Outpatient reduction mammaplasty: a review of 338 consecutive cases.

Abstract:

:Reduction mammaplasty is usually accomplished under general anesthesia, often with an overnight stay. With cost-containment pressures, the ability to perform this surgery in an outpatient setting would have obvious benefits. We present a series of 338 patients who have undergone bilateral reduction mammaplasty over a 3-year period. Two hundred eighty-six cases (84.6%) were performed on an outpatient basis and 52 (15.4%) were inpatients. Patient age ranged from 13 to 82 years. Significant differences were found between the two groups regarding average age (34.3 and 42.4 years, respectively) and average total resection weights (1,486.1 gm and 1,895.6 gm, respectively). The maximum total resection weight was 6,000 gm in the outpatient group and 7,140 gm in the inpatient group. Surgical techniques included inferior pedicle (N = 273), central mound (N = 54), and free nipple graft (N = 11). There were no substantial differences in the incidence of minor complications, including wound separation, seromas, hypertrophic scars, infection, and hypopigmentation. Autologous transfusion was utilized in 18 patients early in the series. Of the 175 patients (52%) who returned a follow-up questionnaire, all considered their outpatient experience a positive one. In addition, 33% of the inpatients who responded (N = 8/24) felt their hospital stay was unnecessary. Outpatient surgery resulted in a savings of $1,500 to $2,500 when compared to an overnight stay. Reduction mammaplasty can be performed safely in an outpatient setting and is not necessarily limited by age or extent of resection.

journal_name

Ann Plast Surg

authors

Buenaventura S,Severinac R,Mullis W,Beasley M,Jacobs W,Wood D

doi

10.1097/00000637-199602000-00010

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

162-6

issue

2

eissn

0148-7043

issn

1536-3708

journal_volume

36

pub_type

杂志文章
  • Immediate evaluation of neovascularization in a grafted bilayered artificial dermis using laser Doppler imaging.

    abstract:BACKGROUND:A bilayered artificial dermis is widely applied for skin defects. Its collagen sponge is biodegraded and replaced with dermis-like tissue after application. There is no reliable method for quantitatively evaluating the blood flow of artificial dermis. In this study, we used laser Doppler imaging to evaluate ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182590948

    authors: Morimoto N,Takemoto S,Kawai K,Aya R,Ishisaka T,Suzuki S

    更新日期:2014-01-01 00:00:00

  • The complications of fasciocutaneous flaps.

    abstract::We analyzed the complications in a series of 126 fasciocutaneous flaps. The overall complication rate was 40%, which included both early and late complications. The early complications were divided into major and minor groups. The main avoidable causes of major complications were poor design; the presence of orthopedi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198709000-00009

    authors: Dickson WA,Dickson MG,Roberts AH

    更新日期:1987-09-01 00:00:00

  • Vitamin B12 counteracts dexamethasone-induced proliferation and apoptosis during key periods of palatogenesis in mice.

    abstract::B vitamins rescue cleft palate induced by glucocorticoids in rodents; however, the mechanism of this effect remains largely unknown. The objective of our study was to assess the effect of dexamethasone and Vitamin B12 on cell proliferation and apoptosis during palatogenesis. In our study, mesenchymal cell proliferatio...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181b4bc8d

    authors: He W,Meng T,Lu SJ,Zheng Q,Li CH,Wu M,Shi B

    更新日期:2010-04-01 00:00:00

  • Availability of COVID-19 Information From National Plastic Surgery Society Web Sites.

    abstract:BACKGROUND:National plastic surgery society web sites are an important source of information for patients, family members, and healthcare professionals. There are currently no standardized recommendations for the information provided on web sites. The aim of this study was to assess the information available on each na...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002447

    authors: Al-Benna S,Gohritz A

    更新日期:2020-08-01 00:00:00

  • Evaluating the effects of ice application on the pain felt during botulinum toxin type-a injections: a prospective, randomized, single-blind controlled trial.

    abstract::The pain felt during botulinum toxin type-A injections and the troubled and distressed treatment it induces is common and well known for the patient and the doctor applying the treatment. This problem is further intensified on the patients who have needle phobia. The effect of ice application on the treatment zone bef...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.sap.0000139563.51598.75

    authors: Sarifakioglu N,Sarifakioglu E

    更新日期:2004-12-01 00:00:00

  • Successful revascularization following near-complete amputation of the tongue.

    abstract::Successful salvage of the tongue following near or complete traumatic amputation is a rare event. We now report only the second reported successful case of a revascularization of a near or complete amputation of the tongue while in the setting of massive facial trauma. Microscopic revascularization was performed utili...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000194945.84826.fd

    authors: Egozi E,Faulkner B,Lin KY

    更新日期:2006-02-01 00:00:00

  • Cheek Cutaneous Melanomas: A Review of 98 Cases.

    abstract:BACKGROUND:Most head and neck melanomas occur on the face, with the cheek being the most frequently affected site. So far, small numbers of researches on cheek melanomas have yielded insufficient and controversial results. In this trial, we aimed to define the histopathological and clinical features specific to cheek m...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001695

    authors: Tas F,Erturk K

    更新日期:2019-04-01 00:00:00

  • Bovie: the man and the machine.

    abstract::The origins of electrosurgery are presented and recognition given to one of its forgotten pioneers, William T. Bovie. Though not a physician, Bovie contributed greatly to patient care. ...

    journal_title:Annals of plastic surgery

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Goldwyn RM

    更新日期:1979-02-01 00:00:00

  • Severe Gynecomastia: New Technique Using Superior Pedicle NAC Flap Through a Circumareolar Approach.

    abstract:UNLABELLED:: Gynecomastia is defined as benign proliferation of glandular breast tissue in men. Gynecomastia causes considerable emotional discomfort because of limitation of everyday activity especially in young men. Surgical treatment of gynecomastia significantly contributes to an increase in social activity and an ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000229

    authors: Ibrahiem SM

    更新日期:2016-06-01 00:00:00

  • Beckwith-Wiedemann syndrome and juvenile fibroadenoma: a case report.

    abstract::Beckwith-Wiedemann syndrome (BWS) is a complex overgrowth disorder usually recognized at birth. Children diagnosed with BWS, particularly those with hemihypertrophy, experience an increased risk of developing benign and malignant tumors. This case report presents a 12-year-old girl with BWS and hemihypertrophy who rap...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/sap.0b013e3181b025f6

    authors: Poh MM,Ballard TN,Wendel JJ

    更新日期:2010-06-01 00:00:00

  • Distal foot coverage with a reverse dorsalis pedis flap.

    abstract::A reverse dorsalis pedis flap based on the proximal communicating branch of the dorsalis pedis artery was successfully used to close distal forefoot defects in two patients. The skin paddle was oriented transversely across the ankle crease, allowing for direct closure of the flap donor site. Both patients maintained f...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199502000-00014

    authors: Smith AA,Arons JA,Reyes R,Hegstad SJ

    更新日期:1995-02-01 00:00:00

  • The utility of high-frequency ultrasound in dermal filler evaluation.

    abstract::Aim of this study is to describe the use of high-frequency ultrasound to ascertain the site, quantity, and type of filler injected in the soft tissue of the face, with respect to reliability of the procedure and the analysis costs. Between December 2006 and August 2010, 80 subjects aged 25 to 65 years, who underwent f...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318203ebf6

    authors: Grippaudo FR,Mattei M

    更新日期:2011-11-01 00:00:00

  • Silicone gel breast implant failure: evaluation of properties of shells and gels for explanted prostheses and meta-analysis of literature rupture data.

    abstract::After 30 years of clinical use, the 1992 Food and Drug Administration moratorium on silicone gel breast implants (SGBIs) resulted from a paucity of scientific data concerning their safety. The frequency of rupture and reoperative procedures was not known, nor were reliable data available for changes in the physical pr...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/00000637-200209000-00001

    authors: Marotta JS,Goldberg EP,Habal MB,Amery DP,Martin PJ,Urbaniak DJ,Widenhouse CW

    更新日期:2002-09-01 00:00:00

  • Management of acute burns of the female pediatric breast: delayed tangential excision versus spontaneous eschar separation.

    abstract::A 2-year-old girl sustained full-thickness burns to the anterior chest. Skin grafting was performed after spontaneous eschar separation in 1 breast and after delayed tangential excision after wound demarcation in the other breast. Both breasts developed equally, indicating that careful tangential excision to viable ti...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199407000-00012

    authors: al-Qattan MM,Zuker RM

    更新日期:1994-07-01 00:00:00

  • Study to Assess Outcome After Open and Closed Carpal Tunnel Decompression.

    abstract::Carpal tunnel decompression (CTD) is the most commonly performed surgical procedure within a hand unit. We have analyzed data on outcomes after carpal decompression performed by both open and closed techniques to assess whether outcomes differed between the 2 procedures. Data were jointly gathered from 2 units. The ai...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000267

    authors: Akhtar S,Bradley MJ,Burke FD,Dubin NH,Wilgis EF

    更新日期:2015-11-01 00:00:00

  • Role of Active Range of Motion in Hand and Wrist Joint Photography: A Preliminary Analysis.

    abstract:INTRODUCTION:Hand photography is effective and advantageous for assessing functional deficits and improvements related to surgery. In this study, it is aimed to investigate whether the correct active range of motion (ROM) is masked by the passive ROM in a wrist joint. METHOD:Eleven patients who were treated for unilat...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001845

    authors: Yildiran G,Sutcu M,Akdag O,Isik C,Tosun Z

    更新日期:2019-06-01 00:00:00

  • Soft-tissue optimization of limb salvage with knee endoprosthesis: the 10-year experience at the Children's Hospital of Philadelphia.

    abstract:PURPOSE:Limb salvage in bone sarcomas requires resection and joint and soft-tissue reconstruction. Suboptimal coverage can lead to prosthesis infection, subsequent hardware exposure, or loss with eventual amputation. In the pediatric sarcoma population, it is essential to not only have viable soft-tissue coverage but o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182223d5b

    authors: Wang TY,Dormans JP,Chang B

    更新日期:2012-11-01 00:00:00

  • The Suzuki frame for complex intra-articular fractures of the proximal interphalangeal joint of the fingers.

    abstract::In 1994, Suzuki et al proposed the pins-and-rubbers traction system, a new dynamic distraction technique for difficult complex intra-articular fractures of the digits of the hand. From February 1999 to April 2003, we used the Suzuki frame for 15 complex fractures of the proximal interphalangeal joint of the fingers. T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000244975.89885.c7

    authors: Keramidas E,Solomos M,Page RE,Miller G

    更新日期:2007-05-01 00:00:00

  • Penile reconstruction by the free scapular flap and malleable penis prosthesis.

    abstract:BACKGROUND:: Penile reconstruction has always been a challenging problem for plastic surgeons while facing patients with severe congenital deformities and gender dysphoria and those who have suffered penile loss because of trauma, self-amputation, malignancy, and so on. Since 1936, when Bogoras first constructed a tota...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000253745.07940.da

    authors: Yang M,Zhao M,Li S,Li Y

    更新日期:2007-07-01 00:00:00

  • Freestyle Perforator Puzzle Flap for Posterior Trunk Reconstruction.

    abstract:BACKGROUND:Closure of extensive defects of posterior trunk can be challenging for reconstructive surgeons owing to the need of a large bulk of well-vascularized tissue to resurface the skin and the exposed hardware and to fill the dead spaces. We hypothesized that elevating multiple perforators flaps in various pattern...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002259

    authors: Maruccia M,Di Taranto G,Schonauer F,DʼAndrea F,Losco L,Ribuffo D,Chen HC,Cigna E

    更新日期:2020-07-01 00:00:00

  • Scaphoid fracture nonunion treated with pronator quadratus pedicled vascularized bone graft and headless compression screw.

    abstract::The purpose of our retrospective study was to evaluate the outcomes of scaphoid fracture nonunion treated with a pronator quadratus pedicled vascularized bone graft and a headless compression screw with regard to early wrist and thumb mobilization. From January 2008 to June 2011, 27 patients (20 men and 7 women; mean ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000025

    authors: Lee SK,Park JS,Choy WS

    更新日期:2015-06-01 00:00:00

  • A new technique for closure of infraorbital defects.

    abstract:BACKGROUND:The infraorbital region is a unique facial subunit surrounded with several important structures, such as the lower eyelids, oral commissure, ala nasi, and the sideburns. The potential for distortion of these neighboring anatomic landmarks and the absence of natural creases where incisional scars can be camou...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31820d6830

    authors: Mutaf M,Günal E,Temel M

    更新日期:2011-12-01 00:00:00

  • A case of multiple symmetric lipomatosis (Madelung's disease).

    abstract::A case of multiple symmetric lipomatosis in a 61-year-old man is described. The patient had the striking appearance that characterizes multiple symmetric lipomatosis. He had a history of alcohol abuse. Before admission to our institution, he underwent surgical treatment three times at other hospitals. We describe his ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-198911000-00015

    authors: Yoshioka N,Suzuki S

    更新日期:1989-11-01 00:00:00

  • Hypoglossal-facial nerve anastomosis in the rabbits using laser welding.

    abstract::The aim of this study is to compare laser nerve welding of hypoglossal-facial nerve to microsurgical suturing and a result of immediate and delayed repair, and to evaluate the effectiveness of laser nerve welding in reanimation of facial paralysis of the rabbit models. The first group of 5 rabbits underwent immediate ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31815f12a5

    authors: Hwang K,Kim SG,Kim DJ

    更新日期:2008-10-01 00:00:00

  • The influence of surgical excision margins on keloid prognosis.

    abstract::Keloid disease is known to have variable clinical behavior in response to therapy and there is no clinicopathologic classification that predicts such varied behavior. The aim of this study was to study the effect of excision margins and other histopathologic characteristics on keloid prognosis.Seventy-five multiethnic...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31819b6c3a

    authors: Tan KT,Shah N,Pritchard SA,McGrouther DA,Bayat A

    更新日期:2010-01-01 00:00:00

  • Flap Repair Technique for Soft Tissue Defects of the Hand.

    abstract:ABSTRACT:Repair for the soft tissue defects of hand has been a major challenge of hand or reconstructive surgery. A lot of flaps are used, free or pedicle flap, but there are no comprehensive description of these flaps. In this article, we retrospectively reviewed the repair technique of the fingertip defect, palmar or...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002645

    authors: Zhao F

    更新日期:2020-12-15 00:00:00

  • Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve.

    abstract::The branches of the medial antebrachial cutaneous nerve (MACN) are located at the medial site of the elbow. The MACN, especially the posterior branches, may be injured or transected during cubital tunnel surgery or other medial approaches to the elbow. Damage to the nerve can cause a neuroma, which leads to disabling ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200202000-00007

    authors: Stahl S,Rosenberg N

    更新日期:2002-02-01 00:00:00

  • Nerve endings in palm skin grafts.

    abstract::We examined regeneration of Meissner corpuscles in palm skin grafts. In only one of the specimens (split-thickness skin graft from the sole of the foot), numerous regenerated Meissner corpuscles were found in the dermal papilla. This suggests that the nerve pattern of the graft depends on reinnervation from the recipi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198906000-00001

    authors: Wada H,Mihara K

    更新日期:1989-06-01 00:00:00

  • Assessing Surgical and Medical Complications in Bilateral Abdomen-Based Free Flap Breast Reconstructions Compared With Unilateral Free Flap Breast Reconstructions.

    abstract:BACKGROUND:Prophylactic mastectomy is more common, with many patients seeking reconstruction. Bilateral free flap reconstructions subject patients to 2 flaps and longer operations, potentially increasing their risk for complications. We hypothesized that bilateral abdomen-based free flap reconstruction patients are a u...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000343

    authors: Lin IC,Nelson JA,Wu LC,Kovach SJ 3rd,Serletti JM

    更新日期:2016-01-01 00:00:00

  • Cerebriform fibrous proliferation vs. proteus syndrome.

    abstract::Proteus syndrome is a rare, congenital hamartomatous syndrome that presents with a wide range of abnormalities. Regardless of different manifestations found in different patients, there exists three mandatory criteria for the diagnosis of this syndrome: a mosaic distribution of the lesions, a progressive course, and s...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200112000-00016

    authors: Yavuzer R,Uluoğlu O,Sari A,Boyacioğlu M,Sarigüney Y,Latifoğlu O,Celebi MC

    更新日期:2001-12-01 00:00:00