Challenges in the Management of Large Burns
Large burns provoke profound pathophysiological changes. Survival rates of patients with large burns have improved significantly with the advancement of critical care and adaptation of early excision protocols. Nevertheless, care of large burn wounds remains challenging secondary to limited donor sites, prolonged time to wound closure, and immunosuppression. The development of skin substitutes and new grafting techniques decreased time to wound closure. Individually, these methods have limited success, but a combination of them may yield more successful outcomes. Early identification of patients with likely poor prognosis ...
Source: Clinics in Plastic Surgery - November 29, 2023 Category: Cosmetic Surgery Authors: Hakan Orbay, Alain C. Corcos, Jenny A. Ziembicki, Francesco M. Egro Source Type: research
Inhalation Injury, Respiratory Failure, and Ventilator Support in Acute Burn Care
Sustaining an inhalation injury increases the risk of severe complications and mortality. Current evidential support to guide treatment of the injury or subsequent complications is lacking, as studies either exclude inhalation injury or design limit inferences that can be made. Conventional ventilator modes are most commonly used, but there is no consensus on optimal strategies. Settings should be customized to patient tolerance and response. Data for pharmacotherapy adjunctive treatments are limited. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 23, 2023 Category: Cosmetic Surgery Authors: Sai R. Velamuri, Yasmin Ali, Julio Lanfranco, Pooja Gupta, David M. Hill Source Type: research
Pain Management in Burn Patients
Burn-related pain can contribute to decreased quality of life and long-term morbidity, limiting functional recovery. Burn-related pain should be assessed first by chronicity (acute or chronic), followed by type (nociceptive, neuropathic, nociplastic), to guide multimodal pharmacologic management in a stepwise algorithm approach. Combination therapies increase the efficacy and reduce toxicity by offering a multimodal approach that targets different receptors in the peripheral nervous system and central nervous system. When multimodal pharmacologic management is ineffective, etiologies of burn-related pain amenable to surgic...
Source: Clinics in Plastic Surgery - November 23, 2023 Category: Cosmetic Surgery Authors: Kevin M. Klifto, Charles Scott Hultman Source Type: research
Burns in the Elderly
Burns in the elderly are a significant cause of morbidity and mortality. Frailty is an important indicator of patient health and physiologic reserve. Comorbidities and typical age-related changes significantly impact the outcomes of elderly burn patients and decisions made during their burn care. It is essential to have early and thorough discussions about the goals of care and rehabilitation plans. Physiologic changes that occur from aging cause slower wound healing and may make operative treatment more challenging, although techniques such as autographing, skin substitutes, and flaps may all play a role in treating this ...
Source: Clinics in Plastic Surgery - November 20, 2023 Category: Cosmetic Surgery Authors: Lux Shah, Audra T. Clark, Jessica Ballou Source Type: research
Finesse in Fleur-de-lis Abdominoplasty
Body contouring for weight loss patients usually requires not only lifting but also some extent of central body tightening to achieve complete tissue readjustment. Fleur-de-lis abdominoplasty provides best vector correction with nice contouring results, especially for central body type patients, with superior waist definition with or without associated circumferential belt lipectomies. Special interest has been addressed on technical refinements to enhance vertical scar with neoumbilicoplasty as well as the mons pubis projection with marking and suturing refinements. Both the inner scar umbilicus and the monsplasty are sim...
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Authors: Flavio Henrique Mendes, Fausto Viterbo, Weber Ribolli Moragas Source Type: research
Spiral Flap Breast Reshaping with Transverse Upper Body Lift or J Torsoplasty
This article presents our evolved surgical approach to upper body, breasts, and arms after massive weight loss, which frequently complements lower body oblique flankplasty with lipoabdominoplasty. Deflated breasts need to be lifted, augmented, and securely shaped. Surrounded by chest and back skin rolls, the breast footplate usually descends. From this neighboring epigastric and lateral thoracic excess skin, spiraled deepithelialized skin flaps reshape and raise the breasts. Except in cases of severe skin laxity, the transverse bra line approach has been replaced by J torsoplasty for improved esthetics. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Authors: Dennis J. Hurwitz, Dani Kruchevsky Source Type: research
Body Contouring
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Authors: Dennis J. Hurwitz, Dani Kruchevsky, Armando A. Davila Source Type: research
Copyright
ELSEVIER (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Source Type: research
Contributors
DENNIS J. HURWITZ, MD (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Source Type: research
Contents
Dennis J. Hurwitz, Dani Kruchevsky, and Armando A. Davila (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Source Type: research
Forthcoming Issues
Acute and Reconstructive Burn Care, Part I (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 8, 2023 Category: Cosmetic Surgery Source Type: research
Acute and Reconstructive Burn Care
Burn injuries pose one of the greatest challenges to health care professionals worldwide, requiring a multidisciplinary approach for optimal patient care. We are constantly reminded of the sheer resilience of the human spirit in the face of unimaginable pain and adversity experienced by these patients. It is with great passion and dedication that health care professionals strive to make a difference in the lives of those who have faced the inferno of acute burn injuries. This issue is dedicated to all the exceptional members of the burn team that deliver such incredible care with empathy, compassion, and unwavering commitm...
Source: Clinics in Plastic Surgery - November 2, 2023 Category: Cosmetic Surgery Authors: Francesco M. Egro, C. Scott Hultman Tags: Preface Source Type: research
Secondary Body Contouring
This article aims to provide an extensive understanding of managing such complex cases, thus enhancing the reader's approach to secondary body contouring surgeries. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - October 5, 2023 Category: Cosmetic Surgery Authors: Milind D. Kachare, Brooke E. Barrow, Sadri Ozan Sozer Source Type: research
Ultrasound-Assisted Lipoplasty
Over the past 40 years, liposuction has evolved into a highly sophisticated method of body contouring. The addition of ultrasound technology to traditional liposuction (SAL), has increased the efficacy of the procedure and expanded the indications for lipo-contouring in multiple anatomic regions. As UAL devices co ntinue to evolve and improve, tissue fragmentation is maximized while energy delivery to the tissues is minimized. What was once considered large volume SAL, is now accepted as moderate volume for UAL since it is associated with less blood loss and decreased surgeon fatigue. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - September 22, 2023 Category: Cosmetic Surgery Authors: Luccie M. Wo, Onelio Garcia Source Type: research
Management of the Musculoaponeurotic Layer in Abdominoplasty
Abdominoplasty has evolved in the last few decades, especially the treatment of the myoaponeurotic deformities. Bulging, lack of definition of the abdominal contour, should be understood and treated according to the individual deformity. Many types of deformities have been recognized and treatment respects the local anatomy in most cases. Scientific basis that consolidate these treatments are discussed as well as possible recurrences and pitfalls of these techniques. The histological composition of muscles and fascia are also discussed and anatomical details help to enrich the knowledge of the correction of this layer. Spe...
Source: Clinics in Plastic Surgery - September 21, 2023 Category: Cosmetic Surgery Authors: Fabio Xerfan Nahas, Lydia Masako Ferreira Source Type: research
