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
Utility of local anesthesia for open carpal tunnel release in patients with psychiatric diagnoses
Ayyala H, Castel N, Mohamed O, Xue E, Oleck N, Lee E. Utility of local anesthesia for open carpal tunnel release in patients with psychiatric diagnoses. JPRAS Open 2019, 23: 26-31. PMID: 32158902, PMCID: PMC7061543, DOI: 10.1016/j.jpra.2019.10.002.Peer-Reviewed Original ResearchCarpal tunnel releaseOperative timeComplication ratePsychiatric historyPsychiatric diagnosisMedical CenterLocal anesthesiaWide-awake hand surgeryVeterans Affairs (VA) medical centersIncreased prevalence of psychiatric disordersPrevalence of psychiatric disordersOperating roomVA Medical CenterHistory of psychiatric illnessRetrospective cohort studyActive psychiatric diagnosisHand surgeryOpen carpal tunnel releaseUtilization of local anesthesiaMilitary Medical CenterMonitored anesthesia careWide-awake surgeryStatistically significant differencePost-traumatic stress disorderRequested sedationUtility 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