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Peri-Operative Blood Pressure  and Hematoma Following  Reduction Mammaplasty W. Thomas McClellan, M.D.  American Society of Aesthetic Plastic Surgery - 2006
History ,[object Object],[object Object],[object Object],DoฤŸan, Teoman M.D. et. Al. Plastic Surgical Techniques in the Fifteenth Century by ลžerafeddin SabuncuoฤŸlu. Plastic & Reconstructive Surgery:  Volume 99(6) May 1997 pp 1775-1779
Epidemiology ,[object Object],[object Object],[object Object],[object Object],Grimm, K. Reduction of the breasts, Hans Schaller and the first mammaplasty. Handchir Mikochir Plast Chir, 32(5): 316-20. 2000 Rohrich, Rod J. M.D. et al. Current Preferences for Breast Reduction Techniques: A Survey of Board-Certified Plastic Surgeons. Plastic and  Reconstructive Surgery: Volume 114(7) December 2004 pp 1724-1733   American Society of Aesthetic Plastic Surgeons 2004 Report
Incidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypothesis ,[object Object]
Theory ,[object Object],[object Object],[object Object],[object Object],Lee, H., Malyaon, A, Norrie, J. The impact of intraoperative hypotension on the development of wound hematoma after breast  reduction. Br J Plas Surg. 54: 517-22. 2001.
Methods ,[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods 1 st  phase  2 nd  phase  3 rd  phase Total Operative Time   (Phases) Shaping Hemostatic Closing ,[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results ns = p > 0.05 No Hematoma Hematoma p value Preoperative 131 125 ns 1 st  Phase 106 101 ns 2 nd  Phase 107 93 0.005 3 rd  Phase 111 106 ns Postoperative 132 145 ns Pre vs 2 nd  Phase 24 32 ns Pre vs Post op  1 19 0.007 2 nd  Phase vs Post-op 24 52 0.0001
Results - MAP ns = p > 0.05 No Hematoma Hematoma p value Preoperative 97 93 ns 2 nd  Phase 75 67 0.01 Postoperative 94 105 0.03 Pre vs 2 nd  Phase 22 26 ns Pre vs Post op  -3 12 0.001 2 nd  Phase vs Post-op 18 38 0.0001
Results - MAP
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object]
[object Object]

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Blood pressure and hematoma with breast reduction

  • 1. Peri-Operative Blood Pressure and Hematoma Following Reduction Mammaplasty W. Thomas McClellan, M.D. American Society of Aesthetic Plastic Surgery - 2006
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  • 8.
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  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Results ns = p > 0.05 No Hematoma Hematoma p value Preoperative 131 125 ns 1 st Phase 106 101 ns 2 nd Phase 107 93 0.005 3 rd Phase 111 106 ns Postoperative 132 145 ns Pre vs 2 nd Phase 24 32 ns Pre vs Post op 1 19 0.007 2 nd Phase vs Post-op 24 52 0.0001
  • 15. Results - MAP ns = p > 0.05 No Hematoma Hematoma p value Preoperative 97 93 ns 2 nd Phase 75 67 0.01 Postoperative 94 105 0.03 Pre vs 2 nd Phase 22 26 ns Pre vs Post op -3 12 0.001 2 nd Phase vs Post-op 18 38 0.0001
  • 17.
  • 18.
  • 19.
  • 20.