Publications by authors named "Shoshana W Ambani"

Article Synopsis
  • Venous thromboembolism (VTE) poses a significant risk for cancer patients undergoing free flap reconstruction, and enoxaparin is the usual method for preventing it.
  • A study followed 78 patients receiving standard enoxaparin prophylaxis to assess their anti-factor Xa (afXa) levels and the incidence of VTE or bleeding complications within 90 days after surgery.
  • Results showed that only a third of patients achieved the target afXa levels, and those who experienced VTE or bleeding complications had lower afXa levels, suggesting that standard dosing may not be effective for all patients.
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Background:  Patients undergoing head and neck (H&N) microvascular reconstruction comprise a population at high risk for venous thromboembolism (VTE). Free flap and VTE thromboprophylaxis may coincide but tend to vary from surgeon to surgeon. This study identifies VTE prophylaxis patterns and perceptions among H&N microsurgeons in the United States.

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Loss of the upper limb imposes a devastating interruption to everyday life. Full restoration of natural arm control requires the ability to simultaneously control multiple degrees of freedom of the prosthetic arm and maintain that control over an extended period of time. Current clinically available myoelectric prostheses do not provide simultaneous control or consistency for transradial amputees.

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Background: Rising contralateral prophylactic mastectomy rates are a subject of national concern. This study assessed (1) factors critical to patients when deciding on contralateral prophylactic mastectomy and (2) patients' quality of life related to concerns about recurrence after unilateral or bilateral breast reconstruction.

Methods: Patients with stage 0 to III breast cancer who underwent unilateral mastectomy or contralateral prophylactic mastectomy and breast reconstruction at a single institution between 2000 and 2012 were identified.

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