Top Doctors 2020

Total Page:16

File Type:pdf, Size:1020Kb

Top Doctors 2020 TOP DOCTORS 2020 TOP DOCTORS PHOTO BY JOHNPHOTO HALPERN 46 November 2020 • www.hvmag.com TOP DOCTORS 2020 More than 500 of the region’s premier physicians, in 55 specialties — as chosen by their peers Plus, doctors weigh in on medical care in the pandemic era — and how the changes affect you EDITED BY SAMANTHA GARBARINI AND SIERRA GUARDIOLA FEATURING PHOTOGRAPHY BY JOHN HALPERN Hudson Valley • November 2020 47 TOP DOCTORS 2020 ALLERGY & IMMUNOLOGY Scott L. Osur Montefiore Medical Center Duane Bryan Heart Failure, Arrhythmias, Paula A. Brown Certified Allergy & Asthma Arrhythmias, Atrial Fibrillation, Advanced Cardiovascular Care Hypertension, Cardiac Imaging CareMount Medical Consultants Pacemakers/Defibrillators West Nyack Poughkeepsie Albany 845.268.0880 Jared S. Corriel 845.231.5600 518.434.1446 Seth J. Lessner Montefiore Nyack Hospital Advanced Cardiovascular Care Telemedicine Albany Medical Center, St. Crystal Run Healthcare Non-Invasive Cardiology, West Nyack Peter’s Hospital - Albany Middletown Echocardiography- 845.268.0880 Myrelle B. Castro Asthma, Food Allergy, Pediatric 845.703.6999 Transesophageal, Nuclear Montefiore Nyack Hospital Horizon Family Medical Group Allergy & Immunology Montefiore Nyack Hospital, Cardiology Echocardiography, Nuclear New Windsor Garnet Health Medical Center Cardiology, Non-Invasive 845.476.3016 Joon H. Park Arrhythmias, Pacemakers/ Michael Nam-Sung Cho Cardiology Montefiore St. Luke’s Cornwall ENT & Allergy Associates Defibrillators, Catheter Ablation, Crystal Run Healthcare Hospital Middletown Atrial Fibrillation Middletown Ronald P. Cuffe 845.467.6998 845.703.6999 The Heart Center Jocelyn Celestin Garnet Health Medical Center, Sarah B. Levin Garnet Health Medical Center, New Windsor Albany Med Allergy, Asthma Mount Sinai Hospital The Heart Center Garnet Health Medical Center 845.567.1800 and Immunology Food Allergy, Immune Poughkeepsie – Catskills Montefiore St. Luke’s Cornwall Albany Deficiency, Telemedicine 845.473.1188 Non-Invasive Cardiology, Hospital, Vassar Brothers 518.264.2510 Vassar Brothers Medical Echocardiography, Nuclear Medical Center Albany Medical Center Muhammad A. Pasha Center, Northern Dutchess Cardiology Cardiac Imaging, Preventive Pediatric Allergy & Immunology, Albany Med Allergy, Asthma Hospital Cardiology Asthma, Eosinophil Disorders, and Immunology Arrhythmias, Pacemakers/ Urticaria Albany Defibrillators, Atrial Fibrillation, 518.264.2510 Catheter Ablation Cardiovascular Disease Janet L. Claassen Albany Medical Center How will COVID-19 affect the future Certified Allergy & Asthma Urticaria, Hereditary John T. Respass of medicine? Consultants Angioedema, Sinusitis The Heart Center “COVID-19 has crystallized and made clear what has been Albany Poughkeepsie known for a while regarding inequities in medical 518.434.1446 Prashant P. Ponda 845.473.1188 care to the underserved, uninsured, and people of St. Peter’s Hospital - Albany, ENT & Allergy Associates Vassar Brothers color. For a multitude of reasons, including higher Samaritan Hospital Fishkill Medical Center, propensity of ‘essential work,’ higher density housing, reduced medical access, and high Pediatric Allergy & Immunology, 845.562.0760 Northern preponderance of underlying risk factors, these Asthma & Allergy, Eosinophil Montefiore St. Luke’s Cornwall Dutchess communities were hard hit by COVID-19. This has Disorders, Allergic Rhinitis Hospital Hospital motivated more discussion and hopefully action to Food Allergy, Eczema, Arrhythmias, bridge these gaps in healthcare that will have lasting Jinlin Du Telemedicine Pacemakers/ effect. … Hopefully for the future we will be prepared Crystal Run Healthcare Defibrillators, Atrial Fibrillation, to react in non-politicized uniformity to disease states/ Middletown David J. Resnick Catheter Ablation pandemics with a better approach.” — Duane Bryan, MD 845.703.6999 CareMount Medical Garnet Health Medical Center Poughkeepsie Sankar Varanasi Asthma, Food Allergy, Pediatric 845.471.3111 The Heart Center Muhaddis Choudhury Augustin J. DeLago Allergy & Immunology, Immune Vassar Brothers Medical Center Poughkeepsie CareMount Medical Capital Cardiology Associates Deficiency Food Allergy, Asthma, 845.473.1188 Poughkeepsie Albany Hereditary Angioedema, Hives Vassar Brothers Medical 845.231.5600 518.292.6000 Thomas N. Flaim Center, Northern Dutchess Vassar Brothers Medical Albany Medical Center, St. Certified Allergy & Asthma Joel H. Selter Hospital Center Peter’s Hospital - Albany Consultants Allergy & Asthma Care of Arrhythmias, Pacemakers/ Telemedicine Cardiac Catheterization, Albany Rockland Defibrillators, Atrial Fibrillation, Interventional Cardiology, 518.434.1446 Suffern Catheter Ablation H. Louis Clinton Intravascular Ultrasound, Albany Medical Center 845.357.7277 Twin County Cardiology Clinical Trials Asthma & Allergy, Eosinophilic Good Samaritan Hospital, CARDIOVASCULAR Hudson Lung Disorders, Pediatric Montefiore Nyack Hospital DISEASE 518.828.2565 Jonathan M. DeSantis Allergy & Immunology Food Allergy, Asthma & Allergy, Glenn Boyar Columbia Memorial Hospital, Albany Associates in Atopic Dermatitis, Anaphylaxis CareMount Medical Albany Medical Center Cardiology Peter R. LoGalbo Carmel Albany ENT & Allergy Associates CARDIAC 845.279.2000 Gary S. Cohen 518.458.2000, ext. 3 West Nyack ELECTROPHYSIOLOGY Putnam Hospital Center The Heart Center St. Peter’s Hospital - Albany, 845.727.1370 Paul Eugenio Preventive Cardiology, Kingston Albany Memorial Hospital Good Samaritan Hospital, Crystal Run Healthcare Echocardiography, Nuclear 845.339.8700 Interventional Cardiology, Heart Montefiore Nyack Hospital Middletown Cardiology, Cholesterol/Lipid HealthAlliance Hospital: Mary’s Disease, Hypertension Asthma, Telemedicine 845.703.6999 Disorders Avenue Campus, Northern Garnet Health Medical Center, Dutchess Hospital HOSPITAL COURTESYPHOTO OF MONTEFIORE NYACK 48 November 2020 • www.hvmag.com Steven Arthur Fein Center, Northern Dutchess Joseph D. Sacco Jeffrey R. Uzzilia Pranat Kumar Albany Med Cardiology Hospital Albany Med Cardiology Capital Cardiology Associates Nuvance Health Medical Albany Cardiac Imaging, Preventive Albany Albany Practice 518.262.5076 Cardiology 518.262.5076 518.292.6000 Poughkeepsie Albany Medical Center Albany Medical Center, Albany Albany Medical Center, St. 845.214.1800 Non-Invasive Cardiology James J. Lyons Stratton VA Medical Center Peter’s Hospital - Albany Vassar Brothers Medical The Heart Center Ischemic Heart Disease, Coronary Artery Disease, Center, Northern Dutchess Ali Hammoud Poughkeepsie Hypertension, Cholesterol/Lipid Congestive Heart Failure, Hospital The Heart Center 845.473.1188 Disorders, Atrial Fibrillation Cardiac Imaging, Preventive Robotic Surgery, Colon & Rectal Kingston Vassar Brothers Medical Cardiology Cancer, Inflammatory Bowel 845.339.8700 Center, Northern Dutchess Inderpal Singh Disease, Diverticulitis HealthAlliance Hospital: Mary’s Hospital ColumbiaDoctors Medical Kevin M. Woods Avenue Campus, Vassar Heart Failure, Non-Invasive Group Capital Cardiology Associates Edward C. Lee Brothers Medical Center Cardiology, Nuclear Cardiology, Goshen Albany Albany Med General Surgery Cardiac Catheterization Echocardiography 845.615.1234 518.292.6000 Albany NewYork-Presbyterian/ Albany Medical Center, St. 518.262.0940 Seth E. Hurwitz James D. McLaughlin Columbia University Irving Peter’s Hospital - Albany Albany Medical Center Metropolitan Cardiology Crystal Run Healthcare Medical Center, Garnet Health Preventive Cardiology, Cardiac Colon & Rectal Cancer Consultants Middletown Medical Center Imaging Goshen 845.703.6999 DERMATOLOGY 845.294.7510 Garnet Health Medical Sandeep Singh CHILD & ADOLESCENT Joseph Scott Baler St. Anthony Community Center, Montefiore St. Luke’s Crystal Run Healthcare PSYCHIATRY Albany Hospital, Bon Secours Cornwall Hospital, St. Anthony Middletown Steven J. Cooper 518.446.0172 Community Hospital Community Hospital 845.703.6999 Frawley Mental Health St. Peter’s Hospital - Albany Echocardiography, Nuclear Non-Invasive Cardiology, Garnet Health Medical Center, Outpatient Clinic Rosacea, Skin Cancer, Cardiology Echocardiography, Nuclear Montefiore St. Luke’s Cornwall Suffern Psoriasis/Eczema Cardiology Hospital 845.368.5222, ext. 3 Sanjaya Jha Cholesterol/Lipid Disorders, Good Samaritan Hospital, Samuel E. Book The Heart Center Gary Nathanson Nuclear Cardiology, Rockland Psychiatric Center The Center for Skin Surgery Poughkeepsie CareMount Medical Coronary Artery Disease, ADD/ADHD, Autism Spectrum New Windsor 845.473.1188 Poughkeepsie Echocardiography Disorders, Behavioral Disorders, 845.220.2200 Vassar Brothers Medical 845.231.5600 Mood Disorders Good Samaritan Hospital Center, Northern Dutchess Vassar Brothers Medical Center Lawrence W. Solomon Mohs Surgery, Skin Cancer, Hospital Telemedicine The Heart Center Celeste M. Grosso Melanoma Cardiac Imaging, Preventive Fishkill The Children’s Medical Group Cardiology Daniel J. O’Dea 845.897.9760 Rhinebeck Robert J. Cohen The Heart Center Putnam Hospital Center, Vassar 845.452.1700 Dermatology Center of Ellis Lader Poughkeepsie Brothers Medical Center Vassar Brothers Medical Center Rockland WMC Heart & Vascular 845.473.1188 Cardiac Imaging, Preventive Behavioral Disorders, Autism Orangeburg Institute Vassar Brothers Medical Cardiology Spectrum Disorders, Autism & 845.359.4770 Kingston Center, Putnam Hospital Center Developmental Disorders NewYork-Presbyterian/ 845.339.3663 Clinical Trials, Heart Disease, David B. Southren Columbia University Irving Northern Dutchess Hospital
Recommended publications
  • Abdominoplasty - Tummy Tuck
    Abdominoplasty - Tummy Tuck Abdominoplasty, known more commonly as a "tummy tuck," is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear in mind, it does produce a permanent scar, which, depending on the extent of the original problem and the surgery required to correct it, can extend from hip to hip. If you're considering abdominoplasty, this will give you a basic understanding of the procedure- when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don't understand. The Best Candidates For Abdominoplasty The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved. Patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy. If you have scarring from previous abdominal surgery, your doctor may recommend against abdominoplasty or may caution you that scars could be unusually prominent.
    [Show full text]
  • PANNICULECTOMY/ABDOMINOPLASTY Advanced Laparoscopic Surgery
    Ara Keshishian, MD, FACS, FASMBS Tel : 818‐812‐7222 A Professional Medical Corporation Fax : 818‐952‐0990 10 Congress St., Suite #405 Pasadena, CA 91105‐3027 General Surgery Weight Loss Surgery PANNICULECTOMY/ABDOMINOPLASTY Advanced Laparoscopic Surgery Robotic Surgery Panniculectomy is the medical term for the surgical removal of excess abdominal tissue, which in lay terms, is called the "apron" or pannis. The Pannis is a redundant layer of skin and fat at the lowest portion of the abdominal wall. Because fat distribution is never even in all individuals, some people have significant deposit of fat at this most dependent part of the abdominal wall, which further aggravates various complications especially back and joint pain. The "apron" (pannis) in an individual may weigh as little as 5 pounds, or as much as 120 pounds. After the majority of your weight loss, “tummy tuck” abdominoplasty and panniculectomy can tighten loose sagging tissues. This surgery is designed to remove and re‐drape redundant lower and middle abdominal wall skin and fat. An incision above the pubic region and extending towards the hips places the scar where it can be hidden by most clothing. The skin and fat are separated from the underlying fascia (layer covering the muscles of the abdominal wall). In the standard operation this dissection continues up to the ribs exposing the vertical muscles (rectus muscles). The skin around the belly button (navel or umbilicus) is divided so the redundant tissue of the upper abdomen can be pulled down. This hole is usually extended far enough down to be removed with the excess tissue.
    [Show full text]
  • Abdominoplasty
    Panniculectomy (Abdominal skin/fat surgery) Date of Origin: 05/2002 Last Review Date: 07/28/2021 Effective Date: 08/01/2021 Dates Reviewed: 02/2004, 12/2004, 12/2005, 12/2006, 12/2007, 01/2009, 02/2011, 01/2012, 07/2013, 06/2014, 05/2015, 06/2016, 06/2017, 08/2018, 08/2019, 07/2020, 07/2021 Developed By: Medical Necessity Criteria Committee I. Description Abdominoplasty, often referred to as a tummy tuck, is a surgical procedure for a large, pendulous or protruding abdomen, which tightens lax anterior abdominal wall muscles and removes excess abdominal skin and fat. Traditional abdominoplasty can be performed as an open or endoscopic procedure. Panniculectomy, a procedure closely related to abdominoplasty, is the surgical excision of an abdominal apron of skin and subcutaneous fat located in the lower abdominal area. II. Criteria: CWQI HCS-0001 A. Moda Health covers the following procedure for patients who meet All of the following criteria: a. Panniculectomy will be covered for patients who have undergone substantial weight loss (usually greater than 100 lbs) and ALL of the following: i. The pannus hangs to or below the level of the symphysis pubis as documented in clinical notes ii. The patient’s weight has remained stable for a period of six months following massive weight loss or if weight loss is a result of bariatric surgery after 12-18 months following surgery iii. The panniculus causes chronic intertrigo, candidiasis or tissue necrosis that consistently recurs and has not responded to at least six months of medical treatment with documentation from the treating primary care physician or specialist (i.e.
    [Show full text]
  • A Clinical and Histological Study of Radiofrequency-Assisted Liposuction (RFAL) Mediated Skin Tightening and Cellulite Improvement ——RFAL for Skin Tightening
    Journal of Cosmetics, Dermatological Sciences and Applications, 2011, 1, 36-42 doi:10.4236/jcdsa.2011.12006 Published Online June 2011 (http://www.SciRP.org/journal/jcdsa) A Clinical and Histological Study of Radiofrequency-Assisted Liposuction (RFAL) Mediated Skin Tightening and Cellulite Improvement ——RFAL for Skin Tightening Marc Divaris1, Sylvie Boisnic2, Marie-Christine Branchet2, Malcolm D. Paul3 1Plastic and Maxillo-Facial Surgery, University of Pitie Salpetiere, Paris, France; 2Institution GREDECO, Paris, France; 3Department of Surgery, Aesthetic and PlasticSurgery Institute, University of California, Irvine, USA. Email: [email protected] Received May 1st, 2011; revised May 27th, 2011; accepted June 6th, 2011. ABSTRACT Background: A novel Radiofrequency-Assisted Liposuction (RFAL) technology was evaluated clinically. Parallel origi- nal histological studies were conducted to substantiate the technology’s efficacy in skin tightening, and cellulite im- provement. Methods: BodyTiteTM system, utilizing the RFAL technology, was used for treating patients on abdomen, hips, flanks and arms. Clinical results were measured on 53 patients up to 6 months follow-up. Histological and bio- chemical studies were conducted on 10 donors by using a unique GREDECO model of skin fragments cultured under survival conditions. Fragments from RFAL treated and control areas were examined immediately and after 10 days in culture, representing long-term results. Skin fragments from patients with cellulite were also examined. Results: Grad- ual improvement in circumference reduction (3.9 - 4.9 cm) and linear contraction (8% - 38%) was observed until the third month. These results stabilized at 6 months. No adverse events were recorded. Results were graded as excellent by most patients, including the satisfaction from minimal pain, bleeding, and downtime.
    [Show full text]
  • Refining the Abdominoplasty for Better Patient Outcomes
    Refining the Abdominoplasty for Better Patient Outcomes Karol A Gutowski, MD, FACS Private Practice University of Illinois & University of Chicago Refinements • 360o assessment & treatment • Expanded BMI inclusion • Lipo-abdominoplasty • Low scar • Long scar • Monsplasty • No “dog ears” • No drains • Repurpose the fat • Rapid recovery protocols (ERAS) What I Do and Don’t Do • “Standard” Abdominoplasty is (almost) dead – Does not treat the entire trunk – Fat not properly addressed – Problems with lateral trunk contouring – Do it 1% of cases • Solution: 360o Lipo-Abdominoplasty – Addresses entire trunk and flanks – No Drains & Rapid Recovery Techniques Patient Happy, I’m Not The Problem: Too Many Dog Ears! Thanks RealSelf! Take the Dog (Ear) Out! Patients Are Telling Us What To Do Not enough fat removed Not enough skin removed Patient Concerns • “Ideal candidate” by BMI • Pain • Downtime • Scar – Too high – Too visible – Too long • Unnatural result – Dog ears – Mons aesthetics Solutions • “Ideal candidate” by BMI Extend BMI range • Pain ERAS protocols + NDTT • Downtime ERAS protocols + NDTT • Scar Scar planning – Too high Incision markings – Too visible Scar care – Too long Explain the need • Unnatural result Technique modifications – Dog ears Lipo-abdominoplasty – Mons aesthetics Mons lift Frequent Cause for Reoperation • Lateral trunk fullness – Skin (dog ear), fat, or both • Not addressed with anterior flank liposuction alone – need posterior approach • Need a 360o approach with extended skin excision (Extended Abdominoplasty) • Patient
    [Show full text]
  • Advanced Techniques in Abdominoplasty: Optimizing
    Advanced Techniques in Abdominoplasty: Optimizing Results & the Patient Experience Karol A Gutowski, MD, FACS Private Practice Clinical Associate Professor – University of Illinois, Chicago Disclosures Merz – Trainer, Advisory Board Suneva Medical - Instructor Will use brand names due to lack of distinguishing generic names Abdominoplasty Evolution • Panniculectomy • Flap elevation and umbilical transposition • Concurrent non-flap liposuction • Extended & circumferential abdominoplasty • Lipo-abdominoplasty (flap liposuction) • No-drain techniques • Enhanced recovery protocols • Addition of energy devices? Patient Concerns • “Ideal candidate” by BMI • Pain • Downtime • Scar – Too high – Too visible – Too long • Unnatural result – Dog ears – Mons aesthetics Solutions • “Ideal candidate” by BMI Extend BMI range • Pain ERAS protocols + NDTT • Downtime ERAS protocols + NDTT • Scar Scar planning – Too high Incision markings – Too visible Scar care – Too long Explain the need • Unnatural result Technique modifications – Dog ears Lipo-abdominoplasty – Mons aesthetics Mons lift Lipo-Abdominoplasty Traditional limited liposuction Extensive liposuction with with abdominoplasty abdominoplasty Not a Lipo-Abdominoplasty Candidate Lipo-Abdominoplasty Lipo-Abdominoplasty Lipo-Abdominoplasty Extended BMI Range • Patients with BMI > 30 can still get good results – If fat is extra-abdominal – Use circumferential truck liposuction • BMI alone is not the deciding factor • Consider body shape and fat distribution • Manage expectations BMI 37.8 Circumferential
    [Show full text]
  • Determinations of a Safe Musculofascial Plication in Abdominoplasty
    ORIGINAL ARTICLE Determinations of a Safe Musculofascial Plication in Abdominoplasty A A H Al-Shaham, CABS Department of Surgery, Faculty of Medicine, UITM, 40450 Shah Alam SUMMARY might guess how much plication is required, but usually it is This study was conducted to determine a safe vertical less then the required correction to deal with abdominal musculo-fascial plication distance in abdominoplasty protrusion. operation in order to avoid the risk of developing respiratory distress during the post operative period. Abdominoplasty is Respiratory decompensation may occur as a result of undue a surgical procedure that removes excess abdominal skin and over plication of musculo-fascial procedures that reduce fat (panneculectomy), and tightens lax anterior abdominal respiratory reserve by decreasing intra-abdominal volume and wall muscle; in which musculo-fascial plication is a major diaphragmatic excursion thus raising intra-abdominal component of abdominoplasty in patient with significant pressure to a critical level, leading to abdominal divaricating of the recti muscles. Respiratory decompensation compartmental syndrome6,7,8. Direct and indirect may occur as a result of undue plication which reduces the measurement of the intra-abdominal pressure was evaluated intra abdominal volume with diaphragmatic excursion leading by several investigators in order to predict the development to abdominal compartmental syndrome. Fifty six patients for of respiratory derangement and eliminate the risk of post- abdominoplasty were selected prospectively, during the operative respiratory failure following abdominoplasty with period from June 1998 to February 2004, male to female ratio plication 6,7,9. 1:13, mean age 39.5, mean weight 95.2 kilogram. To determine a safe plication distance (PD).
    [Show full text]
  • Tummy Tuck (Abdominoplasty)
    Tummy Tuck (Abdominoplasty) Abdominoplasty is also known as a tummy tuck. Abdominoplasty aims to re-contour an abdomen that has been affected by pregnancy or significant weight loss. The procedure removes excess skin and fatty tissue from the middle and lower abdomen and tightens the muscles of the abdomen. An abdominoplasty will be recommended by your surgeon in preference to liposuction if there is an excess of skin on the abdomen and if there is muscle laxity. The major advantage of an abdominoplasty is the improved appearance in clothes. Dresses hang much more attractively and the "tummy" is no longer pushed up over the top of pants or jeans. The appearance in a one piece bathing suit is improved and a 2 piece bathing suit may be worn if the scar is adequately concealed. You should consider abdominoplasty carefully if you are overweight because there are risks involved with the procedure. If you are overweight your surgeon may recommend that you should postpone abdominoplasty surgery until you have achieved and maintained your weight loss. Abdominoplasty can improve body contour in both women and men who are bothered by a protruding abdomen. Keep in mind that while a tummy tuck will enhance your figure, it's not likely to change your life or the way people treat you. There are a variety of different techniques used by surgeons performing abdominoplasty; the scar may be horizontal, vertical or a combination of both. The surgery can be combined with other forms of body contouring surgery, such as thigh lift and liposuction. Abdominoplasty involves an incision around the belly button and another incision that runs hip- to-hip starting above the pubic hairline.
    [Show full text]
  • Impact of Rectus Diastasis Repair on Abdominal Strength and Function: a Systematic Review
    Open Access Review Article DOI: 10.7759/cureus.12358 Impact of Rectus Diastasis Repair on Abdominal Strength and Function: A Systematic Review Jessica Gormley 1 , Andrea Copeland 2 , Haley Augustine 2 , Charlotte Axelrod 3 , Mark McRae 2 1. Plastic Surgery, Michael G. DeGroote School of Medicine, Hamilton, CAN 2. Plastic Surgery, McMaster University, Hamilton, CAN 3. Plastic Surgery, University of Toronto Faculty of Medicine, Toronto, CAN Corresponding author: Jessica Gormley, [email protected] Abstract Rectus diastasis plication performed during abdominoplasty aims to narrow the widened linea alba and return the rectus muscle bellies to their anatomic position. It is unclear whether plication improves abdominal strength and function. This systematic review summarizes the effect of rectus plication on abdominal strength, function, and postoperative complications. A comprehensive search of CINAHL, Embase, Medline and Web of Science was performed. Screening and data extraction were performed in duplicate. Data were extracted from the included articles, and outcomes were analyzed categorically. A total of 497 patients from seven articles were included. Mean age was 44.5 years (range 20.5-72) and 94.4% were female. Three articles reported abdominal strength measurements, with two showing significant improvement. Four articles used the SF-36 survey, all demonstrating improvement in physical function subscale postoperatively. An additional six instruments were used to assess functional outcomes, of which four demonstrated significant improvement. The overall complication rate was 17.0%. Rectus plication is commonly performed during abdominoplasty to improve abdominal form and function. While the literature to date is encouraging with respect to functional outcomes, improvements in abdominal strength are less consistent.
    [Show full text]
  • Abdominoplasty/Panniculectomy
    Abdominoplasty/Panniculectomy Date of Origin: 05/2002 Last Review Date: 07/22/2020 Effective Date: 08/01/2020 Dates Reviewed: 02/2004, 12/2004, 12/2005, 12/2006, 12/2007, 01/2009, 02/2011, 01/2012, 07/2013, 06/2014, 05/2015, 06/2016, 06/2017, 08/2018, 08/2019, 07/2020 Developed By: Medical Necessity Criteria Committee I. Description Abdominoplasty, often referred to as a tummy tuck, is a surgical procedure for a large, pendulous or protruding abdomen, which tightens lax anterior abdominal wall muscles and removes excess abdominal skin and fat. Traditional abdominoplasty can be performed as an open or endoscopic procedure. Panniculectomy, a procedure closely related to abdominoplasty, is the surgical excision of an abdominal apron of skin and subcutaneous fat located in the lower abdominal area. II. Criteria: CWQI HCS-0001 A. OHSU Health Services covers the following procedure for patients who meet All of the following criteria: a. Panniculectomy will be covered for patients who have undergone substantial weight loss (usually greater than 100 lbs) and ALL of the following: i. The pannus hangs to or below the level of the symphysis pubis as documented in clinical notes ii. The patient’s weight has remained stable for a period of six months following massive weight loss or if weight loss is a result of bariatric surgery after 12-18 months following surgery iii. The panniculus causes chronic intertrigo, candidiasis or tissue necrosis that consistently recurs and has not responded to at least six months of medical treatment with documentation from the treating primary care physician or specialist (i.e.
    [Show full text]
  • Ulcers Caused by Breast Surgery and Abdominoplasty Zuleika L
    CASE REPORT Ulcers Caused by Breast Surgery and Abdominoplasty Zuleika L. Bonilla-Martinez, MD; Robert S. Kirsner, MD, PhD Breast augmentation and abdominoplasty are among the most common surgical procedures performed in the United States. Breast mastopexy procedures have continued to increase over the years. Complica- tions of breast augmentation are similar to those of breast reduction, mastopexy, and abdominoplasty, and include seroma formation, cellulitis, wound dehiscence, wound necrosis, hematoma, and abscess formation. We report on a patient with ulcers secondary to breast and abdominal surgery and discuss the clinical and psychological complications of cosmetic surgery. ore than 16 million cosmetic and for abdominal deformity secondary to pregnancy and reconstructive procedures were per- weight loss. To reduce the cost of cosmetic surgery, a formed in the United States in 2006, trend toward more outpatient procedures has occurred. COS DERM4 with a total of 10,990,287 surgical Spiegelman and Levine retrospectively reviewed and minimally invasive cosmetic proce- 69 consecutive abdominoplasty cases from a surgeon’s Mdures performed overall, an increase of 48% since 2000.1 private clinic and concluded that abdominoplasty can As an example of the increased performance of cosmetic be safely and effectively performed in an outpatient surgery between 2000 andDo 2006, a total of Not329,396 breast surgery Copy clinic because of comparable complication augmentation and 103,788 mastopexy (breast lift) proce- rates between the inpatient (29.7%) and outpatient dures were performed in the United States, representing (31.2%) populations. increases of 55% and 96%, respectively.1 We report on a case of surgical breast and abdominal During 2005 and 2006, more than 8% of cosmetic ulcers caused by elective breast surgery and abdomino- breast surgeries were procedures to remove breast plasty and on the psychological effects resulting from implants.1 For example, a total of 27,451 cases of breast those surgical complications.
    [Show full text]
  • Abdominoplasty/Abdominal Reduction/Tummy Tuck - Part 2 of 3
    Patient consent to investigation or treatment for: Abdominoplasty/abdominal reduction/tummy tuck - Part 2 of 3 This is an informed consent document to explain the risks and alternative treatment to abdominoplasty surgery. It is important that you read this information carefully and completely. Please initial each page, indicating that you have read it, and sign the consent form for surgery as proposed by your plastic surgeon and agreed by you. For pre- and post-operative information on abdominoplasty surgery, please see parts 1 & 3. What is an abdominoplasty/abdominal reduction/tummy tuck? An abdominoplasty/abdominal reduction/tummy tuck is the removal of excess skin, unwanted scars, stretch marks and fat from the tummy, and sometimes tightening of the stomach muscles. What is the alternative treatment? In younger patients with good quality, elastic skin whose main problem is a localised excess of fat, liposuction on its own should always be considered. This reduces fat and causes just a little retraction of the skin. What are the serious and commonly occurring risks and complications of abdominoplasty surgery? As with all operations, there are risks involved in abdominoplasty surgery. Although unlikely to occur, it is important to weigh up these risks against the potential benefit of the surgery. Discuss each of them with your plastic surgeon to make sure you understand the potential complications and consequences. Risks of surgery: - Scars. There will be scars from the surgery, which will usually initially be red, then purple, and then fade to white over 12-18 months. The main scar runs across the lower abdomen and in a standard abdominoplasty there is one around the belly button.
    [Show full text]