Publications by authors named "M DeLong"

Article Synopsis
  • The NSQIP database helps identify surgical complications but only tracks them for 30 days, raising concerns about its effectiveness for evaluating outcomes in breast reconstruction.
  • A study analyzed 301 patients who underwent mastectomy and immediate reconstruction, discovering that 58% had complications, with early complications occurring in 47% of cases and late complications in 12%.
  • Late complications significantly increased the likelihood of reconstructive failure and the need for flap procedures, suggesting that longer follow-up periods and detailed data are essential for improving national surgical databases like NSQIP.
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Introduction: During the height of the recent Coronavirus (COVID-19) pandemic, several surgeries were transitioned to ambulatory surgery centers to reserve inpatient resources and reduce transmission risks. Our study evaluated the surgical outcomes of patients who underwent prepectoral breast reconstruction in the operating rooms of two full-service main hospitals versus their associated surgery centers.

Methods: A retrospective chart review was conducted of patients who underwent immediate prepectoral breast reconstruction at a single hospital between 2018 and 2022.

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Introduction: Breast reconstruction remains common. Identifying the key risk factors for preoperative counseling is key to improving surgical outcomes. The body mass index is a commonly used measure of preoperative risk but remains controversial.

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Background: Mesh implants are frequently employed in alloplastic breast reconstruction. Notably, no mesh to date has FDA approval for this indication. Several synthetic meshes have been introduced with heterogeneous properties and outcomes.

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Background: Silicone gel removal after breast implant rupture is a difficult task. Silicone is hydrophobic and thus cannot be irrigated effectively with saline. Attempts at mechanical removal with sponges are often partially successful.

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