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
Predictors 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-operativelyUtility 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