2024
New Kid on the Block: A Systematic Review of the Quadratus Lumborum Block in Plastic and Reconstructive Surgery
Ihnat J, Evans B, Zhao K, Yu C, Ayyala H. New Kid on the Block: A Systematic Review of the Quadratus Lumborum Block in Plastic and Reconstructive Surgery. Plastic & Reconstructive Surgery Global Open 2024, 12: e5863. PMID: 38841521, PMCID: PMC11150026, DOI: 10.1097/gox.0000000000005863.Peer-Reviewed Original ResearchTransversus abdominal planeTransversus abdominal plane blockQL blockReconstructive surgeryPain scoresQuadratus lumborumUnilateral breast reconstructionReduced pain scoresSubjective pain scoresQuadratus lumborum blockSystematic reviewPlastic and Reconstructive SurgerySurgery operationsPlastic surgery operationsStatistically significant differenceOpioid useAbdominal surgeryPediatric patientsBreast reconstructionAbdominal planeOpiate useSurgerySurgery pathwaySurgical subspecialtiesInclusion criteriaFuture of autologous breast reconstruction: a review of novel technological innovations
Allam O, Foster C, Knoedler L, Knoedler S, Oh S, Pomahac B, Ayyala H. Future of autologous breast reconstruction: a review of novel technological innovations. Plastic And Aesthetic Research 2024, 11: n/a-n/a. DOI: 10.20517/2347-9264.2024.21.Peer-Reviewed Original ResearchParavertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction
Ayyala H, Assel M, Aloise J, Serafin J, Tan K, Mehta M, Puttanniah V, McCormick P, Malhotra V, Vickers A, Matros E, Lin E. Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction. Regional Anesthesia & Pain Medicine 2024, rapm-2023-105031. PMID: 38336375, PMCID: PMC11306410, DOI: 10.1136/rapm-2023-105031.Peer-Reviewed Original ResearchErector spinae planeLength of stayAutologous breast reconstructionBreast reconstructionFlap reconstructionLocal infiltrationLatissimus dorsi myocutaneous flap reconstructionErector spinae plane blockPostoperative length of stayAssociated with significant painLatissimus flap reconstructionNo blockFlap breast reconstructionMyocutaneous flap reconstructionShorter postoperative stayRetrospective cohort studyLocal infiltration analgesiaComplex breast reconstructionPostoperative antiemetic administrationDecreased length of stayOpioid consumptionPlane blockPostoperative stayIntraoperative opioidsSurgical infiltrationUpdated Trends and Outcomes in Autologous Breast Reconstruction in the United States, 2016–2019
Shah J, Amakiri U, Cevallos P, Yesantharao P, Ayyala H, Sheckter C, Nazerali R. Updated Trends and Outcomes in Autologous Breast Reconstruction in the United States, 2016–2019. Annals Of Plastic Surgery 2024, 92: e1-e13. PMID: 38320006, DOI: 10.1097/sap.0000000000003764.Peer-Reviewed Original ResearchAutologous breast reconstructionDeep inferior epigastric perforatorBilateral reconstructionBreast reconstructionTransverse rectus abdominis myocutaneous flapDeep inferior epigastric perforator flapRate of immediate reconstructionRectus abdominis myocutaneous flapProcedure-related characteristicsTenth Edition codesStudy periodInternational Classification of DiseasesNational Inpatient SampleLength of staySurgery yearImmediate reconstructionClassification of DiseasesMyocutaneous flapDischarge weightMultivariate regression modelComorbidity levelInpatient SampleTeaching hospitalHigher income levelsInternational ClassificationAn Evaluation of the Anterior Quadratus Lumborum Block As an Alternative to the Transversus Abdominis Plane Block in Abdominal Based Breast Reconstruction: A Pilot Study
Evans B, Ayyala H. An Evaluation of the Anterior Quadratus Lumborum Block As an Alternative to the Transversus Abdominis Plane Block in Abdominal Based Breast Reconstruction: A Pilot Study. Plastic & Reconstructive Surgery Global Open 2024, 12: 51-51. PMCID: PMC10775307, DOI: 10.1097/01.gox.0001006124.80321.e7.Peer-Reviewed Original Research
2023
Breast reconstruction after mastectomy in patients with obesity: a narrative review
Cevallos P, Berry C, Lipman K, Kubiak C, Mohan A, Ayyala H, Manrique O, Nazerali R. Breast reconstruction after mastectomy in patients with obesity: a narrative review. Annals Of Translational Medicine 2023, 11: 413-413. PMID: 38213816, PMCID: PMC10777214, DOI: 10.21037/atm-23-1599.Peer-Reviewed Original ResearchBreast reconstruction techniquesBreast reconstructionImplant-basedEnglish-language studiesReview of referencesArmamentarium of reconstructive optionsHybrid breast reconstructionWeb-based searchAssessment of comorbiditiesExperience decision-makingQualitative studyNarrative review articlePrimary studiesOncologic surgerySurgical optionsAesthetic outcomesExpectant managementObesitySurgical considerationsChart reviewLiterature searchSurgical techniqueReconstructive optionsPatientsComplication managementThe significance of timing in breast reconstruction after mastectomy: An ACS-NSQIP analysis
Knoedler S, Kauke-Navarro M, Knoedler L, Friedrich S, Ayyala H, Haug V, Didzun O, Hundeshagen G, Bigdeli A, Kneser U, Machens H, Pomahac B, Orgill D, Broer P, Panayi A. The significance of timing in breast reconstruction after mastectomy: An ACS-NSQIP analysis. Journal Of Plastic Reconstructive & Aesthetic Surgery 2023, 89: 40-50. PMID: 38134626, DOI: 10.1016/j.bjps.2023.11.049.Peer-Reviewed Original ResearchImmediate BRTime pointsACS-NSQIP databaseLow complication rateACS-NSQIP AnalysisBreast cancer patientsBreast reconstruction optionsAutologous cohortsComplication rateSignificance of timingFemale patientsMedical complicationsMultivariable analysisMore complicationsPatient eligibilityCancer patientsBreast reconstructionOncological purposesPatientsComplicationsReconstruction optionsPropensity scoreCase workupMastectomyEligibilityReplacement of Shaped Textured Implants with Round Smooth Implants in Breast Reconstruction: Long-Term Outcomes
Ayyala H, Afifi T, Castel N, McCarthy C, Cordeiro P. Replacement of Shaped Textured Implants with Round Smooth Implants in Breast Reconstruction: Long-Term Outcomes. Plastic & Reconstructive Surgery 2023, 154: 265-271. PMID: 37606913, DOI: 10.1097/prs.0000000000011001.Peer-Reviewed Original ResearchSmooth implantsLong-term patientsTextured implantsBREAST-QSurgeon-reported outcomesBREAST-Q reconstruction moduleCapsular contracture gradeBREAST-Q scoresBREAST-Q dataPeri-operative complicationsClinically meaningful increasePatient-reported outcomesBIA-ALCLCapsular contractureAesthetic outcomesBreast reconstructionMinimal complicationsBreast satisfactionReconstruction failureFollow-upSenior surgeonSatisfactory outcomesPatientsTerm patientsAesthetic grade
2020
A Multimetric Health Literacy Analysis of Autologous Versus Implant-Based Breast Reconstruction.
Chen D, Johnson A, Ayyala H, Lee E, Lee B, Tran B. A Multimetric Health Literacy Analysis of Autologous Versus Implant-Based Breast Reconstruction. Annals Of Plastic Surgery 2020, 85: s102-s108. PMID: 32187068, DOI: 10.1097/sap.0000000000002348.Peer-Reviewed Original ResearchConceptsImplant-based reconstructionBreast reconstructionIncidence of breast cancerPromote patient comprehensionCultural Sensitivity Assessment ToolHealth literacy needsAssessment toolCultural sensitivityPatient Education Materials Assessment ToolImplant-based breast reconstructionSensitive assessment toolsMean reading grade levelEighth-grade reading levelAutologous-based reconstructionActive decision makingHealth outcomesHealth informationInterrater reliabilityPatient comprehensionImplant-basedLiteracy needsSurgical optionsProcedural riskReconstructive modalityBreast cancer