The BAAPS advice against BBL surgery in the UK was set in October 2018. A Delphi study conducted by BAAPS highlighted the importance of defining current practice and perceptions amongst UK surgeons, as this is currently unknown.
Tue Aug 25, 2020 03:00
Breast reconstruction has been shown to reduce patient oncological anxiety, self-esteem and sexuality.1 However, post-operative pain is common in patients undergoing breast reconstruction, which can greatly impact recovery and quality of life. In fact, an estimated 50% of patients who undergo breast reconstruction experience post-operative pain syndromes.2 Sub-pectoral breast reconstruction is specifically associated with high pain levels mainly due to the stretching of the pectoralis major muscle...
Tue Aug 25, 2020 03:00
SSI represent one of the most common sources of morbidity and escalated healthcare costs in skin cancer management. It has been shown that exposing wounds to treated water does not increase SSIs, however a large proportion of Australasian patients reside in rural areas dependant on roof or bore collected water for their primary water supply, and no data exist regarding the association between tank water supply and SSI following skin surgery.
Tue Aug 25, 2020 03:00
Free microvascular tissue transplantation has become the gold standard for reconstruction in defects ranging from head and neck cancer, breast reconstruction and significant limb injuries. Flap failure rates are below 5% with increased risk of complication and failure in head and neck and lower limb trauma. Complications can still be common including vascular compromise leading to flap necrosis and complete flap loss. Free flaps where vascular compromise is detected and explored early, have good...
Tue Aug 25, 2020 03:00
A vascular access device is defined as a catheter inserted into veins allowing fluids and medicines to be delivered intravenously1. The need for such devices in acutely unwell patients has remained steady throughout the COVID-19 pandemic. We describe here our experience of up-skilling the resident plastic surgery and maxillofacial surgical registrars to provide a vascular access service to reduce the workload on our intensive care colleagues. We hope that our practice and an ‘all hands on deck’ approach...
Tue Aug 25, 2020 03:00
Tissue expansion is a valuable tool, particularly for large defects of the scalp to allow transposition of hair-bearing skin.1 Difficulties may be encountered when choosing the correct expanders, particularly in the estimation of skin availability post-expansion. Traditionally, this was estimated by measuring the circumference of the inflated expander and subtracting the baseplate width. This technique is fairly rudimentary and does not take into account varying soft tissue coverage thickness overlying...
Tue Aug 25, 2020 03:00
Vascularised composite allotransplantation in solid organ transplant recipients: a systematic review
A solid organ transplant (SOT) recipient, already taking immunosuppression, may represent the ideal candidate for vascularised composite allotransplantation (VCA). However, concerns have been raised about the potential risk of SOT loss or the need for increased immunosuppression to sustain the VCA. This systematic review examines all published cases of SOT recipients who have received a VCA to establish associated morbidity and immunosuppression requirements.
Tue Aug 25, 2020 03:00
We wish to highlight our experience of the endoscopic assisted craniosynostosis technique in the context of a developing healthcare system. In developing countries, internet penetration is increasing and parents are using the internet to research latest technical advances to seek treatment early. Jimenez and Barone's initially described 1 the minimally invasive endoscopic technique in non-syndromic craniosynostosis. The senior authors (DM and SG) introduced the endoscopic technique for the first...
Tue Aug 25, 2020 03:00
To examine the correlation between lymphedema severity stages on lymphoscintigraphy and on indocyanine green (ICG) lymphography in patients with secondary lymphedema after breast cancer.
Tue Aug 25, 2020 03:00
Trapezoidal fractures account for only 0.4% of all carpal bone fractures. Due to their rarity, there is paucity in the literature regarding the clinical findings and treatment. This paper aims to summarize the current understanding of trapezoidal fractures and present a novel classification algorithm.
Tue Aug 25, 2020 03:00
The first wave of the coronavirus (COVID-19) pandemic was considered to peak in the United Kingdom on 8th April 2020. NHS England guidance advised on the 29th April that within six weeks, all urgent surgery should be provided at pre-pandemic capacity1.
Tue Aug 25, 2020 03:00
Secondary post-traumatic orbital reconstructions are challenging. Portable computed tomography (CT) provides the option to acquire real-time, intraoperative images that help to detect insufficient reconstruction of the orbit immediately. We retrospectively analyzed patients who received intraoperative CT imaging and analyzed the effect of intraoperative CT scans on revision rates and orbital volume changes before, during, and after surgery.
Tue Aug 25, 2020 03:00
Introduction When an infected implant necessitates removal, a new device is typically not immediately inserted. This delay can be devastating for the patient and can result in soft tissue contracture that complicates reconstruction. We have previously reported on our technique for managing breast implants necessitating removal with the placement of an irrigating vac at time of explant followed by insertion of a new prosthetic within a week. The goal of this paper is to report on our long-term outcomes...
Tue Aug 25, 2020 03:00
Free flap reconstruction in the lower limb is challenging. A range of aetiologies, patients and ages require microvascular cover for differing complaints: trauma, chronic infections, ulcers and cancer, with a spectrum of co-morbidities, pre-habilitation states and post-operative rehabilitation potential.
Tue Aug 25, 2020 03:00
Student-run free clinics (SRFCs) provide care to the underserved while offering medical students the opportunity to interact directly with patients under the supervision of attending physicians. The positive impact of SRFCs has led to their growth over the last two decades – as of 2014, three-quarters of U.S. medical schools operated a SRFC.1 Despite their undoubtable impact, less than one-fifth offer any form of surgical services.2 In our experience, safe, effective plastic surgery can be offered...
Tue Aug 25, 2020 03:00
To compare the surgical outcomes of the anterior and posterior approaches for advancement of the levator aponeurosis for aponeurotic blepharoptosis in relation to levator function (LF).
Mon Aug 24, 2020 03:00
The quantitative assessment of facial appearance and function is critical in the process of restoring normality and thus minimising morbidity in patients with facial deformities. 3D scanners have increasingly been applied in clinical settings to circumvent the issues associated with standard approaches, namely subjectivity. This study aimed to summarise the current literature on the accuracy, reliability, and usability of 3D scanning technologies for soft-tissue facial assessment.
Mon Aug 24, 2020 03:00
Publication date: Available online 24 August 2020Source: Annales de Chirurgie Plastique EsthétiqueAuthor(s): H. Barret, H. Remy, S. Piereschi, O. Camuzard
Tue Aug 25, 2020 17:11
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