2023
Surgical management of breast fat necrosis: Multi-institutional data analysis of early outcomes and risk factors for complications
Knoedler S, Knoedler L, Patel H, Diatta F, Camacho J, Sofo G, Perozzo F, Evans B, Mookerjee V, Ayyala H, Pomahac B, Kauke-Navarro M. Surgical management of breast fat necrosis: Multi-institutional data analysis of early outcomes and risk factors for complications. Journal Of Plastic Reconstructive & Aesthetic Surgery 2023, 88: 292-295. PMID: 38029475, DOI: 10.1016/j.bjps.2023.11.015.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBreastFat NecrosisFemaleHeart FailureHumansMiddle AgedPatient ReadmissionPostoperative ComplicationsQuality ImprovementRetrospective StudiesRisk FactorsConceptsBreast fat necrosisChronic heart failureRisk factorsAdverse eventsHeart failureFemale patientsSurgical managementFat necrosisNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramHigher wound classPostoperative adverse eventsNon-cancerous conditionsOutcomes of interestQuality Improvement ProgramMajority of casesPerioperative algorithmWound classComplication occurrenceComplication ratePostoperative outcomesSurgical complicationsMedical complicationsSurgical treatmentMultivariable analysis
2021
Panniculectomy Outcomes by Body Mass Index: an Analysis of 12,732 Cases
Cadwell J, Ahsanuddin S, Ayyala H, Ignatiuk A. Panniculectomy Outcomes by Body Mass Index: an Analysis of 12,732 Cases. Obesity Surgery 2021, 31: 3660-3666. PMID: 34106398, PMCID: PMC8187133, DOI: 10.1007/s11695-021-05468-w.Peer-Reviewed Original ResearchMeSH KeywordsAbdominoplastyBody Mass IndexFemaleHumansLipectomyMaleObesity, MorbidPostoperative ComplicationsRetrospective StudiesConceptsBody mass indexBody mass index rangePostoperative complicationsMass indexNational Surgical Quality Improvement Program databaseAssociated with more postoperative complicationsMultivariate analysisQuality Improvement Program databaseNon-overweight patientsHigher body mass indexWound healing complicationsCalculate body mass indexRate of complicationsHigh BMI groupIncreasing rates of obesityPost-surgical complicationsDose-dependent mannerRates of obesityClass 3Healing complicationsPerioperative factorsWound complicationsBMI groupBariatric surgeryPanniculectomyDoes the Use of Intraoperative Angiography Reduce the Incidence of Postoperative Wound and Flap Complications in Complex Lower Extremity Oncologic Reconstruction?
Kapadia K, Dalena M, Cavanaugh Z, Ayyala H, Ippolito J, Beebe K, Benevenia J, Lee E. Does the Use of Intraoperative Angiography Reduce the Incidence of Postoperative Wound and Flap Complications in Complex Lower Extremity Oncologic Reconstruction? Annals Of Plastic Surgery 2021, 87: s13-s16. PMID: 33833180, DOI: 10.1097/sap.0000000000002800.Peer-Reviewed Original ResearchMeSH KeywordsAbdominoplastyAngiographyBreast NeoplasmsFemaleHumansIncidenceIndocyanine GreenLower ExtremityMastectomyPostoperative ComplicationsRetrospective StudiesConceptsICG angiographyPostoperative complicationsOncologic reconstructionIndocyanine greenIncidence of postoperative wound complicationsMastectomy skin flap necrosisLong-term follow-upIntraoperative laser angiographyIndocyanine green angiographyPlastic surgery reconstructionCompare postoperative complicationsWound healing complicationsRetrospective chart reviewSkin flap necrosisPostoperative wound complicationsSignificant differenceLaser-assisted ICG angiographyMultiple reconstructive surgeriesIncidence of postoperative woundReconstructive proceduresStatistically significant differenceSoft tissue viabilityAbdominal wall reconstructionLaser angiographyFlap complications
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 ResearchMeSH KeywordsFree Tissue FlapsHumansLength of StayMicrosurgeryOperative TimePostoperative ComplicationsReoperationRetrospective StudiesConceptsLength 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
The Impact of Metabolic Syndrome on Patients Undergoing Breast Reduction Surgery
Riddle K, Malhotra R, Ayyala H, Datiashvili R. The Impact of Metabolic Syndrome on Patients Undergoing Breast Reduction Surgery. Obesity Surgery 2019, 30: 2434-2436. PMID: 31858396, DOI: 10.1007/s11695-019-04360-y.Peer-Reviewed Original ResearchMeSH KeywordsBody Mass IndexHumansMammaplastyMetabolic SyndromeObesity, MorbidPostoperative ComplicationsRetrospective StudiesConceptsImpact of metabolic syndromeMetabolic syndromeBreast reduction proceduresPostoperative morbidityObese patientsSurgical outcomesBreast reductionReduction mammoplastyIncreased complicationsSurgical proceduresSyndromePatientsReconstructive proceduresBreastMammoplastyBMIComplicationsMorbidityMortalityPredictors 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-operativelyAnalysis of the impact of chronic corticosteroid use on free flap reconstruction
Weisberger J, Oleck N, Ayyala H, Malhotra R, Lee E. Analysis of the impact of chronic corticosteroid use on free flap reconstruction. Microsurgery 2019, 41: 14-18. PMID: 31591754, DOI: 10.1002/micr.30516.Peer-Reviewed Original ResearchMeSH KeywordsAdrenal Cortex HormonesDatabases, FactualFree Tissue FlapsHumansPlastic Surgery ProceduresPostoperative ComplicationsRetrospective StudiesRisk FactorsConceptsChronic steroid useHistory of chronic steroid useChronic steroid usageChronic corticosteroid useNational Surgical Quality ImprovementAmerican College of SurgeonsSteroid useSteroid usageCorticosteroid useSurgical complicationsComplication rateWound complicationsUnivariate analysisAssociated with increased risk of surgical complicationsACS NSQIP databasePatients treated with systemic corticosteroidsIncreased riskIncreased rate of wound complicationsRate of wound complicationsRisk of surgical complicationsIncreased rate of bleedingPostoperative wound complication ratesFree tissue transfer proceduresWound complication rateAssociated with increased riskOutcomes in Chest Wall Reconstruction Using Methyl Methacrylate Prostheses: A Review of the Literature and Case Series Utilizing a Novel Approach with Biologic Mesh
Shah N, Ayyala H, Tran B, Therattil P, Keith J. Outcomes in Chest Wall Reconstruction Using Methyl Methacrylate Prostheses: A Review of the Literature and Case Series Utilizing a Novel Approach with Biologic Mesh. Journal Of Reconstructive Microsurgery 2019, 35: 575-586. PMID: 31071727, DOI: 10.1055/s-0039-1688717.Peer-Reviewed Original ResearchMeSH KeywordsHumansMethylmethacrylatePlastic Surgery ProceduresPostoperative ComplicationsSurgical MeshThoracic WallConceptsChest wall reconstructionCase seriesBiologic meshWall reconstructionRespiratory failureChest wallLong-term follow-upMethyl methacrylate prosthesisChest wall resectionSurgical decision makingProtection of vital structuresCochrane Collaboration LibraryWall resectionFlail segmentPatient morbiditySurgical techniqueFollow-upOverall mortalityAlloplastic materialsRigid reconstructionComplicationsLung collapseVital structuresPatientsCollaboration Library
2015
Treatment of hip subluxation in skeletally mature patients with cerebral palsy.
Oetgen M, Ayyala H, Martin B. Treatment of hip subluxation in skeletally mature patients with cerebral palsy. Orthopedics 2015, 38: e248-52. PMID: 25901615, DOI: 10.3928/01477447-20150402-50.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentCerebral PalsyChildFemaleFollow-Up StudiesHip DislocationHumansMaleOsteotomyPostoperative ComplicationsRetrospective StudiesYoung AdultConceptsCerebral palsyHip subluxationSkeletally mature patientsSpastic cerebral palsyMature patientsFollow-upNeck-shaft angleRadiographic abnormalitiesPalsyDemographic characteristicsNeck-shaftAverage follow-upSkeletally immature patientsHip reconstructionHipSubluxationTreat hip subluxationRadiographic outcomesHip surgeryImmature patientsInterventionMigration indexOutcomesSkeletallyIncidence of complications