2023
Surgical management of breast fat necrosis: Multi-institutional data analysis of early outcomes and risk factors for complications
Knoedler S, Knoedler L, Patel H, Diatta F, Camacho J, Sofo G, Perozzo F, Evans B, Mookerjee V, Ayyala H, Pomahac B, Kauke-Navarro M. Surgical management of breast fat necrosis: Multi-institutional data analysis of early outcomes and risk factors for complications. Journal Of Plastic Reconstructive & Aesthetic Surgery 2023, 88: 292-295. PMID: 38029475, DOI: 10.1016/j.bjps.2023.11.015.Peer-Reviewed Original ResearchConceptsBreast fat necrosisChronic heart failureRisk factorsAdverse eventsHeart failureFemale patientsSurgical managementFat necrosisNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramHigher wound classPostoperative adverse eventsNon-cancerous conditionsOutcomes of interestQuality Improvement ProgramMajority of casesPerioperative algorithmWound classComplication occurrenceComplication ratePostoperative outcomesSurgical complicationsMedical complicationsSurgical treatmentMultivariable analysisThe surgical patient of yesterday, today, and tomorrow—a time-trend analysis based on a cohort of 8.7 million surgical patients
Knoedler S, Matar D, Friedrich S, Knoedler L, Haug V, Hundeshagen G, Kauke-Navarro M, Kneser U, Pomahac B, Orgill D, Panayi A. The surgical patient of yesterday, today, and tomorrow—a time-trend analysis based on a cohort of 8.7 million surgical patients. International Journal Of Surgery 2023, 109: 2631-2640. PMID: 37788019, PMCID: PMC10498871, DOI: 10.1097/js9.0000000000000511.Peer-Reviewed Original ResearchConceptsSurgical patientsMedian ageMedian BMISurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseACS-NSQIP databaseImprovement Program databaseObesity class IProportion of patientsCohort of patientsPrevalence of diabetesType 2 diabetesGlobal healthcare deliveryFuture surgical careField of surgeryTime trend analysisPatient ageSurgical cohortDiabetes prevalenceProgram databaseSurgical careAmerican CollegeGeneral populationPatients
2022
Perioperative Outcomes and Risk Profile of 4730 Cosmetic Breast Surgery Cases in Academic Institutions: An ACS-NSQIP Analysis
Knoedler S, Kauke-Navarro M, Haug V, Broer P, Pomahac B, Knoedler L, Panayi A. Perioperative Outcomes and Risk Profile of 4730 Cosmetic Breast Surgery Cases in Academic Institutions: An ACS-NSQIP Analysis. Aesthetic Surgery Journal 2022, 43: 433-451. PMID: 36472232, DOI: 10.1093/asj/sjac320.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseCosmetic breast surgeryObstructive pulmonary diseaseRisk factorsSurgical complicationsPulmonary diseaseSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMulti-institutional national databaseMultiple proceduresQuality Improvement Program databaseImprovement Program databaseIndependent risk factorCongestive heart failurePositive safety profileObesity class 1ACS-NSQIP AnalysisAnesthesiology scoreBreast surgery casesPerioperative outcomesPerioperative protocolPostoperative outcomesClinical patternHeart failureFemale patientsThe modified 5-item frailty index is a predictor of perioperative risk in breast reconstruction: An analysis of 40,415 cases
Panayi AC, Foroutanjazi S, Parikh N, Haug V, Kauke-Navarro M, Diehm YF, Pomahac B. The modified 5-item frailty index is a predictor of perioperative risk in breast reconstruction: An analysis of 40,415 cases. Journal Of Plastic Reconstructive & Aesthetic Surgery 2022, 75: 2941-2954. PMID: 35599223, DOI: 10.1016/j.bjps.2022.04.035.Peer-Reviewed Original ResearchConceptsImplant-based reconstructionBreast reconstructionMFI-5Unplanned readmissionPostoperative outcomesSurgical complicationsMedical complicationsMFI scoreRisk predictorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseBreast reconstruction patientsFrailty index-5Powerful risk predictorImprovement Program databasePreoperative risk stratificationStrong risk predictorAutologous breast reconstructionAdverse surgical outcomesType of reconstructionHigh rateFrail patientsHospital stayPerioperative risk
2017
Long-Term Social Reintegration Outcomes for Burn Survivors With and Without Peer Support Attendance: A Life Impact Burn Recovery Evaluation (LIBRE) Study
Grieve B, Shapiro G, Wibbenmeyer L, Acton A, Lee A, Marino M, Jette A, Schneider J, Kazis L, Ryan C, Board L, Badger K, Cancio L, Carrougher G, Carson J, Carter D, Chang P, Deeter L, Edorf F, Fagin A, Faoro N, Faucher L, Fauerbach J, Fidler P, Foster K, Friedstat J, Gibran N, Goverman J, Harrington D, Herndon D, Hickerson W, Holavanahalli R, Houng A, Hwang J, Jeng J, Joe V, Kopari N, Kowalske K, Lee R, Levi B, Liu Y, Palmieri T, Pomahač B, Reilly D, Romanowski K, Schulz J, Sheridan R, Shupp J, Sinha I, Travis T, Wibbenmeyer L. Long-Term Social Reintegration Outcomes for Burn Survivors With and Without Peer Support Attendance: A Life Impact Burn Recovery Evaluation (LIBRE) Study. Archives Of Physical Medicine And Rehabilitation 2017, 101: s92-s98. PMID: 29097179, PMCID: PMC9201552, DOI: 10.1016/j.apmr.2017.10.007.Peer-Reviewed Original ResearchConceptsTotal body surface areaSupport group attendanceBurn survivorsGroup attendanceLarger burn sizeSupport groupsBody surface areaCross-sectional studyLife Impact Burn Recovery Evaluation (LIBRE) StudyFuture intervention studiesCross-sectional surveyPeer support groupsBurn sizeLife Impact Burn Recovery Evaluation ProfileSocial interaction scores
2016
Patient Recruitment and Referral Patterns in Face Transplantation
Kiwanuka H, Aycart M, Bueno E, Alhefzi M, Krezdorn N, Pomahac B. Patient Recruitment and Referral Patterns in Face Transplantation. Plastic & Reconstructive Surgery 2016, 138: 224-231. PMID: 27348655, DOI: 10.1097/prs.0000000000002268.Peer-Reviewed Original ResearchConceptsReferral patternsPhysician referralPatient recruitmentFace transplantationDemographic characteristicsShort-term resultsClinical trial statusPatient characteristicsTransplantation centersRetrospective reviewAuthors' centerClinical trialsImmediate exclusionAesthetic deficitsPhysician educationAverage ageBurn communityTrial statusProtocol approvalRelationship of characteristicsTransplantationReferralUnited StatesAreas of improvementInjury
2015
Initial Experience of Dual Maintenance Immunosuppression With Steroid Withdrawal in Vascular Composite Tissue Allotransplantation
Diaz-Siso J, Fischer S, Sisk G, Bueno E, Kueckelhaus M, Talbot S, Carty M, Treister N, Marty F, Milford E, Pomahac B, Tullius S. Initial Experience of Dual Maintenance Immunosuppression With Steroid Withdrawal in Vascular Composite Tissue Allotransplantation. American Journal Of Transplantation 2015, 15: 1421-1431. PMID: 25777324, DOI: 10.1111/ajt.13103.Peer-Reviewed Original ResearchConceptsAcute rejectionVCA recipientsMaintenance immunosuppressionSteroid-resistant acute rejectionLate acute rejectionSolid organ transplantationComposite tissue allotransplantationMaintenance steroidsTopical immunosuppressionCurrent immunosuppressionSteroid withdrawalBolus treatmentOrgan transplantationLow doseImmunosuppressionTissue allotransplantationInitial experienceFurther experienceSteroidsRecipientsTacrolimusPatientsTreatmentMonthsLow levels
2014
Attitudes Regarding Lower Extremity Allotransplantation among Lower Extremity Amputees
Carty M, Duclos A, Talbot S, Tullius S, Pribaz J, Pomahac B. Attitudes Regarding Lower Extremity Allotransplantation among Lower Extremity Amputees. Plastic & Reconstructive Surgery 2014, 134: 1334-1342. PMID: 25255108, DOI: 10.1097/prs.0000000000000658.Peer-Reviewed Original Research
2013
Facial Appearance Transfer and Persistence after Three-Dimensional Virtual Face Transplantation
Chandawarkar A, Diaz-Siso J, Bueno E, Jania C, Hevelone N, Lipsitz S, Caterson E, Mukundan S, Pomahac B. Facial Appearance Transfer and Persistence after Three-Dimensional Virtual Face Transplantation. Plastic & Reconstructive Surgery 2013, 132: 957-966. PMID: 23783063, PMCID: PMC3788837, DOI: 10.1097/prs.0b013e3182a0143b.Peer-Reviewed Original Research
2012
Predictors for Major Wound Complications Following Preoperative Radiotherapy and Surgery for Soft-Tissue Sarcoma of the Extremities and Trunk: Importance of Tumor Proximity to Skin Surface
Baldini E, Lapidus M, Wang Q, Manola J, Orgill D, Pomahac B, Marcus K, Bertagnolli M, Devlin P, George S, Abraham J, Ferrone M, Ready J, Raut C. Predictors for Major Wound Complications Following Preoperative Radiotherapy and Surgery for Soft-Tissue Sarcoma of the Extremities and Trunk: Importance of Tumor Proximity to Skin Surface. Annals Of Surgical Oncology 2012, 20: 1494-1499. PMID: 23242820, DOI: 10.1245/s10434-012-2797-1.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overDiabetes ComplicationsDisease-Free SurvivalFemaleHumansLower ExtremityMaleMiddle AgedNeoadjuvant TherapyNeoplasm Recurrence, LocalPostoperative ComplicationsRadiotherapy, AdjuvantSarcomaSkinSkin TransplantationSoft Tissue NeoplasmsSurgical FlapsTorsoUpper ExtremityWound HealingYoung AdultConceptsMajor wound complicationsSoft tissue sarcomasSplit-thickness skin graftPreoperative radiotherapyWound complicationsPostoperative radiotherapyMultivariable analysisTumor proximityExact testResultsMedian tumor sizeSimilar local controlOverall survival rateLong-term fibrosisSignificant predictorsFisher's exact testHigh rateNonoperative managementIndependent predictorsRadical resectionTumor sizeSkin surfaceUnivariate analysisSkin graftsComplicationsLocal controlAbdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study
Diaz-Siso J, Bueno E, Pomahac B. Abdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study. Hernia 2012, 17: 37-44. PMID: 22707311, DOI: 10.1007/s10029-012-0927-0.Peer-Reviewed Original ResearchConceptsAbdominal wall reconstructionWall reconstructionMulti-organ failureLong-term outcomesLarger patient populationComplicated abdominal wallAbdominal wall defectAbdominal wall repairMean followMost patientsAnalysis of demographicsPatient populationIntraperitoneal techniqueSurgical techniqueComplex abdominal wall defectsAbdominal wallProsthetic meshPatientsComplicationsWall repairSuccessful outcomeConclusionsThis studyWall defectDermal scaffoldsInitial report
2010
Use of a Bilobed Gracilis Myocutaneous Flap in Perineal and Genital Reconstruction
Vyas R, Pomahac B. Use of a Bilobed Gracilis Myocutaneous Flap in Perineal and Genital Reconstruction. Annals Of Plastic Surgery 2010, 65: 225-227. PMID: 20606582, DOI: 10.1097/sap.0b013e3181c9c434.Peer-Reviewed Original Research
2009
The Skin Allograft Revisited: A Potentially Permanent Wound Coverage Option in the Critically Ill Patient
Pomahac B, Garcia J, Lazar A, Tilney N, Orgill D. The Skin Allograft Revisited: A Potentially Permanent Wound Coverage Option in the Critically Ill Patient. Plastic & Reconstructive Surgery 2009, 123: 1755-1758. PMID: 19483575, DOI: 10.1097/prs.0b013e3181a65b1b.Peer-Reviewed Original ResearchUse of a non–cross-linked porcine dermal scaffold in abdominal wall reconstruction
Pomahac B, Aflaki P. Use of a non–cross-linked porcine dermal scaffold in abdominal wall reconstruction. The American Journal Of Surgery 2009, 199: 22-27. PMID: 19427629, DOI: 10.1016/j.amjsurg.2008.12.033.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal WallAdultAgedAged, 80 and overAnimalsBiocompatible MaterialsCohort StudiesCollagenFemaleFollow-Up StudiesHernia, AbdominalHernia, VentralHumansMaleMiddle AgedPlastic Surgery ProceduresRetrospective StudiesSeverity of Illness IndexSurgical Wound DehiscenceSuture TechniquesSwineTensile StrengthTreatment OutcomeWound HealingYoung AdultConceptsAbdominal wall reconstructionSuperficial wound dehiscenceAbdominal wallComplex abdominal wallWall reconstructionWound dehiscencePorcine dermalProsthetic meshRetrospective chart reviewIntra-abdominal catastropheSurgical site infectionLarge incisional herniasGiant ventral herniasComplicated abdominal wallMean followMultiorgan failureAbdominal traumaEmergency surgeryOpen abdomenChart reviewSite infectionAbdominal closureFistula formationWound infectionIncisional herniaEvaluation of appearance transfer and persistence in central face transplantation: A computer simulation analysis
Pomahac B, Aflaki P, Nelson C, Balas B. Evaluation of appearance transfer and persistence in central face transplantation: A computer simulation analysis. Journal Of Plastic Reconstructive & Aesthetic Surgery 2009, 63: 733-738. PMID: 19398394, DOI: 10.1016/j.bjps.2009.01.078.Peer-Reviewed Original Research
2006
Fourth-Degree Burns to the Lower Extremity with Exposed Tendon and Bone: A Ten-Year Experience
Parrett B, Pomahac B, Demling R, Orgill D. Fourth-Degree Burns to the Lower Extremity with Exposed Tendon and Bone: A Ten-Year Experience. Journal Of Burn Care & Research 2006, 27: 34-39. PMID: 16566535, DOI: 10.1097/01.bcr.0000192265.20514.c5.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAmputation, SurgicalAtmospheric PressureBacteremiaBurn UnitsBurnsCellulitisDebridementFemaleGranulation TissueHumansLength of StayLimb SalvageLower ExtremityMaleMiddle AgedRetrospective StudiesSurgical FlapsTreatment OutcomeUrban Health ServicesVacuumVenous ThrombosisWound HealingConceptsLower extremity burnsLimb salvageBurn sizeMultistage reconstructive proceduresMean hospital stayDeep vein thrombosisMultiple skin graftsSignificant functional impairmentTen-year experienceUrban burn centerFree tissue transferFourth-degree burnsMajority of casesHospital stayVein thrombosisMean ageFillet flapBurn centerFunctional impairmentLower extremitiesSkin graftsExtremity burnsFlap closureReconstructive proceduresLimb amputation