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Plastic and Reconstructive Surgery Jul 2021
Topics: COVID-19; Global Burden of Disease; Health Personnel; Health Services Accessibility; Health Workforce; Humans; Infectious Disease Transmission, Patient-to-Professional; Pandemics; Safety; Surgery, Plastic
PubMed: 34110318
DOI: 10.1097/PRS.0000000000008027 -
AMA Journal of Ethics Apr 2018We review Kevin Chung and colleagues' 2009 article, "A Systematic Review of Ethical Principles in the Plastic Surgery Literature," which shows that only 110 of the more...
We review Kevin Chung and colleagues' 2009 article, "A Systematic Review of Ethical Principles in the Plastic Surgery Literature," which shows that only 110 of the more than 100,000 plastic surgery articles clearly focus on ethical principles. The four fundamental ethical principles (i.e., respect for autonomy, beneficence, nonmaleficence, and justice) were differentially emphasized, with respect for autonomy being most common. Despite the number of ethical issues faced by plastic surgeons, this systematic review found that a relatively small fraction of the plastic surgery literature has focused on ethical principles. Here, we highlight the importance of this analysis and discuss how its findings might be extrapolated from plastic surgery ethics to surgical ethics writ large.
Topics: Beneficence; Humans; Moral Obligations; Plastic Surgery Procedures; Social Justice; Surgery, Plastic
PubMed: 29671728
DOI: 10.1001/journalofethics.2018.20.4.nlit1-1804 -
Journal of the Chinese Medical... Jun 2014We describe in this paper the current status of ophthalmic plastic and orbital surgery in Taiwan. Data were collected from the Bureau of National Health Insurance of...
We describe in this paper the current status of ophthalmic plastic and orbital surgery in Taiwan. Data were collected from the Bureau of National Health Insurance of Taiwan, the Bulletin of the Taiwan Ophthalmic Plastic and Reconstructive Society, and the Statistics Yearbook of Practicing Physicians and Health Care Organizations in Taiwan by the Taiwan Medical Association. We ascertained that 94 ophthalmologists were oculoplastic surgeons and accounted for 5.8% of 1621 ophthalmologists in Taiwan. They had their fellowship training abroad (most ophthalmologists trained in the United States of America) or in Taiwan. All ophthalmologists were well trained and capable of performing major oculoplastic surgeries. The payment rates by our National Health Insurance for oculoplastic and orbital surgeries are relatively low, compared to Medicare payments in the United States. Ophthalmologists should promote the concept that oculoplastic surgeons specialize in periorbital plastic and aesthetic surgeries. However, general ophthalmologists should receive more educational courses on oculoplastic and cosmetic surgery.
Topics: Humans; Ophthalmology; Orbit; Surgery, Plastic; Taiwan
PubMed: 24898627
DOI: 10.1016/j.jcma.2013.05.014 -
Journal of Tissue Viability Nov 2022By tracking the evolution of flaps in plastic surgery most progress in the beginning has to be credited first by medical professionals during the last centuries by...
By tracking the evolution of flaps in plastic surgery most progress in the beginning has to be credited first by medical professionals during the last centuries by introducing new personal ideas or procedural techniques and second by technical innovations based on bioscientific engineering coupled with public needs and changes in social life as part of the human society. From simply primary wound closure in the very early stages to procedures with donor site morbidity without complete function restoring to most probably sophisticated complete onsite reconstruction without almost any surgeon's help by functional 3D-tissue bioprinting in a large scale bioreactor in the future. By following these major developments from the past to present we will try to get a glimpse of what's maybe next in plastic flap surgery over the following decenniums.
Topics: Humans; Surgery, Plastic; Plastic Surgery Procedures; Surgical Flaps; Surgeons
PubMed: 35791992
DOI: 10.1016/j.jtv.2022.06.007 -
Danish Medical Journal Apr 2015More than 4,000 Danish women are diagnosed with operable breast cancer annually, and 70% receive breast conserving surgery. Without the use of oncoplastic surgery (OPS),... (Comparative Study)
Comparative Study
INTRODUCTION
More than 4,000 Danish women are diagnosed with operable breast cancer annually, and 70% receive breast conserving surgery. Without the use of oncoplastic surgery (OPS), 20-30% will get an unsatisfactory cosmetic result. The aim of this study was to illustrate the level of implementation of OPS in Denmark.
METHODS
An electronic questionnaire was sent to breast and plastic surgeons performing breast cancer treatment. The questionnaire included demographics, education, experience with operative procedures and opinions on OPS.
RESULTS
The questionnaire was sent to 50 breast surgeons and 22 plastic surgeons; the response rate was 67%. All breast surgery units had an established cooperation with plastic surgeons. Most breast surgeons used unilateral displacement techniques; plastic surgeons also included breast reduction techniques and replacement with local flaps. Almost all symmetrisation procedures were performed by plastic surgeons. Breast surgeons had sought more specific education, both international observerships and specific courses. In both groups of surgeons, the majority expressed that both tumour removal and reconstruction should be performed by doctors of their own specialty.
CONCLUSION
OPS has become integrated in all breast centres, but has not yet been fully implemented. For optimal results in all patients, this study underlines the importance of the inclusion of a dedicated plastic surgeon within the multidisciplinary team for optimal initial evaluation of all breast cancer patients.
FUNDING
not relevant.
TRIAL REGISTRATION
not relevant.
Topics: Attitude of Health Personnel; Breast Neoplasms; Denmark; Esthetics; Female; Health Care Surveys; Health Knowledge, Attitudes, Practice; Humans; Incidence; Mammaplasty; Mastectomy, Segmental; Patient Satisfaction; Quality of Life; Risk Assessment; Surgery, Plastic; Surveys and Questionnaires; Treatment Outcome
PubMed: 25872546
DOI: No ID Found -
Acta Medica Portuguesa Feb 1998
Topics: Esthetics; Humans; Surgery, Plastic
PubMed: 9567405
DOI: No ID Found -
Canadian Journal of Surgery. Journal... 2020Small surgical residency programs like plastic surgery can be challenging environments to accommodate parental leave. This study aimed to report the experiences,...
Small surgical residency programs like plastic surgery can be challenging environments to accommodate parental leave. This study aimed to report the experiences, attitudes and perceived support of Canadian plastic surgery residents, recent graduates and staff surgeons with respect to pregnancy and parenting during training. Residents and staff surgeons were invited via email to participate in an online survey. The results presented here explore experiences of pregnancy and parental leave of current plastic surgery residents and staff surgeons. Residents' and staff surgeons' perceptions of program director support, policies, negative comments and the impact of parental leave on the workload of others were also explored. Although the findings suggest that there may be improvements in the support of program directors, there continues to be a negative attitude in surgical culture toward pregnancy during residency. The perceived confusion of respondents with respect to programspecific policies emphasizes the need for open conversations and standardization of parental leave.
Topics: Adult; Attitude of Health Personnel; Canada; Female; Humans; Internship and Residency; Male; Middle Aged; Parental Leave; Physician Executives; Policy; Pregnancy; Surgeons; Surgery, Plastic; Surveys and Questionnaires; Workload
PubMed: 33107817
DOI: 10.1503/cjs.004919 -
La Clinica Terapeutica 2017The only interventions deemed ethically acceptable are those that serve the "objective interest" of the minors involved from the standpoint of and conducive to sound... (Review)
Review
The only interventions deemed ethically acceptable are those that serve the "objective interest" of the minors involved from the standpoint of and conducive to sound mental health and balance in a patient's teenage years; by the same token, disproportionate interventions (e.g. overly invasive or pointlessly risky), or all those deemed unsuitable with regards to a poor cost-benefit ratio are viewed as unacceptable. In the process of considering the best interest of the minors involved, a wide array of factors come into play, such as: age, maturity, psychological and emotional conditions, motivations put forth by the underage patient, the opportunity to procrastinate the operation: parents, who are naturally entitled to give consent to the surgical procedures, and physicians are primarily liable to safeguard and act in the minor's best interest. The authors attempt to lay out how medical science has evolved over the past century, and aim to set forth an array of considerations centered on cosmetic surgery for adolescents.
Topics: Adolescent; Child; Ethics, Clinical; Humans; Informed Consent; Morals; Parents; Surgery, Plastic
PubMed: 29209695
DOI: 10.7417/T.2017.2044 -
Journal of Plastic, Reconstructive &... Jun 2021Since the global outbreak of coronavirus disease-2019 (COVID-19), plastic surgeons were forced to transition from traditional didactics to virtual lectures to practice...
BACKGROUND
Since the global outbreak of coronavirus disease-2019 (COVID-19), plastic surgeons were forced to transition from traditional didactics to virtual lectures to practice "social distancing." As this method of education continues to be widely used, understanding the current trend of its usage is critical. In this study, we performed a survey study of virtual lecture attendees and presenters to determine current usage and general consensus on virtual lectures in plastic surgery education.
METHODS
An electronic survey was sent to attendees and presenters of virtual lectures using Google Forms. Demographic data, webinar usage patterns, and views on virtual lectures were collected.
RESULTS
A total of 417 surveys were received. Prior to the COVID-19 era, 39.1percent of attendees did not use virtual lectures and 45.6percent of presenters did not give webinars at all. Both groups reported that the lack of opportunities and need were the most common cause of no use of lectures or webinars. After the outbreak, 35.4percent of attendees now use virtual lectures daily and 51.4percent of presenters give lectures weekly. Over 90percent of the study population reported a positive experience with the virtual lectures due to increased interaction, convenience, outreach, and usability. Finally, over 75percent stated that virtual lectures might replace classroom lectures in the future.
CONCLUSION
Our study shows that a majority of plastic surgeons have begun to use and give virtual lectures daily after the COVID-19 outbreak. Virtual education is a powerful and versatile tool that has great potentials, and it may continue to serve as a part of surgical training in the future.
Topics: COVID-19; Education, Distance; Education, Medical; Faculty, Medical; Humans; Pandemics; Perception; Physical Distancing; SARS-CoV-2; Students, Medical; Surgery, Plastic
PubMed: 33541826
DOI: 10.1016/j.bjps.2020.12.099 -
Annals of Surgery Dec 1978Reconstructive surgery following mastectomy has had an increased acceptability with improved techniques and prostheses. Plastic reconstructive procedures following...
Reconstructive surgery following mastectomy has had an increased acceptability with improved techniques and prostheses. Plastic reconstructive procedures following prophylactic mastectomy were performed in 104 patients and following mastectomy for cancer in 88 patients. Capsular contractions have not occurred with the use of a subpectoral pocket and detection of recurrent cancer is not hampered by the materials now used.
Topics: Breast; Breast Neoplasms; Female; Humans; Mastectomy; Methods; Prostheses and Implants; Risk; Surgery, Plastic
PubMed: 736655
DOI: 10.1097/00000658-197812000-00010