Mastopexy

2019 ◽  
pp. 665-668
Author(s):  
Bernard W. Chang ◽  
Nishant Bhatt

Mastopexy is a skin tightening procedure to restore shape to the ptotic (sagging) breast. Patients must be willing to accept scars as a tradeoff for improved shape. Various patterns of skin tightening procedures are available with the Weiss pattern still being the most commonly used procedure. Patients must be assessed carefully preoperatively and have realistic expectations for scars and recurrent ptosis over time. Patient satisfaction is usually very good in the properly selected patient. The authors emphasize the importance of assessing the patient’s needs as carefully as possible so that both patient and physician are satisfied with the outcome of surgery.

2001 ◽  
Vol 23 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Thomas L. Powers ◽  
Dawn Bendall-Lyon

2019 ◽  
Vol 7 (5) ◽  
pp. 796-800
Author(s):  
Caleb J Heiberger ◽  
Clayton Busch ◽  
John Chandler ◽  
Kevin Rance ◽  
Brett Montieth ◽  
...  

Stroke survivors and their caregivers report not receiving enough information at discharge. To identify strengths and weaknesses of stroke discharge education, we delivered questionnaires that assessed patient and caregiver recall, perceived utility, and satisfaction at discharge as well as 1- and 3-month follow-up. Categorical data of responses were compared between time periods using Fischer exact test. Recall significantly differed between discharge (86%) and 1-month follow-up (54%, P < .05), but not discharge and 3-month follow-up (69%). Patient perceived utility at both 1 month (69%) and 3 months (64%) was lower than at discharge (92%, P < .05). Patient satisfaction was lower at 1 month (69%) and 3 months (54%) than discharge (92%, P < .05). Caregiver recall declined from discharge (81%) to 1 month (65%) but improved from 1 to 3 months (82%, P < .05). Caregiver satisfaction and perceived utility remained positive through the study. The results suggest stroke patients and their caregivers suffer from education recall failure over time that is associated with worse satisfaction and perceived utility by patients. Reinforcement at 1 month may improve caregiver recall. We conclude that education for caregivers may be more reliably reinforced, suggesting a role in continued patient education.


The Foot ◽  
2008 ◽  
Vol 18 (3) ◽  
pp. 179
Author(s):  
Natalie G. Taylor ◽  
David R. Tollafield ◽  
Sharon Rees

The Foot ◽  
2008 ◽  
Vol 18 (2) ◽  
pp. 68-74 ◽  
Author(s):  
Natalie G. Taylor ◽  
David R. Tollafield ◽  
Sharon Rees

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Sohawon ◽  
I G Rizvi ◽  
P Ravindra ◽  
M Pipe ◽  
T King ◽  
...  

Abstract Introduction The commonest cause of stress urinary incontinence in men is radical prostatectomy. We aimed to determine the efficacy, complication rate and need for salvage surgery in the medium-long term for male sling insertion. Method Retrospective review of all patients undergoing male sling insertion at one centre between 2009-2018. Data was collected on complications, patient satisfaction and need for further surgery. Preoperative severity was categorized as mild, moderate, or severe. We assessed ICIQ score, 24h-pad usage, patient satisfaction and identified risk factors for treatment success/failure. Results 91 men had slings inserted (median age- 67.3). Three months success rates in mild, moderate and severe SUI groups were 96%, 86% and 80% respectively which dropped to 65%, 62% and 47% in the medium term. The rate of AUS implantation was 6%, 15% and 33% respectively. Complications included pain, infection, retention and OAB. Patient satisfaction at 5-years was 57%. Only factor predicting success or failure was pre-operative ICIQ-UI(SF) score. Conclusions Male sling success rates deteriorate over time. 15% will have an AUS. The risk of complications is low and transient. A pre-operative ICIQ-UI(SF) score of &gt; 18 is a predictor of failure. Sling insertion remains a reasonable treatment option for male patients suffering with SUI.


2017 ◽  
Vol 28 (1) ◽  
pp. 74-83 ◽  
Author(s):  
Jay R. Ebert ◽  
Thomas A. Bucher ◽  
Conor J. Mullan ◽  
Gregory C. Janes

Introduction: Hip abductor tendon (HAT) tearing is commonly implicated in greater trochanteric pain syndrome. Surgical studies are often reported in small cohorts and with limited information on functional improvement. This study reports the clinical and functional outcomes after HAT repair. Methods: 112 patients with symptomatic HAT tears, diagnosed via magnetic resonance imaging, underwent open bursectomy, V-Y lengthening of the iliotibial band, debridement of the diseased tendon, decortication of the trochanteric foot-plate and reattachment of the tendon with suture anchors, augmented with a LARS ligament through a trans-osseous tunnel. Patients were evaluated pre-surgery and at 3, 6 and 12 months post-surgery using the Harris (HHS) and Oxford (OHS) Hip Scores, SF-12, hip range of motion, 6-minute walk and 30-second single leg stance tests. Maximal isometric hip abduction strength (HAS) was assessed and limb symmetry indices (LSIs) were calculated between the operated and non-operated limbs. Patient satisfaction and perceived global rating of change (GRC) was evaluated. Analysis of variance evaluated improvement over time. Results: There was a significant improvement (p<0.05) in all clinical and functional measures. HAS significantly improved over time (p<0.002) and all LSIs were >85% at 12 months. At 12 months, a mean GRC score of 3.5 (range -1 to 5) was reported, while 96% of patients were satisfied with their surgical outcome. There was a 2.7% (n = 3) failure rate at 12 months. Conclusions: HAT reconstruction, augmented with a synthetic ligament, demonstrated significantly improved clinical and functional outcomes, high levels of patient satisfaction and a low failure rate to 12 months post-surgery.


2010 ◽  
Vol 36 (2) ◽  
pp. 141-146 ◽  
Author(s):  
K. Libberecht ◽  
S. R. Sabapathy ◽  
P. Bhardwaj

Wrist flexion deformity in cerebral palsy is treated with flexor carpi ulnaris to extensor carpi radialis brevis transfer. The aim of the study was to assess the outcome of this procedure and analyse the determining factors for patient satisfaction. Fifteen patients were reviewed after a mean follow-up of 23 months. The functional and cosmetic outcome and patient satisfaction were evaluated using patient rated scales. There was a strong and significant correlation between the cosmetic outcome and patient satisfaction, but there was no significant correlation between functional improvement and patient satisfaction. When analysing the cosmetic outcome in relation to the time since surgery, there was a decrease in the patient rated improvement over time. It seems that patient satisfaction is mainly determined by the cosmetic result, but the improvement, or the perception of it, tends to diminish over time. Fourteen out of 15 patients felt that the procedure was worthwhile and eight of them felt that the result was good or excellent.


2002 ◽  
Vol 167 (6) ◽  
pp. 2507-2511 ◽  
Author(s):  
THOMAS M. KESSLER ◽  
MARGIT FISCH ◽  
MATTHIAS HEITZ ◽  
ROBERTO OLIANAS ◽  
FRIEDHELM SCHREITER

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