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hand surgery.cosmetic surgery.microsurgery

Aditya Sood, Paul J Therattil, Stella Chung, Edward S Lee
PURPOSE: The impact of subspecialty fellowship training on research productivity among academic plastic surgeons is unknown. The authors' aim of this study was to (1) describe the current fellowship representation in academic plastic surgery and (2) evaluate the relationship between h-index and subspecialty fellowship training by experience and type. METHODS: Academic plastic surgery faculty (N = 590) were identified through an Internet-based search of all ACGME-accredited integrated and combined residency programs...
2015: Eplasty
Marija Đ Pećanac
Plastic surgery is a medical specialty dealing with corrections of defects, improvements in appearance and restoration of lost function. Ancient times. The first recorded account of reconstructive plastic surgery was found in ancient Indian Sanskrit texts, which described reconstructive surgeries of the nose and ears. In ancient Greece and Rome, many medicine men performed simple plastic cosmetic surgeries to repair damaged parts of the body caused by war mutilation, punishment or humiliation. In the Middle Ages, the development of all medical braches, including plastic surgery was hindered...
May 2015: Medicinski Pregled
Mario F Scaglioni, Yur-Ren Kuo, Yen-Chou Chen
BACKGROUND: The proximal peroneal artery perforator (PPAP) flap is a reliable, thin fasciocutaneous flap. The purpose of this article was to report our experience with the use of free PPAP flaps for reconstruction of defects of the distal hand and foot. PATIENTS AND METHODS: From November 2012 to September 2013, 9 patients received reconstruction with 10 free PPAP flaps. The defect locations included the big toe (2 cases), metatarsophalangeal joint (5 cases), dorsal finger (2 cases) and volar finger (1 case)...
March 2016: Microsurgery
Alexandros E Beris, Marios G Lykissas, Anastasios V Korompilias, Gregory I Mitsionis, Marios D Vekris, Ioannis P Kostas-Agnantis
For the past 45 years, the advent of microsurgery has led to replantation of almost every amputated part such as distal phalanx, finger tip, etc. Replantation of digits and hand can restore not only circulation, but also function and cosmetic of the amputated part. The goals of replantation are to restore circulation and regain sufficient function and sensation of the amputated part. Strict selection criteria are necessary to optimize the functional result. The management of this type of injuries includes meticulous preoperative management, microsurgical experience and continuous postoperative care...
September 2010: Archives of Orthopaedic and Trauma Surgery
Aydin Keramettin, Cokluk Cengiz, Cengiz Nilgun, Bilgici Ayhan
BACKGROUND: Patients who undergo carpal tunnel surgery sometimes complain of the restriction of the grip and pinch function, palmar tenderness, cosmetic problems, and scar formation at the site of the incision. AIMS: We used a modified mini uni-skin incision with appropriate hand position for microscopic view in the surgical treatment of carpal tunnel syndrome to prevent cosmetic problems related with scar formation after surgery. SETTINGS AND DESIGN: In this study we used two different skin incision techniques; mini uni-skin incision and standard incision...
March 2006: Neurology India
Yuan-Kun Tu, Wen-Lin Yeh, Kanit Sananpanich, Steve Wen-Neng Ueng, Ying-Chao Chou, Ching-Hou Ma, Zhon-Liau Lee
This study describes a consecutive series of 11 children who received a microsurgical second toe-metatarsal bone transfer for reconstructing a hypoplastic thumb associated with radial club hand, between 1996 and 2000. The parents refused pollicization in all cases for aesthetic and cultural reasons. Surgery was intended to improve hand function and cosmetic appearance. The average patient age was 3 years, and the average follow-up period was 4 years. Average surgery time for the second toe-metatarsal bone transplantation was 8 hr...
April 2004: Journal of Reconstructive Microsurgery
S B Hahn, H J Park, H J Kang, E S Kang
From 1983 to 1998, 16 cases of finger reconstruction with a free neurovascular wrap-around flap from the big toe were treated. Fourteen cases were successful, and two cases failed. The authors reviewed these cases on the average of about 38 months after surgery. Pinch power was 51 percent of the unaffected normal hand, and two-point discrimination was 7.6 mm. The mean resorption of the grafted bone was 13 percent in width and 9 percent in length. There were no complications such as fracture of the grafted bone, nonunion, and pulp dislodgement...
July 2001: Journal of Reconstructive Microsurgery
W C Lineaweaver, K Hui, K Krave, C Mailhot
This report describes the economic impact of microsurgical cases and routine plastic surgery cases in our medical center. The study is based on a financial analysis of the practices of two surgeons. Financial data of patient encounters (admission to the hospital or a surgical unit) identified with each surgeon were categorized into microsurgical and related cases and routine cases (including cosmetic procedures and general hand cases). Revenues, costs, and profits were tabulated. Data were analyzed for 2 fiscal years (1994-95 and 1995-96)...
January 2000: Plastic and Reconstructive Surgery
S H Miller
Economic constraints developing as a result of rising health care costs in the United States pose significant challenges for and threats to the survival of academic plastic surgery. Declining clinical revenues, competition for patients and resources from other health care providers, and reductions in support of its education and research efforts necessitate a paradigm shift if it is to survive. Questionnaires were used to collect data from 92 of the 100 postgraduate training program directors of plastic surgery in the United States...
April 1998: Plastic and Reconstructive Surgery
M Merle, G Dautel
Technical advances in revascularization and in skin cover have resulted in increases in the possibilities of digital replantation. In cases of multiple digital lesions and isolated avulsions of the thumb, all attempts to ensure recovery of basic pinch capacity are justified. On the other hand, in cases of proximal amputations with extensive avulsion or crush injury such attempts should be abandoned if results on function are important. Primary and secondary surgery must confront two difficult problems namely, repair of the avulsed flexor tendons and resensibilization...
January 1997: Clinics in Plastic Surgery
R Adani, C Castagnetti, A Landi
Wound coverage after a complete degloving injury of the hand and fingers is 1 of the most difficult problems in hand surgery. Important structures such as tendons, nerves, and bones are exposed and will necrose if not covered adequately. The goal of treatment should be coverage with a pliable, sensitive, and cosmetically similar tissue that will allow early mobilization. The authors' experience has led them to adopt the following general guidelines: replantation of the avulsed structures whenever possible; early transfer of a free composite flap from the foot for a complete and irreparable degloving injury of the thumb; and selection of the radial forearm flap for multiple finger lesions...
May 1995: Clinical Orthopaedics and related Research
U Büchler
The presence of soft tissue defects in the hand indicates serious traumatic damage that may compromise the systems involved in movement, circulation or touch and therefore jeopardize functional rehabilitation. This overview highlights the significance and the various causes of soft tissue defects. Several types are distinguished. Selection criteria for various flap procedures are outlined with reference to the need for elevation of the hand, the necessity for early movement, adequate wound drainage, and range of motion therapy...
April 1990: Der Unfallchirurg
J B Steichen, A P Weiss
The development of microvascular surgical techniques during the last quarter century has advanced the ability of the hand surgeon to reconstruct the traumatically amputated thumb. The use of tissue from the foot has become the mainstay of therapy for this previously exceedingly difficult reconstructive problem. Although numerous minor variations of thumb reconstruction with use of the toes from the foot are available, three main techniques--the complete great toe transfer, wraparound flap, and second toe transfer--provide a predictable outcome...
February 1992: Hand Clinics
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