Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Jul 2015
Randomized Controlled TrialRole of Postoperative Antimicrobials in Cleft Palate Surgery: Prospective, Double-Blind, Randomized, Placebo-Controlled Clinical Study in India.
The purpose of this study was to determine whether administration of postoperative antibiotics affects the incidence of complications after primary cleft palate repair in a developing area. ⋯ The authors' results indicate that postoperative antibiotic prophylaxis can reduce the incidence of fistulas after primary cleft palate repair in a developing area.
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Plast. Reconstr. Surg. · Jul 2015
The New Accreditation Council for Graduate Medical Education Next Accreditation System Milestones Evaluation System: What Is Expected and How Are Plastic Surgery Residency Programs Preparing?
The Accreditation Council for Graduate Medical Education Next Accreditation System milestones were implemented for plastic surgery programs in July of 2014. Forward progress through the milestones is an indicator of trainee-appropriate development, whereas regression or stalling may indicate the need for concentrated, targeted training. ⋯ The Next Accreditation System has been implemented nationwide for plastic surgery training programs. Milestone-based resident training is a new paradigm for residency training evaluation; programs are in the process of making this transition to find ways to make milestone data meaningful for faculty and residents.
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Plast. Reconstr. Surg. · Jul 2015
Comparative StudyPatterns and Trends in Immediate Postmastectomy Reconstruction in California: Complications and Unscheduled Readmissions.
Immediate reconstruction rates after mastectomy are increasing but remain low. Little is known about hospital readmissions after these procedures. The authors studied unscheduled readmissions after immediate reconstruction. ⋯ Therapeutic, III.
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After studying this article, the participant should be able to: 1. Determine those patients appropriate for outpatient surgery. 2. Choose appropriate anesthetics. 3. Manage patients with cardiac disease. 4. Limit complications occurring intraoperatively. ⋯ This article provides continuing medical education information regarding the current state of practice concerning outpatient surgery. A thorough preoperative evaluation is necessary to identify comorbid conditions and patients at risk for pulmonary compromise. Guidelines are provided on the use of sedatives, analgesics, and reversal agents. The management of patients with coronary artery stents and/or cardiac rhythm management devices is discussed. Effective surgical team communication is crucial to ensure that everyone is aware of conditions that may require adjustments from the usual healthy patients. Lastly, suggestions are provided to avoid intraoperative problems such as drug reactions and pressure ulcers. As our aging population presents for an increasing number of procedures, plastic surgeons must ensure that patient safety is a priority.
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Plast. Reconstr. Surg. · Jul 2015
Nipple-Sparing Mastectomy and Ptosis: Perforator Flap Breast Reconstruction Allows Full Secondary Mastopexy with Complete Nipple Areolar Repositioning.
Patients with moderate to severe ptosis are often considered poor candidates for nipple-sparing mastectomy. This results from the perceived risk of nipple necrosis and/or the inability of the reconstructive surgeon to reliably and effectively reposition the nipple-areola complex on the breast mound after mastectomy. ⋯ Therapeutic, IV.