The Potential of Transexamic Acid Use for Wide Awake Local Anesthesia No Tourniquet
Summary:
Tranexamic acid (TXA) is a drug commonly used to decrease intraoperative bleeding. Its use in various types of surgery is well defined; however, its use in plastic surgery and even more so, hand surgery is not as well researched. Concurrently, the use of wide-awake local anesthesia no tourniquet (WALANT) procedures has increased in popularity. As the use of WALANT increases, it comes to question whether TXA could be used as an alternative to epinephrine during WALANT procedures. This case involves a 33-year-old woman status-post motor vehicle collision. On examination, the patient sustained transection of the ...
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Hand: Case Report Source Type: research
Finger Abscess Caused by a Black Fungus, Exophiala xenobiotica
SUMMARY
Exophiala xenobiotica is a relatively new species of black fungi that can cause infection that primarily affects the skin and soft tissues in humans. Black fungal infection is challenging to diagnose and often needs surgery. However, few studies have reported black fungal and E. xenobiotica infections in the field of plastic surgery. Herein, we report the case of a 79-year-old man who presented with a finger abscess, later identified via rDNA sequencing as E. xenobiotica infection. He did not have a history of immunosuppression. We resected the lesion and performed skin grafting. No recurrence was observed, eve...
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Hand: Case Report Source Type: research
Dupuytren Disease: A Retrospective Cohort Study Comparing Collagenase Injection and Percutaneous Needle Fasciotomy
Conclusions:
The results of this study show that PNF appears to be as effective and minimally invasive as CCH injection, but at significantly lower cost. Considering these factors, the authors prefer and recommend the use of PNF over CCH. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Hand: Original Article Source Type: research
Nonpalmar Endoscopic versus Open Trigger Finger Release: Results from a Prospective Trial
Conclusions:
Patients treated for trigger finger with a nonpalmar endoscopic release through an incision at the proximal digital crease demonstrate significantly better scarring in the early postoperative period compared to patients treated with the open surgical approach. Treatment for trigger finger with this technique is as effective as the standard open technique. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Hand: Original Article Source Type: research
Practice Patterns in Operative Flexor Tendon Laceration Repair: A 15-Year Analysis of Continuous Certification Data from the American Board of Plastic Surgery
Conclusions:
Review of The American Board of Plastic Surgery tracer data for operative repair of flexor tendon lacerations establishes a framework by which surgeons can evaluate how their current practice aligns with that of their peers, and whether their practice patterns remain current relative to recommendations from evidence-based medicine. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Hand: Original Article Source Type: research
Sexual Dissatisfaction after Hand Surgery
Background:
Using the hand questionnaire (HAND-Q) patient-reported outcome measure, the effects of upper extremity surgery on patientsβ perception of their sex life were explored. The hand is a uniquely sexual organ, and we hypothesized that self-reported measures of disease severity, quality of life, and emotional impact would correlate with sexual dissatisfaction among patients receiving treatment for hand/upper extremity conditions.
Methods:
Patients were prospectively enrolled for hand questionnaire participation. Patients with valid responses to the following questions were included: functionality, hand a...
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Hand: Original Article Source Type: research
Plastic Surgery in the Gulf Cooperation Council Countries: Role of Telemedicine
Conclusion:
The tendency toward telemedicine integration in plastic surgery practice is growing worldwide, especially after COVID-19. Its limitations are outweighed by its advantages and, with time, many of these will be bypassed. New innovations driven by advancement in technology will further embed telemedicine into the practice. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Global Health: Original Article Source Type: research
Neurosensory Re-education following Gender-affirming Phalloplasty: A Novel Treatment Protocol
Conclusion:
We introduce a novel protocol targeting peripheral and central contributions to sensation to provide a tool to help optimize experienced sensation for transmasculine individuals undergoing phalloplasty. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Gender-Affirming Surgery: Special Topic Source Type: research
Importance of Cadaveric Dissections and Surgical Simulation in Plastic Surgery Residency
No abstract available (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Education: Viewpoint Source Type: research
Plastic Surgery Match Trends in 2022
No abstract available (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Education: Viewpoint Source Type: research
Who Cares about Diversity? Trends in Gender and Racial Authorship and Publications in Plastic Surgery over Time
Conclusions:
Publications on the topic of diversity have increased in recent years. Trends show a significant shift in authorship, with prevalence of white male contributions rising. Women constitute most authors on the topic of gender diversity. These findings provide important insight into who cares about diversity within our specialty and who shapes its future. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Education: Original Article Source Type: research
Perception of Shame in the Plastic Surgery Field
Conclusions:
Although both groups agreed that SBL is unnecessary for the field and will not be practiced in the future, most residents and consultants experienced shame. The negative impact of SBL has several effects on the trainer, the teaching environment, and patient care. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Education: Original Article Source Type: research
Trends in Fellowship Training across United States Plastic and Reconstructive Surgery Academic Faculty
Background:
Plastic and reconstructive surgery (PRS) academic positions are more coveted each year. We aim to determine the requirement of fellowship training before PRS academic appointments.
Methods:
PRS faculty at U.S. academic institutions associated with the American Society of Plastic Surgeons were identified. Outcomes studied included integrated versus independent training, fellowships, gender, academic title, years on faculty, and publications before current hire.
Results:
Of the 1052 PRS faculty identified, 646 were included across 41 states and the District of Columbia. Seventy-four percent were...
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Education: Original Article Source Type: research
Plastic Surgery Training across Seven Continents: Results from the First Global Trainee Survey
Conclusions:
We present here the first international investigation of trainee experiences of plastic surgery training. We show that training structure and organization vary between institutions, and that plastic surgery trainees report a strong interest in international training as well as in research. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Education: Original Article Source Type: research
Orbital Exenteration and Brachytherapy for the Treatment of Pediatric, Fusion-positive, Recurrent Rhabdomyosarcoma
SUMMARY
A 20-month-old boy presented with biopsy-proven recurrent alveolar rhabdomyosarcoma without metastasis. He was previously treated with multiagent chemotherapy and external beam irradiation showing a complete response. Upon relapse, he was treated with chemotherapy, orbital exenteration, and brachytherapy. Customized, intraoperative brachytherapy has potential to limit the sequelae associated with radiation adjuvant therapy. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Craniofacial/Pediatric: Case Report Source Type: research
