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 infiltrationUpdated Trends and Outcomes in Autologous Breast Reconstruction in the United States, 2016–2019
Shah J, Amakiri U, Cevallos P, Yesantharao P, Ayyala H, Sheckter C, Nazerali R. Updated Trends and Outcomes in Autologous Breast Reconstruction in the United States, 2016–2019. Annals Of Plastic Surgery 2024, 92: e1-e13. PMID: 38320006, DOI: 10.1097/sap.0000000000003764.Peer-Reviewed Original ResearchAutologous breast reconstructionDeep inferior epigastric perforatorBilateral reconstructionBreast reconstructionTransverse rectus abdominis myocutaneous flapDeep inferior epigastric perforator flapRate of immediate reconstructionRectus abdominis myocutaneous flapProcedure-related characteristicsTenth Edition codesStudy periodInternational Classification of DiseasesNational Inpatient SampleLength of staySurgery yearImmediate reconstructionClassification of DiseasesMyocutaneous flapDischarge weightMultivariate regression modelComorbidity levelInpatient SampleTeaching hospitalHigher income levelsInternational Classification
2020
The Cost of the "July Effect" in Microsurgery.
Ayyala H, Weisberger J, Malhotra R, Lee E. The Cost of the "July Effect" in Microsurgery. Annals Of Plastic Surgery 2020, 85: 392-396. PMID: 32101999, DOI: 10.1097/sap.0000000000002294.Peer-Reviewed Original ResearchConceptsLength of stayAssociated with increased operative timeFree flapsNational Surgical Quality Improvement Program registryOperative timeFree tissue transfer proceduresIncreased complication rateFree flap proceduresCost of inpatient stayJuly effectMultivariate logistic regressionTissue transfer proceduresReoperation rateComplication rateFlap procedureNo significant differenceIncreased riskProgram registryDemographic dataSignificant differenceReadmission ratesConfounding variablesStayHighest average differenceLogistic regression
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-operativelyUtility of Regional Anesthesia in Extremity Reconstruction
Weisberger J, Oleck N, Ayyala H, Dalena M, Lee E. Utility of Regional Anesthesia in Extremity Reconstruction. Journal Of Reconstructive Microsurgery 2019, 36: 053-058. PMID: 31419807, DOI: 10.1055/s-0039-1694741.Peer-Reviewed Original ResearchConceptsLength of stayGeneral anesthesia groupRegional anesthesiaStatistically significant differenceGeneral anesthesiaPropensity score matchingPostoperative complicationsExtremity reconstructionMatched cohortAmerican College of Surgeons National Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseAnesthesia groupNational Surgical Quality Improvement Program databaseOperative timeQuality Improvement Program databaseShorter length of stayScore matchingWound complication rateRate of reoperationSignificant differenceAnalysis of complicationsUtilization of regional anesthesiaIncrease patient comfortRisks associated with general anesthesiaRA cohort