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1,066 results on '"Serletti, Joseph M."'

8. Increased Patient Age as a Risk Factor Following Free Flap Reconstruction after Breast Cancer: A Single Institutional Review of 2,598 Cases.

Author

Honig, Stephanie E., Habarth-Morales, Theodore E., Davis, Harrison D., Niu, Ellen F., Amro, Chris, Broach, Robyn B., Serletti, Joseph M., and Azoury, Saïd C.

Subjects
SURGICAL flaps, MAMMAPLASTY, SURGICAL site infections, SURGICAL complications, AGE groups, FREE flaps
Abstract

Background Autologous breast reconstruction (ABR) after mastectomy is increasing due to benefits over implant-based reconstruction. However, free flap reconstruction is not universally offered to patients of advanced age due to perceived increased perioperative risk. Methods Patients undergoing free flap breast reconstruction at our institution from 2005 to 2018 were included. Risk-adjusted logistic regression models were fit while controlling for demographic and comorbid characteristics to determine the association of age with the probability of venous thromboembolism (VTE), delayed healing, skin necrosis, surgical site infection (SSI), seroma, hematoma, hernia, and flap loss. Linear predictions from risk-adjusted logistic regression models were used to create spline curves and determine the risk of outcomes associated with age. Results A cohort of 2,598 patients underwent free flap breast reconstruction in the period examined. The median age was 51 with approximately 9% of patients being 65 or older. Increased age was associated with a greater risk of delayed healing, skin necrosis, and hematoma after surgery. There was no increased risk of medical complications such as VTE or complications such as flap loss, seroma, or SSI. Conclusion A set age cutoff for patients undergoing free flap breast reconstruction does not appear warranted. There is no difference in major surgical complications such as flap loss with increasing age. However, older age does predispose patients to specific wound complications such as hematoma, skin necrosis, and delayed wound healing, which should guide preoperative counseling. Further, medical complications do not increase with advanced age. Overall, however, the safety of ABR in older patients appears uncompromised. [ABSTRACT FROM AUTHOR]

Published
2025
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21. 57. Larger Volume Silicone Breast Implants Are Safe In Breast Reconstruction: Data From The Athena Multicenter, Prospective Study Of 400 Patients

Author

Garvey, Patrick B., primary, Larsen, Alan, additional, Skoracki, Roman, additional, Djohan, Risal, additional, Migliori, Mark R., additional, Tenenbaum, Marissa M., additional, Friedman, Jeffrey D., additional, Serletti, Joseph M., additional, Rebecca, Alanna M., additional, and Kane, William, additional

Published
2024
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35. Patient Perceptions of Cancer and Reconstructive Care During the COVID-19 Pandemic.

Author

Sorice-Virk, Sarah, Patel, Viren, Christopher, Adrienne N., Morris, Martin P., Broach, Robyn B., Rothman, Jami D., and Serletti, Joseph M.

Abstract

Copyright of Plastic Surgery is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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36. Impact of High-Fidelity Microvascular Surgery Simulation on Resident Training.

Author

Joy, Matthew T., Applebaum, Matthew A., Anderson, William M., Serletti, Joseph M., and Capito, Anthony E.

Subjects
PULSATILE flow, TRAINING of medical residents, FLOW simulations, PLASTIC surgery, LABORATORY animals, MICROSURGERY
Abstract

Background Microsurgery requires a high level of skill achieved only through repeated practice. With duty-hour restrictions and supervision requirements, trainees require more opportunities for practice outside the operating room. Studies show simulation training improves knowledge and skills. While numerous microvascular simulation models exist, virtually all lack the combination of human tissue and pulsatile flow. Methods The authors utilized a novel simulation platform incorporating cryopreserved human vein and a pulsatile flow circuit for microsurgery training at two academic centers. Subjects performed a standardized simulated microvascular anastomosis and repeated this task at subsequent training sessions. Each session was evaluated using pre- and postsimulation surveys, standardized assessment forms, and the time required to complete each anastomosis. Outcomes of interest include change in self-reported confidence scores, skill assessment scores, and time to complete the task. Results In total, 36 simulation sessions were recorded including 21 first attempts and 15 second attempts. Pre- and postsimulation survey data across multiple attempts demonstrated a statistically significant increase in self-reported confidence scores. Time to complete the simulation and skill assessment scores improved with multiple attempts; however, these findings were not statistically significant. Subjects unanimously reported on postsimulation surveys that the simulation was beneficial in improving their skills and confidence. Conclusion The combination of human tissue and pulsatile flow results in a simulation experience that approaches the level of realism achieved with live animal models. This allows plastic surgery residents to improve microsurgical skills and increase confidence without the need for expensive animal laboratories or any undue risk to patients. [ABSTRACT FROM AUTHOR]

Published
2024
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