Donald H. Lalonde

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LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Evaluate patients seeking breast augmentation using key variables to assist in selection from the choices for incision, implant type and size, and plane of dissection. 2. Minimize the need for revisionary surgery to factors beyond the surgeon's control. SUMMARY The(More)
PURPOSE To examine prospectively the incidence of digital infarction and phentolamine rescue in a large series of patients in whom local anesthesia with adrenaline was injected electively into the hand and fingers. There continues to be a commonly held belief that epinephrine injection is contraindicated in the finger despite a lack of valid evidence to(More)
For the last 7 years, D.H. Lalonde has added the No Vertical Scar breast reduction to his armamentarium of reduction techniques. This operation is almost the same as the inferior pedicle T scar reduction. However, a small modification of the Wise pattern permits the deletion of the vertical portion of the T scar. The first 14 years of the Dr. Lalonde’s(More)
BACKGROUND Medical texts continue to perpetuate the belief that epinephrine should not be injected in fingers. Little attention has been paid to analyze the evidence that created this belief to see whether it is valid. The significance is that elective epinephrine finger injection has been shown to remove the need for a tourniquet, and therefore delete(More)
BACKGROUND Our goals were to analyze cost and efficiency of performing carpal tunnel release (CTR) in the main operating room (OR) versus the ambulatory setting, and to document the venue of carpal tunnel surgery practices by plastic surgeons in Canada. METHOD A detailed analysis of the salaries of nonphysician personnel and materials involved in CTR(More)
BACKGROUND Thoracic paravertebral block (TPVB) offers an attractive alternative to general anaesthesia (GA) for ambulatory breast surgery. The aim of this meta-analysis was first to evaluate the safety and efficacy of TPVB for breast surgery, and second to compare TPVB with GA with regard to postoperative pain, nausea and vomiting, opioid consumption and(More)
BACKGROUND Wide-awake flexor tendon repair in tourniquet-free unsedated patients permits intraoperative Total Active Movement examination (iTAMe) of the freshly repaired flexor tendon. This technique has permitted the intraoperative observation of tendon repair gapping induced by active movement when the core suture is tied too loosely. The gap can be(More)
OBJECTIVES Accidental finger injections with high-dose (1:1,000) epinephrine is a new and increasing phenomenon. The purpose of this study is to document the incidence of finger necrosis and the treatment for this type of injury. The necessity or type of treatment required for this type of injury has not been established. METHODS The literature was(More)
Properly injected local anesthesia can be almost painless with attention to a few simple details that have been published in a previous Plastic and Reconstructive Surgery video1 (see Video 3, which demonstrates injection tips for “hole in one” local anesthesia, available in the Related Videos section of “The Safe Management of Anesthesia, Sedation, and Pain(More)
LEARNING OBJECTIVES After reading this article, the participant should be able to: 1. Understand the basic stages of wound healing. 2. Apply current techniques to achieve wound closure. 3. Manage patients with simple and complex wounds effectively. SUMMARY While wound healing can still be divided into stages, numerous intrinsic and extrinsic factors must(More)