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A seven-month-old male blue and yellow macaw () was presented with an inability to move the maxillary beak after flying into a clothesline. Unsuccessful attempts to reduce the beak were performed, first by the owner at home and later within the same day by the referring veterinarian under general anesthesia. The patient was referred for assessment and treatment 5 days later.

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Objectives: The Ross procedure has been associated with better long-term outcomes in selected patients. Nevertheless, its complexity has limited its adoption. The aim of this study was to assess the learning curve of the Ross procedure and to evaluate the impact of new surgeons joining an experienced Ross program.

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The Early Landscape of Gender Affirmation Surgery in the United States.

Ann Plast Surg

February 2025

From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.

Background: Gender affirmation surgeries (GASs) are procedures that help patients align their body and gender identity. European surgeons are widely credited with pioneering GAS surgical techniques in the 1930s, whereas knowledge of GAS in the United States (US) prior to the 1960s is sparser. This study explores the early leaders, techniques, and obstacles encountered by physicians performing GAS in the US in the 1950s to 1970s.

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Last-Minute Cancellations in Pediatric Ambulatory and Day Surgeries in Italy: Prevalence and Risk Factors.

Paediatr Anaesth

March 2025

Department of Anesthesia and Critical Care, ARCO ROMA, Ospedale Pediatrico Bambino Gesù IRCCS, Rome, Italy.

Background: Cancellation of pediatric day and ambulatory surgeries on the day of the procedure poses a significant challenge, impacting hospital resources and patient care. In Italy, ambulatory surgery is defined as a surgical/diagnostic procedure without hospitalization, and day surgery is defined as a surgical/diagnostic procedure with daytime hospitalization.

Aims: To measure the rate and causes of cancellations on the day of the procedure in a tertiary pediatric hospital in Italy.

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Background: The anterolateral thigh perforator flap is frequently used for massive soft-tissue defect reconstruction. Cadaver perfusion examinations of isolated anterolateral thigh flaps have suggested a maximum skin area that may be vascularized based on the perforating vessels (ie, 250 cm2). Therefore, this study aimed to evaluate a series of consecutive cases involving use of extended anterolateral thigh flaps for oncologic reconstruction of massive soft-tissue defects.

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