A Novel Treatment of Hidradenitis Suppurativa With Radical Unroofing and Deepithelialization.

Hidradenitis suppurativa (HS) is a chronic inflammatory disease beginning with hyperkeratosis of the hair follicles in the dermis and leading to inflammation involving adjacent apocrine glands. HS has significant functional and psychological sequelae, but there is currently no standardized algorithm for treatment. For more severe cases of HS, wide surgical excision remains a standard method of treatment to address the underlying fibrosis and sinus tract formation.

Navigating Private Equity Buyouts: A Guide for Plastic Surgeons at All Career Stages.

Background: Recently, private equity (PE) investments in plastic surgery have increased as senior surgeons retire and transfer their legacy practices to corporate ownership in exchange for substantial payouts. During this transition, clinicians and practitioners at acquired practices often feel skeptical about the organization's goals and future. If left unaligned, the relationship between these groups deteriorates, and consequently, so does the quality of clinical care.

Plastic Surgeon Well-being, Mindfulness, and the Art of Letting Go.

As plastic surgeons, we strive to achieve the best possible outcomes for our patients. However, despite being a good surgeon with a sound plan that was thoughtfully crafted and well executed, complications still happen. As a result, surgeons involved in the care of patients who have complications can experience mental and emotional suffering, including feelings of guilt, sadness, anxiety, and stress.

A Regional Analysis of Diversity, Equity, and Inclusion Initiatives in Plastic Surgery Residency Programs.

Background: Residents seek inclusive training environments that prioritize diversity. To evaluate programs that focus on these elements, websites have become essential for applicants but often lack in diversity, equity, and inclusion (DEI) content. Thus, this study aimed to assess current efforts and attention to DEI within plastic surgery residency programs and compare them by region.

Surgical Management of Hidradenitis Suppurativa.

Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory disease of the skin, characterized by recurrent draining sinuses and abscesses, predominantly in skin folds carrying terminal hairs and apocrine glands. Treatment for this debilitating disease has been medical management with antibiotics and immune modulators. With the advent of better reconstructive surgical techniques, the role of surgery in the treatment of HS has expanded, from being a last resort to a modality that is deployed earlier.

Pubic Aneurysmal Bone Cyst Following Penile Inversion Vaginoplasty: A Case Report.

Background: Aneurysmal bone cysts (ABCs) are aggressive, expansile, and locally destructive vascular lesions. The exact etiology of ABCs is currently unknown and hypothesized to be related to vascular malformations or disruption of osseous vascularity. To date, there have been no reports describing the development of pubic ABCs following penile inversion vaginoplasty (PIV).

Prevalence of Regret in Gender-Affirming Surgery: A Systematic Review.

Introduction: Gender-affirmation surgeries are a rapidly growing set of procedures in the field of plastic surgery. This study is novel in that a thorough analysis has not been performed quantifying, identifying, and recognizing the reasons and factors associated with regret in a largely US population.

Methods: A systematic review of several databases was conducted.

Gender dysphoria and gender-affirming surgery: The New York state experience.

Background: Transgender and gender nonconforming (TGNC) individuals experience incongruence between their self-identified gender versus their birth-assigned sex. In some cases, TGNC patients undergo gender-affirming surgical (GAS) procedures. Although GAS is an evolving surgical field, there is currently limited literature documenting patient characteristics and procedures.

Risk Factors Associated with Adverse Outcomes after Ablative Surgery for Lymphedema.

Background:  Postmastectomy breast cancer lymphedema poses an important health threat. Historically, physical therapy was the exclusive treatment option. More recently, lymphedema surgery has revolutionized care.

Clinical outcome of multidisciplinary treatment of vulvar necrotising fasciitis.

Objective: Vulvar necrotising fasciitis (VNF) is a severe soft tissue infection associated with substantial morbidity and high mortality. At Stony Brook Medicine, US, patients with known or suspected VNF are treated by a structured multidisciplinary team consisting of members of the Departments of Emergency Medicine and Medicine, the Divisions of Gynecologic Oncology, Burn and Surgical Intensive Care Units, Infectious Disease and Plastic Surgery, and the nursing, nutrition, physical/occupational therapy and social work services.

Method: This is a retrospective review of patients presenting to Stony Brook University Hospital with VNF over an 18-month period.

Risk Factors Associated With Postmastectomy Breast Cancer Lymphedema: A Multicenter Retrospective Analysis.

Background: Lymphedema is an edematous condition that afflicts the postmastectomy breast cancer population, with diminished quality of life with substantial financial costs. The factors predictive of postmastectomy lymphedema development in breast cancer patients are unknown. The objective was to evaluate the trends over time in lymphedema development and the risk factors predictive of lymphedema-related events within 2 years of mastectomy.

A scoping literature review of post-traumatic lymphedema: Where are we now?

Post-traumatic lymphedema of the extremities is a significant source of morbidity largely unrecognized by practitioners. Given the unclear body of evidence on diagnosing and managing post-traumatic lymphedema, we performed a systematic scoping review of the literature for all reports on this topic in order to establish a benchmark for current knowledge, treatment modalities, patient outcomes, and future areas of research. After screening 733 titles and abstracts, 16 relevant articles were ultimately selected for analysis, producing 19 data entries.

Safety of Outpatient Shoulder Surgery at a Freestanding Ambulatory Surgery Center in Patients Aged 65 Years and Older: A Review of 640 Cases.

Introduction: With increasing utilization of surgery centers, it is important to demonstrate the safety of outpatient shoulder surgery in freestanding ambulatory surgery centers. No studies have specifically looked at the Medicare-age population and the rate of outpatient shoulder procedure complications in these patients at an ambulatory surgery center.

Methods: Six hundred forty patients were included in our study between 2000 and 2015.

Implementation of an intern boot camp curriculum to address clinical competencies under the new Accreditation Council for Graduate Medical Education supervision requirements and duty hour restrictions.

Importance: Today's general surgery interns are faced with increased duty hour restrictions and stringent competency-based supervision milestone requirements (ie, from direct to indirect supervision). Working within these constraints, we instituted a unique 2-month intern curriculum (boot camp) incorporating knowledge-based, experiential, and practical components.

Objectives: To describe our curriculum and the effect on resident performance and teaching faculty and nursing staff perceptions.

Pretraining and posttraining assessment of residents' performance in the fourth accreditation council for graduate medical education competency: patient communication skills.

Hypothesis: Structured communication curricula will improve surgical residents' ability to communicate effectively with patients.

Design And Setting: A prospective study approved by the institutional review board involved 44 University of Connecticut general surgery residents. Residents initially completed a written baseline survey to assess general communication skills awareness.

Post-appendectomy visits to the emergency department within the global period: a target for cost containment.

Background: Postoperative visits to the emergency department (ED) instead of the surgeon's office consume enormous cost.

Hypothesis: Postoperative ED visits can be avoided.

Setting: Fully accredited, single-institution, 617-bed hospital affiliated with the University of Connecticut School of Medicine.

Topical herbal remedies: research opportunities for plastic surgeons.

The use of topical herbal remedies (THRs) among plastic surgery patients is rampant, sometimes indiscriminately, and expanding rapidly. Supporting scientific evidence is low, and most patients who use THRs believe firmly that being 'natural', these agents are 'safe'. The federal regulation of THRs is not uniform.

Phagocytosis: reemerging roles for a primitive function.

Background: Described by Metchnikoff, it has been 100 years since the discovery of phagocytosis was awarded the Nobel Prize. Since then, advances in phagocytosis research have vastly expanded its potential clinical application to health and disease. In this article, the authors revisit this process of evolution and chart out its relevance to plastic surgery.

Pasteur's Quadrant: preparing training programs for "use-inspired" surgical research.

Ensuring that scientific research is an integral element of surgical residency training is critical to the future viability of the field. The ability to nurture surgeon-scientists, invoke them to ask pertinent questions, design experiments, and translate these findings into clinical applications will set this specialty apart from competing fields. Involving residents and younger faculty in this process of translational research is crucial to develop academic leaders and improve patient care.

Improving surgical residents' performance on written assessments of cultural competency.

Context: The pressure to implement cultural-competency training at the level of GME is high. The rapidly diversifying American population and the ACGME demand it, and cultural competency is recognized as a core competency under "Professionalism."

Objectives: The objectives for this study were (1) to assess residents' baseline levels of cultural competence, (2) define barriers to skill-acquisition, and (3) examine efficacy of educational programs in improving cultural competence.

Cutaneous myiasis.

Cutaneous myiasis is a unique disease, endemic in tropical areas, and uncommon in the Western world, making its diagnosis difficult for physicians that are unfamiliar with the disease process. Larvae of a two-winged fly are inoculated through normal skin by a mosquito bite. The larvae grow in the subcutaneous tissues, feed off the surrounding tissues and develop into a fly.

Assisting women to learn myocardial infarction symptoms.

Objective: The purpose of this study was to test how teaching format (factual versus storytelling) and restructuring the social norm of caring for others to caring for self affects how women learn to identify and respond to myocardial infarction (MI) symptoms.

Design: The study was a randomized pretest posttest full factorial experiment.

Sample: One hundred and thirteen women participated.