Single-Staged Mastopexy With Augmentation: A Retrospective Review of 260 Patients in a Single Surgeon Practice

2021 ◽  
pp. 074880682110437
Author(s):  
Nalin Dayal ◽  
Joseph Castellano
Keyword(s):  
Surgical Technique ◽  
Retrospective Review ◽  
Surgical Complications ◽  
Breast Volume ◽  
Breast Ptosis ◽  
Volume Increase ◽  
Hematoma Formation

Mastopexy has become a widely popularized procedure across the country over the last 20 years. Women have seen the benefits of various forms of breast lifts to correct breast ptosis. While older teachings focused on mastopexy and augmentation as separate, staged procedures, many centers now perform both simultaneously. Our center primarily performs mastopexy procedures with simultaneous augmentation with implants, and we reviewed 260 patient charts to examine complications when compared to mastopexy alone. Complications reviewed include the following: hematoma formation, incision openings, and revision surgeries. Our data showed only minor rates of hematoma formation, incision openings, and revision surgeries with a negligible difference between the 2 groups. Patients in both groups overall had few surgical complications. Patients undergoing mastopexy with simultaneous augmentation had similar rates of complications when compared to patients with mastopexy alone. Many previously believed that simultaneous augmentation with mastopexy would place too much tension on the mastopexy incisions due to the rapid breast volume increase. However, with no significant changes in complications between the groups, it is clear that surgical technique and planning has improved to allow this to be a safely performed single-staged procedure. Overall, we had minimal complications and show that mastopexy with simultaneous augmentation is safe for patients who desire these procedures.

Proposal for the management of myopic traction maculopathy based on the new MTM staging system

2020 ◽  
pp. 112067212098094
Author(s):  
Barbara Parolini ◽  
Michele Palmieri ◽  
Alessandro Finzi ◽  
Rino Frisina
Keyword(s):  
Retrospective Review ◽  
Surgical Complications ◽  
Pars Plana Vitrectomy ◽  
Staging System ◽  
Combined Surgery ◽  
Primary Surgery ◽  
Myopic Traction Maculopathy ◽  
Pars Plana ◽  
Phakic Eyes

Purpose: To propose the Myopic Traction Maculopathy (MTM) management Table, based on the MTM Staging System (MSS). Methods: A retrospective review of 157 eyes affected by MTM, operated with pars plana vitrectomy (PPV), or macular buckle (MB) or combined surgery (MB + PPV). Each case was classified according to the MSS. Anatomical results were evaluated with OCT at an intermediate follow-up (3–6 months) and at a final follow-up (2–8 years), considering changes both in the foveal and in the retinal pattern. The number and type of operations needed were noted. The surgical complications were reported. Results: Primary surgery was MB for 83 eyes (52%), PPV for 36 (23%) and MB + PPV for 38 (24%). At intermediate follow-up, the retinal pattern was restored in 55.41% and foveal in 42.68%. Further surgery was indicated as PPV in 25.48%, MB in 14.65%. At the final follow-up, the retinal pattern was restored in 96.16% and the foveal pattern in 87.90%. BCVA improved at the final follow-up ( p < 0.05). The complications of MB were not sight-threatening. The complications of PPV were FTMH in 67% cases in stages 2, 3, and 4. Cataract developed in 60% of phakic eyes. The complications of combined MB+PPV were cataract (56%) and PVR (5%). Conclusions: Both PPV and MB may be used to treat MTM. PPV addresses the changes in the foveal pattern while MB addresses the changes in the retinal pattern. The MTM management table offers a proposal for the choice of type and timing of treatment customized per each stage of MTM.

The Surgical Repair of Macrostomia

2009 ◽  
Vol 46 (6) ◽  
pp. 642-647 ◽  
Author(s):  
I. O. Fadeyibi ◽  
A. O. Ugburo ◽  
C. V. Ogunbanjo ◽  
C. A. Ilombu ◽  
S. A. Ademiluyi
Keyword(s):  
Surgical Technique ◽  
Surgical Complications ◽  
Operative Technique ◽  
Surgical Repair ◽  
Surgical Techniques ◽  
Facial Symmetry ◽  
Minimal Scarring

Background: Many surgical techniques have been described for the repair of macrostomia. However, most were designed for the repair of unilateral macrostomia. Most reports of repairs involved small numbers of patients. This has not allowed for evaluation of complications and comparison of various techniques. Objective: This study describes a modification of an older technique designed for unilateral macrostomia. Details of the operative technique used for the repair are described, along with the principles underlying the various steps. Materials and Methods: This study involves 13 patients operated for macrostomia using the same surgical technique. The patients were seen at a recent screening and mass surgery exercise for patients with orofacial and craniofacial deformities. Results: Eleven patients had bilateral macrostomia; two had unilateral macrostomia. No anesthetic or surgical complications occurred in any of the patients. All patients tolerated the procedure well. Oral continence and acceptable facial symmetry were restored in all patients, with minimal scarring.

Endoscopic Sinus Surgery

2021 ◽  
Author(s):  
Chetan Safi ◽  
David A. Gudis ◽  
Aaron Oswald
Keyword(s):  
Computed Tomography ◽  
Surgical Technique ◽  
Paranasal Sinus ◽  
Surgical Education ◽  
Surgical Complications ◽  
Endoscopic Sinus Surgery ◽  
Standard Of Care ◽  
Sinus Surgery ◽  
Surgical Standard

Endoscopic sinus surgery has revolutionized the field of otolaryngology and is now the surgical standard of care in treating most paranasal sinus disorders. A graduating otolaryngology resident must be proficient in performing endoscopic sinus surgery (ESS) to care for common sinonasal pathology. Thus, our goal with this chapter is to provide a systematic guide of ESS for surgeons at all stages of training. We discuss the indications for ESS, the thorough review of preoperative computed tomography, the intraoperative technique for ESS, as well as complications. We believe that careful review of this chapter will provide physicians with a comprehensive base to understand the concept of endoscopic sinus surgery and will allow them to develop their technique and skills as they continue to train. This review contains 5 figures, 5 tables, 34 references Keywords: Endoscopic Sinus Surgery, Surgical Education, Surgical Technique, Surgical Complications, Open Sinus Surgery Approaches

scholarly journals Description of Two Cases of Anaplastic Large Cell Lymphoma Associated with a Breast Implant

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Julie Crèvecoeur ◽  
Véronique Jossa ◽  
Joan Somja ◽  
Jean-Claude Parmentier ◽  
Jean-Luc Nizet ◽  
...  
Keyword(s):  
Anaplastic Large Cell Lymphoma ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Fluid Collection ◽  
Breast Implants ◽  
Large Cell ◽  
World Health ◽  
Breast Volume ◽  
Volume Increase ◽  
Large Cell Lymphoma

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently recognized provisional entity in the 2017 revision of the World Health Organization classification of lymphoid neoplasms. Although the majority of the cases described in the literature demonstrate an effusion confined to the capsule of the breast implant, this rare pathology can also invade the capsule and adjacent tissues and/or involve lymph nodes. We hereby report two new cases of BIA-ALCL in a 58-year-old and a 47-year-old Caucasian female who received a silicone breast implant. The first patient showed a sudden and rapid right breast volume increase 6 years after the implantation surgery. As for the second patient, a left breast volume increase was observed also suddenly and quickly 11 years after surgery. In both cases, an uncompressed mammography was performed allowing a new approach to highlight periprosthetic fluid reaction. Pathologic examination of the fluid collection revealed atypical cells positive for CD30 and CD45 and negative for ALK and CK7. This allowed pathologists to diagnose a breast implant-associated anaplastic large cell lymphoma. Patients were treated with bilateral capsulectomy with no additional local or systemic therapy. The development of breast augmentation may come with an increase in the frequency of this pathology. Radiologists and senologists must therefore be careful when women with breast implants show an increase of breast volume and all cases of BIA-ALCL must be recorded and reported.

Treatment and Outcomes of Iatrogenic Colon Perforations at a Community Teaching Hospital

2012 ◽  
Vol 78 (9) ◽  
pp. 975-978
Author(s):  
Gurdeep S. Matharoo ◽  
Michael A. Goldfarb
Keyword(s):  
Outcome Measures ◽  
Teaching Hospital ◽  
Retrospective Review ◽  
Surgical Complications ◽  
Treatment Approach ◽  
Rectosigmoid Colon ◽  
Surgical Exploration ◽  
Time Period ◽  
Complications And Mortality ◽  
Community Teaching

Despite the growing expertise in colonoscopy, it remains subject to complications. The previously published rate of colonoscopic perforation is 0.82 per 1000 examinations. The objective of this study was to describe the experience and management of colonoscopic perforations. A retrospective review of cases from a database of surgical complications was searched for perforations postcolonoscopy from January 1, 2001, to December 31, 2010 at a 527-bed community teaching hospital. Eighteen patients were identified, 11 of whom underwent examination at our institution. Ages ranged from 40 to 91 years with a mean age of 71 years. Eleven of the 18 patients were female and seven were male. Main outcome measures were treatment approach, treatment complications, and mortality. A total of 18 patients were identified in this database. Of these 18 patients, 11 underwent colonoscopy at our institution. During the studied time period, 7578 colonoscopies were performed at our hospital. The majority of the perforations were located in the rectosigmoid colon. Seventeen patients were treated with surgical exploration of the abdomen. Ten patients experienced complications postoperatively. There were two deaths in our series. Only cases in which the colonoscopy was performed at our institution were used when making incidence calculations. The incidence of perforation in our series was significantly higher than previously reported rates. When the perforation was discovered and treated within 24 hours, the patient was rescued. Timely recognition of surgical complications is critical in preventing patient mortality.

Linear-circular external skeletal fixation of intra-condylar humeral fractures with supracondylar comminution in four cats

2012 ◽  
Vol 25 (01) ◽  
pp. 61-66 ◽  
Author(s):  
D. N. Clements ◽  
R. Yeadon ◽  
N. Fitzpatrick ◽  
H. R. Silva
Keyword(s):  
Surgical Technique ◽  
Clinical Outcome ◽  
Clinical Significance ◽  
Retrospective Review ◽  
Humeral Fracture ◽  
Humeral Fractures ◽  
Inclusion Criteria ◽  
Fracture Union ◽  
Final Assessment

SummaryObjectives: Intra-condylar humeral fracture with supracondylar comminution in cats is rare, and the stabilisation for such fractures is challenging. The purpose of our study was to describe the use of a hybrid external skeletal fixator, and to report the complications and outcomes of this surgical technique.Methods: A retrospective review was performed of clinical, radiographic and surgical records of all cats with intra-condylar humeral fractures and non-reconstructable supracondylar comminution stabilized by linear-circular external skeletal fixator in two institutions between January 2005 and March 2010.Results: Four cats met the inclusion criteria of the study. All cases achieved fracture union and clinical outcome was considered excellent at the time of the final assessment (11 – 24 weeks).Clinical significance: This study demonstrates that a linear-circular fixator system can be used successfully in the management of intra-con dylar humeral fractures with non-reconstructable supracondylar comminution in cats.

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