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41. Cosmetic Surgery and Body Dysmorphic Disorder – An Update Full Text available with Trip Pro

Cosmetic Surgery and Body Dysmorphic Disorder – An Update With the increasing volume and popularity of cosmetic procedures and surgeries, physicians in related specialties are increasingly likely to encounter patients with body dysmorphic disorder. Given the ethical, safety, and legal considerations involved in aesthetic procedures in these patients, accurate identification and appropriate selection for procedures is crucial.

2017 International journal of women's dermatology

42. Different types of implants for reconstructive breast surgery. Full Text available with Trip Pro

Different types of implants for reconstructive breast surgery. Breast cancer is the most common cancer in women worldwide, and is a leading cause of cancer death among women. Prophylactic or curative mastectomy is often followed by breast reconstruction for which there are several surgical approaches that use breast implants with which surgeons can restore the natural feel, size and shape of the breast.To assess the effects of different types of breast implants on capsular contracture, surgical (...) short- and long-term complications, postoperative satisfaction level and quality of life in women who have undergone reconstructive breast surgery after mastectomy.We searched the Cochrane Breast Cancer Group's Specialised Register on 20 July 2015, MEDLINE (1985 to 20 July 2015), EMBASE (1985 to 20 July 2015) and the Cochrane Central Register of Controlled Trials (CENTRAL; Issue 8, 2015). We also searched the World Health Organization's International Clinical Trials Registry Platform (WHO ICTRP

2016 Cochrane

43. Reconstructive surgery for treating pressure ulcers. Full Text available with Trip Pro

Reconstructive surgery for treating pressure ulcers. The management of pressure ulcers involves several interventions ranging from pressure-relieving measures such as repositioning, to treatments that can include reconstructive surgery. Such surgery may be considered for recalcitrant wounds when full thickness skin loss arises and deeper structures such as muscle fascia and even bone are exposed. The surgery commonly involves wound debridement followed by the addition of new tissue (...) into the wound. Whilst reconstructive surgery is an accepted means of ulcer management, the benefits and harms of surgery compared with non-surgical treatments, or alternative surgical approaches are not clear.To assess the effects of reconstructive surgery for healing pressure ulcers (stage II or above), comparing surgery with no surgery or comparing alternative forms of surgery in any care setting.We searched the following electronic databases to identify reports of relevant randomised clinical trials

2016 Cochrane

44. The transverse facial artery anatomy: Implications for plastic surgery procedures. Full Text available with Trip Pro

The transverse facial artery anatomy: Implications for plastic surgery procedures. The transverse facial artery (TFA) perfuses the lateral face. Knowledge of topographical anatomy of the lateral face is crucial for safe procedural performance in aesthetic and plastic surgery, especially the face lift flap and face transplant. The aim of the present study was to assess detailed TFA morphometrical features.One-hundred computed tomography head angiographies were analyzed. TFA numbers and origins

2019 PLoS ONE

45. LACE+ index as a predictor of 90-day plastic surgery outcomes. (Abstract)

LACE+ index as a predictor of 90-day plastic surgery outcomes. This study used coarsened exact matching to assess the ability of the LACE+ index to predict adverse outcomes after plastic surgery.Two-year retrospective study (2016-2018).LACE+ scores were retrospectively calculated for all patients undergoing plastic surgery at a multicenter health system (N = 5744). Coarsened exact matching was performed to sort patient data before analysis. Outcomes including unplanned hospital readmission (...) 90 days for Q4 versus Q1 (9.29% vs 3.01%; P <.001), Q4 versus Q2 (11.31% vs 3.57%; P <.001), and Q4 versus Q3 (13.70% vs 8.48%; P = .003). Higher LACE+ score also significantly predicted secondary reoperation within 90 days for Q4 versus Q1 (3.83% vs 1.37%; P = .035), Q4 versus Q2 (5.95% vs 3.37%; P = .042), and Q4 versus Q3 (7.50% vs 3.26%; P <.001).The results of this study demonstrate that the LACE+ index may be suitable as a prediction model for patient outcomes in a plastic surgery

2020 American Journal Of Managed Care

46. Management of lower extremity traumatic injuries with negative pressure wound therapy: Experience of a pediatric plastic surgery department. (Abstract)

Management of lower extremity traumatic injuries with negative pressure wound therapy: Experience of a pediatric plastic surgery department. Extensive lower limb traumatic injuries are particularly challenging when they associate skin and soft tissue defects, moreover when the patient is a child. In view of more frequent recommendations and reports of negative pressure wound therapy (NPWT) use for severe trauma and extensive soft tissue defects of the lower extremity, we aimed at reviewing (...) the indications and outcomes of this technique in our pediatric plastic surgery department.We performed a retrospective study for the period 2016-2019, in order to identify patients having suffered injuries of the ankle and foot, for who NPWT was used in the therapeutic protocol.For the study period we identified a total of 9 children with ankle and foot injuries who had NPWT in their therapeutic protocol. The average age was 10 years (range 3 years 5 months to 14 years 4 months) and 8 of them were

2020 Injury

47. The effect of early intervention of mirror visual feedback on pain, disability and motor function following hand reconstructive surgery: a randomized clinical trial (Abstract)

The effect of early intervention of mirror visual feedback on pain, disability and motor function following hand reconstructive surgery: a randomized clinical trial To determine the effect of mirror visual feedback (MVF) on disability, pain, and motor function on patients who underwent hand reconstructive surgery.Randomized, single-blinded controlled trial.Rehabilitation center.A total of 40 patients who were randomly assigned into the intervention group ( n = 20) and control group ( n = 20

2019 EvidenceUpdates

48. A Comparison of Two Methods of Catheter Management After Pelvic Reconstructive Surgery: A Randomized Controlled Trial (Abstract)

A Comparison of Two Methods of Catheter Management After Pelvic Reconstructive Surgery: A Randomized Controlled Trial To compare effects on activity between two catheter management systems after failed voiding trial after pelvic reconstructive surgery.Women with a failed postoperative voiding trial after reconstructive pelvic surgeries were randomized to plug-unplug or continuous drainage catheters. The primary outcome was a mean activity assessment scale score. Secondary outcomes included (...) does not differ in patients discharged with plug-unplug or continuous drainage catheters, but those with plug-unplug perceive easier management and ability to complete activities of daily living. The plug-unplug method is an acceptable alternative to traditional catheterization after pelvic reconstructive surgery.ClinicalTrials.gov, NCT03071211.

2019 EvidenceUpdates

49. Paravertebral blocks and enhanced recovery after surgery protocols in breast reconstructive surgery: patient selection and perspectives Full Text available with Trip Pro

Paravertebral blocks and enhanced recovery after surgery protocols in breast reconstructive surgery: patient selection and perspectives The management of postoperative pain is of critical importance for women undergoing breast reconstruction after surgical treatment for breast cancer. Mitigating postoperative pain can improve health-related quality of life, reduce health care resource utilization and costs, and minimize perioperative opiate use. Multimodal analgesia pain management strategies (...) with nonopioid analgesics have improved the value of surgical care in patients undergoing various operations but have only recently been reported in reconstructive breast surgery. Regional anesthesia techniques, with paravertebral blocks (PVBs) and transversus abdominis plane (TAP) blocks, and enhanced recovery after surgery (ERAS) pathways have been increasingly utilized in opioid-sparing multimodal analgesia protocols for women undergoing breast reconstruction. The objectives of this review are to 1

2018 Journal of pain research

50. Dermatology Surgery and Reconstruction Photograph Booklet as a Tool to Improve Informed Consent Before Skin Surgery. (Abstract)

Dermatology Surgery and Reconstruction Photograph Booklet as a Tool to Improve Informed Consent Before Skin Surgery. Skin surgery is a high-risk area of litigation and tools to improve consent are welcomed.This project aimed to strengthen the consenting process for dermatological surgery by introducing a photograph booklet.The authors designed a booklet containing skin surgery images. Patients attending surgery completed an anonymous questionnaire immediately after their procedures before (...) compared with Group 1, with improvements from ratings of 3 and 4 on the scale to 5. The difference in the 2 groups for the highest ratings of 5/5 was significant (p < .05) for understanding of procedure and resulting scars.The use of photograph booklets containing simple and relevant images to support the consent process for dermatologic surgery improves patients' understanding, expectations, and experience of skin surgery.

2018 Dermatologic Surgery

51. HemaClear for bloodless surgical field during limb surgery

and prevents blood re-entering the limb. The stockinette can be cut where surgery needs to be done, providing a surrounding sterile field. The company state it can be used for all surgical procedures involving limbs where a bloodless field is needed, including trauma, orthopaedic, hand, foot and ankle, plastic and vascular cases. The device comes in a variety of models for different limb circumferences (14 cm to 85 cm) and different systolic blood pressure limits (less than 130 mmHg, less than 160 mmHg (...) , to reduce the risk of surgical site infection. Innovations HemaClear is a single-use sterile device, which the company claims provides better limb exsanguination and fewer side effects, such as tourniquet-induced skin damage, neuropraxia and pain, compared with pneumatic tourniquet devices. It could also reduce tourniquet time, thereby reducing surgery time. Population, setting and intended user HemaClear can be used in the operating theatre for trauma, orthopaedic, plastic and vascular cases

2019 National Institute for Health and Clinical Excellence - Advice

52. International comparison of cosmetic outcomes of breast conserving surgery and radiation therapy for women with ductal carcinoma in situ of the breast. (Abstract)

International comparison of cosmetic outcomes of breast conserving surgery and radiation therapy for women with ductal carcinoma in situ of the breast. To assess the cosmetic impact of breast conserving surgery (BCS), whole breast irradiation (WBI) fractionation and tumour bed boost (TBB) use in a phase III trial for women with ductal carcinoma in situ (DCIS) of the breast.Baseline and 3-year cosmesis were assessed using the European Organization for Research and Treatment of Cancer (EORTC (...) ) Cosmetic Rating System and digital images in a randomised trial of non-low risk DCIS treated with postoperative WBI +/- TBB. Baseline cosmesis was assessed for four geographic clusters of treating centres. Cosmetic failure was a global score of fair or poor. Cosmetic deterioration was a score change from excellent or good at baseline to fair or poor at three years. Odds ratios for cosmetic deterioration by WBI dose-fractionation and TBB use were calculated for both scoring systems.1608 women were

2019 Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology Controlled trial quality: uncertain

53. Parotid ductal stenosis after facial cosmetic surgery (2 case reports). Full Text available with Trip Pro

Parotid ductal stenosis after facial cosmetic surgery (2 case reports). Facial cosmetic surgery sometimes causes complications involving surrounding tissues. In particular, parotid damage may cause fibrous tissue formation, ductal stenosis, and obstruct salivary flow. Affected patients usually complain of symptoms such as pain and swelling.The authors report 2 cases of obstructive parotitis, arising as a complication of facial cosmetic surgery that were treated successfully using sialendoscopic (...) of obstructive parotitis due to complication of cosmetic surgery.

2019 Medicine

54. Where Do We Look? Assessing Gaze Patterns in Cosmetic Face-Lift Surgery with Eye Tracking Technology. (Abstract)

Where Do We Look? Assessing Gaze Patterns in Cosmetic Face-Lift Surgery with Eye Tracking Technology. Aesthetics plays a central role in determining success in plastic surgery. Understanding perceptions of favorable aesthetics is critical to ensure patient satisfaction. Eye-tracking technology offers an objective way of evaluating attention and understanding how viewers direct their focus on patients who undergo cosmetic face-lift procedures.Thirty-six subjects ranging from layperson (...) (31 percent of first fixations) and the most viewed area (16 ± 3 percent of fixation time) for all subjects. Experienced subjects spent less time in nonrelevant areas (30 ± 11 percent for attending cosmetic plastic surgeons and 37 ± 10 percent for attending noncosmetic plastic surgeons) compared with less experienced subjects (50 ± 15 percent for laypersons).This study demonstrates that viewers with greater experience in cosmetic surgery focus quickly on the cheeks, chin, and neck and have evenly

2019 Plastic and reconstructive surgery

55. Association Between the Use of Social Media and Photograph Editing Applications, Self-esteem, and Cosmetic Surgery Acceptance. (Abstract)

Association Between the Use of Social Media and Photograph Editing Applications, Self-esteem, and Cosmetic Surgery Acceptance. Social media platforms and photograph (photo) editing applications are increasingly popular sources of inspiration for individuals interested in cosmetic surgery. However, the specific associations between social media and photo editing application use and perceptions of cosmetic surgery remain unknown.To assess whether self-esteem and the use of social media and photo (...) editing applications are associated with cosmetic surgery attitudes.A population-based survey study was conducted from July 1 to September 19, 2018. The web-based survey was administered through online platforms to 252 participants.Each participant's self-esteem was measured using the Rosenberg Self-esteem Scale (scores range from 0-30; higher scores indicate higher self-esteem) and the Contingencies of Self-worth Scale (scores range from 1-7; higher scores indicate higher self-worth). Cosmetic

2019 JAMA facial plastic surgery

56. Evaluation of Personality Perception in Men Before and After Facial Cosmetic Surgery. (Abstract)

Evaluation of Personality Perception in Men Before and After Facial Cosmetic Surgery. Facial cosmetic surgery has previously focused on improvements in perceived physical attractiveness and youthfulness. However, human beings are judged throughout life based on many other characteristics and personal qualities that are conveyed by their faces.To examine the association of facial cosmetic surgery in men with perceptions of attractiveness, masculinity, and personality traits.Cohort study (...) with retrospective evaluation by blinded raters of preoperative and postoperative photographs of 24 male patients who underwent facial cosmetic surgery between January 1, 2009, and January 31, 2016. A total of 6 surveys were constructed with 8 sets of photographs each (4 preoperative and 4 postoperative). Each of these surveys was then sent to at least 36 lay people via the web-based survey tool Survey Monkey. Additional invites were sent for individual surveys until a minimum of 24 responses were received

2019 JAMA facial plastic surgery

57. Comparison of resection margins and cosmetic outcome following intraoperative ultrasound-guided excision versus conventional palpation-guided breast conservation surgery in breast cancer: A randomized controlled trial. (Abstract)

Comparison of resection margins and cosmetic outcome following intraoperative ultrasound-guided excision versus conventional palpation-guided breast conservation surgery in breast cancer: A randomized controlled trial. Use of intraoperative ultrasound (IOUS) has been shown to help achieve satisfactory cosmesis and negative margins in breast conserving surgery (BCS). This study has been done to compare the oncological and cosmetic outcomes following BCS using conventional palpatory method

2019 Indian journal of cancer Controlled trial quality: uncertain

58. Attempt of peripheral nerve reconstruction during lung cancer surgery Full Text available with Trip Pro

Attempt of peripheral nerve reconstruction during lung cancer surgery Vagus nerve and recurrent laryngeal nerve (RLN) injury are not rare complications of lung cancer surgery and can cause lethal consequences. Until now, no optimal method other than paying greater attention during surgery has been available.Four patients underwent lung surgery that involved RLN or vagus nerve injury. The left RLN or vagus nerve was cut off and then reconstructed immediately during surgery. Two patients (...) underwent direct anastomosis, while the remaining two underwent phrenic nerve replacing tension-relieving anastomosis.All patients were able to speak immediately after recovery. No or minimal glottal gap was observed during laryngoscopy conducted on the second day after surgery. Most patients achieved full recovery of voice quality.Immediate reconstruction of RLN is technically feasible and can be carried out with satisfying short-term and long-term outcomes.© 2018 The Authors. Thoracic Cancer published

2018 Thoracic cancer

59. Disclosure of Financial Conflicts of Interest in Plastic and Reconstructive Surgery. (Abstract)

Disclosure of Financial Conflicts of Interest in Plastic and Reconstructive Surgery. Recent articles in the scientific literature have expressed concerns about financial conflicts of interest in the profession of medicine in general and the specialty of plastic surgery in particular. Disclosure of financial ties to industry has been regarded as an address of a possible bias. The policies of medical journals places responsibility on authors for self-reporting of financial conflicts of interest (...) , yet underreporting of conflicts of interest has occurred. The investigative hypothesis was that authors in the plastic surgery literature, in particular, Plastic and Reconstructive Surgery, underreported financial conflicts of interest.A review of articles published in Plastic and Reconstructive Surgery from July of 2015 through April of 2016 for author disclosures was accomplished. The disclosure statements were compared to the information available in the Open Payments database for 2015

2017 Plastic and reconstructive surgery

60. Tissue-Engineered Solutions in Plastic and Reconstructive Surgery: Principles and Practice Full Text available with Trip Pro

Tissue-Engineered Solutions in Plastic and Reconstructive Surgery: Principles and Practice Recent advances in microsurgery, imaging, and transplantation have led to significant refinements in autologous reconstructive options; however, the morbidity of donor sites remains. This would be eliminated by successful clinical translation of tissue-engineered solutions into surgical practice. Plastic surgeons are uniquely placed to be intrinsically involved in the research and development (...) insufficient understanding of the long-term safety and durability of tissue-engineered constructs. This review aims to highlight that individualized approaches to the field are not adequate, and research collaboratives will be essential to bring together differing areas of expertise to expedite future clinical translation. The use of tissue engineering in reconstructive surgery would result in a paradigm shift but it is important to maintain realistic expectations. It is generally accepted that it takes 20

2017 Frontiers in surgery

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