The Experts below are selected from a list of 267 Experts worldwide ranked by ideXlab platform

J Llauger - One of the best experts on this subject based on the ideXlab platform.

Michael J Miller - One of the best experts on this subject based on the ideXlab platform.

  • Fat Necrosis in autologous abdomen based breast reconstruction a systematic review
    Plastic and Reconstructive Surgery, 2013
    Co-Authors: Ibrahim Khansa, Michael J Miller, Adeyiza O Momoh, Priti P Patel, John Nguyen
    Abstract:

    BACKGROUND: Fat Necrosis is a common and potentially exasperating complication of autologous breast reconstruction. The authors performed a systematic review of the English literature on autologous breast reconstruction to determine significant patient and surgical factors that are predictors of postoperative Fat Necrosis. METHODS: A PubMed search using the terms "Fat Necrosis" and "breast reconstruction" was conducted. Articles were screened using predetermined inclusion and exclusion criteria. Data collected included patient characteristics, reconstructive techniques used, and the specific postoperative morbidity of interest. Patient cohorts were pooled, and the incidence of Fat Necrosis was calculated in the presence and absence of each risk factor. Chi-square analysis was applied, and p < 0.05 was considered statistically significant. RESULTS: Of 172 articles found, 70 met the inclusion criteria. The mean rate of Fat Necrosis was 11.3 percent. Deep inferior epigastric artery perforator flaps had the highest rate of Fat Necrosis (14.4 percent), followed by pedicled transverse rectus abdominis musculocutaneous (12.3 percent), superficial inferior epigastric artery (8.1 percent), and free transverse rectus abdominis musculocutaneous flaps (6.9 percent). Significant predictors of Fat Necrosis included obesity (p = 0.035), prereconstruction irradiation (p = 0.022), postreconstruction irradiation (p < 0.001), active smoking (p < 0.001), and abdominal scars (p = 0.05). Protective factors included supercharging (p < 0.001) and bilateral reconstruction (p = 0.01). CONCLUSIONS: Although there is little agreement in the literature regarding risk factors for Fat Necrosis, the authors were able to demonstrate several significant predictors by systematically analyzing 70 articles. Improved knowledge of the risk factors for Fat Necrosis can help surgeons provide improved preoperative counseling and take measures to minimize the risk of this complication.

  • Fat Necrosis in free and pedicled tram flaps
    Plastic and Reconstructive Surgery, 1998
    Co-Authors: Stephen S Kroll, Giulio Gherardini, John E Martin, Gregory P Reece, Michael J Miller, Gregory R D Evans, Geoffrey L Robb, Bao Guang Wang
    Abstract:

    One purported advantage of the free transverse rectus abdominis musculocutaneous (TRAM) flap for breast reconstruction is that, compared with the conventional TRAM flap, it has a better blood supply and therefore a lower incidence of Fat Necrosis. We tested this claim by reviewing the incidence of Fat Necrosis, both clinically and mammographically, in a group of 110 patients with 116 TRAM flap breast reconstructions who had undergone mammography of their reconstructed breasts. Of the 49 breasts reconstructed with free TRAM flaps, 4 (8.2 percent) had clinically evident Fat Necrosis, and 1 (2.0 percent) had Fat Necrosis that was detectable by mammography. Of the 67 breasts reconstructed with conventional TRAM flaps, 18 (26.9 percent) had clinically detectable Fat Necrosis, and 9 (13.4 percent) had Fat Necrosis that was detectable mammographically. Both of these differences were statistically significant (p = 0.0113 for clinical Fat Necrosis; p = 0.031 for mammographic Fat Necrosis). Fat Necrosis was more common in patients who were obese or had a history of smoking, but neither association was statistically significant. We conclude that the use of the free TRAM flap reduces the incidence of Fat Necrosis in the reconstructed breast. (Plast. Reconstr. Surg. 102: 1502, 1998.)

Sateesh Kumar Somisetty - One of the best experts on this subject based on the ideXlab platform.

  • subcutaneous Fat Necrosis in newborn an unusual case and review of literature
    European Journal of Pediatrics, 2011
    Co-Authors: Subhabrata Mitra, Jennifer Dove, Sateesh Kumar Somisetty
    Abstract:

    Subcutaneous Fat Necrosis (SCFN) of the newborn is an uncommon, self-limiting panniculitis mostly occurring within the first few weeks after birth. SCFN has been described mostly in term or post-term newborn infants in literature. We report a preterm infant developing extensive subcutaneous Fat Necrosis within the first week of life after significant perinatal hypoxic injury. The infant was conservatively managed for subcutaneous Fat Necrosis but developed hypercalcaemia and required prolonged medical treatment. Hypercalcaemia is a rare but serious complication of subcutaneous Fat Necrosis and needs prolonged follow-up. The etiopathogenesis of both subcutaneous Fat Necrosis in newborn and the resultant hypercalcaemia are poorly understood. Conclusion: Significant subcutaneous Fat Necrosis can develop in both preterm and term infants, and preterm infants also develop significant complications including hypercalcaemia.

Diana Hernandez - One of the best experts on this subject based on the ideXlab platform.

Kyung Sup Song - One of the best experts on this subject based on the ideXlab platform.

  • calcified chronic pericardial Fat Necrosis in localized lipomatosis of pericardium
    American Journal of Roentgenology, 2007
    Co-Authors: Kyung Sup Song
    Abstract:

    WEB This is a Web exclusive article. ericardial Fat Necrosis is an infrequent clinical entity first reported by Jackson et al. [1] in 1957. Only 19 cases have been reported in the English-language literature [1–3]. In all reported cases, patients presented with a sudden onset of chest pain and Fatty masses without calcification. On routine radiography, most pericardial Fat Necrosis was interpreted as a juxtacardiac mass. CT findings have been reported in three cases as Fat-attenuation masses [1–3]. However, our patient complained of longstanding pitting edema of the leg and intermittent dizziness without chest pain. On radiography, eccentric overgrowth of pericardial Fat with Fat Necrosis was noted, and calcified flecks were seen around the pericardial Fat Necrosis. These unique clinical and radiologic findings have not been reported in the literature.