Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Jun 2014
Multicenter StudyDirect-to-implant single-stage immediate breast reconstruction with acellular dermal matrix: predictors of failure.
Direct-to-implant single-stage immediate breast reconstruction using acellular dermal matrix is a cost-effective alternative to two-stage expander-implant reconstruction. The purpose of this study was to identify predictors of direct-to-implant single-stage immediate breast reconstruction failure, defined as need for early (≤6 months) revision surgery. ⋯ Risk, III.
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Plast. Reconstr. Surg. · Jun 2014
Autologous fat grafting alleviates burn-induced neuropathic pain in rats.
The management of neuropathic pain after burn injury is a critical clinical issue. Autologous fat grafting has been shown to alleviate neuropathic pain in certain cases, but has not been shown to alleviate the pain associated with burn-induced scars. The authors assessed the effectiveness of autologous fat grafting for the management of pain in burn-induced scars. ⋯ Autologous fat grafting is used daily in clinical practice. It is an effective treatment for the relief of burn-induced mechanical allodynia in rats. Further investigation of the clinical use of autologous fat grafting in burn patients is warranted.
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Plast. Reconstr. Surg. · Jun 2014
Regenerative peripheral nerve interface viability and signal transduction with an implanted electrode.
The regenerative peripheral nerve interface is an internal interface for signal transduction with external electronics of prosthetic limbs; it consists of an electrode and a unit of free muscle that is neurotized by a transected residual peripheral nerve. Adding a conductive polymer coating on electrodes improves electrode conductivity. This study examines regenerative peripheral nerve interface tissue viability and signal fidelity in the presence of an implanted electrode coated or uncoated with a conductive polymer. ⋯ The regenerative peripheral nerve interface remains viable over seven months in the presence of an implanted electrode. Electrodes with and without conductive polymer reliably transduced signals from the regenerative peripheral nerve interface. Electrodes with a conductive polymer coating resulted in recording more of the regenerative peripheral nerve interface signal.
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Plast. Reconstr. Surg. · May 2014
Randomized Controlled TrialEffects of hypotensive anesthesia on blood transfusion rates in craniosynostosis corrections.
Hypotensive anesthesia is routinely used during craniosynostosis corrections to reduce blood loss. Noting that cerebral oxygenation levels often fell below recommended levels, the authors sought to measure the effects of hypotensive versus standard anesthesia on blood transfusion rates. ⋯ Therapeutic, II.