DermACELL: a novel and biocompatible acellular dermal matrix in tissue expander and implant-based breast reconstruction

BACKGROUND: Acellular dermal matrices present a new alternative to supporting expanders and implants for breast reconstruction in breast cancer patients following mastectomy. However, some studies have suggested that acellular dermal matrix may increase the complication rates in certain clinical settings. DermACELL acellular dermal matrix offers advanced processing in order to attempt to decrease bio-intolerance and complications. METHODS: Ten consecutive patients that presented for breast reconstruction and were candidates for tissue expanders underwent the procedure with the use of an acellular dermal matrix. The patients underwent postoperative expansion/adjuvant cancer therapy, then tissue expander exchange for permanent silicone breast prostheses. Patients were followed through the postoperative course to assess complication outcomes. Histologic evaluation of host integration into the dermal matrix was also assessed. RESULTS: Of the ten patients, eight completed reconstruction while two patients failed reconstruction. The failures were related to chronic seromas and infection. Histology analysis confirms rapid integration of mesenchymal cells into the matrix compared to other acellular dermal matrices. CONCLUSIONS: Based on our observations, DermACELL is an appropriate adjunct to reconstruction with expanders. Histological analysis of vascularization and recellularization support the ready incorporation of DermACELL into host tissue. Level of Evidence: Level IV, therapeutic study

Search for light resonances decaying to boosted quark pairs and produced in association with a photon or a jet in proton–proton collisions at √s=13 TeV with the ATLAS detector

This Letter presents a search for new light resonances decaying to pairs of quarks and produced in association with a high-pT photon or jet. The dataset consists of proton–proton collisions with an integrated luminosity of 36.1 fb−1at a centre-of-mass energy of √s=13TeV recorded by the ATLAS detector at the Large Hadron Collider. Resonance candidates are identified as massive large-radius jets with substructure consistent with a particle decaying into a quark pair. The mass spectrum of the candidates is examined for local excesses above background. No evidence of a new resonance is observed in the data, which are used to exclude the production of a lepto-phobic axial-vector Z boson

Bullock\u27s

Bullocks coat of arms emblem.https://digitalcommons.usf.edu/osterweil/1185/thumbnail.jp

Plastic surgery emergencies: principles and techniques/ Jamal M. Bullocks, Patrick W. Hsu, Shayan A. Izaddoost, Larry H. Hollier, Jr.

Revision of: Plastic surgery emergencies / Jamal M. Bullocks [and others]. c2008.The second edition of this detailed guide to the diagnosis and treatment of common plastic surgery emergencies includes updated clinical information on the most common emergency situations. This book gives first-year plastic surgery residents the basic skills they need to progress in their training and ultimately be successful in their practice. Key Features of the Second Edition: New chapter covering sternal wounds Easy-to-follow color diagrams demonstrating key procedures and full-color photographs for rapid diagnosis Plastic Surgery Emergencies is an indispensable resource for clinicians, residents, and trainees in plastic surgery. It is also ideal for all emergency room personnel, including ER physicians, physicians' assistants, and nurse practitioners, as well as family practice physicians.Plastic Surgery Emergencies: Principles and Techniques -- Title Page -- Copyright -- Dedication -- Contents -- Foreword from the First Edition -- Preface -- Acknowledgments -- List of Abbreviations -- 1 Wound Management -- 2 Anesthesia and Wound Closure -- 3 Pressure Sores -- 4 Bite Wounds -- 5 Burns and Frostbite -- 6 General Assessment and Management of Facial Trauma -- 7 Facial Lacerations -- 8 Orbit and Zygoma Fractures -- 9 Nasal and Naso-Orbital-Ethmoid (NOE) Fractures -- 10 Frontal Sinus Fractures -- 11 Mandibular Fractures -- 12 Examination of Hand Injuries -- 13 Anesthesia and Splinting of the Hand and Wrist -- 14 Hand and Wrist Fractures and Dislocations -- 15 Hand Infections and Injection Injuries -- 16 Hand and Forearm Tendon Injuries -- 17 Hand Vascular Injuries and Digit Amputations -- 18 Upper Extremity Peripheral Nerve Injuries -- 19 Upper Extremity Compartment Syndrome -- 20 Postoperative Evaluation of Free Flap Reconstructions -- 21 The Postoperative Aesthetic Patient -- 22 Sternal Wounds -- Index.1 online resource ( xv, 269 pages

A Historical Sketch of People, Places and Homes of Bullocks Creek, S.C. - Accession 684 - M306 (357)

This collection consists of A historical Sketch of People, Places and Homes of Bullocks Creek, South Carolina by Rev. Jerry Lee West published by the Chester District Genealogical Society, Richburg, SC in 1986. The publication consists of a history of Bullocks Creek, SC from its beginning around 1735, its people and places and homes of the town. It includes sections on schools, churches, homes, and the occupations of residences and other anecdotes and stories related to the area. See attached Table of Contents.https://digitalcommons.winthrop.edu/manuscriptcollection_findingaids/1657/thumbnail.jp

Infection Prophylaxis Update

The use of prophylactic antibiotics in surgery has been debated for numerous years. Although their indications have been elucidated in the general surgery literature, their role in plastic surgery has yet to be clearly defined. Although the incidence of surgical site infections in clean, elective plastic surgery procedures has been reported to be as low as 1.1%, the use of antibiotics has surged over the past 20 years. Much of the increased use has been attributed to common surgical practice and fear of legal ramifications rather than empirically based data. In contrast, there remain numerous physicians who argue against routine antibiotic use in plastic surgery. This article summarizes the recent literature on infection prophylaxis and advises physicians to consider relative risks and benefits when deciding which patients should receive prophylactic antibiotics

Composite Arteriovenous Radial Conduit Flap for Lower Limb Reconstruction

WOS: 000402766100010PubMed ID: 28507855In complex lower limb trauma, the healthy recipient vessels can be far from the defect to be reconstructed due to the usually high-energy injury sustained. The use of vein grafts, either directly or in the form of arteriovenous loops, is the usual solution in these cases. In the vein graft donor-depleted patient, other options are required; the composite arteriovenous radial conduit flap may be a useful resort in these situations