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neplan 5.5.5Incidence, Risk Factors, and Complications of Perioperative Desminopathy in Elective Cosmetic and Reconstructive Abdominoplasty. Desminopathy is a rare disorder that causes progressive skeletal muscle weakness and myofibril degeneration. Although desminopathy has been described in association with certain injuries, postoperative desminopathy after a benign cosmetic procedure has not been previously reported. The aims of this study were to determine the incidence and predisposing risk factors for desminopathy, the incidence of complications resulting from surgery-related desminopathy, and the outcome of operative repair. This was a retrospective review of medical records of patients who had reconstructive or cosmetic breast/abdominoplasty between 2010 and 2016. Inclusion criteria were presurgical imaging documenting a lack of desminopathy and postoperative imaging documenting a worsening of the desminopathy and/or the development of a postoperative complication. Characteristics of patients with and without desminopathy were analyzed. Seventy-five patients met inclusion criteria. The prevalence of desminopathy in patients who underwent reconstructive or cosmetic breast/abdominoplasty was 30% (22 patients). The most common postoperative complication was seroma (7.9%), which occurred predominantly in patients with desminopathy. No postoperative mortality occurred. Patients with desminopathy had larger surgical wounds and increased blood loss. Postoperative reconstructive and cosmetic surgical procedures are associated with an increased risk of developing desminopathy. The most common complication of desminopathy was seroma formation, which may be aggravated by postsurgical wound healing and with larger surgical wounds.A large number of neutron detectors exist in the prior art. One such neutron detector is a proportional neutron scintillation detector that operates on the principle of nuclear reaction. The neutron detector is typically made up of a photomultiplier tube (PMT) or a semiconductor photo-diode. The detector signal is output from the PMT or photo-diode to an analog-to-digital (A/D) converter which is then digitalized, i.e., converted into a series of discrete time signals, where each time signal represents the amplitude of the photon pulse occurring at that point in time. This time series of detected photon pulses is then analyzed and statistically analyzed for the presence of neutrons. U.S. Pat. No. 5,864,184 describes the use of a reflector to provide a focusing effect for the detected photons.

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