ABSTRACT
INTRODUCTION: Over the past few decades, there have been multiple reports of liposuction assisted breast reduction. This technique appeals to patients due to the limited scars and complication profile, compared to traditional reduction mammaplasty techniques. We aimed to systematically review the literature, to elucidate the outcomes and safety of liposuction-only breast reduction. METHODS: A systematic review was performed using the Ovid (Medline/PubMed) database, in accordance with the PRISMA checklist. RESULTS: In total 7 articles were included within this systematic review. A total of 652 patients were included. Liposuction-only breast reduction appears to lead to improvements in subjective outcome measures, patient satisfaction, and objective outcomes such as moderate breast volume reduction and reduction in breast ptosis. Overall, the procedure had a low complication profile. Liposuction did not preclude further surgery. No evidence of malignancy or difficulty in future breast cancer screening was noted. CONCLUSION: Macromastia leads to a considerable health burden, especially in health-related costs. From the current evidence base, liposuction-only breast reduction appears to be a safe and effective procedure, especially in patients requiring a mild-moderate breast volume reduction and mild ptosis correction. More research is required, with standardised subjective and objective outcome measures, and longer follow-up periods to confirm the effectiveness and safety of this technique. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .
ABSTRACT
In military recruits, sudden cardiac death rates have been reported as varying from 2 to 13 per 100,000 per year which are mostly related to exercise. However, the development of structural heart changes that may be associated with ventricular arrhythmias have not been reported among this cohort, despite them undergoing endurance training similar to athletes. Here, we report two cases where military personnel were found to have life-threatening cardiac arrhythmias associated with structural heart disease, highlighting the importance of early recognition and treatment of these arrhythmias.
Subject(s)
Arrhythmias, Cardiac , Heart Diseases , Military Personnel , Adult , Arrhythmias, Cardiac/diagnosis , Arrhythmias, Cardiac/etiology , Cardiac Imaging Techniques , Death, Sudden, Cardiac/prevention & control , Electrocardiography , Exercise , Heart Diseases/complications , Heart Diseases/diagnosis , Humans , Magnetic Resonance Imaging , Male , Middle AgedABSTRACT
Background Reducing waiting times for patients is a worthy goal for all healthcare professionals. The means and ability to carry out nerve conduction studies in the hand outpatient clinic has the potential to reduce waiting times between appointments for patients with upper limb neural compression. Methods We assessed the pathway of patients presenting with upper limb neural compression in the Aneurin Bevan Trust. Overall, 115 patients were included, being assessed in four different patient pathway groups. Results We found that by implementing a nerve conduction clinic, and then that of a one stop clinic, we were able to reduce the median waiting times from referral to surgical intervention, to 133 days. Conclusion The introduction of nerve conduction clinics allowed the one stop clinic to be established, achieving the goal of reducing patient waiting times.
