2020
Flap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality
Piwnica-Worms W, Azoury SC, Kozak G, Nathan S, Stranix JT, Colen D, Othman S, Vallabhajosyula P, Serletti J, Kovach S. Flap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality. The Annals Of Thoracic Surgery 2020, 109: 1584-1590. PMID: 31982440, DOI: 10.1016/j.athoracsur.2019.12.014.Peer-Reviewed Original ResearchConceptsDeep sternal wound infectionVertical rectus abdominis myocutaneousSuperficial surgical site infectionEnd-stage renal diseaseSternal wound infectionPectoralis muscle flapFlap reconstructionRenal diseasePostoperative complicationsWound infectionMuscle flapHigh mortalityBilateral pectoralis muscle flapsAnesthesiologists physical status classificationFactors Influencing MorbidityPredominant postoperative complicationSingle reconstructive surgeonCardiopulmonary bypass timeHigher American SocietyPredictor of morbidityComplicated postoperative courseCongestive heart failureSurgical site infectionPhysical status classificationSoft tissue coverage
2018
Soft-Tissue Reconstruction of the Complicated Knee Arthroplasty
Colen DL, Carney MJ, Shubinets V, Lanni MA, Liu T, Levin LS, Lee GC, Kovach SJ. Soft-Tissue Reconstruction of the Complicated Knee Arthroplasty. Plastic & Reconstructive Surgery 2018, 141: 1040-1048. PMID: 29596192, DOI: 10.1097/prs.0000000000004255.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastySoft tissue reconstructionRisk of amputationKnee arthroplastyKnee fusionProsthesis salvageExact testDefinitive soft tissue reconstructionTotal knee arthroplasty complicationsCLINICAL QUESTION/LEVELRevision total knee arthroplastyPlastic surgeonsPositive joint cultureMedial gastrocnemius flapCommon orthopaedic proceduresSoft tissue compromiseSoft tissue envelopeFisher's exact testKnee salvagePrimary outcomeSalvage rateRetrospective reviewArthroplasty complicationsJoint infectionGastrocnemius flapManagement of Infected Mesh After Abdominal Hernia Repair
Shubinets V, Carney MJ, Colen DL, Mirzabeigi MN, Weissler JM, Lanni MA, Braslow BM, Fischer JP, Kovach SJ. Management of Infected Mesh After Abdominal Hernia Repair. Annals Of Plastic Surgery 2018, 80: 145-153. PMID: 28671890, DOI: 10.1097/sap.0000000000001189.Peer-Reviewed Original ResearchConceptsInfected abdominal wallSingle institution experienceSingle-stage reconstructionComplex clinical problemAbdominal hernia repairMesh patientsInfected meshHernia repairAbdominal wallClinical problemTreatment approachesBiologic meshSystematic reviewSingle-institution retrospective analysisMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsFull-text articlesBridged repairsDevastating complicationConservative managementMost patientsPrimary closureHernia recurrenceRetrospective analysisCurrent evidence