Latest Updates

Microsurgical Reconstruction of the Upper Extremity

    • Recent literature highlighting considerations for surgical timing of microsurgical reconstruction is reviewed and summarized.
    • Recent literature highlighting risk factors for failure of free flaps is reviewed and summarized.
    • Newer concepts, including perforator freestyle flaps, have been introduced.

Erectile Dysfunction: Evaluation, Including Diagnostic Studies

    • Risk assessment in patients with cardiovascular disease
    • Penile Doppler ultrasonography
    • Cavernosometry and cavernosography

Diagnosis, Etiology, and Treatment of Premenstrual Dysphoric Disorder

    • Diagnosing PMDD only formally achieved after ruling out other underlying mood or anxiety disorder, and if the symptoms persist for two consecutive months, in a cyclic fashion.
    • Differential Diagnosis for PMDD include any mood or anxiety disorder, or PTSD. Providers should rule out PME of one of these disorders first.
    • The etiology of PMDD is likely multifactorial and includes the interplay between genetics, neurosteroids, neurotransmitters, brains structure and function, and the pathophysiology that connects these factors.
    • Of the pharmacologic approaches, serotonergic reuptake inhibitors and oral contraceptives should initially be considered for treatment of PMDD.

Immunosuppression

    • Full review of all available literature on transplant immunosuppression use in renal transplantation
    • Recommendations for strategies to manage common adverse reactions from transplant immunosuppressants
    • Evaluation of specific medications that are used for the management of antibody-mediated rejection

Head and Neck Melanoma: An Overview

    • A recently discovered gain-of-function mutation in the RAC1 gene in melanomas may provide a potential target for pharmacologic treatment.
    • Adoptive cell therapy has been refined and advanced to become an effective form of personalized cancer therapy, but the search continues to generalize its use.
    • Expanding our knowledge of and targeting the tumor microenvironment, which provides several means of tumor protection, may unlock the full potential of immunotherapy.

Surgical Management of the Breast

    • Diagnosis of breast cancer: from open biopsy of palpable lesions to minimally invasive image-guided core-needle biopsy
    • Extirpation of primary breast cancer: from mastectomy to breast conservation and oncoplastics
    • Lymph node evaluation: from axillary dissection to sentinel node biopsy
    • Integration with multidisciplinary management of breast cancer

Physical Medicine and Rehabilitation: Modalities and Exercise

    • Kinesio taping in treatment of musculoskeletal injury
    • Cryotherapy and delayed-onset muscle soreness following rigorous exercise activities
    • Most recent recommendations from the American College of Sports Medicine for physical activity

Infrainguinal Arterial Procedures

    • varying imaging modalities for planning
    • variety of options for lower extremity bypass
    • incorporation of endovascular techniques with bypass
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