplasties, with the most common complications being wound dehiscence, post-operative infection, and seromas. Turkey was the most popular country selected for surgery, and there is a need to increase public awareness of the risks involved in seeking international options and how to choose suitable clinics.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Editorial Material
Surgery
Rohun Gupta, Lawson E. Spence, Peter K. Firouzbakht, Brian A. Mailey
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Alexandre Mendonca Munhoz, Ary de Azevedo Marques Neto, Joao Maximiliano, Murillo Fraga
Summary: This study investigated the outcomes of silicone implants in breast augmentation and found that ergonomic style implants can achieve favorable results with lower complication rates.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Lee H. Kilmer, Allan A. Weidman, Brent R. Degeorge, John T. Stranix, Chris A. Campbell
Summary: The study aims to compare the oncologic, medical, and surgical outcomes of lumpectomy and oncoplastic breast reduction surgery (OBRS) on a national scale. A database was used to analyze patient data and match them based on various factors. The results showed that lumpectomy patients had higher rates of repeat lumpectomy or subsequent mastectomy, while OBRS patients had higher rates of surgical complications but fewer medical complications. Logistic regression analysis revealed that OBRS was associated with a decreased likelihood of repeat lumpectomy. Although OBRS was associated with increased wound complications, medical complications were found to occur less frequently.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Review
Surgery
M. Guiotto, C. M. Oranges, M. Cherubino, M. Maruccia, P. Tedeschi, D. F. Kalbermatten, W. Raffoul, P. G. di Summa
Summary: This study evaluated different surgical approaches for neoumbilicoplasty and correlated them with specific surgical needs. The results showed that direct suture, single flap, and multiple flap techniques can achieve overall satisfactory cosmetic outcomes with a low rate of surgical complications. Different surgical techniques are suitable for different patient populations and surgical scenarios.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Review
Surgery
Samuel Knoedler, Giuseppe Sofo, Barbara Kern, Konstantin Frank, Sebastian Cotofana, Sarah von Isenburg, Soren Konneker, Francesco Mazzarone, Amir H. Dorafshar, Leonard Knoedler, Michael Alfertshofer
Summary: This study compared real patient feedback with ChatGPT-generated reviews for the top five US plastic surgery procedures. It found that analyzing the emotional tone and review length can help differentiate real from fake reviews, and ChatGPT-generated reviews can convincingly deceive commercial AI detection software.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Gerlya Asirova, Jan Wynands, Sergey Frolov, Diana Almeida, Pavel Davydenko, Salem Madina
Summary: By assessing the development and growth of costal cartilage, the optimal age for ear reconstruction surgery in the Russian population was determined to be 10 years and older.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Letter
Surgery
S. Curran, E. Heffernan, S. Connolly, K. Levins, K. Cronin, R. Dolan
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Soo Min Cha, Ashwin Pai, Hyun Jong Lee, Hyun Dae Shin
Summary: In this retrospective case series, we found that non-vascularized iliac bone graft longer than 3 cm had satisfactory clinical outcomes in the treatment of non-union of the upper extremities.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)