Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Jul 2011
Review Comparative StudyComparison of trapeziectomy and trapeziectomy with ligament reconstruction and tendon interposition: a systematic literature review.
Trapeziectomy with ligament reconstruction and tendon interposition is currently the most popular technique for operative treatment of trapeziometacarpal osteoarthritis. Based on the evidence, however, it is uncertain whether the addition of ligament reconstruction and tendon interposition to trapeziectomy confers any advantage. The aim of this study was to systematically review the literature and determine which procedure, trapeziectomy or trapeziectomy with ligament reconstruction and tendon interposition, offers the best results to patients. ⋯ Therapeutic, II.(Figure is included in full-text article.).
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Plast. Reconstr. Surg. · Jul 2011
Clinical TrialUltrasound-guided bilateral transversus abdominis plane block for postoperative analgesia after breast reconstruction by DIEP flap.
Autologous breast reconstruction by deep inferior epigastric perforator (DIEP) flap provides higher postoperative pain at the abdominal donor site than at the thoracic one. The authors evaluated the analgesic efficacy of ultrasound-guided transverse abdominis plane block for postoperative analgesia after immediate breast reconstruction by DIEP flap. ⋯ : Therapeutic, II.(Figure is included in full-text article.).
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Plast. Reconstr. Surg. · Jul 2011
Comparative StudyFoot and ankle reconstruction: pedicled muscle flaps versus free flaps and the role of diabetes.
The effectiveness of pedicled muscle flaps versus microsurgical free flaps in patients with diabetes mellitus for complex foot and ankle reconstruction has not been well defined. ⋯ Therapeutic, III.(Figure is included in full-text article.).
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Plast. Reconstr. Surg. · Jul 2011
The GILLS score: part I. Patient selection for tongue-lip adhesion in Robin sequence.
The compromised airway in Robin sequence demands prompt operative intervention. Tongue-lip adhesion is one alternative; however, the outcome of this technique is variable. The purpose of this study was to identify variables that preoperatively predict the success of adhesion in Robin sequence patients with life-threatening respiratory distress. ⋯ Risk, II.(Figure is included in full-text article.).
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Plast. Reconstr. Surg. · Jul 2011
The use of standardized patients in the plastic surgery residency curriculum: teaching core competencies with objective structured clinical examinations.
As of 2006, the Accreditation Council for Graduate Medical Education had defined six "core competencies" of residency education: interpersonal communication skills, medical knowledge, patient care, professionalism, practice-based learning and improvement, and systems-based practice. Objective structured clinical examinations using standardized patients are becoming effective educational tools, and the authors developed a novel use of the examinations in plastic surgery residency education that assesses all six competencies. ⋯ The objective structured clinical examination provided comprehensive and meaningful feedback and identified areas of strengths and weakness for the residents and for the teaching program. The examination is an effective assessment tool for the core competencies and a valuable adjunct to residency training.