Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Nov 2014
Randomized Controlled TrialTransversus abdominis plane block reduces morphine consumption in the early postoperative period following microsurgical abdominal tissue breast reconstruction: a double-blind, placebo-controlled, randomized trial.
The analgesic efficacy of the transversus abdominis plane peripheral nerve block following abdominal tissue breast reconstruction has not been studied in a randomized controlled trial. ⋯ Therapeutic, II.
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Plast. Reconstr. Surg. · Nov 2014
Aplasia cutis congenita: clinical management and a new classification system.
Aplasia cutis congenita is a rare, congenital disorder. In its severe phenotype, it is potentially life threatening. Its management and the timing of surgery remain controversial because of the risks involved with both conservative and surgical approaches. Most literature is based on case reports and very small case series because of the rarity of the disorder. The authors present their experience treating newborns with aplasia cutis congenita and its progressive development. ⋯ Therapeutic, IV.
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Plast. Reconstr. Surg. · Nov 2014
Comparative StudyMeasuring outcomes and determining long-term disability after revision amputation for treatment of traumatic finger and thumb amputation injuries.
Disability ratings after finger amputations are based on anatomical injury according to the American Medical Association's Guides to the Evaluation of Permanent Impairment. These ratings determine disability and compensation, without considering validated outcomes measures. The authors hypothesize that patient-reported outcomes reflect function and health-related quality of life after traumatic finger amputations, and that Guides scoring does not accurately rate postamputation disability. ⋯ Risk, II.
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Plast. Reconstr. Surg. · Nov 2014
Lessons learned from the American College of Surgeons National Surgical Quality Improvement Program Database: has centralized data collection improved immediate breast reconstruction outcomes and safety?
The American College of Surgeons National Surgical Quality Improvement Program database was implemented to longitudinally track surgical 30-day surgical outcomes and complications. The authors analyze the program-reported outcomes for immediate breast reconstruction from 2007 to 2011, to assess whether longitudinal data collection has improved national outcomes and to highlight areas in need of continued improvement. ⋯ Therapeutic, III.
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Plast. Reconstr. Surg. · Nov 2014
Bibliometric indices and academic promotion within plastic surgery.
Bibliometric indices are proposed measures to quantitatively and qualitatively evaluate scholarly output within academic medicine. The authors sought to validate bibliometric indices as an indicator of academic productivity within plastic surgery and their association with promotion of faculty surgeons in academic practice. ⋯ Bibliometric indices predict promotion in academic surgery and provide a useful metric for surgeons embarking on a career in academia.