33 Secondary Procedures of the Reconstructed Breast

2022 ◽  
Keyword(s):  
Secondary Procedures ◽  
Reconstructed Breast

Imaging Approaches and Findings in the Reconstructed Breast: A Pictorial Essay

2011 ◽  
Vol 62 (1) ◽  
pp. 60-72 ◽  
Author(s):  
Anabel M. Scaranelo ◽  
Bridgette Lord ◽  
Riham Eiada ◽  
Stefan O. Hofer
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Detection ◽  
Reconstructive Surgery ◽  
Genetic Screening ◽  
Breast Imaging ◽  
Breast Cancer Detection ◽  
Imaging Findings ◽  
Pictorial Essay ◽  
Reconstructed Breast

Advances in breast imaging over the last 15 years have improved early breast cancer detection and management. After treatment for breast cancer, many women choose to have reconstructive surgery. In addition, with the availability of widespread genetic screening for breast cancer, an increasing number of women are choosing prophylactic mastectomies and subsequent breast reconstruction. The purpose of this pictorial essay is to present the spectrum of imaging findings in the reconstructed breast.

Open versus Endovascular AAA Repair in Patients Who are Morphological Candidates for Endovascular Treatment

2002 ◽  
Vol 9 (3) ◽  
pp. 255-261 ◽  
Author(s):  
Bradley B. Hill ◽  
Yehuda G. Wolf ◽  
W. Anthony Lee ◽  
Frank R. Arko ◽  
Cornelius Olcott ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Outcome Measures ◽  
Endovascular Repair ◽  
Open Repair ◽  
Aneurysm Rupture ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Morphological Criteria ◽  
Secondary Procedures ◽  
Open Versus

Purpose: To compare the outcomes of open versus endovascular repair of abdominal aortic aneurysm (AAA) in a cohort of patients who fulfill morphological criteria for endovascular repair. Methods: A retrospective review of 229 consecutive AAA patients treated over a 3-year period identified 149 patients who were candidates for endovascular repair based on preoperative computed tomography and angiography. Of the 149 patients, 79 (68 men; mean age 74 ± 8 years) underwent endovascular repair with the AneuRx stent-graft; the remaining 70 (56 men; mean age 72 ± 8 years) had open repair. Short-term outcome measures were 30-day mortality and procedure-related morbidity, length of stay in the intensive care unit and hospital, intraoperative blood loss, interval to oral diet, and time to ambulation. Long-term outcome measures included death and secondary procedures. Results: There was no difference in the 30-day mortality between endovascular repair (2, 2.5%) and open repair (2, 2.9%), even though endovascular patients had more comorbidities (p<0.05). Overall length of stay was reduced for endovascular patients (3.9 ± 2.4 days versus 7.7 ± 3.1 days for surgical patients, p<0.0001). Fewer endograft patients had complications (24% versus 40% for open repair, p<0.05), and the severity of these complications was less, as evidenced by the shorter hospital stays for endovascular patients with complications compared to conventionally treated patients with complications (6.7 ± 2.4 days versus 22.5 ± 35.2 days, p<0.05). There were no aneurysm ruptures or late surgical conversions in either group. Conclusions: Patients with AAA who were endograft candidates but who were treated with open repair experienced more morbidity and had more complications than patients treated with stent-grafts. Despite increased comorbidities in the endograft patients, there was no increase in mortality compared to open repair. Both treatments required secondary procedures and appeared to be equally effective in preventing aneurysm rupture up to 3 years.

TP5.2.2 Office based endovascular radiofrequency ablation (OBEVRFA) as a standalone procedure for varicose veins

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ashok Balasubramanian ◽  
Raghvinder Gambhir ◽  
Hisham Rashid
Keyword(s):  
Varicose Veins ◽  
Symptomatic Relief ◽  
Electronic Patient Records ◽  
First Line ◽  
Duplex Scan ◽  
Secondary Procedure ◽  
Long Saphenous Vein ◽  
Number Of Patients ◽  
Secondary Procedures ◽  
Endovascular Radiofrequency Ablation

Abstract Aims The aim of this study was to identify the number of patients that required a secondary procedure for persistence/ recurrence of symptoms within 3 years of the index (OBEVRFA) procedure. Method Retrospective analysis of data collected prospectively for patients booked to have OBEVRFA in the period January 2017- January 2018 was accessed from electronic patient records. Their clinic follow letters, scans and any secondary procedures done were documented on an excel sheet. Results A total of 303 patients, were booked for an OBEVRFA of which 17 (5.6%) patients did not attend the procedure. 39 (12.8%) patients were cancelled on the day of the procedure. 247 patients (M:F 1:1.5), underwent OBEVRFA. 53 patients (21.8%), had residual veins or were symptomatic & were followed up beyond their 3 month period. 24 patients had a duplex scan which showed complete recanalization in 4, a reflux in non-treated secondary vein (Like Anterior thigh vein or duplicated Long saphenous vein) and a new perforator incompetence in others. 40 (16.1%) patients eventually underwent secondary procedures, 8 underwent classical High flush ligation and stripping with multiple stab avulsions (MSA) , 7 had a redo OBEVRFA, 3 had a redo RFA with MSA under GA, others had MSA alone and 1 had successful sclerotherapy. 3 patients were not keen for a secondary procedure. Conclusion OBEVRFA alone provides complete symptomatic relief in over 80% of patients with only 16% needing a secondary procedure. For symptomatic varicose veins from truncal reflux OBEVRFA should be the first line treatment on NHS.

Secondary Procedures and Refinements

2019 ◽  
pp. 115-118
Author(s):  
Alessio Baccarani ◽  
Marta Starnoni ◽  
Giorgio De Santis
Keyword(s):  
Secondary Procedures

scholarly journals Secondary Procedures in Third Generation Total Ankle Arthroplasties

2016 ◽  
Vol 1 (1) ◽  
pp. 2473011416S0027
Author(s):  
Christopher E. Gross ◽  
Jeannie Huh ◽  
Glenn G. Shi ◽  
Alexander J. Lampley ◽  
Cynthia Green ◽  
...  
Keyword(s):  
Third Generation ◽  
Secondary Procedures

scholarly journals Anatomical variations of the innervated radial artery superficial palmar branch flap: A series of 28 clinical cases

2020 ◽  
Vol 47 (5) ◽  
pp. 435-443
Author(s):  
Jae-Won Yang
Keyword(s):  
Radial Artery ◽  
Skin Flap ◽  
Large Diameter ◽  
Anatomical Variations ◽  
Palmar Cutaneous Branch ◽  
Cutaneous Branch ◽  
Secondary Procedures ◽  
Potential Damage ◽  
Neural Anatomy ◽  
Clinical Cases

Background The innervated radial artery superficial palmar branch (iRASP) flap was designed to provide consistent innervation by the palmar cutaneous branch of the median nerve (PCMN) to a glabrous skin flap. The iRASP flap is used to achieve coverage of diverse volar defects of digits. However, unexpected anatomical variations can affect flap survival and outcomes.Methods Cases in which patients received iRASP flaps since April 1, 2014 were retrospectively investigated by reviewing the operation notes and intraoperative photographs. The injury type, flap dimensions, arterial and neural anatomy, secondary procedures, and complications were evaluated.Results Twenty-eight cases were reviewed, and no flap failures were observed. The observed anatomical variations were the absence of a direct skin perforator, large-diameter radial artery superficial palmar branch (RASP), and the PCMN not being a single branch. Debulking procedures were performed in 16 cases (57.1%) due to flap bulkiness.Conclusions In some cases, an excessively large RASP artery was observed, even when there was no direct skin perforator from the RASP or variation in the PCMN. These findings should facilitate application of the iRASP flap, as well as any surgical procedures that involve potential damage to the PCMN in the inter-thenar crease region. Additional clinical cases will provide further clarification regarding potential anatomical variations.

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