Plastic Surgery Journal Club

Is it cheaper and safer for patients to undergo breast reconstruction with implants without ADMs? Serrurier LC, Rayne S, Venter M, Benn CA. Direct-to-Implant Breast Reconstruction without the Use of an Acellular Dermal Matrix Is Cost Effective and Oncologically Safe. Plast Reconstr Surg. 2017 Apr;139(4):809-817. doi: 10.1097/PRS.0000000000003222. PubMed PMID: 28350650

Round vs Anatomical breast implants...the battle is on! Hidalgo DA, Weinstein AL. Intraoperative Comparison of Anatomical versus Round Implants in Breast Augmentation: A Randomized Controlled Trial. Plast Reconstr Surg. 2017 Mar;139(3):587-596. doi: 10.1097/PRS.0000000000003114

Can breast implants and the plane they are placed in the chest increase your risk of breast cancer? Cho EH, Shammas RL, Phillips BT, Greenup RA, Hwang ES, Hollenbeck ST. Breast Cancer after Augmentation: Oncologic and Reconstructive Considerations among Women Undergoing Mastectomy. Plast Reconstr Surg. 2017 Jun;139(6):1240e-1249e.doi: 10.1097/PRS.0000000000003342

Is rotation truly a concern to stop surgeons using anatomical shaped implants...and if so how can we reduce that risk? Found out Montemurro P, Papas A, Hedén P. Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation. Plast Reconstr Surg. 2017 Jun;139(6):1367-1378. doi: 10.1097/PRS.0000000000003387

Found out if using fat to re-contour the breast after cancer conservation surgery is safe. Petit JY, Maisonneuve P, Rotmensz N, Bertolini F, Rietjens M. Fat Grafting after Invasive Breast Cancer: A Matched Case-Control Study. Plast Reconstr Surg. 2017 Jun;139(6):1292-1296. doi: 10.1097/PRS.0000000000003339.

Will a calf perforator flap become another option for your oral cavity reconstructions in head and neck cancers? Molina AR, Citron I, Chinaka F, Cascarini L, Townley WA. Calf Perforator Flaps: A Freestyle Solution for Oral Cavity Reconstruction. Plast Reconstr Surg. 2017 Feb;139(2):459-465

How can we reduce the seroma rate after LD reconstruction...glue, steroids, sutures...all of them? Hart AM, Duggal C, Pinell-White X, Losken A. A Prospective Randomized Trial of the Efficacy of Fibrin Glue, Triamcinolone Acetonide, and Quilting Sutures in Seroma Prevention after Latissimus Dorsi Breast Reconstruction. Plast Reconstr Surg. 2017 Apr;139(4):854e-863e

A team in Beijing have looked at different cell sources to engineer tendons and test in their lab. Find out their results. Chen B, Ding J, Zhang W, Zhou G, Cao Y, Liu W, Wang B. Tissue Engineering of Tendons: A Comparison of Muscle-Derived Cells, Tenocytes, and Dermal Fibroblasts as Cell Sources. Plast Reconstr Surg. 2016 Mar;137(3):536e-544e.

Is free flap reconstruction a safe option for children with lower limb defects following trauma? The author's seem so... Momeni A, Lanni M, Levin LS, Kovach SJ. Microsurgical Reconstruction of Traumatic Lower Extremity Defects in the Pediatric Population. Plast Reconstr Surg. 2017 Apr;139(4):998-1004

What are the upper limits for reconstruction with autogenous secondary skull defects? Full paper- Fearon JA, Griner D, Ditthakasem K, Herbert M. Autogenous Bone Reconstruction of Large Secondary Skull Defects. Plast Reconstr Surg. 2017 Feb;139(2):427-438.

This study looked at patients with previous pfannenstiel scars and the effect on their SIEV. Kim SY, Lee KT, Mun GH. The Influence of a Pfannenstiel Scar on Venous Anatomyof the Lower Abdominal Wall and Implications for Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction. Plast Reconstr Surg. 2017 Mar;139(3):540-548

Multicenter randomised control trial looking at full thickness skin grafts vs interposition flaps for burns. Stekelenburg CM, Jaspers ME, Jongen SJ, Baas DC, Gardien KL, Hiddingh J, van Zuijlen PP. Perforator-Based Interposition Flaps Perform Better Than Full-Thickness Grafts for the Release of Burn Scar Contractures: A Multicenter Randomized Controlled Trial. Plast Reconstr Surg. 2017 Feb;139(2):501e-509e

Can you better predict post-op radiotherapy for your immediate breast reconstruction patients? Chao AH, Martinez JC, Wobb J, Povoski SP. Multivariate Preoperative and Intraoperative Predictors of Postmastectomy Radiation Therapy in Patients for Whom Immediate Breast Reconstruction Is Planned. Plast Reconstr Surg. 2017 Mar;139(3):599e-605e.

Does plication of the rectus have an effect for those who underwent tummy tucks for weight loss? Staalesen T, Olsén MF, Elander A. The Effect of Abdominoplasty and Outcome of Rectus Fascia Plication on Health-Related Quality of Life in Post-Bariatric Surgery Patients. Plast Reconstr Surg. 2015 Dec;136(6):750e-61e.

when is old...too old for digital replantation? Kwon GD, Ahn BM, Lee JS, Park YG, Chang GW, Ha YC. The Effect of Patient Age on the Success Rate of Digital Replantation. Plast Reconstr Surg. 2017 Feb;139(2):420-426

Find out if just a small incision and fat grafting can help with Dupuytren's? The full paper is Kan HJ, Selles RW, van Nieuwenhoven CA, Zhou C, Khouri RK, Hovius SE. Percutaneous Aponeurotomy and Lipofilling (PALF) versus Limited Fasciectomy in Patients with Primary Dupuytren's Contracture: A Prospective, Randomized, Controlled Trial.

This week we review if the needle is mightier than the blade for Dupuytren's? Zhou C, Selles RW, Slijper HP, Feitz R, van Kooij Y, Moojen TM, Hovius SE. Comparative Effectiveness of Percutaneous Needle Aponeurotomy and Limited Fasciectomy for Dupuytren's Contracture: A Multicenter Observational Study. Plast Reconstr Surg. 2016 Oct;138(4):837-46

Lower limb free flap thrombosis...should have checked the pre-op platelets! Cho EH, Bauder AR, Centkowski S, Shammas RL, Mundy L, Kovach SJ, Levin LS, Hollenbeck ST. Preoperative Platelet Count Predicts Lower Extremity Free Flap Thrombosis: A Multi-Institutional Experience. Plast Reconstr Surg. 2017 Jan;139(1):220-230.

Will wee no longer tighten platysmal bands after this paper? Trévidic P, Criollo-Lamilla G. Platysma Bands: Is a Change Needed in the Surgical Paradigm? Plast Reconstr Surg. 2017 Jan;139(1):41-47

This paper found that surgical site infections occurred after 30 days following implant-based reconstruction. The full paper's details can be found below Sinha I, Pusic AL, Wilkins EG, Hamill JB, Chen X, Kim HM, Guldbrandsen G, Chun YS. Late Surgical-Site Infection in Immediate Implant-Based Breast Reconstruction. Plast Reconstr Surg 2017 Jan;139(1):20-28