Interest In Plastic Surgery Research Articles

La place du lambeau total de cuisse en chirurgie reconstructrice

Plastic surgeons have sometimes to face large pelvic tissue defects, particularly in paraplegic patients with recurrent pressure sores. This is frequently a reconstructive challenge and different locoregional flaps may be useful to manage those wounds when medical solutions were unsuccessful. However, in cases when other reconstructive options have been exhausted the total thigh flap represents the last acceptable solution to cover the defects by providing a large volume of healthy tissue. We remind here the operative technique and its interest in reconstructive surgery by reporting our experience in two patients for which this flap was successfully used.

V-05.05: Sexual rehabilitation after penile plastic surgery

In last years we have been observing an increase of both urologists’ and patients’ interest in plastic surgery of the penis. Such procedures performed in male older than 40 years require diligent postoperative rehabilitation programs in order to achieve best possible result and to enable the patient to restore his sexual activity. In this film as an example we are presenting the treatment of patient with Peyronie disease.

Influences on Decision-Making for Undergoing Plastic Surgery: A Mental Models and Quantitative Assessment

Research was conducted to gain insight into potential clients' decisions to undergo plastic surgery, their perception of benefits and risks, their judgment of outcomes, and their selection of a plastic surgeon. Semistructured, open-ended interviews were conducted with 60 people who expressed interest in plastic surgery. Qualitative analysis revealed their "mental models" regarding influences on their decision to undergo plastic surgery and their choice of a surgeon. Interview results were used to design a Web-based survey in which 644 individuals considering plastic surgery responded. The desire for change was the most direct motivator to undergo plastic surgery. Improvements to physical well-being were related to emotional and social benefits. When prompted about risks, participants mentioned physical, emotional, and social risks. Surgeon selection was a critical influence on decisions to undergo plastic surgery. Participants gave considerable weight to personal consultation and believed that finding the "right" plastic surgeon would minimize potential risks. Findings from the Web-based survey were similar to the mental models interviews in terms of benefit ratings but differed in risk ratings and surgeon selection criteria. The mental models interviews revealed that interview participants were thoughtful about their decision to undergo plastic surgery and focused on finding the right plastic surgeon.

Some pioneers in plastic surgery of the facial region.

Much of this complex history comes from Europe, with contributions and advances from dentists, otolaryngologists, and general surgeons. Prior to World War I there wasnospecificplasticsurgeryspecialty.For example, Sir Harold Gillies, an otolaryngologist, learned many dental skills and techniques from Charles Auguste Valadier, a rogue French practitioner of dentistry and maxillofacial surgery. (Valadier is said to have treated most of his patients in an automotive vehicle described as a “traveling dental parlour” around 1900.) Gillies,extraordinarilyinnovative,technically superb, and politically adept, was called by some the “father of plastic surgery,” although such a descriptor probablydoesnotpayproperhomageandcredit to his many European predecessors. Gillies drew heavily from these surgeons and teachers in Britain and continental Europe,astheythemselveshadadvancedtheir own training and expertise.

A simple method of left ventricular reconstruction without patch for ischemic cardiomyopathy

Interest in reconstructive surgery for ischemic cardiomyopathy has increased. We prospectively studied patients undergoing left ventricular reconstruction for ischemic cardiomyopathy. This report describes our technique for no-patch repair of left anterior descending aneurysms or akinetic areas. Patients are selected for surgery with discreet left anterior descending scar, usually detected by preoperative magnetic resonance imaging scan and three-dimensional echocardiography, with compensated heart failure or other indications for surgery such as severe coronary artery disease or mitral regurgitation.

Presentation of plastic surgery on the internet: experiences with the home page of a department

Plastic surgeons are increasingly taking advantage of information opportunities offered by the internet. Between October 1998 and March 1999, 87 individuals returned by e-mail a feed-back form included in the homepage of the Division of Plastic Surgery, Department of Surgery, Karl-Franzens University School of Medicine, Graz, Austria. Most of the responses originated from Austria or other European countries; 10% were from overseas. The most frequent reason for visiting our homepage was to gain information on scientific activities in our department (43 visitors), followed by interest in plastic surgical procedures on the part of patients or referring physicians (35 visitors). Other reasons were interest in educational matters, positions, and general interest in plastic surgery. Our results show that physicians, medical students, and laypersons are increasingly inclined to seek information on plastic surgery via the internet. This in turn should encourage plastic surgery services to present themselves in the World Wide Web.

The significance of Eiselsberg and the Viennese school of surgery for the development of reconstructive surgery in Europe

The development of surgery in the second half of the nineteenth century was strongly influenced by the introduction of anaesthesia, asepsis and, last but not least, scientific experimentation. Outstanding in the last respect were the German surgeon Theodor Billroth and his pupils in Vienna. One of them, Anton Freiherr von Eiselsberg, became the spiritual father of the largest surgical school ever founded in Europe. He showed a special interest in plastic surgery. As Eiselsberg started his professorial career in Holland at the University of Utrecht, his relationship to Dutch surgical history has particular significance.

A brief history of the development of plastic surgery in the Netherlands East-Indies from World War I until the independence of Indonesia (1914–1950)

This study of surgical operations published in the Medical Journal of the Netherlands East-Indies over the period 1914–1950, supplemented with a series of interviews with retired Dutch East-Indian surgeons and their relatives, shows a vivid interest in plastic surgery from World War I until the independence of Indonesia. One can conclude that plastic surgery was performed more frequently and on a larger scale than in Holland, due to a larger number of patients, specific tropical pathology and often a longer patient delay, requiring extensive reconstructive procedures. The East-Indian publications on plastic surgical topics outnumber the Dutch ones enormously.

Surgery and Biology of Wound Repair

This text is top flight. Written in a natural and lucid style, the first 150 or so pages offer a marvelous background for the basic scientific facts involved in wound healing, and the succeeding 350 pages cover the clinical side of the subject as encountered in various body systems. This latter portion of the book is liberally illustrated with photographs, not only the before and after clinical pictures so dear to the plastic surgeon, but operative views, microscopic fields, diagrams, all pertinent and engaging. Understandably, the authors, with their interest in plastic surgery, emphasize the healing of skin wounds and burns and devote 160 pages to this phase; but they successfully avoid a parochial approach to wound repair, a topic that so fundamentally concerns all surgeons. Other chapters discuss in detail the healing of specific structures—tendons, muscle and fascia, nerves, and bone. To complete the subject, a somewhat perfunctory final

Otolaryngologic plastic surgery 1964.

DURING 1964 there was a continuation of interest in plastic surgery by otolaryngologists reflecting the paternal role of our specialty in the birth of plastic surgery. The American Academy of Ophthalmology and Otolaryngology devoted the last afternoon of its 1964 meeting to a symposium^1-8on corrective rhinoplasty surgery. Becker¹pointed out that mastering the surgical technique of rhinoplasty does not necessarily produce a good result. He stated that the operator must have an artistic concept, understand the anatomical relations of the nasal structures, and know the degree of postoperative thickening and relaxation of tissues which can be expected under various conditions. This last point was exemplified by a question circularized by the International Correspondence Society.⁹Twelve well-known rhinoplasty surgeons were asked to calculate the amount of cartilaginous dorsum lowering necessary to prevent polly-beak formation (low cartilaginous hump). None of the surgeons had a definite formula other than