Publications by authors named "Suma S Maddox"
Article Synopsis
- The study examines the enhancement of the superficial inferior epigastric artery (SIEA) flap for breast reconstruction by implementing a surgical delay to improve its reliability.
- A total of 17 patients underwent either delayed SIEA or deep inferior epigastric (DIEP) reconstruction, with data collected on operative time, hospital stay, and complications.
- Results showed that the SIEA diameter significantly increased after surgical delay, leading to low complication rates and suggesting that this method enhances the flap's reliability for reconstruction.
Autologous Breast Reconstruction with Bilateral Stacked Free Flaps in Massive Weight Loss Patients.
Plast Reconstr Surg Glob Open
March 2022
Patients with a history of massive weight loss who are undergoing autologous breast reconstruction after mastectomy represent a unique surgical challenge. Although these patients often have an abundance of excess skin, it may be difficult to acquire sufficient tissue volume for adequate reconstruction of bilateral breasts using single flap techniques due to the paucity of subcutaneous fat. Stacked flap techniques have emerged as an effective method in thinner patients with suboptimal fat distribution who desire autologous breast reconstruction.
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- Sarcopenia, a condition linked to poor surgical outcomes, was studied to see how it affects complications in patients undergoing lower extremity reconstruction and compared two assessment methods (traditional vs. novel "ellipse method").
- A retrospective study of 50 patients showed that sarcopenia rates were higher using the ellipse method, with sarcopenic patients being older, more often female, and more diabetic.
- The ellipse method proved to be more accurate in predicting complications and indicated that sarcopenic patients had a greater risk for postoperative issues, suggesting it's a useful tool for clinical evaluations.
Background: In 2011, the ACGME limited duty hours for residents. Although studies evaluating the 2011 policy have not shown improvements in general measures of morbidity or mortality, these outcomes might not reflect changes in specialty-specific practice patterns and secondary quality measures.
Study Design: All trauma admissions from July 2009 through June 2013 at an academic Level I trauma center were evaluated for 5 primary outcomes (eg, mortality and length of stay), and 10 secondary quality measures and practice patterns (eg, operating room [OR] visits).