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Surgery

The Latest in Surgery

Case Q&A
Heparin-Induced Thrombocytopenia in Patients Undergoing Autologous Breast Reconstruction With a Deep Inferior Epigastric Perforator Free Flap
03/13/2026
Mohammed Yamin, BS; Micaela Tobin, BA; Tricia Raquepo, BA; John B. Park, PharmD; Helen Xun, MD; Eric Zhu, PharmD; Maria J. Escobar-Domingo, MD; James E. Fanning, BS; Amy Chen, BS; Haobo Ma, MD; Bernard T. Lee, MD, MBA, MPH; Ryan P. Cauley, MD, MPH
Autologous breast reconstruction in patients with heparin-induced thrombocytopenia requires alternative anticoagulation strategies and multidisciplinary planning to mitigate thrombotic risk while maintaining flap viability during...
Autologous breast reconstruction in patients with heparin-induced thrombocytopenia requires alternative anticoagulation strategies and multidisciplinary planning to mitigate thrombotic risk while maintaining flap viability during...
Autologous breast reconstruction...
03/13/2026
ePlasty
From ePlasty
Case Report
Trickle Charging Flaps: Maintaining Deep Inferior Epigastric Perforator Flap Perfusion After Pedicle Division
02/27/2026
Eric Bao, BS ; Isabelle T. Smith, BA; Hannah B. Hoffman, MD; Gabrielle P. Odoom, BA; Mark L. Smith, MD; Neil Tanna, MD, MBA
Trickle charging enables temporary DIEP flap perfusion via an alternate perforator after main pedicle ligation, improving operative efficiency in open and robotic bilateral reconstructions, with no flap loss or fat necrosis in 16 cases.
Trickle charging enables temporary DIEP flap perfusion via an alternate perforator after main pedicle ligation, improving operative efficiency in open and robotic bilateral reconstructions, with no flap loss or fat necrosis in 16 cases.
Trickle charging enables...
02/27/2026
ePlasty
From ePlasty
Original Research
Evaluation of A Multilayer Antimicrobial Foam Dressing Indicated for Use on Surgical Incisions
12/18/2025
Stephanie Constable, BSN, RN, CWOCN; Jacquelyn Bergo, MBA, MSN, RN, PHN, CCRN; Sarah Tuttle, BSc; Jennifer Jane Gale, BA
This article examines clinician experiences using a multilayer antimicrobial surgical incision dressing prophylactically in low-risk orthopedic and other surgical patients.
This article examines clinician experiences using a multilayer antimicrobial surgical incision dressing prophylactically in low-risk orthopedic and other surgical patients.
This article examines clinician...
12/18/2025
Wounds
From Wounds
Original Research
Patient-Reported Outcomes Favor Below-Knee Over Above-Knee Amputation in Patients With Nontraumatic Lower Extremity Wounds
12/04/2025
Ryan P. Lin, MD; Danny S. Chamaa, MS; Sami Ferdousian, MS; Rachel N. Rohrich, BS; Isabel Snee, BS; Richard C. Youn, MD; Karen K. Evans, MD; Christopher E. Attinger, MD
This study evaluates long-term pain, psychological well-being, resilience, and functional outcomes after above- versus below-knee amputation for chronic lower extremity wounds.
This study evaluates long-term pain, psychological well-being, resilience, and functional outcomes after above- versus below-knee amputation for chronic lower extremity wounds.
This study evaluates long-term...
12/04/2025
Wounds
From Wounds
Case Q&A
Single-Stage Breast Reconstruction With Immediate Free Nipple Grafting in Goldilocks Mastectomy Using Composite Nipple Graft and “Donut” Areolar Full-Thickness Skin Graft Shared From Noncancerous Breast
11/13/2025
Colton H. Connor, BS; Shriya Dodwani, BA; Quinton L. Carr, BA; Claire Fell, BS; Sierra Shockley, MS; Ryan Cantrell, BS ; Wilson Huett, MD; Bradon J. Wilhelmi, MD
BRCA1 patient undergoes single-stage Goldilocks mastectomy with free nipple grafting—contrasting autologous options, oncologic safety, and workflow advantages for adjuvant therapy.
BRCA1 patient undergoes single-stage Goldilocks mastectomy with free nipple grafting—contrasting autologous options, oncologic safety, and workflow advantages for adjuvant therapy.
BRCA1 patient undergoes...
11/13/2025
ePlasty
From ePlasty
Original Research
Comparison of Multimodal Analgesia and Narcotic Regimen for Postoperative Pain Control of Plastic Surgery Breast Procedures
11/06/2025
Waylon Zeng, MD; Nicholas Peterman, MD; Audrey Korte, BS; Morgan Parker, BS; Anthony Capito, MD
Cohort study evaluates noninferiority of multimodal analgesia versus opioid regimens for pain following breast reduction mammoplasty and tissue expander placement following mastectomy.
Cohort study evaluates noninferiority of multimodal analgesia versus opioid regimens for pain following breast reduction mammoplasty and tissue expander placement following mastectomy.
Cohort study evaluates...
11/06/2025
ePlasty
From ePlasty
Case Report
A Rare Case of Cutaneous Metastasis of Hepatocellular Carcinoma to the Chin: Case Report and Review of Surgical Management
11/06/2025
Jonathan Ruiz, MD; Jacqueline Ross, MD; Kinsey Rice, MD; Kristen Whalen, MD; Nicole K. Le, MD, MPH; Lisa Kettlestrings, PA-C; Wyatt G. Payne, MD
Rare cutaneous chin metastasis from hepatocellular carcinoma: case presentation detailing excisional planning, staged reconstruction strategy, and literature context for surgeons.
Rare cutaneous chin metastasis from hepatocellular carcinoma: case presentation detailing excisional planning, staged reconstruction strategy, and literature context for surgeons.
Rare cutaneous chin metastasis...
11/06/2025
ePlasty
From ePlasty
Original Research
An Analysis of Risk Factors for Complication Following Upper Extremity Amputation
11/06/2025
Dhruv Mendiratta, BS; Connor Fletcher, BS; Isabel Herzog, BA; Ashok Para, MD; Tej Joshi, MD; Michael M. Vosbikian, MD; Irfan H. Ahmed, MD
NSQIP 2006–2018 national cohort study assessing preoperative risk factors and amputation level effects on 30-day complications after upper extremity amputation.
NSQIP 2006–2018 national cohort study assessing preoperative risk factors and amputation level effects on 30-day complications after upper extremity amputation.
NSQIP 2006–2018 national cohort...
11/06/2025
ePlasty
From ePlasty
Commentary
Calendar Year 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
11/04/2025
On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) published their final rule with policy changes under the Physician Fee Schedule (PFS) and other issues related to Medicare Part B.1 This final rule includes information...
On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) published their final rule with policy changes under the Physician Fee Schedule (PFS) and other issues related to Medicare Part B.1 This final rule includes information...
On October 31, 2025, the Centers...
11/04/2025
Wounds
From Wounds
Case Q&A
A Suitable Indication for Crescent Mastopexy: Achieving Optimal Nipple Position in Nipple-Sparing Mastectomies
10/29/2025
Ryan A. Cantrell, BS; Alexander L. Mostovych, MS; Claire Fell, BS; Shriya D. Dodwani, BA; Colton H. Connor, BS; Quinton L. Carr, BA; Camille Gorena, BS; Bradon J. Wilhelmi, MD
Case-based review of nipple-sparing mastectomy (NSM) candidacy, reconstruction pathways, and precise crescent mastopexy techniques to correct NAC asymmetry and optimize oncologic-aesthetic outcomes.
Case-based review of nipple-sparing mastectomy (NSM) candidacy, reconstruction pathways, and precise crescent mastopexy techniques to correct NAC asymmetry and optimize oncologic-aesthetic outcomes.
Case-based review of...
10/29/2025
ePlasty
From ePlasty
Review
Alligator Assault: A Systematic Literature Review and Case Series at a Florida Level 1 Trauma Center
10/27/2025
Sarah Moffitt, BS ; Bilal Koussayer, BS; Kristina Buller, DO; Meredith G. Moore, MD; Mariel McLaughlin, MD; Jenna Stoehr, MD; Riley Schlub, MD; Michael Doarn, MD; Jared Troy, MD
Three severe alligator-bite cases from Florida underpin a PRISMA-guided review addressing early debridement, antibiotic prophylaxis, staged reconstruction, and interdisciplinary management.
Three severe alligator-bite cases from Florida underpin a PRISMA-guided review addressing early debridement, antibiotic prophylaxis, staged reconstruction, and interdisciplinary management.
Three severe alligator-bite...
10/27/2025
ePlasty
From ePlasty

Recently Published

Original Research
Evaluation of A Multilayer Antimicrobial Foam Dressing Indicated for Use on Surgical Incisions
12/18/2025
Stephanie Constable, BSN, RN, CWOCN; Jacquelyn Bergo, MBA, MSN, RN, PHN, CCRN; Sarah Tuttle, BSc; Jennifer Jane Gale, BA
This article examines clinician experiences using a multilayer antimicrobial surgical incision dressing prophylactically in low-risk orthopedic and other surgical patients.
This article examines clinician experiences using a multilayer antimicrobial surgical incision dressing prophylactically in low-risk orthopedic and other surgical patients.
This article examines clinician...
12/18/2025
Wounds
Original Research
Patient-Reported Outcomes Favor Below-Knee Over Above-Knee Amputation in Patients With Nontraumatic Lower Extremity Wounds
12/04/2025
Ryan P. Lin, MD; Danny S. Chamaa, MS; Sami Ferdousian, MS; Rachel N. Rohrich, BS; Isabel Snee, BS; Richard C. Youn, MD; Karen K. Evans, MD; Christopher E. Attinger, MD
This study evaluates long-term pain, psychological well-being, resilience, and functional outcomes after above- versus below-knee amputation for chronic lower extremity wounds.
This study evaluates long-term pain, psychological well-being, resilience, and functional outcomes after above- versus below-knee amputation for chronic lower extremity wounds.
This study evaluates long-term...
12/04/2025
Wounds
Original Research
Comparison of Multimodal Analgesia and Narcotic Regimen for Postoperative Pain Control of Plastic Surgery Breast Procedures
11/06/2025
Waylon Zeng, MD; Nicholas Peterman, MD; Audrey Korte, BS; Morgan Parker, BS; Anthony Capito, MD
Cohort study evaluates noninferiority of multimodal analgesia versus opioid regimens for pain following breast reduction mammoplasty and tissue expander placement following mastectomy.
Cohort study evaluates noninferiority of multimodal analgesia versus opioid regimens for pain following breast reduction mammoplasty and tissue expander placement following mastectomy.
Cohort study evaluates...
11/06/2025
ePlasty
Original Research
An Analysis of Risk Factors for Complication Following Upper Extremity Amputation
11/06/2025
Dhruv Mendiratta, BS; Connor Fletcher, BS; Isabel Herzog, BA; Ashok Para, MD; Tej Joshi, MD; Michael M. Vosbikian, MD; Irfan H. Ahmed, MD
NSQIP 2006–2018 national cohort study assessing preoperative risk factors and amputation level effects on 30-day complications after upper extremity amputation.
NSQIP 2006–2018 national cohort study assessing preoperative risk factors and amputation level effects on 30-day complications after upper extremity amputation.
NSQIP 2006–2018 national cohort...
11/06/2025
ePlasty
Original Research
Soft Tissue Reconstruction With Synthetic Electrospun Fiber Matrix Following Musculoskeletal Injury: A Retrospective Case Series
10/09/2025
Christopher Cosgrove, MD
Evaluates single-application synthetic electrospun fiber matrix with negative pressure therapy for post-traumatic musculoskeletal soft-tissue defects requiring staged operative wound coverage.
Evaluates single-application synthetic electrospun fiber matrix with negative pressure therapy for post-traumatic musculoskeletal soft-tissue defects requiring staged operative wound coverage.
Evaluates single-application...
10/09/2025
ePlasty
Case Series
Use of a Novel Zipper Device for Wound Closure of Cutaneous Abscesses in Pediatric Outpatients: A Case Series
08/26/2025
Wei Bingting, MS; Yang Chen, MS, RN; Ma Wei, MS; Xie Mingjing, BS, RN; Xiong Yang, BS , RN; Wu Tingting, BS, RN; Zhang Xuebing, MD, RN
Novel zipper device offers a noninvasive outpatient alternative for pediatric cutaneous abscess closure, potentially reducing healing time and discomfort.
Novel zipper device offers a noninvasive outpatient alternative for pediatric cutaneous abscess closure, potentially reducing healing time and discomfort.
Novel zipper device offers a...
08/26/2025
Wounds
Original Research
Opioid Prescription Patterns in Hand Surgery: A Medicare Part D Analysis
07/18/2025
Sabrina M. Wang, MD, MPH; Steven L. Zeng, BA; Victoria Wu, BA; Emmanuel O. Emovon, III, BS; J. Andres Hernandez, MD, MBA; William M. Tian, BS; Cynthia Feltner, MD, MPH; Suhail K. Mithani, MD
National trends and regional disparities in opioid prescribing by hand surgeons highlight evolving practices within the Medicare population from 2015–2019.
National trends and regional disparities in opioid prescribing by hand surgeons highlight evolving practices within the Medicare population from 2015–2019.
National trends and regional...
07/18/2025
ePlasty
Original Research
Technique to Reduce Wound Size: The Double-Opposing Purse-String and Horizontal Continuous Closure Algorithm
07/17/2025
Alexander L. Mostovych, MS; Lexina R. Patel, BS; Kartik Garg, MD; Quinton L. Carr, BA; Mitchell Peake, MD; Ryan Cantrell, BS ; Bradon J. Wilhelmi, MD
Double-opposing purse-string and horizontal closure technique offers a simplified reconstructive option for complex wounds, particularly in high-risk patients.
Double-opposing purse-string and horizontal closure technique offers a simplified reconstructive option for complex wounds, particularly in high-risk patients.
Double-opposing purse-string and...
07/17/2025
ePlasty
Original Research
Fluorescein Dye-Assisted Tangential Excision and Skin Grafting in Hand Burns: Achieving Optimal Cosmetic and Functional Outcomes
07/17/2025
Dylan Singh, MD; Justin H. Wong, BS; Alana A. Parsa, MD; Fereydoun D. Parsa, MD, FACS
Fluorescein-guided tangential excision offers a technique for early burn depth assessment and precision debridement in hand burn management.
Fluorescein-guided tangential excision offers a technique for early burn depth assessment and precision debridement in hand burn management.
Fluorescein-guided tangential...
07/17/2025
ePlasty
Original Research
Use of Continuous Topical Oxygen Therapy to Treat Lower-Extremity Surgical Wound Dehiscence: A Retrospective Review
07/01/2025
Edward Kormylo, DPM; Windy Cole, DPM; Jacob Wielgomas, MS-II
Feasibility of continuous topical oxygen therapy evaluated in lower-extremity surgical wound dehiscence through retrospective analysis of standard care.
Feasibility of continuous topical oxygen therapy evaluated in lower-extremity surgical wound dehiscence through retrospective analysis of standard care.
Feasibility of continuous...
07/01/2025
ePlasty

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