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Annals of African Medicine 2020The delivery of education and training in plastic surgery in Sub-Saharan Africa face increasing challenges. These include endemic shortages of plastic surgeons within... (Review)
Review
The millennial generation plastic surgery trainees in sub-Saharan Africa and social media: A review of the application of blogs, podcasts, and twitter as web-based learning tools.
The delivery of education and training in plastic surgery in Sub-Saharan Africa face increasing challenges. These include endemic shortages of plastic surgeons within postgraduate medical school faculties, the erosion of financial and clinical resources for teaching, and more recently, the millennial generation paradigm shift. It is generally accepted that the millennial generation will be more discerning and comfortable in their requirements for web-based learning content to support their education and training in plastic surgery. We reviewed current literature including original and review articles obtained through a search of PubMed database, Medline, Google Scholar, and hand searching of bibliographies of published articles using the keywords: social media, Blogs, Twitter, plastic surgery, and millennial generation. This article defines and explores Blogs, Podcasts, and Twitter, as web-based learning tools, and discusses how to leverage social media to maximize their educational value and effectiveness.s.
Topics: Africa South of the Sahara; Education, Medical, Graduate; Humans; Internet; Social Media; Surgery, Plastic; Teaching; Webcasts as Topic
PubMed: 32499462
DOI: 10.4103/aam.aam_25_17 -
Journal of Korean Medical Science Nov 2013
Topics: Humans; Medical Tourism; Plastic Surgery Procedures; Republic of Korea; Surgery, Plastic
PubMed: 24265516
DOI: 10.3346/jkms.2013.28.11.1561 -
Aesthetic Surgery Journal Jan 2021A moratorium was placed on nonurgent surgery throughout much of the United States in mid-March 2020 due to surging numbers of COVID-19 cases. Several months later, and... (Review)
Review
BACKGROUND
A moratorium was placed on nonurgent surgery throughout much of the United States in mid-March 2020 due to surging numbers of COVID-19 cases. Several months later, and with new safety precautions in place, elective surgery gradually resumed. However, no data exist on the safety of plastic surgery during the pandemic.
OBJECTIVES
This aim of this survey was to assess the safety of plastic surgery during the pandemic by quantifying: (1) the preoperative prevalence of SARS-CoV-2; (2) the risk of postoperative COVID-19; (3) outcomes and precious resource utilization for such cases; and (4) the risks to office staff.
METHODS
Los Angeles plastic surgeons certified by the American Board of Plastic Surgery (ABPS) were sent an online survey in July 2020, during a local COVID-19 surge, querying about the number of procedures performed in the 8- to 10-week period since reopening, testing policies, surgical complications, and cases among staff.
RESULTS
In total, 112 surgeons reported 5633 surgeries since resuming elective surgery. Of these, 103 (91.96%) surgeons obtained a preoperative SARS-CoV-2 polymerase chain reaction (PCR) test for every patient. The preoperative PCR test was positive in 41/5881 (0.69%). Positive tests within 2 weeks postoperation occurred in 7/5380 (0.13%) of surgical patients, 3/8506 (0.04%) of injection patients, and 6/2519 (0.24%) of energy therapy patients. Nine offices reported at least 1 staff member who developed COVID-19. All cases were mild, with no hospitalizations or deaths.
CONCLUSIONS
These data demonstrate that plastic surgery can be performed safely during a COVID-19 surge by ABPS diplomates. This has profound impact for patients, plastic surgeons, and health policy regulators.
Topics: COVID-19; Elective Surgical Procedures; Humans; Los Angeles; Outpatients; SARS-CoV-2; Surgery, Plastic; Surveys and Questionnaires
PubMed: 33026419
DOI: 10.1093/asj/sjaa287 -
Ugeskrift For Laeger Oct 2022
Topics: Humans; Plastic Surgery Procedures; Surgery, Plastic
PubMed: 36205154
DOI: No ID Found -
Aesthetic Surgery Journal Mar 2016
Topics: Clinical Competence; Cosmetic Techniques; Expert Testimony; Humans; Liability, Legal; Malpractice; Medical Errors; Plastic Surgery Procedures; Standard of Care; Surgery, Plastic
PubMed: 26628537
DOI: 10.1093/asj/sjv238 -
Polski Przeglad Chirurgiczny Jun 2019Plastic surgery was first introduced as a sub-specialty of general surgery in Germany in 1978. Since then, this surgical subspecialty/discipline has evolved enormous...
BACKGROUND
Plastic surgery was first introduced as a sub-specialty of general surgery in Germany in 1978. Since then, this surgical subspecialty/discipline has evolved enormous potential, e.g. in collaboration with other disciplines such as general andabdominal surgery.
AIM
To highlight and summarize the basic potential, technical options and novel aspects of plastic surgery, which are relevant for the common interdisciplinary surgical strategies of plastic and general as well as abdominal surgery in clinical practice.
METHOD
Short and compact narrative review based on 1) a selection of relevant references from the medical scientific literature and 2) surgical experiences obtained in daily practice. R esults (selected corner points): 1) Biological protection procedures in vascular surgery by flap coverage after meticulous debridement with or without autogenic vascular reconstruction are used to overcome infection of a vascular prosthesis, a serious problem, associated with the risk of anastomotic rupture and bleeding by transfer of immunological competence due to tissue coverage and finally to induce healing in the area of an infected vascular prosthesis. 2) Fistula treatment for aorto-tracheal or aorto-duodenal fistulas, a big challenge for the referring general surgeon, can be treated by flap coverage, i.e. interposition of the pectoralis-major flap and the omentum-majus flap, respectively. 3) With regard to nerve surgery, encouraging results have been reported after early microsurgical recurrent laryngeal nerve repair, i.e. improved subjective voice quality or reconstitution of respiratory capacity in diaphragmatic. 4) Lymphatic surgery for lymphedema occurring either primarily due to an absence or lack of lymphatic vessels or secondarily due to infection, trauma, radiation therapy or surgery can be indicated in specialized microsurgical centers, e.g. for surgical repair of the lymphatic pathway: I) the interrupted lymphatic system can be reconstructed by an interposition, or II) the lymphatic fluid can be drained extraanatomically (e.g. by a lymphatic-venous anastomosis). Further techniques are the following: free lymph node transplantation included in a free vascularized groin flap or autologous lymphatic vessel transfer or vein graft interposition (used for lymphatic vessel interposition). 5) Mass reduction such as dermolipectomy with subsequent split-thickness is a valuable option, which provides excellent volume reduction. 6) Defect coverage: A. Split- or full-thickness skin grafts are a common method of defect coverage (in cases of clean and well-vascularized wound bed and lacking donor skin, or if the graft bed is of questionable quality) using various allogenic or xenogenic skin substitute materials. B. Further methods offer a wide-range armamentarium of local and free fasciocutaneous and musculocutaneous flaps, e.g. after abdomino-perineal rectum extirpation using the vertical rectus-abdominis myocutaneous flap (VRAM) or propeller flaps according to the "angiosome". 7) Abdominal wall hernia closure with instable skin coverage, flap closure, either alone or in combination with mesh is superior to mesh closure only. 8) Free flaps: If there is no option for a local or pedicled flap available, free flaps can be well used for abdominal wall defect closure (complication rate in experienced hands is low).
CONCLUSION
Plastic surgery is an indispensable partner for specific surgical problems and clinical situations of general and abdominal surgery, which indicates that each general and abdominal surgeon should be well notified on great options and surgical techniques offered by modern plastic surgery to achieve best outcomes and quality of life for patients and should combine the expertise of these two surgical disciplines.
Topics: Attitude of Health Personnel; Clinical Competence; Humans; Practice Patterns, Physicians'; Plastic Surgery Procedures; Surgery, Plastic; Wound Healing
PubMed: 31702575
DOI: 10.5604/01.3001.0013.2365 -
Plastic and Reconstructive Surgery Dec 2008
Topics: Humans; Leadership; Organizational Culture; Organizational Policy; Surgery, Plastic
PubMed: 19050553
DOI: 10.1097/PRS.0b013e31818a9bb6 -
Revista Do Colegio Brasileiro de... 2015Find out the main journals used in Urology and Plastic Surgery.
OBJECTIVE
Find out the main journals used in Urology and Plastic Surgery.
METHODS
Was consulted the WebQualis database and selected the "consult" after the "rating" and finally by "journal title." Also was crossed the following keywords: urology, urologic, urological, prostate, prostatic, plastic, reconstructive, aesthetic. The journals classified in the field of Capes Medicine III were selected, and registered their respective strata. To confirm the 2014 impact factor, was consulted the http://www.impactfactorsearch.com/ database; simply typing the journal title its impact factor appears automatically.
RESULTS
Was found 23 journals in Urology and 12 in Plastic Surgery. The average impact factor of urological journals was 2,256 and in Plastic Surgery 1,060. Among the urological journals, seven (30.4%) were in the A WebQualis rating and among Plastic Surgery only one (8.3%) was found in this stratum.
CONCLUSION
There are quantitative and qualitative differences between journals in Urology and Plastic Surgery. These data can help to develop appropriate assessment methods for each specialty, considering the different features of the presented papers.
OBJETIVO
Procurar destacar os principais periódicos utilizados na urologia e na cirurgia plástica.
MÉTODOS
Foi consultada a base de dados WebQualis. Selecionou-se a opção "consultar", depois a opção "classificação" e por fim por "título do periódico". Cruzaram-se também os seguintes descritores: urology, urologic, urological, prostate, prostatic, plastic, reconstructive, aesthetic. Os periódicos classificados na área da Medicina III da Capes foram selecionados, e seus respectivos estratos registrados. Para confirmação do fator de impacto de 2014, consultou-se a base de dados http://www.impactfactorsearch.com/, onde a digitação do nome do periódico revela automaticamente seu impacto.
RESULTADOS
Foram encontrados 23 periódicos urológicos e 12 na cirurgia plástica. O fator de impacto médio dos urológicos foi de 2.256 e o da cirurgia plástica de 1.060. Entre os periódicos urológicos, sete (30,4%) encontravam-se no estrato A do Qualis e entre os da cirurgia plástica apenas um (8,3%) encontrava-se neste estrato.
CONCLUSÃO
Existem diferenças quantitativas e qualitativas entre os periódicos urológicos e os da cirurgia plástica. Estes dados podem auxiliar na elaboração de métodos de avaliação adequados para cada especialidade, considerando-se as diferentes características dos periódicos apresentados.
Topics: Journal Impact Factor; Periodicals as Topic; Surgery, Plastic; Urology
PubMed: 27437975
DOI: 10.1590/0100-69912015S01024 -
Burns : Journal of the International... Jun 2024Burns and fires in the operating room are a known risk and their prevention has contributed to many additional safety measures. Despite these safeguards, burn injuries...
INTRODUCTION
Burns and fires in the operating room are a known risk and their prevention has contributed to many additional safety measures. Despite these safeguards, burn injuries contribute significantly to the medical malpractice landscape. The aim of the present study is to analyze malpractice litigation related to burn and fire injuries in plastic and reconstructive surgery, identify mechanisms of injury, and develop strategies for prevention.
METHODS
The Westlaw and LexisNexis databases were queried for jury verdicts and settlements in malpractice lawsuits related to burn and fire injuries that occurred during plastic surgery procedures. The Boolean terms included "burn & injury & plastic", "fire & injury & "plastic surg!"" in Westlaw, and "burn & injury & "plastic surg!"", "fire & injury & "plastic surg!"" in LexisNexis.
RESULTS
A total of 46 cases met the inclusion criteria for this study. Overheated surgical instruments and cautery devices were the most common mechanisms for litigation. Plastic surgeons were defendants in 40 (87%) cases. Of the included cases, 43% were ruled in favor of the defendant, while 33% were ruled in favor of the plaintiff. Mishandling of cautery devices 6 (13%), heated surgical instruments 6 (13%), and topical acids 2 (4%) were the most common types of errors encountered.
CONCLUSION
Never events causing burn injury in plastic and reconstructive surgery are ultimately caused by human error or neglect. The misuse of overheated surgical instruments and cauterizing devices should be the focus for improving patient safety and reducing the risk of medical malpractice. Forcing functions and additional safeguards should be considered to minimize the risk of costly litigation and unnecessary severe harm to patients.
Topics: Burns; Humans; Malpractice; Surgery, Plastic; Plastic Surgery Procedures; Medical Errors; Fires; Female; Male; Operating Rooms; Adult; Middle Aged
PubMed: 38403568
DOI: 10.1016/j.burns.2024.02.007 -
EBioMedicine Mar 2020
Topics: Australia; Career Choice; England; Female; Humans; Male; Narration; Sexism; Surgery, Plastic
PubMed: 32143181
DOI: 10.1016/j.ebiom.2020.102681