2024
Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction
Ayyala H, Assel M, Aloise J, Serafin J, Tan K, Mehta M, Puttanniah V, McCormick P, Malhotra V, Vickers A, Matros E, Lin E. Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction. Regional Anesthesia & Pain Medicine 2024, rapm-2023-105031. PMID: 38336375, DOI: 10.1136/rapm-2023-105031.Peer-Reviewed Original ResearchErector spinae planeLength of stayAutologous breast reconstructionBreast reconstructionFlap reconstructionLocal infiltrationLatissimus dorsi myocutaneous flap reconstructionErector spinae plane blockPostoperative length of stayAssociated with significant painLatissimus flap reconstructionNo blockFlap breast reconstructionMyocutaneous flap reconstructionShorter postoperative stayRetrospective cohort studyLocal infiltration analgesiaComplex breast reconstructionPostoperative antiemetic administrationDecreased length of stayOpioid consumptionPlane blockPostoperative stayIntraoperative opioidsSurgical infiltration
2019
Predictors of discharge destination after complex abdominal wall reconstruction
Ayyala H, Weisberger J, Le T, Chow A, Lee E. Predictors of discharge destination after complex abdominal wall reconstruction. Hernia 2019, 24: 251-256. PMID: 31624964, DOI: 10.1007/s10029-019-02054-z.Peer-Reviewed Original ResearchConceptsLength of stayVentral hernia repairHernia repairNon-home dischargeDecreased length of stayAssociated with non-home dischargeRisk factorsMethodsThe ACS-NSQIP databaseComplex ventral hernia repairACS-NSQIP databaseDependent functional statusPre-operative factorsIntra-operative factorsProlonged length of stayHistory of diabetesHistory of hypertensionBody mass indexMultivariate logistic regressionDecreased lengthCompare mean ageLonger operative timePost-discharge complicationsASA classificationMinimize health care costsPre-operatively