Eliminating the dog-ear in modified radical mastectomy.

Abstract:

:Inadequate attention has been paid to optimal closure of the postmastectomy incision in patients not desirous of breast reconstruction. Herein, we describe the use of a basic plastic surgical technique at the time of mastectomy to eliminate the dog-ear deformity at the axillary end of the incision. The technique is conceptually simple and expedient, and gives an excellent cosmetic result.

journal_name

Am J Surg

authors

Farrar WB,Fanning WJ

doi

10.1016/s0002-9610(88)80197-1

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

401-2

issue

5

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(88)80197-1

journal_volume

156

pub_type

杂志文章
  • A rapid technic for quantitating wound bacterial count.

    abstract::An improved technic has been developed to predict rapidly the critical number of bacteria in tissues. This technic gave reliable and accurate measurements for wounds containing more than 2 X 10(5) organisms per gram of tissue. It is fortuitous that 10(6) bacteria is the critical number of bacteria that will induced cl...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90174-x

    authors: Magee C,Haury B,Rodeheaver G,Fox J,Edgerton MT,Edlich RF

    更新日期:1977-06-01 00:00:00

  • Hepatic resection using stapling devices.

    abstract:BACKGROUND:The progress and development of stapling devices has been remarkable. They have become indispensable for gastrointestinal diseases and are increasingly utilized in laparoscopic operations. Liver surgery applications for this technique are continuing to emerge, and in this study, we introduced the use of stap...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2003.11.005

    authors: Kaneko H,Otsuka Y,Takagi S,Tsuchiya M,Tamura A,Shiba T

    更新日期:2004-02-01 00:00:00

  • A randomized trial of teaching bioethics to surgical residents.

    abstract:BACKGROUND:Bioethics education has been recommended as a formal component of surgical residency training. The best method for teaching bioethics to residents is unclear. We compared the effectiveness of a standardized patient (SP)-based seminar to a traditional seminar format for teaching bioethics to surgical resident...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.amjsurg.2004.08.066

    authors: Robb A,Etchells E,Cusimano MD,Cohen R,Singer PA,McKneally M

    更新日期:2005-04-01 00:00:00

  • Evaluation of readmissions due to surgical site infections: A potential target for quality improvement.

    abstract:INTRODUCTION:Readmissions have become a focus of pay-for-performance programs. Surgical site infections (SSI) are the reason for most readmissions. Readmissions for SSI could be a unique target for quality improvement. METHODS:Readmission risk for SSI were evaluated for patients undergoing colectomies from 2013 to 201...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2017.04.011

    authors: Shah R,Pavey E,Ju M,Merkow R,Rajaram R,Wandling MW,Cohen ME,Dahlke A,Yang A,Bilimoria K

    更新日期:2017-11-01 00:00:00

  • Laparotomy for pelvic fracture.

    abstract::To establish criteria for laparotomy, the records of 224 patients admitted with an acute pelvic fracture were reviewed. Forty-four patients underwent laparotomy; 2 had no intraabdominal injury. The mechanisms of injury was blunt trauma in 31 patients and gunshot wound in 13. All four patients who died had blunt trauma...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90129-4

    authors: Zannis VJ,Wood M

    更新日期:1980-12-01 00:00:00

  • Role of breast magnetic resonance imaging in determining breast as a source of unknown metastatic lymphadenopathy.

    abstract:BACKGROUND:Occult primary breast cancer (OPBC) represents less than 1% of breast cancer. In only a third of cases, mammography identifies a primary tumor. We hypothesized that rotating delivery of excitation off-resonance breast magnetic resonance imaging (MRI) would identify or exclude the breast as a primary site in ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)00221-4

    authors: Henry-Tillman RS,Harms SE,Westbrook KC,Korourian S,Klimberg VS

    更新日期:1999-12-01 00:00:00

  • Open abdomen in liver transplantation.

    abstract:INTRODUCTION:Damage control laparotomy with vacuum assisted closure (VAC) is used for selective cases in trauma. In liver transplantation, VAC has also been applied for management of intra-operative hemorrhage. The primary objective was to evaluate peri-operative blood loss and blood product utilization in VAC compared...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.12.012

    authors: Chan T,Bleszynski MS,Youssef DS,Segedi M,Chung S,Scudamore CH,Buczkowski AK

    更新日期:2018-05-01 00:00:00

  • Outcomes and complications after splenectomy for hematologic disorders.

    abstract:BACKGROUND:Splenectomy is generally a second-line therapy in patients with immune thrombocytopenic purpura (ITP) and autoimmune hemolytic anemia (AHA) refractory to medical therapy. Our objective was to evaluate outcomes after splenectomy for these disorders. METHODS:A retrospective review of the medical records of pa...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2012.05.030

    authors: Patel NY,Chilsen AM,Mathiason MA,Kallies KJ,Bottner WA

    更新日期:2012-12-01 00:00:00

  • Achieving vascular access success in the quality outcomes era.

    abstract:BACKGROUND:In 1997 the National Kidney Foundation put forth guidelines for hemoaccess through its Dialysis Outcomes Quality Initiative (DOQI). Some centers have been able to meet these standards; most have not. METHODS:A retrospective review was made of our database of more than 3,500 hemoaccess procedures from 1986 t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.01.018

    authors: Schuman E,Standage BA,Ragsdale JW,Heinl P

    更新日期:2004-05-01 00:00:00

  • Heat welding for surgical sutures.

    abstract::The purpose of this experimental study was to test the potential value of heat welding to cut the ends of knotted surgical sutures. This heat process resulted in knot security in a coated polyglactin suture with fewer throws than those needed for the same suture with knotted ends cut by scissors. Results of mechanical...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(85)90069-8

    authors: Masterson TM,Thacker JG,Rodeheaver GT,Edlich RF

    更新日期:1985-09-01 00:00:00

  • Intraoperative nerve monitoring is associated with a lower risk of recurrent laryngeal nerve injury: A national analysis of 17,610 patients.

    abstract:BACKGROUND:Based on current evidence, the benefit of intraoperative nerve monitoring (IONM) in thyroid surgery is equivocal. METHODS:All patients who underwent planned thyroid surgery in the 2016-2018 ACS NSQIP procedure-targeted thyroidectomy dataset were included. Multivariable regression analyses were performed to ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.10.013

    authors: Kim J,Graves CE,Jin C,Duh QY,Gosnell JE,Shen WT,Suh I,Sosa JA,Roman SA

    更新日期:2020-10-16 00:00:00

  • Quality improvement education in surgical specialty training: A comparison of Vascular Surgery resident and Urology Resident experiences and attitudes.

    abstract:BACKGROUND:Academic institutions have increasingly focused on educating physicians and surgeons in concepts of value-based care, including quality improvement (QI). The extent to which QI curricular competencies are addressed in specialty surgical residency training is unclear. METHODS:A survey instrument was develope...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.09.036

    authors: Jacobs AC,Malhotra NR,Purnell SM,Lee YJ,Wolf L,Millar MM,Cartwright PC,Smith BK

    更新日期:2020-09-29 00:00:00

  • Orthopedic surgery.

    abstract::Orthopedic surgery is a specialty of surgery dedicated to the prevention, diagnosis, and treatment of diseases and injuries of the musculoskeletal system in all age groups. Careers in orthopedic surgery span the spectrum from general orthopedics to those of subspecialty expertise in orthopedic trauma, hand, pediatrics...

    journal_title:American journal of surgery

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.amjsurg.2011.06.007

    authors: Gehrig LM

    更新日期:2011-09-01 00:00:00

  • The emergency surgical airway: Bridging the gap from quality outcome to performance improvement through a novel simulation based curriculum.

    abstract:BACKGROUND:Emergency surgical airway is a low frequency, high risk clinical scenario. Implementing a simulation-based curriculum may bridge the gap in surgical training and address quality assurance/performance improvement (QAPI) needs. METHODS:We designed and implemented an Advanced Surgical Airway Curriculum (ASAC) ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.09.026

    authors: Veenstra BR,Wojtowicz A,Walsh N,Velasco JM

    更新日期:2019-03-01 00:00:00

  • Is immediate chest radiograph necessary after central venous catheter placement in a surgical intensive care unit?

    abstract:BACKGROUND:Current standard of care dictates that central venous catheter (CVC) insertion should be followed by an immediate chest radiograph to confirm appropriate position and rule out complications. We hypothesized that a subset of monitored intensive care unit patients exists that is at low risk for complications a...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(00)00498-0

    authors: Bailey SH,Shapiro SB,Mone MC,Saffle JR,Morris SE,Barton RG

    更新日期:2000-12-01 00:00:00

  • Debt and other influences on career choices among surgical and primary care residents in a community-based hospital system.

    abstract:BACKGROUND:To evaluate debt and other factors that help formulate the career paths of future surgical and primary care physicians, a survey was undertaken. METHODS:Surgical specialty (SS) and primary care (PC) residents were surveyed regarding demographics, factors influencing choice of specialty, methods of financing...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(00)00543-2

    authors: Woodworth PA,Chang FC,Helmer SD

    更新日期:2000-12-01 00:00:00

  • Lower gastrointestinal bleeding with negative or inconclusive radiographic studies: the role of colonoscopy.

    abstract::The records of more than 1,000 patients who underwent colonoscopy were reviewed. The study group consisted of 55 of these 1,000 patients who had persistent unexplained bleeding per rectum and negative radiographic examinations. Colonoscopy was helpful in defining the site of bleeding in approximately 50 per cent of th...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(79)90332-5

    authors: Todd GJ,Forde KA

    更新日期:1979-11-01 00:00:00

  • Reconstruction of the portal vein using a peritoneal patch-graft.

    abstract:BACKGROUND:Reconstruction of the portal vein with autologous veins requires extra incisions. Prosthetic material is associated with an increased risk of infection. We therefore created an animal model of portal vein reconstruction using the peritoneum. METHODS:A 2.5 x 2.5 cm piece of the peritoneum was resected from L...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(01)00552-9

    authors: Yoshioka M,Onda M,Tajiri T,Akimaru K,Mineta S,Hirakata A,Takubo K

    更新日期:2001-03-01 00:00:00

  • Is breast cancer sentinel lymph node mapping valuable for patients in their seventies and beyond?

    abstract:BACKGROUND:Axillary lymph node dissection (ALND) is performed less commonly for the axillary staging of elderly patients because it is felt to uncommonly alter therapy. Sentinel lymph node (SLN) dissection can accomplish axillary staging with less morbidity, but it is unclear if it alters subsequent therapy. METHODS:R...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.03.028

    authors: McMahon LE,Gray RJ,Pockaj BA

    更新日期:2005-09-01 00:00:00

  • Educational interventions aimed at the transition from surgical training to surgical practice.

    abstract::The transition from surgical training to surgical practice is a critical juncture in the career progression of surgeons. This period is associated with myriad challenges that need to be addressed through specific educational interventions to ensure delivery of safe care to patients and to support the career aspiration...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.09.012

    authors: Sachdeva AK

    更新日期:2019-03-01 00:00:00

  • Severe glomerular sclerosis is not associated with poor outcome after kidney transplantation.

    abstract:BACKGROUND:The increased utilization of expanded criteria kidney donors has necessitated the reevaluation of multiple donor risk factors to insure the best outcome from this valuable resource. Reports of decreased graft survival in recipients of kidneys from donors with > or =20% glomerular sclerosis (GS) have led many...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(00)00502-x

    authors: Lu AD,Desai D,Myers BD,Dafoe DC,Alfrey EJ

    更新日期:2000-12-01 00:00:00

  • Cause and prevention of postherniorrhaphy neuralgia: a proposed protocol for treatment.

    abstract::The cause of severe and persistent neuralgia after hernia surgery is due to sensory nerve crushing. An operative technique has been described that prevents inadvertent crushing or division of the sensory nerves to the groin. With persistent postoperative pain, the offending nerve is usually difficult to identify. A pr...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80044-8

    authors: Lichtenstein IL,Shulman AG,Amid PK,Montllor MM

    更新日期:1988-06-01 00:00:00

  • Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study.

    abstract:BACKGROUND:Endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration are safe and efficient methods that have recently been used for the treatment of bile duct stones. The aim of this study was to compare the efficacy, safety, and surgical outcomes of the laparoscopic common bile duct...

    journal_title:American journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.amjsurg.2013.02.004

    authors: Koc B,Karahan S,Adas G,Tutal F,Guven H,Ozsoy A

    更新日期:2013-10-01 00:00:00

  • Malpractice allegations: A reality check for resident physicians.

    abstract:BACKGROUND:Medical malpractice is a source of stress and cost to physicians. Little is known about how it impacts resident physicians. METHODS:We analyzed data from the Comparative Benchmarking System between 2007 and 2016. We also surveyed surgery residents at our institution regarding malpractice in training. RESUL...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.08.006

    authors: Zhao B,Cajas-Monson LC,Ramamoorthy S

    更新日期:2019-02-01 00:00:00

  • Carotid endarterectomy in octogenarian veterans: does age affect outcome? A single-center experience.

    abstract:BACKGROUND:The efficacy of carotid endarterectomy (CEA) in octogenarians is controversial. Recent reports have examined this question in the general population, but little data exist on veterans. With the emergence of carotid artery stenting, we need to evaluate the role of CEA in treating elderly veterans with carotid...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.07.022

    authors: Lau D,Granke K,Olabisi R,Basson MD,Vouyouka A

    更新日期:2005-11-01 00:00:00

  • A 10-year single-institutional study of the biofragmentable anastomosis ring.

    abstract:BACKGROUND:The biofragmentable anastomosis ring (BAR) was introduced by Hardy in 1985 as a simple alternative to sutured or stapled intestinal anastomosis. METHODS:The aim of this study was to analyze complications related to the use of the BAR in elective intraperitoneal intestinal anastomosis to identify technical a...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2006.01.005

    authors: Forde KA,Goodell KH,DellaBadia M

    更新日期:2006-04-01 00:00:00

  • Absorption of carbohydrates and vitamins in the preserved and transplanted small intestine.

    abstract::A significant impairment in the intestinal absorption of D-xylose and vitamin A was observed in the first weeks after preservation and transplantation of the whole small bowel. Functional recovery was only observed in long-term survivors, usually transplanted dogs that lived more than five weeks. There was no impairme...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(75)90297-4

    authors: Toledo-Pereyra LH,Simmons RL,Najarian JS

    更新日期:1975-02-01 00:00:00

  • Current perspectives on antibiotic use in the treatment of surgical infections.

    abstract::Infections that involve the attention of the surgeon include those that require operations for cure as well as those that complicate emergency and elective surgical procedures. Mechanical correction is of paramount importance in the eradication of such infections with antibiotics serving an adjuvant role, primarily to...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(06)80057-7

    authors: Cheadle WG

    更新日期:1992-10-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass in morbidly obese and super morbidly obese patients.

    abstract:BACKGROUND:Our objective was to compare the outcomes after laparoscopic Roux-en-Y gastric bypass (RYGB) in morbidly obese (body mass index [BMI] <50) patients with super morbidly obese (BMI >50) patients. METHODS:A prospective analysis of 120 patients who underwent laparoscopic RYGB at a community based teaching hospi...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2003.08.017

    authors: Dresel A,Kuhn JA,McCarty TM

    更新日期:2004-02-01 00:00:00

  • Mucinous cystic neoplasms of the pancreas in the modern era. Experience with 707 patients.

    abstract:BACKGROUND:Mucinous Cystic Neoplasms are mucin producing cysts of the pancreas with malignant potential. The existing literature on treatment outcomes is limited to relatively small surgical series. METHODS:We reviewed the National Cancer Database assessing the outcomes of patients with mucinous cystic neoplasms betwe...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.09.006

    authors: Ahmad M,Maegawa FB,De La Rosa E,Davis B,Tyroch A,Konstantinidis IT

    更新日期:2020-12-01 00:00:00