Intraoperative Microvascular Complications in Autologous Breast Reconstruction: The Effects of Resident Training on Microsurgical Outcomes.
Sumeet S TeotiaRyan M DickeyYulun LiuAvinash P JayaramanNicholas T HaddockPublished in: Journal of reconstructive microsurgery (2020)
With regard to flap loss and microsurgical vessel compromise, lower PGYs did not significantly worsen surgical outcomes for patients. AP had the longest total operative time, likely due to flap selection bias. PGY-4 and AP groups had higher rates of revision of original anastomosis compared with PGY-7, though ultimately these differences did not impact overall operative time, complication rate, or flap losses. Hands-on supervised microsurgical education appears to be both safe for patients, and also an effective way of building technical proficiency in plastic surgery residents.
Keyphrases
- breast reconstruction
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- transcription factor
- healthcare
- internal carotid artery
- stem cells
- total knee arthroplasty
- risk factors
- type diabetes
- quality improvement
- adipose tissue
- soft tissue
- cell therapy
- patient safety
- metabolic syndrome
- patient reported
- patient reported outcomes
- insulin resistance
- weight loss
- platelet rich plasma