Article
Surgery
Meghana G. Shamsunder, Jacqueline J. Chu, Thais O. Polanco, Shen Yin, Rosario C. Muniz, Monique C. James, Babak J. Mehrara, Andrea L. Pusic, Sophocles Voineskos, Jonas A. Nelson
Summary: The study aimed to determine the prevalence of psychiatric diagnoses among breast reconstruction patients and measure their association with patient-reported outcomes. It found that psychiatric disorders had a significant impact on patient well-being, highlighting the need for further research and interventions for breast cancer patients undergoing reconstruction.
Article
Surgery
Lawrence Cai, Arash Momeni
Summary: The study found that patients had relatively low levels of decision regret and relatively high levels of satisfaction with breasts, regardless of whether they had implant-based or autologous breast reconstruction. The occurrence of postoperative complications significantly increased levels of decision regret but did not impact satisfaction with breasts. Patients may benefit from more preoperative education on possible complications to reduce decision regret.
AESTHETIC PLASTIC SURGERY
(2022)
Article
Oncology
Regina Matar-Ujvary, Kathryn Haglich, Meghan R. Flanagan, Sarah Fuzesi, Varadan Sevilimedu, Jonas A. Nelson, Mary L. Gemignani
Summary: Approximately 14% of women undergoing breast-conserving surgery require re-excision to achieve negative margins, which may affect patient-reported outcomes. Women who required re-excision had lower breast satisfaction and sexual well-being 2 years postoperatively, but this difference did not persist long term.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Sarah N. Chiang, Michael J. Finnan, Gary B. Skolnick, Justin M. Sacks, Joani M. Christensen
Summary: During the COVID-19 pandemic, immediate alloplastic breast reconstruction shifted towards outpatient procedures with noninferior complication rates. This suggests that a paradigm shift towards outpatient reconstruction may be safe for certain patients, although the lower reoperation rates in outpatients may require further investigation.
JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
Dora Danko, Makenna E. Ash, Owen H. Brown, Albert Losken, Peter W. Thompson
Summary: Although advanced age is considered a relative contraindication to breast reconstruction, this study found that older women above 70 years old can undergo implant-based breast reconstruction safely with similar high satisfaction rates as their younger counterparts. Age alone should not be a reason to exclude women from these life-changing operations.
ANNALS OF PLASTIC SURGERY
(2023)
Article
Oncology
Rena Yamakado, Makoto Ishitobi, Naoto Kondo, Chikako Yamauchi, Shinsuke Sasada, Hiroko Nogi, Miho Saiga, Akiko Ogiya, Kazutaka Narui, Hirohito Seki, Naomi Nagura, Ayaka Shimo, Teruhisa Sakurai, Naoki Niikura, Hiroki Mori, Tadahiko Shien, Collaborative Study Grp Sci Res Collaborative Study Grp Sci Res, Japanese Breast Canc Soc Japanese Breast Canc Soc
Summary: This study investigated the perception and misconceptions of members of the Japanese Breast Cancer Society regarding the impact of breast reconstruction on breast cancer patient prognosis. The results showed that a quarter of the respondents believed that breast reconstruction affects patient prognosis and underestimated the 5-year overall survival rates of patients who received breast reconstruction and subsequently experienced local or regional recurrence. Due to the lack of evidence on the impact of breast reconstruction on patient prognosis, it is highly recommended to educate physicians with accurate knowledge on breast reconstruction and patient prognosis.
Article
Surgery
Paolo Persichetti, Mauro Barone, Rosa Salzillo, Annalisa Cogliandro, Beniamino Brunetti, Silvia Ciarrocchi, Mario Alessandri Bonetti, Stefania Tenna, Michail Sorotos, Fabio Santanelli Di Pompeo
Summary: This study aims to compare the quality of life between deep inferior epigastric perforator flap (DIEP) breast reconstruction surgery and prosthetic reconstruction surgery, with results indicating that DIEP surgery leads to higher satisfaction and better quality of life in the Italian population.
AESTHETIC PLASTIC SURGERY
(2022)
Article
Surgery
Morgan S. Martin, Sara Kebede, Omar A. Saad, Nusaiba F. Baker, Albert Losken
Summary: This study examines barriers to care in breast reconstruction for minority and low socioeconomic status patients. The results show that income and race do not directly affect the occurrence of complications in breast reconstruction, but patients with lower income have higher rates of overall complications and infections.
ANNALS OF PLASTIC SURGERY
(2022)
Article
Surgery
Jenna M. Thuman, Nestor Worbowtiz, Abishek Jain, Jason P. Ulm, Kevin O. Delaney, Fernando A. Herrera
Summary: The study compared the effects of radiation on implant-based breast reconstruction using prepectoral versus submuscular approach. It showed that prepectoral tissue expander placement has fewer complications in nonradiated patients compared to radiated patients, although statistical significance was not identified. Prepectoral placement also had a significantly lower incidence of reconstructive failure than submuscular placement regardless of XRT status, indicating the need for larger-scale studies to determine significant differences in surgical approach.
ANNALS OF PLASTIC SURGERY
(2021)
Article
Surgery
Sabine Oskar, Jonas A. Nelson, Madeleine E. Hicks, Kenneth P. Seier, Kay See Tan, Jacqueline J. Chu, Scott West, Robert J. Allen, Andrea Barrio, Evan Matros, Anoushka M. Afonso
Summary: Racial disparities are evident in the perioperative outcomes of breast cancer patients undergoing autologous breast reconstruction. African American patients have a higher incidence of major complications following surgery, but patient-reported outcomes do not differ between racial groups.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Rachel Berkowitz, Joceline Vu, Chad Brummett, Jennifer Waljee, Michael Englesbe, Ryan Howard
Summary: Patients who experienced postoperative complications and pain were less likely to be highly satisfied or have no regret. Notably, postoperative pain had a more significant effect on satisfaction and regret after surgery, suggesting focused postsurgical pain management is an opportunity to substantially improve patient experiences. More research and patient education are needed for managing expectations of postoperative pain, and use of adjuncts and regional anesthesia.
Article
Surgery
Ronnie L. Shammas, Anna Hung, Alexandria Mullikin, Amanda R. Sergesketter, Clara N. Lee, Shelby D. Reed, Laura J. Fish, Rachel A. Greenup, Scott T. Hollenbeck
Summary: This study aims to identify the most important factors for women considering breast reconstruction and how these factors differ between those who prefer flap reconstruction and those who prefer implant reconstruction. The results show that the risk to abdominal morbidity is the most important attribute, followed by the chance of major complications, number of additional operations, appearance of the breasts, and recovery time.
Article
Oncology
Jie Jane Chen, Rie von Eyben, Paulina M. Gutkin, Erin Hawley, Frederick M. Dirbas, Gordon K. Lee, Kathleen C. Horst
Summary: The study aimed to determine complications, incidence, and predictors of implant-based reconstruction failure (RF) among mastectomy patients. Infections, delayed wound healing, and receipt of radiation therapy were significant predictors of RF. The newly developed classification tree accurately predicted RF events and non-RF events with over 70% accuracy.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Amanda Deliere, Deanna Attai, David Victorson, Kristine Kuchta, Catherine Pesce, Katherine Kopkash, Mark Sisco, Akhil Seth, Katharine Yao
Summary: Decision regret was found to be low among patients undergoing breast cancer surgery, with the lowest regret scores seen in patients who underwent bilateral mastectomy. This was after adjusting for clinical and tumor factors including complications.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Jonas A. Nelson, Meghana G. Shamsunder, Paige L. Myers, Thais O. Polanco, Michelle R. Coriddi, Colleen M. McCarthy, Evan Matros, Joseph H. Dayan, Joseph J. Disa, Babak J. Mehrara, Andrea L. Pusic, Robert J. Allen
Summary: This study compared patient-reported outcomes between autologous breast reconstruction (ABR) and implant-based breast reconstruction (IBR) patients using propensity score matching. The results showed no significant differences in breast satisfaction and well-being between ABR and IBR patients who did not receive radiotherapy.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
Andrew Atia, Hannah C. Langdell, Andrew Hollins, Ronnie L. Shammas, Adam Glener, Caitlin Marks, Bernard T. Lee, Brett T. Phillips
Summary: Applicants for microsurgery fellowships rely on information obtained from colleagues, mentors, and program websites, but the accessibility and quality of available information from microsurgery programs are limited. Most program websites provide basic information such as program descriptions, faculty listings, and operative volumes, but lack details on conference schedules, fellow listings, and selection processes. Furthermore, while affiliated hospitals have a strong social media presence, microsurgery fellowship programs themselves have limited social media accounts.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2021)
Article
Surgery
Anna Rose Johnson, Stephanie S. Lainez, Herman J. Santos, Austin D. Chen, Carlos Lainez, Samuel J. Lin, Richard L. Agag, Bernard T. Lee
Summary: Machete injuries in Honduras pose significant challenges in management, requiring early recognition of injuries to multiple anatomical systems. Most injuries require surgical intervention, but only a small percentage of patients follow up for further care. A program to streamline care from injury recognition to final follow-up is needed to optimize microsurgical treatment.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2021)
Article
Surgery
Salih Colakoglu, Ariel Johnson, Marc A. M. Mureau, Sara Douglass, Christodoulos Kaoutzanis, Tae W. Chong, David W. Mathes, Justin B. Cohen
Summary: This study aimed to discuss the efficacy and reliability of telehealth in overcoming geographic barriers to improve accessibility to breast reconstruction surgery. Through collecting data from 235 patients who received breast reconstruction surgery, it was found that telehealth can provide avenues for preoperative consultation, second opinion visits, and postoperative follow-up.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2021)
Article
Surgery
Salih Colakoglu, Seth Tebockhorst, Jonathan Freedman, Sara Douglass, Duygu Siddikoglu, Tae W. Chong, David W. Mathes
Summary: This prospective, randomized study demonstrates that preoperative CTA analysis of perforators decreases flap harvest and overall operating room time with equivalent postoperative outcomes.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2022)
Article
Surgery
Jerry H. Yang, Salih Colakoglu, Marc A. M. Mureau, Duygu Siddikoglu, Ariel C. Johnson, Justin B. Cohen, Bernard T. Lee, Tae W. Chong, David W. Mathes, Christodoulos Kaoutzanis
Summary: This study found that previous midline epigastric scars are associated with higher rates of umbilical complications after DIEP flap harvest. Additionally, bilateral medial row perforator-based DIEP flap harvest is also related to a higher rate of umbilical complications.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2022)
Review
Surgery
Jerry Huanda Yang, Ariel C. Johnson, Salih Colakoglu, Christene A. Huang, David Woodbridge Mathes
Summary: The field of vascularized composite allografts (VCAs) has made significant advancements, but the main obstacle remains to be the side effects associated with immunosuppression. Seeking tolerance protocol appears to be the key to widespread application. However, VCAs present additional challenges compared to kidney allografts, including donor types and HLA mismatch issues.
ARCHIVES OF PLASTIC SURGERY-APS
(2021)
Article
Surgery
Valeria P. Bustos, Elizabeth Laikhter, Samuel M. Manstein, Carly D. Comer, Anamika Veeramani, Eric Shiah, Helen Xun, Samuel J. Lin, Bernard T. Lee
Summary: This study aimed to assess trends among breast cancer patients who underwent outpatient mastectomy. The results showed that the proportion of IBR procedures increased the most, while the proportion in the mastectomy without BR group increased the least. Further research is needed to better understand the decision-making process in each group.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2022)
Article
Surgery
Pooja S. Yesantharao, Erica Lee, Kevin M. Klifto, Salih Colakoglu, A. Lee Dellon, Sashank K. Reddy
Summary: This study investigated the cost-utility of surgical treatment versus medical management for refractory chronic migraine. The results showed that surgery improved quality of life and decreased costs compared to medication, making it a more cost-effective option. Surgery was particularly effective for patients who required long-term treatment.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Dentistry, Oral Surgery & Medicine
Sashank K. Reddy, Salih Colakoglu, Joshua S. Yoon, Myan Bhoopalam, Shannath L. Merbs, Paul N. Manson, Michael P. Grant
Summary: This retrospective chart review study evaluated the outcomes of revisional orbital surgery in patients with diplopia from previous orbital trauma. The study found that surgical management led to significant improvement in diplopia in patients with globe malposition and restrictive strabismus. High resolution computer tomography and Lancaster red-green testing were effective in distinguishing these conditions from other causes that would not benefit from orbital surgery.
CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION
(2023)
Article
Surgery
Eric Shiah, Elizabeth Laikhter, Carly D. Comer, Samuel M. Manstein, Valeria P. Bustos, Paul A. Bain, Bernard T. Lee, Samuel J. Lin
Summary: This systematic review synthesized neurotization techniques and outcomes in breast reconstruction surgery. The studies demonstrated that neurotized breast reconstruction improved the rate, quality, and magnitude of sensory recovery, supporting its use in clinical practice.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2022)
Review
Surgery
Pathik Aravind, Salih Colakoglu, Myan Bhoopalam, Ahmed Ibrahim, David Mathes, Christodoulos Kaoutzanis, Marc Mureau, Sashank Reddy
Summary: This study systematically reviewed the characteristics of perforators in deep inferior epigastric perforator (DIEP) flap breast reconstruction and found that a single dominant perforator and medial row perforators may be associated with a higher risk of fat necrosis. Adopting a standardized perforator selection algorithm could help surgeons make operative decisions and improve postoperative outcomes.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2023)
Article
Surgery
Allan A. Weidman, Erin Kim, Lauren Valentine, Jose Foppiani, Angelica Hernandez Alvarez, Valeria P. Bustos, Bernard T. T. Lee, Samuel J. J. Lin
Summary: This study aims to determine if there are disparities in autologous breast reconstruction care among rural patients on the national level. The results show that breast cancer patients living in rural areas face inequalities in access to breast reconstruction surgery and are more likely to experience complications such as infection and wound disruption.
Letter
Surgery
Sivana Barron, Emmeline Jia, Monica Morgenstern, Carolina Torres Perez-Iglesias, Amy Chen, Christine Kang, Brianna L. Slatnick, Amy Maselli, Bernard Lee, Adam M. Tobias, Ryan P. Cauley
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Surgery
Monica Morgenstern, Sivana Barron, Emmeline Jia, Rosie Friedman, Carolina Torres Perez-Iglesias, Shannon R. Garvey, Christine O. Kang, Bernard T. Lee, Adam M. Tobias, Ryan P. Cauley
Summary: Individuals with gender dysphoria have high rates of depression and anxiety, but these mental health conditions do not affect the outcomes of gender affirmation surgery. However, patients with preoperative depression may have lower satisfaction with scar appearance and report feelings of depression postoperatively.
AESTHETIC SURGERY JOURNAL
(2023)
Article
Medicine, General & Internal
Salih Colakoglu, Krystle Tuano, Drew Newhofp, Francisco Rodriguez-Fontan, Jason Nadeau, Duygu Siddikoglu, Rodrigo Banegas
Summary: This study demonstrates that endoscopic carpal tunnel release can improve pressure in the carpal tunnel and Guyon's canal, leading to enhanced two-point discrimination in the ulnar and median nerve distributions. Factors such as sex, age, and diabetes did not significantly affect the outcomes of two-point discrimination, while smoking status did show some differences among patients.
MEDICINA-BUENOS AIRES
(2021)
