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Plastic AND Surgery

Mariam ALfadli, Eman M El-Sehsah, Moustapha Ahmed-Maher Ramadan
Introduction: Patients with burn wounds are more susceptible to develop healthcare associated (HA) infection. Bacterial isolates from HA burn wound infection vary from one place to the other and also differ in terms of antimicrobial susceptibility pattern. The aim of our study was to assess the incidence of HA burn wound infection, risk factors and to determine the microbiological profile and antimicrobial susceptibility pattern of isolated pathogens. Methods: This was a one-year retrospective descriptive study conducted between January 2017 and December 2017, in Al-Babtain Burn and Plastic Surgery center, Kuwait...
December 2018: Germs
Vivien Moris, Pierre Bensa, Brice Gerenton, Philippe Rizzi, Sarah Cristofari, Narcisse Zwetyenga, David Guilier
The cervicofacial lift is a frequently performed procedure in plastic surgery. It is the reference technique for facial rejuvenation and restoration of the oval form of the face and it is essential to treat excess skin. One of the most frequent complications of this procedure is the formation of haematomas. The aim of this article is to analyse the incidence of bleeding in the standard cervicofacial lift carried out under pure local anaesthesia. The entire operation, including liposuction and tightening of the SMAS, can be done under local anaesthesia...
November 16, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Fouad Chouairi, Michael R Mercier, J Scott Persing, Kyle S Gabrick, James Clune, Michael Alperovich
PURPOSE: Being one of the most common congenital hand malformations, syndactyly is repaired by orthopedic, plastic, and fellowship-trained general surgeons. Limited multi-institutional outcomes analyses regarding incidence, timing, and type of repair exist. METHODS: All syndactyly cases performed over a 5-year period from 2012-2016 were isolated from the National Surgical Quality Improvement Program Pediatric database. Patient demographics, surgical factors, perioperative outcomes, and risk factors were analyzed using χ2 , Fisher exact, and t-test analysis...
February 15, 2019: Hand: Official Journal of the American Association for Hand Surgery
Bart Doyen, Peter Vlerick, Heidi Maertens, Frank Vermassen, Isabelle Van Herzeele
BACKGROUND: This monocentric study aimed to explore whether key non-technical attributes can be reliably measured in a mixed population of candidates applying for surgical training, surgical trainees and staff and to identify any differences between these groups. MATERIALS & METHODS: Candidates applying for surgical training, surgical trainees and staff from four surgical specialties (general surgery, orthopedics, plastic surgery or urology) at a tertiary academic teaching hospital were all sent an online self-report questionnaire...
February 12, 2019: International Journal of Surgery
Orr Shauly, Daniel J Gould, Imran Siddiqi, Ketan M Patel, Joseph Carey
Anaplastic large-cell lymphoma (ALCL) is a very rare but life-threatening complication that has largely been demonstrated to be associated with breast implants (BIA-ALCL). Patients are at risk of BIA-ALCL with the placement of breast implants for either cosmetic or reconstructive purposes, with the highest risks associated with textured breast implants. In the past decade, there have been an increasing number of publications focused on BIA-ALCL, but there has yet to be a reported case outside of the breast...
February 15, 2019: Aesthetic Surgery Journal
Elena Bondioli, Valeria Purpura, Catuscia Orlandi, Andrea Carboni, Paola Minghetti, Giovanna Cenacchi, Giovanni De Luca, Daniela Capirossi, Evandro Nigrisoli, Davide Melandri
Full-thickness skin wounds occur in many different clinical cases and the use of biological acellular dermal matrices (ADMs) to reconstruct the damaged area is increasing in the field of plastic and reconstructive surgery. In particular, the ability of ADMs to maintain the structural properties of extracellular matrix as well as to provide a suitable environment for cell growth makes their use suitable for the improvement of wound healing and the reduction of side effects deriving from contracture and scar tissue formation...
February 14, 2019: Cell and Tissue Banking
Philip Young
Importance: A theory on facial beauty might allow clinicians to achieve better results. Objectives: To find the ideal vertical position of the ears, total lip length, lip pucker length, distance between the irises, and starting point for the nasal radix. Design, Setting, and Participants: In this subjective survey, 11 sets of 43 total digitally adjusted pictures (DAPs) and line drawings of actual faces were ranked based on attractiveness by 419 clients at a facial plastic surgery clinic...
February 14, 2019: JAMA Facial Plastic Surgery
Hesham A Saleh, Issa Beegun, Fazil Apaydin
In recent years, there is an increasing trend to use health-related quality of life questionnaires after surgical procedures. The idea is to prove the success of an operation by objectively measurable parameters. Rhinoplasty is by far the most frequently performed surgery of facial plastic surgery. One of the most difficult parts of rhinoplasty is to measure the outcomes after surgery. Rhinoplasty is a unique operation because the surgeon affects three aspects: shape, function, and psychology of the patient...
February 2019: Facial Plastic Surgery: FPS
Enrico Robotti, Waldemar Brandao Penna
Rhinoplasty is universally considered as the most demanding procedure in facial plastic surgery. Secondary rhinoplasty is its crown jewel, even more complex, and likewise highly fascinating. The evolution of thought and practice in rhinoplasty in the last decades has been quick and steady, progressively acknowledging the importance of maintaining structure in primary rhinoplasty and rebuilding structure in secondary procedures. No longer is the paradigm to achieve a small, thin, and pointy nose, but rather a well-proportioned nose which looks natural, albeit elegant and breathing well...
February 2019: Facial Plastic Surgery: FPS
Elaine McKevitt, Urve Kuusk, Carol Dingee, Rebecca Warburton, Jin-Si Pao, Nancy Y Van Laeken, Esta S Bovill
BACKGROUND: Despite benefits in quality of life, patient satisfaction, overall healthcare costs, and number of surgeries, historically fewer than 30% of patients undergo immediate breast reconstruction following mastectomy for breast cancer. A paucity of qualified oncologic and plastic surgeons coupled with inefficient use of operating room (OR) resources presents challenges in offering immediate breast reconstruction in a timely manner. To address these challenges, an immediate reconstruction swing room (IRSW) program was developed...
February 12, 2019: Annals of Surgical Oncology
Mursel Ekinci, Bahadir Ciftci, Erkan Cem Celik, Muhammet Ahmet Karakaya, Yavuz Demiraran
BACKGROUND: PECS type-1 block, a US-guided superficial interfacial block, provides effective analgesia after breast surgery. Aesthetic breast augmentation is one of the most common surgical procedures in plastic surgery. Subpectoral prostheses cause severe pain. The aim of this study was to investigate the effect of different volumes of the solution on the efficacy of PECS type-I block for postoperative analgesia after breast augmentation surgery. METHODS: Ninety ASA status I-II female patients aged between 18 and 65 years who scheduled breast augmentation surgery under general anesthesia were included in this study...
February 12, 2019: Aesthetic Plastic Surgery
Harikrishan S Sachdev, Bhairav Patel, Mark McManis, Mark Lee, Dave F Clarke
Intractable epilepsy may have a more severe effect on children in comparison to adults because the motor, sensorial, and cognitive functions of children are still undergoing development. For this same reason, however, children maintain a greater potential for recovery from intractable epilepsy because of the remaining cerebral plasticity. Thus, after 2 unsuccessful antiepileptic medications, surgical intervention is recommended. Pre-surgical localization of the epileptogenic zone increases seizure-freedom post-surgery by 200% to 300%...
February 12, 2019: Journal of Child Neurology
Robert Kemper, Raymund E Horch, Riccardo E Giunta, Lukas Prantl
BACKGROUND: Plastic and Reconstructive surgery is able to treat patients from head to toe, whereby it can preserve, reform or reconstruct anatomically functional or aesthetic unions. This kind of expertise is appreciated by other medical specialties and is part of high performance medicine in most university clinics. However the standing of academic Plastic Surgery is particularly difficult. In this study we highlight the academic and clinical interdisciplinarity of German academic Plastic Surgery...
February 12, 2019: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Lohrasb R Sayadi, Alexandra Naides, Maddie Eng, Arman Fijany, Mustafa Chopan, Jamasb J Sayadi, Ashkaun Shaterian, Derek A Banyard, Gregory R D Evans, Raj Vyas, Alan D Widgerow
Mixed reality, a blending of the physical and digital worlds, can enhance the surgical experience, leading to greater precision, efficiency and improved outcomes. Various studies across different disciplines have reported encouraging results using mixed reality technologies, such as augmented and virtual reality. To provide a better understanding of the applications and limitations of this technology in plastic surgery, we performed a systematic review of the literature in accordance with PRISMA guidelines...
February 12, 2019: Aesthetic Surgery Journal
Son Nguyen Hong, Nghi Dinh Huu, Nham Nguyen Duy, Tuy Than Trong, Hung Nguyen Bac, Thuong Nguyen Van, Son Tran Thiet, Marco Gandolfi, Claudio Feliciani, Francesca Satolli, Michael Tirant, Aleksandra Vojvodic, Torello Lotti
AIM: To investigate the efficacy of plastic surgery in the treatment of giant congenital melanocytic nevus (GCMN). METHODS: We enrolled 20 patients with 44 lesions and performed one of the following procedures: serial excision, skin grafting, tissue expansion, primary skin closure, distant flap, and adjacent flap. We assessed the outcome at 10 days and 6 months after surgery. RESULTS: Of 44 surgical sites, the most commonly used reconstruction surgeries were serial excision (16), skin grafting (16), and tissue expansion (6)...
January 30, 2019: Open Access Macedonian Journal of Medical Sciences
Hongqiang Wu, Jian Ding, Shihen Li, Jinti Lin, Renhao Jiang, Chen Lin, Li Dai, Chenglong Xie, Dingsheng Lin, Huazi Xu, Weiyang Gao, Kailiang Zhou
Random-pattern skin flaps are widely used to close defects in reconstructive and plastic surgeries; however, they are vulnerable to necrosis, particularly in the distal portion of the flap. Here, we examined the effects of metformin on flap survival and the mechanisms underlying these effects. Following metformin treatment, the survival area, blood flow, and number of microvessels present in skin flaps were increased on postoperative day 7, whereas tissue edema was reduced. In addition, metformin promoted angiogenesis, inhibited apoptosis, relieved oxidative stress, and increased autophagy in areas of ischemia; these effects were reversed by autophagy inhibitors 3-methyladenine (3MA) or chloroquine (CQ)...
2019: International Journal of Biological Sciences
Guru Prasad Reddy, Brijesh Mishra, Divya Narain Upadhyaya
Cutis laxa is an uncommon connective tissue disorder affecting the elastin fibers leading to lax and pendulous skin and in generalized form can present with systemic involvement. Congenital cutis laxa is common in comparison to acquired cutis laxa and has varied inheritance patterns. Treatment is chiefly observation in congenital cutis laxa, and there is a paucity of literature on surgical management in acquired cutis laxa. We report a rare case of acquired localized cutis laxa with a review of literature on the role of plastic surgery in this condition...
January 2019: Indian Journal of Dermatology
Ahmed Latif, Luke Hopkins, David Robinson, Christopher Brown, Tarig Abdelrahman, Richard Egan, Awen Iorwerth, John Pollitt, Wyn G Lewis
OBJECTIVE: Performance assessment is challenging to administer and validate, yet remains central to patient safety and quality of care. The aim of this study was to evaluate Consultant Surgeon trainer performance with respect to Workplace Based Assessment (WBA) completion. DESIGN: All WBAs for 60 Core Surgical Trainees (n = 2932) recorded in one academic year were analyzed using the Intercollegiate Surgical Curriculum Progamme. Primary outcome measures were numbers of WBAs performed related to trainer role (Assigned Educational Supervisor vs...
February 8, 2019: Journal of Surgical Education
Ravindra Arya, Brian Ervin, J Adam Wilson, Anna W Byars, Leonid Rozhkov, Jason Buroker, Paul S Horn, Craig Scholle, Hisako Fujiwara, Hansel M Greiner, James L Leach, Douglas F Rose, Francesco T Mangano, Tracy A Glauser, Katherine D Holland
OBJECTIVE: We studied age-related dynamics of information sharing among cortical language regions with electrocorticographic high-gamma modulation during picture-naming and story-listening tasks. METHODS: Seventeen epilepsy patients aged 4-19 years, undergoing extraoperative monitoring with left-hemispheric subdural electrodes, were included. Mutual information (MI), a nondirectional measure of shared information, between 16 pairs of cortical regions of interest, was computed from trial-averaged 70-150 Hz power modulations during language tasks...
February 11, 2019: Epilepsia
Daniel Häussler, Haneen Sadick, Nicole Rotter
Skin tumors are becoming more and more frequent due to an increased exposition to UV-radiation and the growing age of the population. At the same time expectations with regard to function and aesthetics are growing. An in-total resection of the tumor with clear margins is the first step in surgical treatment of such patients. Reconstruction of the resulting defects depends on patient-specific factors such as prior radiation therapy or prior surgery, the patient´s individual expectations and the surgeon´s skills...
February 2019: Laryngo- Rhino- Otologie
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