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  1. AU=Mercury Oblaise A
  2. AU="Jeongjun Kim"
  3. AU="Marks, Evan A. N."
  4. AU="Thomson, Tina"
  5. AU="Lazaros Iliadis"
  6. AU="Guglielmo, Letterio"
  7. AU="Wilson, Brandon"
  8. AU=Hammerman Marc R.
  9. AU=Bromfield Mahiri
  10. AU=Hunt John T
  11. AU="Nock, Annike Morgane"
  12. AU="Benitah, Salvador Aznar"
  13. AU="Axelgaard, Esben"
  14. AU="Kachingwe, Martin"
  15. AU="Yokoyama, Ryuto"
  16. AU="Luck, Jennifer N"
  17. AU="Min Soo Kim"
  18. AU="Piotr Dylewicz"
  19. AU="Mankel, A"
  20. AU="Lia, Andrea"
  21. AU=Wang Yong
  22. AU="Mckay, Victoria"
  23. AU="Yanqun Liu"
  24. AU="Doyon, Yannick"
  25. AU=Ho-Yen Colan M
  26. AU="Tarnawski, Miroslaw"
  27. AU="Mark Pickering"
  28. AU=Felson Marcus
  29. AU="Antje Garten"
  30. AU="Pijpers, Judith"
  31. AU=Ciacchini Benedetta AU=Ciacchini Benedetta

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  1. Artikel ; Online: An Online Plastic Surgery Nonclinical Elective: Virtual Surgical Education in the Era of Coronavirus Disease of 2019.

    Mercury, Oblaise A / Danko, Dora / Pettitt, Barbara J / Thompson, Peter W

    Plastic and reconstructive surgery

    2021  Band 147, Heft 4, Seite(n) 726e–727e

    Mesh-Begriff(e) COVID-19/prevention & control ; Clinical Clerkship/methods ; Education, Distance/methods ; Education, Medical, Undergraduate/methods ; Georgia ; Humans ; Surgery, Plastic/education
    Sprache Englisch
    Erscheinungsdatum 2021-03-19
    Erscheinungsland United States
    Dokumenttyp Editorial
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000007725
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  2. Artikel ; Online: Secondary Surgeries After Oncoplastic Reduction Mammoplasty.

    Brown, Ciara A / Mercury, Oblaise A / Hart, Alexandra M / Carlson, Grant W / Losken, Albert

    Annals of plastic surgery

    2021  Band 87, Heft 6, Seite(n) 628–632

    Abstract: Purpose: The oncoplastic reduction approach is a popular option for women with breast cancer and macromastia. Although the benefits of this approach are numerous, data on the need for secondary surgeries are limited. We evaluated the need for all ... ...

    Abstract Purpose: The oncoplastic reduction approach is a popular option for women with breast cancer and macromastia. Although the benefits of this approach are numerous, data on the need for secondary surgeries are limited. We evaluated the need for all secondary surgeries after oncoplastic reduction in an attempt to understand the incidence and indications.
    Methods: All patients with breast cancer who underwent an oncoplastic breast reduction at the time of the tumor resection were queried from a prospectively maintained database from 1998 to 2020 (n = 547) at a single institution. Secondary surgical procedures were defined as any unplanned return to the operating room. Demographic and clinical variables were analyzed, and secondary surgeries were classified and evaluated. The timing and rates of secondary surgery were evaluated and compared with clinical variables.
    Results: There were 547 patients included in this series with a mean age of 55 years and body mass index of 33.5. Mean duration of follow-up was 3.8 years. One hundred and seventeen (21%) patients underwent 235 secondary surgeries, with an average of 1.4 operations until stable reconstruction was obtained. The reason for the secondary surgery was involved margins (7.5%), major complications (8.6%), aesthetic improvement (13.3%), and completion mastectomy (5.3%). Age 65 years and younger age was associated with any subsequent procedure (P = 0.023) and revision for cosmesis (P = 0.006). Patients with body mass index greater than 35 had increased secondary surgeries for operative complications (P = 0.026).
    Conclusions: Secondary surgeries after oncoplastic breast reduction procedures are common. Management of margins and complications, such as hematoma and infection, are early indications, with aesthetic improvement, wound healing complications, fat necrosis, and recurrence being late reasons. The most common reason for reoperation is aesthetic improvement, especially in younger patients. Attention to surgical technique and patient selection will help minimize secondary surgeries for the nononcological reasons.
    Mesh-Begriff(e) Aged ; Breast/surgery ; Breast Neoplasms/surgery ; Female ; Humans ; Mammaplasty ; Mastectomy ; Mastectomy, Segmental ; Middle Aged
    Sprache Englisch
    Erscheinungsdatum 2021-06-23
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000002872
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Mandibular Distraction in Neonatal Pierre Robin Sequence: Is Immediate Extubation Both Feasible and Safe?

    Payne, Samuel H / Brady, Colin M / Mercury, Oblaise A / Soldanska, Magdalena / Hush, Stefanie E / Xiang, Yijin / Williams, Joseph K

    Plastic and reconstructive surgery

    2022  Band 149, Heft 6, Seite(n) 1155e–1164e

    Abstract: Background: The timing of extubation following placement of mandibular distractors in the setting of Pierre Robin sequence is variable across institutional algorithms. Postoperative maintenance of intubation allows for an improvement in airway dimension ...

    Abstract Background: The timing of extubation following placement of mandibular distractors in the setting of Pierre Robin sequence is variable across institutional algorithms. Postoperative maintenance of intubation allows for an improvement in airway dimension and tongue positioning before extubation, theoretically decreasing the impact of postoperative airway edema. Maintenance of intubation, however, is not without risk. The authors analyze their institutional experience with neonatal mandibular distraction followed by immediate extubation to assess feasibility and safety profiles.
    Methods: A 4-year retrospective review of patients diagnosed with Pierre Robin sequence who underwent mandibular distraction within the first 3 months of life was performed. Patients intubated preoperatively were excluded.
    Results: Fifty-two patients met inclusion criteria. Thirty-eight patients (73 percent) were extubated immediately, whereas 14 patients (27 percent) remained intubated. No differences between these groups were found when comorbidities, cleft pathology, preoperative respiratory support, or grade of view on direct laryngoscopy were analyzed. Case duration greater than 120 minutes, operation start time after 3 pm, and the subjective designation of a difficult airway by the anesthesiologist were associated with maintaining intubation (p < 0.05). Eight patients (21 percent) in the extubated group required an increase in respiratory support in the postoperative interval. Four of these patients (11 percent) required reintubation. Increased postoperative respiratory support was more likely in patients with certain comorbidities and higher preoperative respiratory support requirements (p < 0.05).
    Conclusions: The authors' data suggest that immediate extubation following neonatal mandibular distraction is feasible in patients who are not intubated preoperatively. Careful consideration should be given to patients who require significant respiratory support preoperatively and in those with certain comorbidities.
    Clinical question/level of evidence: Therapeutic, III.
    Mesh-Begriff(e) Airway Extubation/adverse effects ; Airway Obstruction/surgery ; Humans ; Infant ; Infant, Newborn ; Mandible/surgery ; Osteogenesis, Distraction/adverse effects ; Osteogenesis, Distraction/methods ; Pierre Robin Syndrome/complications ; Retrospective Studies ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2022-04-12
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000009141
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  4. Artikel ; Online: Implementation and evaluation of eight virtual surgical electives for medical students during the COVID-19 pandemic.

    Pettitt-Schieber, Brian / Kuo, Marissa / Steehler, Andrew / Dong, Andy / Fakunle, Omolola / Manalo, Tad / Mercury, Oblaise / Simpson, Francis / Guissé, Ndéye / Studer, Matthew / Poirier, Marie-Veronique / Philbrick, Brandon / Grady, Zachary / Higgins, Michelle / Gallo, Lindsay / Danko, Dora / Dawoud, Reem / Pettitt, Barbara

    American journal of surgery

    2021  Band 222, Heft 2, Seite(n) 248–253

    Abstract: Background: Eight novel virtual surgery electives (VSEs) were developed and implemented in April-May 2020 for medical students forced to continue their education remotely due to COVID-19.: Methods: Each VSE was 1-2 weeks long, contained specialty- ... ...

    Abstract Background: Eight novel virtual surgery electives (VSEs) were developed and implemented in April-May 2020 for medical students forced to continue their education remotely due to COVID-19.
    Methods: Each VSE was 1-2 weeks long, contained specialty-specific course objectives, and included a variety of teaching modalities. Students completed a post-course survey to assess changes in their interest and understanding of the specialty. Quantitative methods were employed to analyze the results.
    Results: Eighty-three students participated in the electives and 67 (80.7%) completed the post-course survey. Forty-six (68.7%) respondents reported "increased" or "greatly increased" interest in the course specialty completed. Survey respondents' post-course understanding of each specialty increased by a statistically significant amount (p-value = <0.0001).
    Conclusion: This initial effort demonstrated that VSEs can be an effective tool for increasing medical students' interest in and understanding of surgical specialties. They should be studied further with more rigorous methods in a larger population.
    Mesh-Begriff(e) COVID-19/epidemiology ; COVID-19/prevention & control ; Career Choice ; Communicable Disease Control/standards ; Curriculum ; Education, Distance/methods ; Education, Distance/organization & administration ; Education, Distance/standards ; Education, Distance/statistics & numerical data ; Education, Medical, Undergraduate/methods ; Education, Medical, Undergraduate/organization & administration ; Education, Medical, Undergraduate/standards ; Education, Medical, Undergraduate/statistics & numerical data ; Educational Measurement/statistics & numerical data ; Humans ; Learning ; Pandemics/prevention & control ; Program Evaluation ; Smartphone ; Specialties, Surgical/education ; Students, Medical/statistics & numerical data ; Videoconferencing/instrumentation
    Sprache Englisch
    Erscheinungsdatum 2021-02-04
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2021.01.032
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: The systemic response to surgery triggers the outgrowth of distant immune-controlled tumors in mouse models of dormancy.

    Krall, Jordan A / Reinhardt, Ferenc / Mercury, Oblaise A / Pattabiraman, Diwakar R / Brooks, Mary W / Dougan, Michael / Lambert, Arthur W / Bierie, Brian / Ploegh, Hidde L / Dougan, Stephanie K / Weinberg, Robert A

    Science translational medicine

    2018  Band 10, Heft 436

    Abstract: Patients undergoing surgical resection of primary breast tumors confront a risk for metastatic recurrence that peaks sharply 12 to 18 months after surgery. The cause of early metastatic relapse in breast cancer has long been debated, with many ascribing ... ...

    Abstract Patients undergoing surgical resection of primary breast tumors confront a risk for metastatic recurrence that peaks sharply 12 to 18 months after surgery. The cause of early metastatic relapse in breast cancer has long been debated, with many ascribing these relapses to the natural progression of the disease. Others have proposed that some aspect of surgical tumor resection triggers the outgrowth of otherwise-dormant metastases, leading to the synchronous pattern of relapse. Clinical data cannot distinguish between these hypotheses, and previous experimental approaches have not provided clear answers. Such uncertainty hinders the development and application of therapeutic approaches that could potentially reduce early metastatic relapse. We describe an experimental model system that definitively links surgery and the subsequent wound-healing response to the outgrowth of tumor cells at distant anatomical sites. Specifically, we find that the systemic inflammatory response induced after surgery promotes the emergence of tumors whose growth was otherwise restricted by a tumor-specific T cell response. Furthermore, we demonstrate that perioperative anti-inflammatory treatment markedly reduces tumor outgrowth in this model, suggesting that similar approaches might substantially reduce early metastatic recurrence in breast cancer patients.
    Mesh-Begriff(e) Animals ; Biomarkers, Tumor/immunology ; Biomarkers, Tumor/metabolism ; Breast Neoplasms/immunology ; Breast Neoplasms/metabolism ; CD8-Positive T-Lymphocytes/metabolism ; Cell Line, Tumor ; Female ; Mice ; Neoplasm Metastasis/immunology ; Neoplasm Recurrence, Local/immunology ; Neoplasm Recurrence, Local/metabolism
    Chemische Substanzen Biomarkers, Tumor
    Sprache Englisch
    Erscheinungsdatum 2018-04-13
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2518854-9
    ISSN 1946-6242 ; 1946-6234
    ISSN (online) 1946-6242
    ISSN 1946-6234
    DOI 10.1126/scitranslmed.aan3464
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Symmetry of Nipple Position After Bilateral Nipple-Sparing Mastectomy and Implant-Based Reconstruction: The Impact of Reconstructive Method.

    Mercury, Oblaise / Nores, Gabriella Garcia / Carlson, Grant W

    Annals of plastic surgery

    2022  Band 88, Heft 5 Suppl 5, Seite(n) S422–S426

    Abstract: Purpose: Asymmetry of nipple position is common in the female population. There are scant data on the impact of bilateral nipple-sparing mastectomy (NSM) and immediate implant-based reconstruction on nipple asymmetry.: Methods: A retrospective review ...

    Abstract Purpose: Asymmetry of nipple position is common in the female population. There are scant data on the impact of bilateral nipple-sparing mastectomy (NSM) and immediate implant-based reconstruction on nipple asymmetry.
    Methods: A retrospective review was performed of an institutional review board approved prospective database of NSM and immediate implant-based reconstruction was performed. BCCT.core software was used to examine preoperative and postoperative nipple asymmetry. It directly calculates the quantitative differences in nipple position between the breasts expressed as breast retraction assessment (BRA). Nipple to sternal notch (N-SN) asymmetry was calculated from the collected data.
    Results: Sixty-eight patients undergoing bilateral NSM and implant reconstruction were reviewed. Reconstructive methods were tissue expander (TE) 39 (57.4%) and direct to implant (DTI) (prepectoral 13, submuscular 16) 29 (42.6%). The TE group had greater body mass index (BMI) (23.5 vs 22.1, P = 0.02), mastectomy weight (390.7 vs 243.8, P = 0.001) and higher preoperative N-SN asymmetry (TE 0.89 vs DTI 0.59, P = 0.02). Ten patients received radiation (TE group 4, DTI group 6). The TE group had larger implant size (479.1 vs 375.0, P = 0.0001). Overall, TE reconstruction resulted in an increase in nipple asymmetry (mean BRA: preoperative, 1.50 vs postoperative, 1.65), which was not significant. Direct to implant reconstruction increased nipple asymmetry: mean N-SN asymmetry preoperative 0.59 versus postoperative 0.97 (P = 0.04) and mean BRA scores 1.40 and 1.82 (P = 0.06). Both implant locations in the DTI group resulted in an increase in postoperative asymmetry but was significant for the prepectoral group: mean BRA preoperative 1.19 versus postoperative 1.85, P = 0.02 and mean N-SN asymmetry preoperative 0.48 vs postoperative 0.94, P = 0.04. Radiation impacted the final mean BRA score: radiation 2.24 versus no radiation 1.63 (P = 0.05).
    Conclusions: Patients who underwent TE reconstruction had significantly larger breasts and greater preoperative N-SN asymmetry than the DTI group. Despite this, the TE group resulted in mild increase in nipple asymmetry. Both implant locations in DTI reconstruction resulted in increased postoperative asymmetry but was significant for the prepectoral group. Radiation therapy has a significant impact of nipple asymmetry.
    Mesh-Begriff(e) Breast Implantation/methods ; Breast Implants ; Breast Neoplasms/surgery ; Female ; Humans ; Mammaplasty/methods ; Mastectomy/methods ; Mastectomy, Subcutaneous/methods ; Nipples/surgery ; Retrospective Studies ; Tissue Expansion Devices
    Sprache Englisch
    Erscheinungsdatum 2022-02-18
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003162
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: BIVV001, a new class of factor VIII replacement for hemophilia A that is independent of von Willebrand factor in primates and mice.

    Seth Chhabra, Ekta / Liu, Tongyao / Kulman, John / Patarroyo-White, Susannah / Yang, Buyue / Lu, Qi / Drager, Douglas / Moore, Nancy / Liu, Jiayun / Holthaus, Amy M / Sommer, Jurg M / Ismail, Ayman / Rabinovich, Deana / Liu, Zhan / van der Flier, Arjan / Goodman, Allison / Furcht, Chris / Tie, Mark / Carlage, Tyler /
    Mauldin, Randy / Dobrowsky, Terrence M / Liu, Zhiqian / Mercury, Oblaise / Zhu, Lily / Mei, Baisong / Schellenberger, Volker / Jiang, Haiyan / Pierce, Glenn F / Salas, Joe / Peters, Robert

    Blood

    2020  Band 135, Heft 17, Seite(n) 1484–1496

    Abstract: Factor VIII (FVIII) replacement products enable comprehensive care in hemophilia A. Treatment goals in severe hemophilia A are expanding beyond low annualized bleed rates to include long-term outcomes associated with high sustained FVIII levels. ... ...

    Abstract Factor VIII (FVIII) replacement products enable comprehensive care in hemophilia A. Treatment goals in severe hemophilia A are expanding beyond low annualized bleed rates to include long-term outcomes associated with high sustained FVIII levels. Endogenous von Willebrand factor (VWF) stabilizes and protects FVIII from degradation and clearance, but it also subjects FVIII to a half-life ceiling of ∼15 to 19 hours. Increasing recombinant FVIII (rFVIII) half-life further is ultimately dependent upon uncoupling rFVIII from endogenous VWF. We have developed a new class of FVIII replacement, rFVIIIFc-VWF-XTEN (BIVV001), that is physically decoupled from endogenous VWF and has enhanced pharmacokinetic properties compared with all previous FVIII products. BIVV001 was bioengineered as a unique fusion protein consisting of a VWF-D'D3 domain fused to rFVIII via immunoglobulin-G1 Fc domains and 2 XTEN polypeptides (Amunix Pharmaceuticals, Inc, Mountain View, CA). Plasma FVIII half-life after BIVV001 administration in mice and monkeys was 25 to 31 hours and 33 to 34 hours, respectively, representing a three- to fourfold increase in FVIII half-life. Our results showed that multifaceted protein engineering, far beyond a few amino acid substitutions, could significantly improve rFVIII pharmacokinetic properties while maintaining hemostatic function. BIVV001 is the first rFVIII with the potential to significantly change the treatment paradigm for severe hemophilia A by providing optimal protection against all bleed types, with less frequent doses. The protein engineering methods described herein can also be applied to other complex proteins.
    Mesh-Begriff(e) Animals ; Factor VIII/genetics ; Factor VIII/metabolism ; Hemophilia A/metabolism ; Hemophilia A/pathology ; Hemophilia A/therapy ; Hemorrhage/prevention & control ; Hemostasis ; Humans ; Male ; Mice ; Mice, Inbred C57BL ; Primates ; Recombinant Fusion Proteins/administration & dosage ; von Willebrand Factor/genetics ; von Willebrand Factor/metabolism
    Chemische Substanzen BIVV001 ; Recombinant Fusion Proteins ; von Willebrand Factor ; Factor VIII (9001-27-8)
    Sprache Englisch
    Erscheinungsdatum 2020-11-30
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood.2019001292
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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