2023
How Does Reduction Mammaplasty Surgical Technique Impact Clinical, Aesthetic, and Patient-Reported Outcomes?
Cunning J, Mookerjee V, Alper D, Rios-Diaz A, Bauder A, Kimia R, Broach R, Barrette L, Fischer J, Butler P. How Does Reduction Mammaplasty Surgical Technique Impact Clinical, Aesthetic, and Patient-Reported Outcomes? Annals Of Plastic Surgery 2023, 91: 28-35. PMID: 37450858, DOI: 10.1097/sap.0000000000003610.Peer-Reviewed Original ResearchConceptsInferior pedicle techniqueQuality of lifePedicle techniqueInferior pedicle reduction mammoplastyBREAST-Q surveysGrade 3 ptosisPatient-reported outcomesShorter procedure timeInferior pedicle reductionReduction mammoplasty techniqueReduction mammaplasty techniquePostoperative complicationsPatient characteristicsSymptomatic macromastiaSingle surgeonWound dehiscenceMammoplasty techniqueSuperomedial pedicleReduction mammoplastyProcedure timePatientsComplicationsLife outcomesMammaplasty techniqueBreast aesthetics
2022
Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia
Talwar AA, Copeland-Halperin LR, Walsh LR, Christopher AN, Cunning J, Broach RB, Baratta MD, Copeland M, Shankaran V, Butler PD. Outcomes of Extended Pedicle Technique vs Free Nipple Graft Reduction Mammoplasty for Patients With Gigantomastia. Aesthetic Surgery Journal 2022, 43: np91-np99. PMID: 36161307, DOI: 10.1093/asj/sjac258.Peer-Reviewed Original ResearchMeSH KeywordsAdultBreastHumansHypertrophyMammaplastyNipplesRetrospective StudiesSurgical FlapsTreatment OutcomeConceptsFree nipple graftBREAST-Q scoresAesthetic outcomeReduction mammoplastyPropensity score-matched casesTertiary care centerPairs of patientsReduction mammoplasty techniqueMulti-institutional studyBaseline characteristicsAdult patientsClinical outcomesMedical complicationsPostoperative breastPostoperative cellulitisRetrospective studyMammoplasty techniqueNipple graftCare centerInclusion criteriaSurgical experiencePedicle techniquePostoperative photographsGigantomastiaHigh incidenceRacial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction.
Sarver MM, Rames JD, Ren Y, Greenup RA, Shammas RL, Hwang ES, Hollenbeck ST, Hyslop T, Butler PD, Fayanju OM. Racial and Ethnic Disparities in Surgical Outcomes after Postmastectomy Breast Reconstruction. Journal Of The American College Of Surgeons 2022, 234: 760-771. PMID: 35426388, PMCID: PMC9347225, DOI: 10.1097/xcs.0000000000000143.Peer-Reviewed Original ResearchConceptsLength of stayLonger LOSPostmastectomy breast reconstructionPostoperative complicationsWhite womenBreast reconstructionBreast cancerNational Inpatient Sample databasePost-mastectomy reconstructionType of reconstructionRace/ethnicityPerioperative comorbiditiesPreoperative comorbiditiesComorbidity scorePerioperative complicationsPerioperative factorsPatient demographicsPerioperative outcomesSurgical complicationsComorbid conditionsSurgical outcomesPostmastectomy reconstructionMicrosurgical complicationsPrimary careAutologous reconstruction
2021
A Matched Comparison of the Benefits of Breast Reduction on Health-Related Quality of Life
Elfanagely O, Othman S, Rios-Diaz AJ, Cunning JR, Whitely C, Butler P, Fischer JP. A Matched Comparison of the Benefits of Breast Reduction on Health-Related Quality of Life. Plastic & Reconstructive Surgery 2021, 148: 729-735. PMID: 34550925, DOI: 10.1097/prs.0000000000008312.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultBreastFemaleHumansHypertrophyMammaplastyMiddle AgedPatient SatisfactionQuality of LifeTreatment OutcomeYoung AdultConceptsBreast reduction surgeryQuality of lifeReduction surgeryPropensity-matched patientsBody mass indexPreoperative surveyNonsurgical patientsBaseline characteristicsPatient demographicsPostoperative visitOperative groupMass indexBreast examinationMatched ComparisonSurgical proceduresBreast reductionConsultation visitPatientsSurgerySignificant improvementAspects of qualityPropensity scorePlastic surgeonsParticipant ageMacromastiaShort- and Long-Term Outcomes following Severe Traumatic Lower Extremity Reconstruction: The Value of an Orthoplastic Limb Salvage Center to Racially Underserved Communities
Naga HI, Azoury SC, Othman S, Couto JA, Mehta S, Levin LS, Butler PD, Kovach SJ. Short- and Long-Term Outcomes following Severe Traumatic Lower Extremity Reconstruction: The Value of an Orthoplastic Limb Salvage Center to Racially Underserved Communities. Plastic & Reconstructive Surgery 2021, 148: 646-654. PMID: 34432698, DOI: 10.1097/prs.0000000000008277.Peer-Reviewed Original ResearchConceptsLower extremity reconstructionAfrican American patientsTraumatic lower extremity reconstructionExtremity reconstructionAmerican patientsFull weight-bearing statusLong-term functional statusCLINICAL QUESTION/LEVELPostoperative rehabilitation strategyWeight-bearing statusShort-term complicationsNumber of readmissionsChronic pain managementLong-term outcomesTotal flap failurePatient demographicsPain managementAmbulation statusRetrospective reviewNonwhite raceCaucasian patientsFunctional statusFlap failureRacial groupsInclusion criteria
2014
African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors
Butler PD, Nelson JA, Fischer JP, Chang B, Kanchwala S, Wu LC, Serletti JM. African-American women have equivalent outcomes following autologous free flap breast reconstruction despite greater preoperative risk factors. The American Journal Of Surgery 2014, 209: 589-596. PMID: 25576165, DOI: 10.1016/j.amjsurg.2014.11.002.Peer-Reviewed Original ResearchConceptsPreoperative risk factorsAutologous breast reconstructionBreast cancer patientsBreast reconstructionRisk factorsCancer patientsAfrican American breast cancer patientsAutologous free flap breast reconstructionFemale breast cancer patientsFree flap breast reconstructionFlap breast reconstructionAfrican American patientsBreast cancer treatmentAutologous tissue transferAfrican American womenPreoperative comorbiditiesPostoperative complicationsPostoperative morbidityPreoperative characteristicsClinical outcomesSingle institutionCaucasian patientsEquivalent outcomesHealthcare disparitiesPatients
2004
Coronary artery bypass with ventricular restoration is superior to coronary artery bypass alone in patients with ischemic cardiomyopathy
Maxey TS, Reece TB, Ellman PI, Butler PD, Kern JA, Tribble CG, Kron IL. Coronary artery bypass with ventricular restoration is superior to coronary artery bypass alone in patients with ischemic cardiomyopathy. Journal Of Thoracic And Cardiovascular Surgery 2004, 127: 428-434. PMID: 14762351, DOI: 10.1016/j.jtcvs.2003.09.024.Peer-Reviewed Original ResearchMeSH KeywordsAgedCardiomyopathiesCoronary Artery BypassEchocardiographyFemaleHeart Valve Prosthesis ImplantationHeart VentriclesHumansMaleMiddle AgedMitral Valve InsufficiencyMorbidityMyocardial IschemiaPostoperative ComplicationsRetrospective StudiesSeverity of Illness IndexShock, CardiogenicStatistics as TopicStroke VolumeTreatment OutcomeVentricular Dysfunction, LeftVirginiaConceptsCoronary artery bypass groupCoronary artery bypassArtery bypassPostoperative ejection fractionVentricular restorationBypass groupIschemic cardiomyopathyEjection fractionLate mortalityHeart failureVentricular volumeCoronary artery bypass patientsNormal ventricular volumeOutcomes of freedomLeft ventricular volumeHospital deathLate morbidityBypass patientsAcceptable therapyVentricular enlargementWorse outcomesRetrospective analysisLarger ventriclesPatientsBypass