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  1. AU="Person, David W"
  2. AU="Hajduk, Alexandra M" AU="Hajduk, Alexandra M"

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  1. Article ; Online: A Review of 1228 In-Office Hand Surgery Procedures With Wide Awake Local Anesthesia No Tourniquet (WALANT) at a Single Private Practice.

    Coffman, Jason R / Dela Cruz, Jeffrey A / Stein, Brandon A / Bagg, Mark R / Person, David W / Desai, Kunj K / Srinivasan, Ramesh C

    Hand (New York, N.Y.)

    2024  , Page(s) 15589447241235251

    Abstract: Background: This study examined the complication rate of Wide Awake Local Anesthesia No Tourniquet (WALANT) technique in the clinic setting with field sterility at a single private practice. We hypothesized that WALANT is safe and effective with a low ... ...

    Abstract Background: This study examined the complication rate of Wide Awake Local Anesthesia No Tourniquet (WALANT) technique in the clinic setting with field sterility at a single private practice. We hypothesized that WALANT is safe and effective with a low complication rate.
    Methods: This retrospective chart review included 1228 patients who underwent in-office WALANT hand procedures at a single private practice between 2015 and 2022. Patients were divided into groups based on type of procedure: carpal tunnel release, A1 pulley release, first dorsal compartment release, extensor tendon repair, mass excision, foreign body removal, and needle aponeurotomy. Patient demographics and complications were recorded; statistical comparisons of cohort demographics and risk factors for complications were completed, and
    Results: The overall complication rate for all procedures was 2.77% for 1228 patients including A1 pulley release (n = 962, 2.7%), mass excision (n = 137, 3.7%), extensor tendon repair (n = 23, 4.3%), and first dorsal compartment release (n = 22, 8.3%). Carpal tunnel release, foreign body removal, and needle aponeurotomy groups experienced no complications. No adverse events (e.g. vasovagal reactions, digital ischemia, local anesthetic toxicity, inadequate vasoconstriction) were observed in any group. Patients with known autoimmune disorders and those who were currently smoking had a statistically significant higher complication rate.
    Conclusions: Office-based WALANT procedures with field sterility are safe and effective for treating common hand maladies and have a similar complication profile when compared to historical controls from the standard operating room in an ambulatory center or hospital.
    Language English
    Publishing date 2024-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277325-3
    ISSN 1558-9455 ; 1558-9447
    ISSN (online) 1558-9455
    ISSN 1558-9447
    DOI 10.1177/15589447241235251
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Complications After Clinic-Based Wide Awake Local Anesthesia No Tourniquet Hand Surgery at a Single Private Practice.

    Reynolds, Michael / Srinivasan, Ramesh C / Person, David W

    Hand (New York, N.Y.)

    2020  Volume 17, Issue 5, Page(s) 865–868

    Abstract: Background: This study was designed to analyze the results of all wide awake local anesthesia no tourniquet (WALANT) procedures performed on the hand and wrist at a single practice hand surgery practice with a focus on quantifying and qualifying ... ...

    Abstract Background: This study was designed to analyze the results of all wide awake local anesthesia no tourniquet (WALANT) procedures performed on the hand and wrist at a single practice hand surgery practice with a focus on quantifying and qualifying complications.
    Methods: This retrospective chart review included 424 patients who underwent WALANT hand procedures in the minor procedure room of our private practice between 2015 and 2017. Patients were divided into groups based on the type of procedure, including carpal tunnel release, A1 pulley release, first dorsal compartment release, extensor tendon repair, mass excision, and foreign body removal. Data pertaining to patient demographics and complications were recorded.
    Results: The overall complication rate for all procedures was 2.8% for 424 patients: A1 pulley release (n = 314, 2.5%), first dorsal compartment release (n = 11, 9%), extensor tendon repairs (5.5%), and mass excision (4%). The carpal tunnel release and foreign body removal groups experienced no complications. No adverse events (arrhythmias, vasovagal, etc.) were observed during the use of the WALANT technique.
    Conclusions: Clinic-based WALANT hand surgery procedures are equally safe compared to the same procedures performed in the operating room at an ambulatory surgery center or hospital.
    MeSH term(s) Anesthesia, Local/methods ; Carpal Tunnel Syndrome/surgery ; Foreign Bodies ; Hand/surgery ; Humans ; Private Practice ; Retrospective Studies
    Language English
    Publishing date 2020-12-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2277325-3
    ISSN 1558-9455 ; 1558-9447
    ISSN (online) 1558-9455
    ISSN 1558-9447
    DOI 10.1177/1558944720975132
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Single surgeon series of outcomes of 897 consecutive endoscopic carpal tunnel releases stratified by disease severity.

    Satteson, Ellen S / Cunningham, Teresa C / Gerard, Jessica / Person, David W / Tannan, Shruti C

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2018  Volume 72, Issue 1, Page(s) 137–171

    MeSH term(s) Carpal Tunnel Syndrome/surgery ; Female ; Hand/innervation ; Hand/surgery ; Humans ; Male ; Middle Aged ; Neural Conduction/physiology ; Neuroendoscopy ; Preoperative Care/methods ; Reaction Time/physiology ; Recurrence ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2018-11-02
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2018.10.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Long bone reconstruction with vascularized bone grafts.

    Pederson, William C / Person, David W

    The Orthopedic clinics of North America

    2007  Volume 38, Issue 1, Page(s) 23–35, v

    Abstract: The vascularized fibula may be used for long bone reconstruction reliably and successfully. Since its description by Taylor, the fibula flap has evolved to solve a myriad of long bone reconstructive dilemmas. The flap is used routinely for non-unions, ... ...

    Abstract The vascularized fibula may be used for long bone reconstruction reliably and successfully. Since its description by Taylor, the fibula flap has evolved to solve a myriad of long bone reconstructive dilemmas. The flap is used routinely for non-unions, postoncologic resections, and congenital defects. It provides faster and more reliable union than nonvascularized grafts. When constructed in a double-barrel configuration, it offers the ability to bear weight. The vascularized fibula can be used to maintain growth by virtue of transferring the physis. The vascularized fibula is thus both the workhorse and thoroughbred in long bone construction.
    MeSH term(s) Arm Bones/surgery ; Bone Diseases/surgery ; Bone Transplantation/methods ; Fibula/blood supply ; Fibula/transplantation ; Humans ; Leg Bones/surgery ; Reconstructive Surgical Procedures/methods
    Language English
    Publishing date 2007-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 417389-2
    ISSN 1558-1373 ; 0030-5898
    ISSN (online) 1558-1373
    ISSN 0030-5898
    DOI 10.1016/j.ocl.2006.10.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Reconstruction of the abdominal wall for incisional hernia repair.

    Espinosa-de-Los-Monteros, Antonio / de la Torre, Jorge I / Ahumada, Leonik A / Person, David W / Rosenberg, Laurence Z / Vásconez, Luis O

    American journal of surgery

    2006  Volume 191, Issue 2, Page(s) 173–177

    Abstract: Background: Abdominal wall reconstruction with mobilization of autologous tissue has evolved as a reliable option for patients with incisional hernias.: Methods: With the aim of evaluating morbidity and recurrence rates in patients who underwent ... ...

    Abstract Background: Abdominal wall reconstruction with mobilization of autologous tissue has evolved as a reliable option for patients with incisional hernias.
    Methods: With the aim of evaluating morbidity and recurrence rates in patients who underwent abdominal wall reconstruction for incisional hernia repair, we retrospectively reviewed the charts of 188 patients treated between 1996 and 2003.
    Results: Primary approximation of the fascial defect was achieved in 77% and was reinforced by either mesh placement or rectus muscle advancement. The remaining 23% were reconstructed either by mesh placement, components separation, or distant flap mobilization. Median follow-up was 15 months. Overall morbidity rate was 38%; recurrence rate was 13%. Dimensions of the hernia and intraoperative enterotomies were associated with postoperative complications. Lack of complete restoration of the myofascial abdominal wall continuity was associated with recurrence.
    Conclusions: In patients with incisional hernias, techniques involving autologous tissue mobilization are safe and associated with low recurrence rates.
    MeSH term(s) Abdominal Wall/surgery ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Hernia, Abdominal/surgery ; Humans ; Male ; Middle Aged ; Postoperative Complications ; Retrospective Studies ; Surgical Procedures, Operative/methods
    Language English
    Publishing date 2006-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2005.07.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Conference proceedings: Immediate Nipple Reconstruction and Maintenance of Breast Mound Projection in Free TRAM Flaps

    Williams, Eric H / Fix, R. Jobe / Person, David W / Stoff, Alexander / de la Torre, Jorge / Vasconez, Luis O

    Journal of Reconstructive Microsurgery

    2006  

    Abstract: The breast can be defined aesthetically by two criteria; the mound and the nipple-areolar complex. The advances of microsurgery allow excellent immediate results in creating a natural, aesthetic, and symmetric breast mound. The authors presented a ... ...

    Event/congress American Society for Reconstructive Microsurgery (ASRM), Tucson, Arizona, 2006
    Abstract The breast can be defined aesthetically by two criteria; the mound and the nipple-areolar complex. The advances of microsurgery allow excellent immediate results in creating a natural, aesthetic, and symmetric breast mound. The authors presented a technique first introduced by Dr. L. Colen. They demonstrated a method for shaping the TRAM flap which allows for immediate nipple reconstruction, while maintaining a projecting breast mound. Flap tissue that would otherwise be discarded in the shaping of the TRAM flap is used to create the nipple. The details of this procedure have been recorded and were demonstrated with intraoperative video. The technique is reliable, adds little time to the operation, and provides aesthetically pleasing results. Immediate nipple reconstruction in this setting avoids a second operative procedure and shortens the average reconstructive period. This technique has been employed in nearly one third of the free TRAM reconstructions in the last ten months at the authors' institution (18/64). Immediate nipple reconstruction shortens the reconstructive process, uses the TRAM flap to its maximal potential, provides improved projection, and creates good symmetry.
    Language English
    Publishing date 2006-11-27
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 605983-1
    ISSN 1098-8947 ; 0743-684X ; 0743-684X
    ISSN (online) 1098-8947 ; 0743-684X
    ISSN 0743-684X
    DOI 10.1055/s-2006-955186
    Database Thieme publisher's database

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