Infiltration of epinephrine in reduction mammaplasty: a systematic review of the literature.


BACKGROUND:Evidence of the benefit of dilute epinephrine infiltration before reduction mammaplasty is provided by several controlled trials. Despite variation in operative technique and data collection, a reduction in intraoperative blood loss has been shown. The aim of this review of the literature is to weigh the available evidence with respect to reducing blood loss during surgery and other outcome measures such as postoperative drainage. METHODS:Two researchers independently selected articles for review, and data were extracted from each primary article and used for statistical and descriptive comparisons. RESULTS:A meta-analysis of operative blood loss showed a highly significant drop in operative blood loss in breasts infiltrated with epinephrine and a reduction in the need for blood transfusion. Operative time, postoperative drainage, and complications were not significantly affected by epinephrine infiltration. CONCLUSION:The authors' recommendation would be for the use of dilute epinephrine infiltration before reduction mammaplasty.


Plast Reconstr Surg


Hardwicke JT,Jordan RW,Skillman JM




Has Abstract


2012-10-01 00:00:00














  • Postoperative antibiotic prophylaxis for implant-based breast reconstruction with acellular dermal matrix.

    abstract:BACKGROUND:The use of acellular dermal matrix in implant-based breast reconstruction has been described for improving inferolateral prosthesis coverage and support and inframammary fold reconstruction. Recommended guidelines for infection prophylaxis are the same as for any clean procedure-antibiotic administration onl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Avashia YJ,Mohan R,Berhane C,Oeltjen JC

    更新日期:2013-03-01 00:00:00

  • Deep Pyriform Space: Anatomical Clarifications and Clinical Implications.

    abstract:BACKGROUND:The purpose of this study was to define the anatomical boundaries, transformation in the aging face, and clinical implications of the Ristow space. The authors propose a title of deep pyriform space for anatomical continuity. METHODS:The deep pyriform space was dissected in 12 hemifacial fresh cadaver disse...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Surek CK,Vargo J,Lamb J

    更新日期:2016-07-01 00:00:00

  • The psychic consequences of a reduction mammaplasty.

    abstract::We studied 8 consecutive patients who had reduction mammaplasties to determine their psychological reactions. All 8 experienced pleasure with the operative results and the improvement or disappearance of their physical symptoms. Most described a general increase in self-esteem. In 5 of the 8 patients, however, there w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Goin MK,Goin JM,Gianini MH

    更新日期:1977-04-01 00:00:00

  • Management of postneurosurgical bone flap loss caused by infection.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Baumeister S,Peek A,Friedman A,Levin LS,Marcus JR

    更新日期:2008-12-01 00:00:00

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    abstract::This study is an economic comparison of various methods of breast reconstruction after mastectomy. The hospital bills of 287 patients undergoing breast reconstruction at three institutions from June of 1988 to March of 1991 were analyzed. The procedures examined included mastectomy, implant and tissue-expander reconst...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    abstract:BACKGROUND:The authors conducted this study to assess the impact that Drs. Joseph Gruss and Paul Manson have had on craniofacial surgery through their individual contributions and through their trainees. METHODS:This was a retrospective analysis of fellows trained by either Dr. Gruss or Dr. Manson. Demographic and bib...

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    authors: Chandawarkar A,Birgfeld CB,Yaremchuk MJ,Tufaro AP,Hopper RA,Susarla SM

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    pub_type: 杂志文章


    authors: Santanelli F,Longo B,Germano S,Rubino C,Laporta R,Hamdi M

    更新日期:2014-02-01 00:00:00

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    authors: Wong C,Saint-Cyr M,Arbique G,Becker S,Brown S,Myers S,Rohrich RJ

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    更新日期:2013-11-01 00:00:00

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    更新日期:2013-03-01 00:00:00

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    authors: Boyce ST,Holder IA

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    authors: Davies DW,Munro IR

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    abstract:BACKGROUND:Stable reduction of fractures of the zygomatic complex is essential to avoid long-term aesthetic, sensory, and ocular consequences. Delayed collapse or relapse after reduction of fractures of the zygomatic complex is attributed to muscle forces, when there has been no additional trauma. A number of studies h...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    abstract:BACKGROUND:Polyacrylamide hydrogel has been used for soft-tissue augmentation for more than 10 years. Although it is considered a nontoxic, nonimmunogenic material, complications after polyacrylamide hydrogel injections during facial soft-tissue augmentation have been reported. METHODS:Between 2003 and 2009, 24 patien...

    journal_title:Plastic and reconstructive surgery

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    更新日期:1998-02-01 00:00:00

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    authors: DeLustro F,Smith ST,Sundsmo J,Salem G,Kincaid S,Ellingsworth L

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    abstract::Recent controversy encountered with silicone breast implants has increased the use of autogenous tissue for breast reconstruction following mastectomy. Surveillance of patients who have undergone autogenous tissue reconstruction is important in the evaluation of recurrent or new cancer. Magnetic resonance imaging (MRI...

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    pub_type: 杂志文章


    authors: Ahn CY,Narayanan K,Gorczyca DP,DeBruhl ND,Shaw WW

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


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    更新日期:2014-06-01 00:00:00

  • Current surgical practices in cleft care: cleft palate repair techniques and postoperative care.

    abstract:BACKGROUND:The purpose of this study was to objectively report practices commonly used in cleft palate repair in the United States. This study investigates current surgical techniques, postoperative care, and complication rates for cleft palate repair surgery. METHODS:All 803 surgeon members of the American Cleft Pala...

    journal_title:Plastic and reconstructive surgery

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    更新日期:2017-11-01 00:00:00

  • Chimney sweeper's disease revisited: first case reported in a black. Case report.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章


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    更新日期:1978-02-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Tizian C,Borst HG,Berger A

    更新日期:1985-11-01 00:00:00

  • Method for immediate measurement of skin removed during rhytidectomies.

    abstract::A method for measuring skin removed during rhytidectomy is presented based on analysis of 50 female patients. More skin was removed in primary rhytidectomies than in subsequent ones. Younger patients, aged 30 to 39 years, had measurably more skin removed than any other group between 40 and 69. The amounts of skin remo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lewis CM

    更新日期:1982-04-01 00:00:00

  • An Update on Cryopreservation of Adipose Tissue.

    abstract::Currently, fat transplantation occurs immediately after harvesting procedures. Because low rates of fat graft take are well reported in the literature, many patients require multiple surgical procedures for fat graft harvest. These subsequent procedures lead to increased cost, donor-site morbidity, and patient discomf...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Gal S,Pu LLQ

    更新日期:2020-04-01 00:00:00