John P Fischer

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. ncbi request reprint Concurrent panniculectomy with open ventral hernia repair has added risk versus ventral hernia repair: an analysis of the ACS-NSQIP database
    John P Fischer
    Division of Plastic Surgery, Perelman School of Medicine at the Hospital of the University of Pennsylvania, Philadelphia, PA, USA Electronic address
    J Plast Reconstr Aesthet Surg 67:693-701. 2014
  2. doi request reprint Risk analysis of early implant loss after immediate breast reconstruction: a review of 14,585 patients
    John P Fischer
    Divisions of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:983-90. 2013
  3. doi request reprint Impact of obesity on outcomes in breast reconstruction: analysis of 15,937 patients from the ACS-NSQIP datasets
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:656-64. 2013
  4. doi request reprint Factors associated with readmission following plastic surgery: a review of 10,669 procedures from the 2011 American College of Surgeons National Surgical Quality Improvement Program data set
    John P Fischer
    Division of Plastic Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA
    Plast Reconstr Surg 132:666-74. 2013
  5. doi request reprint Risk analysis and stratification of surgical morbidity after immediate breast reconstruction
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:780-7. 2013
  6. doi request reprint Outcome analysis of 244 consecutive flaps for managing complex groin wounds
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Plast Reconstr Aesthet Surg 66:1396-404. 2013
  7. doi request reprint A retrospective review of outcomes and flap selection in free tissue transfers for complex lower extremity reconstruction
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Reconstr Microsurg 29:407-16. 2013
  8. doi request reprint Breast reconstruction modality outcome study: a comparison of expander/implants and free flaps in select patients
    John P Fischer
    Divisions of Plastic Surgery and Finance, Hospital of the University of Pennsylvania, PA 19104, USA
    Plast Reconstr Surg 131:928-34. 2013
  9. ncbi request reprint Free tissue transfer in the obese patient: an outcome and cost analysis in 1258 consecutive abdominally based reconstructions
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, PA 19104, USA
    Plast Reconstr Surg 131:681e-92e. 2013
  10. doi request reprint A 15-year experience of complex scalp reconstruction using free tissue transfer-analysis of risk factors for complications
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Reconstr Microsurg 29:89-97. 2013

Detail Information

Publications40

  1. ncbi request reprint Concurrent panniculectomy with open ventral hernia repair has added risk versus ventral hernia repair: an analysis of the ACS-NSQIP database
    John P Fischer
    Division of Plastic Surgery, Perelman School of Medicine at the Hospital of the University of Pennsylvania, Philadelphia, PA, USA Electronic address
    J Plast Reconstr Aesthet Surg 67:693-701. 2014
    ..The aim of this study is to assess the added risk of ventral hernia repair and panniculectomy (VHR-PAN) using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) data sets...
  2. doi request reprint Risk analysis of early implant loss after immediate breast reconstruction: a review of 14,585 patients
    John P Fischer
    Divisions of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:983-90. 2013
    ..Early prosthesis loss is an infrequent but serious complication after breast reconstruction. We assessed perioperative risk factors associated with early device loss after immediate breast reconstruction (IBR) using the ACS-NSQIP datasets...
  3. doi request reprint Impact of obesity on outcomes in breast reconstruction: analysis of 15,937 patients from the ACS-NSQIP datasets
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:656-64. 2013
    ..We aimed to use the World Health Organization (WHO) obesity stratification scheme to assess the overall risk of obese patients undergoing breast reconstruction using the ACS-NSQIP database from 2005 to 2010...
  4. doi request reprint Factors associated with readmission following plastic surgery: a review of 10,669 procedures from the 2011 American College of Surgeons National Surgical Quality Improvement Program data set
    John P Fischer
    Division of Plastic Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA
    Plast Reconstr Surg 132:666-74. 2013
    ..This study explored factors associated with readmission following plastic surgery using a prospective, validated, national database...
  5. doi request reprint Risk analysis and stratification of surgical morbidity after immediate breast reconstruction
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Am Coll Surg 217:780-7. 2013
    ..We used the ACS-NSQIP datasets from 2005 to 2011 to derive predictors of morbidity and to stratify risk after immediate breast reconstruction (IBR)...
  6. doi request reprint Outcome analysis of 244 consecutive flaps for managing complex groin wounds
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Plast Reconstr Aesthet Surg 66:1396-404. 2013
    ..We present a large experience of flaps for managing complex groin wounds. The purpose of our study was to assess outcomes with respect to flap selection and indication (prophylactic versus salvage)...
  7. doi request reprint A retrospective review of outcomes and flap selection in free tissue transfers for complex lower extremity reconstruction
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Reconstr Microsurg 29:407-16. 2013
    ..Complex lower extremity wounds present a significant challenge to the reconstructive surgeon. We report a consecutive experience of free tissue transfers for lower extremity reconstruction with a focus on outcomes and flap selection...
  8. doi request reprint Breast reconstruction modality outcome study: a comparison of expander/implants and free flaps in select patients
    John P Fischer
    Divisions of Plastic Surgery and Finance, Hospital of the University of Pennsylvania, PA 19104, USA
    Plast Reconstr Surg 131:928-34. 2013
    ..The authors provide outcomes data comparing two common reconstructive modalities to assist patients and surgeons in preoperative counseling and discussions...
  9. ncbi request reprint Free tissue transfer in the obese patient: an outcome and cost analysis in 1258 consecutive abdominally based reconstructions
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, PA 19104, USA
    Plast Reconstr Surg 131:681e-92e. 2013
    ..The authors provide a comprehensive outcome analysis of patients undergoing abdominally based autologous breast reconstruction...
  10. doi request reprint A 15-year experience of complex scalp reconstruction using free tissue transfer-analysis of risk factors for complications
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Reconstr Microsurg 29:89-97. 2013
    ..The aim of this study is to determine factors associated with complications...
  11. doi request reprint Perioperative hemodynamics in free flap breast reconstruction: incidence, predictors, and management of tachycardia
    John P Fischer
    Division of Plastic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Ann Plast Surg 69:356-60. 2012
    ..In this study, we examine perioperative circulatory and physiologic changes in an effort to identify risk factors and complications associated with postoperative tachycardia...
  12. doi request reprint Prophylactic muscle flaps in vascular surgery: the Penn Groin Assessment Scale
    John P Fischer
    Divisions of Plastic Surgery and Vascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Plast Reconstr Surg 129:940e-949e. 2012
    ..The authors present a risk assessment tool, an evidence-based algorithm for using prophylactic muscle flaps, and a comprehensive cost analysis...
  13. doi request reprint Prophylactic muscle flaps in vascular surgery
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Vasc Surg 55:1081-6. 2012
    ..We have taken steps to reduce potential complications at the time of initial surgery by performing prophylactic muscle flaps. The purpose of this study is to evaluate the efficacy and benefit of prophylactic flaps in high-risk patients...
  14. doi request reprint Peri-operative risk factors associated with early tissue expander (TE) loss following immediate breast reconstruction (IBR): a review of 9305 patients from the 2005-2010 ACS-NSQIP datasets
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Plast Reconstr Aesthet Surg 66:1504-12. 2013
    ..Early loss of an implant is a serious complication following breast reconstruction. We assess perioperative risk factors associated with tissue expander (TE) loss following immediate breast reconstruction (IBR) using the ACS-NSQIP datasets...
  15. ncbi request reprint Preoperative anemia impacts early postoperative recovery following autologous breast reconstruction
    Jonas A Nelson
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA Electronic address
    J Plast Reconstr Aesthet Surg 67:797-803. 2014
    ..The impact of anemia on postoperative physical and mental health, however, is unknown. This study aimed to prospectively evaluate the role of preoperative anemia in recovery after autologous reconstruction...
  16. doi request reprint Optimizing the fascial closure: an analysis of 1261 abdominally based free flap reconstructions
    Emily C Cleveland
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Plast Surg 71:255-60. 2013
    ..The purposes of our study were to critically examine abdominal donor-site morbidity and to present our algorithm for optimizing donor site closure to reduce these complications...
  17. ncbi request reprint Breast reconstruction in the morbidly obese patient: assessment of 30-day complications using the 2005 to 2010 National Surgical Quality Improvement Program data sets
    John P Fischer
    Philadelphia, Pa From the Division of Plastic Surgery, Hospital of the University of Pennsylvania
    Plast Reconstr Surg 132:750-61. 2013
    ..The authors assess the risk and safety profiles of both implant and autologous breast reconstructions in the morbidly obese population using the National Surgical Quality Improvement Program data sets...
  18. ncbi request reprint Abdominal wall reconstruction in the obese: an assessment of complications from the National Surgical Quality Improvement Program datasets
    Jonas A Nelson
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA Electronic address
    Am J Surg 207:467-75. 2014
    ..This study utilizes the American College of Surgeons National Surgical Quality Improvement Program database to better understand the impact of obesity on perioperative surgical morbidity in abdominal wall reconstruction (AWR)...
  19. doi request reprint The use of epidurals in abdominal wall reconstruction: an analysis of outcomes and cost
    John P Fischer
    Philadelphia, Pa From the Division of Plastic Surgery, and the Department of Anesthesia, Hospital of the University of Pennsylvania
    Plast Reconstr Surg 133:687-99. 2014
    ..Ventral hernias are a common, challenging, and expensive problem for general and reconstructive surgeons. The authors assessed the impact of epidurals on morbidity following abdominal wall reconstruction for hernia...
  20. doi request reprint Comprehensive outcome and cost analysis of free tissue transfer for breast reconstruction: an experience with 1303 flaps
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Plast Reconstr Surg 131:195-203. 2013
    ..The authors present their longitudinal experience of free tissue breast reconstructions with an emphasis on predictors of major surgical and medical complications...
  21. ncbi request reprint The impact of complications on function, health, and satisfaction following abdominally based autologous breast reconstruction: a prospective evaluation
    Stephen M Lu
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Plast Reconstr Aesthet Surg 67:682-92. 2014
    ..We prospectively examined the effect of complications on these aspects in patients undergoing abdominally-based autologous reconstruction...
  22. ncbi request reprint Analysis of risk factors, morbidity, and cost associated with respiratory complications following abdominal wall reconstruction
    John P Fischer
    Philadelphia, Pa From the Division of Plastic Surgery and the Department of Surgery, Hospital of the University of Pennsylvania
    Plast Reconstr Surg 133:147-56. 2014
    ..The aim of this study was to assess perioperative factors and cost associated with postoperative respiratory morbidity in abdominal wall reconstruction...
  23. doi request reprint Delayed autologous breast reconstruction: factors which influence patient decision making
    Jonas A Nelson
    Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States Electronic address
    J Plast Reconstr Aesthet Surg 66:1513-20. 2013
    ..The purpose of this study was to examine delayed autologous breast reconstruction at a center favouring immediate reconstruction to better understand factors driving the decision to delay reconstruction...
  24. ncbi request reprint The impact of obesity on abdominal wall function after free autologous breast reconstruction
    Jonas A Nelson
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
    Microsurgery 34:352-60. 2014
    ..The purpose of this study was to determine if obesity alters the postoperative abdominal wall strength profile after autologous reconstruction...
  25. doi request reprint Complications in body contouring procedures: an analysis of 1797 patients from the 2005 to 2010 American College of Surgeons National Surgical Quality Improvement Program databases
    John P Fischer
    Philadelphia, Pa From the Division of Plastic Surgery, Hospital of the University of Pennsylvania
    Plast Reconstr Surg 132:1411-20. 2013
    ..The purpose of this study was to examine the incidence and predictors of surgical and medical morbidity following body contouring procedures...
  26. doi request reprint Sartorius transposition during inguinal lymphadenectomy for melanoma
    Edmund K Bartlett
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19147, USA
    J Surg Res 184:209-15. 2013
    ..Sartorius transposition (ST) is a technique that has been proposed to minimize morbidity. We report the frequency of utilization of ST and associated clinical outcomes in a national sample...
  27. doi request reprint Among 1,706 cases of abdominal wall reconstruction, what factors influence the occurrence of major operative complications?
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
    Surgery 155:311-9. 2014
    ..Our aim was to assess risk factors for major operative morbidity after AWR using the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) patient database...
  28. doi request reprint Chronic pain following abdominal free flap breast reconstruction: a prospective pilot analysis
    Jonas A Nelson
    Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
    Ann Plast Surg 71:278-82. 2013
    ..The purpose of this study was to examine chronic, persistent pain in a prospective study of free flap breast reconstruction patients, in an effort to identify possible points of intervention and counseling...
  29. doi request reprint Does previous chest wall irradiation increase vascular complications in free autologous breast reconstruction?
    Joshua Fosnot
    Division of Plastic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Plast Reconstr Surg 127:496-504. 2011
    ..The purpose of this study was to determine whether prereconstruction radiation therapy affects the rate of vascular complications in free flap breast reconstruction...
  30. ncbi request reprint Free flap lower extremity reconstruction in the obese population: does weight matter?
    Emily C Cleveland
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
    J Reconstr Microsurg 30:263-70. 2014
    ..6 vs. 0%, p=0.005).This study concludes that successful lower extremity reconstruction can be performed in the obese population, with few differences in complication rates and outcomes relative to healthy weight patients...
  31. ncbi request reprint Transfusions in autologous breast reconstructions: an analysis of risk factors, complications, and cost
    John P Fischer
    From the Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
    Ann Plast Surg 72:566-71. 2014
    ..Free tissue transfer requires lengthy operative times and can be associated with significant blood loss. The goal of our study was to determine independent risk factors for blood transfusions and transfusion-related complications and costs...
  32. ncbi request reprint The impact of anemia on microsurgical breast reconstruction complications and outcomes
    Jonas A Nelson
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
    Microsurgery 34:261-70. 2014
    ..We present a comprehensive examination of perioperative anemia, determining its prevalence and effect on complications and outcomes in autologous breast reconstruction...
  33. ncbi request reprint Free tissue transfer for complex reconstruction of the lower extremity: experience of a young microsurgeon
    Jason D Wink
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
    J Reconstr Microsurg 30:349-58. 2014
    ..Total flap loss occurred in three patients. Through increased utilization of the ALT and adherence to lessons learned over time, improvements in outcomes can occur, giving patients the best possible chance at limb salvage. ..
  34. doi request reprint Complications following reduction mammaplasty: a review of 3538 cases from the 2005-2010 NSQIP data sets
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
    Aesthet Surg J 34:66-73. 2014
    ..Reduction mammaplasty is an established and effective technique to treat symptomatic macromastia. Variable rates of complications have been reported, and there is a continued need for better outcome assessment studies...
  35. doi request reprint Lower extremity free flap outcomes using an anastomotic venous coupler device
    Nilton D Medina
    From the Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA
    Ann Plast Surg 72:176-9. 2014
    ..We present one of the largest series to date examining the use of the venous coupler in microsurgical reconstruction of the lower extremity...
  36. doi request reprint Patterns of preoperative laboratory testing in patients undergoing outpatient plastic surgery procedures
    John P Fischer
    Department of Surgery, Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia
    Aesthet Surg J 34:133-41. 2014
    ..We searched the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) data set to determine the impact of preoperative laboratory testing in ambulatory plastic surgery patients...
  37. doi request reprint Complications and morbidity following breast reconstruction--a review of 16,063 cases from the 2005-2010 NSQIP datasets
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Plast Surg Hand Surg 48:104-14. 2014
    ..Data derived from this cohort can be used to risk-stratify patients and to enhance perioperative decision-making...
  38. ncbi request reprint A population-level analysis of bilateral breast reduction: does age affect early complications?
    Jonas A Nelson
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Aesthet Surg J 34:409-16. 2014
    ..As the American population ages, a growing number of women may suffer from symptomatic macromastia in their later years...
  39. ncbi request reprint A 30-day risk assessment of mastectomy alone compared to immediate breast reconstruction (IBR)
    John P Fischer
    Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Plast Surg Hand Surg 48:209-15. 2014
    ..However, other modifiable risk factors appear to be strongly correlated with postoperative complications. Level of Evidence: prognostic/risk category, level II...
  40. doi request reprint Free function muscle transfers for upper extremity reconstruction: a review of indications, techniques, and outcomes
    John P Fischer
    Division of Plastic Surgery and the Department of Orthopedic Surgery, Hospital of the University of Pennsylvania and the Upper Extremity Center of Excellence, Shriners Hospital for Children, Philadelphia, Pennsylvania
    J Hand Surg Am 38:2485-90. 2013
    ..In this review, we assess and summarize the current literature on FFMT, with emphasis on etiopathogenesis, diagnosis, treatment, postoperative management, and clinical outcomes. ..