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
Malke Asaad, Cedar Slovacek, David Mitchell, Jun Liu, Jesse C. Selber, Mark W. Clemens, Carrie K. Chu, Alexander F. Mericli, Charles E. Butler
Summary: In patients who underwent explantation of implants due to infection in the context of implant-based breast reconstruction, both implant-based and free flap breast reconstruction had similar rates of overall complications. However, implant-based reconstruction had higher rates of infection and reconstructive failures, as well as lower patient-reported satisfaction scores for the breasts.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Katie G. Egan, Melissa Cullom, Niaman Nazir, James A. Butterworth
Summary: Nipple-areola complex reconstruction is a crucial aspect of autologous breast reconstruction, leading to increased sexual well-being and satisfaction with the reconstructed breasts.
PLASTIC AND RECONSTRUCTIVE SURGERY
(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
Joshua A. Bloom, Shivani A. Shah, Emily A. Long, Abhishek Chatterjee, Bernard T. Lee
Summary: For patients with locally advanced breast cancer who require post-mastectomy radiation therapy, staged autologous reconstruction is more cost-effective than implant reconstruction.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Surgery
Maxi von Glinski, Nikla Holler, Sherko Kuemmel, Christoph Wallner, Johannes Maximilian Wagner, Alexander Sogorski, Felix Reinkemeier, Mattea Reinisch, Marcus Lehnhardt, Bjoern Behr
Summary: This study assessed partner satisfaction with breast reconstruction surgery and compared it to patient satisfaction. The results showed a high correlation between partner satisfaction and patient satisfaction, but partners tend to overestimate patient's psychosocial well-being. Therefore, partner inclusion in regular psycho-oncological support should be encouraged to raise awareness of the high psychological burden of a breast cancer diagnosis and stabilize patients' support system.
AESTHETIC PLASTIC SURGERY
(2023)
Article
Surgery
Maxi von Glinski, Nikla Holler, Sherko Kuemmel, Mattea Reinisch, Christoph Wallner, Johannes Maximilian Wagner, Mehran Dadras, Alexander Sogorski, Marcus Lehnhardt, Bjoern Behr
Summary: This cross-sectional study comprehensively analyzed autologous and implant-based breast reconstruction procedures, and found that despite the high probability of secondary procedures for aesthetic improvement, autologous breast reconstruction (ABR) was associated with higher patient satisfaction compared to implant-based breast reconstruction (IBR). IBR patients experienced more major complications, while ABR patients had better breast sensitivity. In bilateral reconstruction, IBR tended to have superior aesthetic results. Therefore, the laterality of reconstruction should be considered in the decision-making process.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Tyler Safran, Becher Al-Halabi, Alex Viezel-Mathieu, Jessica Hazan, Tassos Dionisopoulos
Summary: The study showed that breast satisfaction, psychosocial well-being, chest physical well-being, and sexual well-being did not significantly change at 12 months post-reconstruction. Factors such as neoadjuvant chemotherapy, increased age, and rippling negatively influenced patient-reported outcomes.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Surgery
Malke Asaad, David Mitchell, Brittany Murphy, Jun Liu, Jesse C. Selber, Mark W. Clemens, Isabelle Bedrosian, Charles E. Butler
Summary: In patients with a history of breast-conserving surgery and radiotherapy, free flap breast reconstruction (FFBR) was associated with lower probability of reconstruction failure compared to implant-based breast reconstruction (IBR), but no significant difference in overall complication rates. The addition of latissimus dorsi (LD) flap to IBR did not reduce complication rates, but may result in decreased reconstruction failures.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
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
Utku C. Dolen, Jody Law, Marissa M. Tenenbaum, Terence M. Myckatyn
Summary: Breast reconstruction in women over 60 years old was not independently associated with higher major complication rates in our series. However, a significant relationship was found between a history of ipsilateral breast conservation therapy and adjuvant chemotherapy with major complications.
BREAST CANCER RESEARCH AND TREATMENT
(2022)
Article
Surgery
Fedele Lembo, Liberato Roberto Cecchino, Domenico Parisi, Aurelio Portincasa
Summary: This study presents a new technique of immediate breast reconstruction using prepectoral Polyuretane (PU) Implants covered with an autologous dermo-adipose flap. The technique is effective, feasible, and cost-effective, with advantages such as reduced operative time and complications. The procedure leads to good aesthetic results and high patient satisfaction.
AESTHETIC PLASTIC SURGERY
(2023)
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
Shamit S. Prabhu, Cassandra R. Driscoll, Amelia L. Davidson, Abigail E. Peoples, Adam J. Katz
Summary: In this retrospective study, the relationship between intraoperative core body temperatures and reconstructive surgical outcomes was evaluated in patients undergoing immediate breast reconstruction after mastectomy. Prolonged intraoperative hypothermia was found to increase the risk of ischemic complications, highlighting the importance of maintaining normal body temperature in surgical procedures to improve patient outcomes.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Oncology
Marzia Salgarello, Domenico Pagliara, Liliana Barone Adesi, Giuseppe Visconti, John Benjamin Wild, Pilar Matey
Summary: This study reported the experience in direct-to-implant breast reconstruction with prepectoral polyurethane implants and investigated the correlation between mastectomy flap thickness and satisfaction with breast. Results showed a positive linear correlation between mastectomy flap thickness and satisfaction with breast. Postoperative Q-scores were encouraging especially in patients with thick mastectomy flaps.
CLINICAL BREAST CANCER
(2021)
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
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
Ariel C. Johnson, Becky B. T. King, Salih Colakoglu, Jerry H. Yang, Tae W. Chong, David W. Mathes
Summary: A retrospective study compared the effects of closing or not closing the superficial fascial system on outcomes of abdominal donor sites in breast reconstruction surgeries. The results showed no significant difference in wound dehiscence, fat necrosis rates, or aesthetic appearance of scars and contours between the two groups.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
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)