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Mehrara, Babak J., M.D.

Plastic and Reconstructive Surgery: December 2009 - Volume 124 - Issue 6 - p 2192
doi: 10.1097/PRS.0b013e3181bcf73d
LETTERS
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Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, N.Y. 10021, mehrarab@mskcc.org

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Sir:

The authors wish to thank Dr. D'Arpa for his letter and congratulate his team on their excellent results. One of the best things about our field is that there are often numerous ways to achieve the same end result. The technique we demonstrate works well in our hands. We have not had complications with bleeding of the muscle edge or other issues outlined by Dr. D'Arpa. In addition, this technique has significantly decreased the incidence of contour deformities associated with rib resection as compared with published methods of internal mammary vessel dissection.1 In fact, most published methods have used techniques similar to those outlined by Dr. D'Arpa and his group in this letter. It is critical for us as surgeon-scientists to review our data objectively and without bias rather than anecdotally. Therefore, we encourage Dr. D'Arpa and his team to review their series and publish their results in a peer-reviewed journal.

Babak J. Mehrara, M.D.

Department of Surgery

Memorial Sloan-Kettering Cancer Center

1275 York Avenue

New York, N.Y. 10021

mehrarab@mskcc.org

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REFERENCE

1. Mosahebi A, Da Lio A, Mehrara BJ. The use of a pectoralis major flap to improve internal mammary vessels exposure and reduce contour deformity in microvascular free flap breast reconstruction. Ann Plast Surg. 2008;61:30–34.

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