Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
-
Handchir Mikrochir Plast Chir · Dec 2009
[Abdominal morbidity following TRAM flap breast reconstruction--patient-reported outcome measures].
Excellent aesthetic outcomes have been demonstrated with TRAM flap breast reconstruction. However, abdominal wall morbidity after TRAM flap breast reconstruction has not been accurately evaluated in terms of patient symptoms or patient quality of life. To further examine this issue, we performed a cross-sectional survey of TRAM flap breast reconstruction patients utilising questions from a patient-related outcome measure questionnaire. ⋯ We found a relatively low frequency of abdominal symptoms in the TRAM flap patients as a whole. However, there was a tendency towards increased abdominal symptoms in the pedicled TRAM patients compared to the free TRAM patients. As the population sizes in this study are somewhat limited, future studies with increased patient numbers may find greater differences between pedicled and free TRAM patients. In addition, studies evaluating the patients' abdominal wall symptoms pre- and postoperatively may allow for a detailed analysis of abdominal wall morbidity in post-mastectomy TRAM patients.
-
Handchir Mikrochir Plast Chir · Dec 2009
Comparative Study[Commentary on the article of P. S. Harenberg and D. Erdmann: academic plastic surgery: a comparison of residency models in Germany and the USA].
The postgraduate training in plastic surgery in Germany has to be considered as young. A direct comparison of the postgraduate training in Germany with that of the United States of America is possible on an equal basis, as the quality of postgraduate training has a high standard in both countries. Nevertheless, further corrections are necessary. In the end only competent and well qualified board certified plastic surgeons are in the position to represent this specific field of surgery on a skilled and a political basis.
-
Handchir Mikrochir Plast Chir · Dec 2009
[The Biobrane glove in burn wounds of the hand. Evaluation of the functional and aesthetic outcome and comparison of costs with those of conventional wound management].
While use of biocomposite temporary dressings in burn wounds is common practice, the complex anatomic structures of the hand make this treatment option challenging. For this reason, the Biobrane ((R)) Glove (Smith&Nephew) has been developed. However, limited information regarding burn treatment with Biobrane ((R)) Gloves can be found in the literature. ⋯ Biobrane ((R)) Glove treatment of hand burns resulted in excellent functional and cosmetic outcomes, reduced pain compared to conventional wound management and high overall patient satisfaction. In conjunction with a significant reduction in wound management time, the Biobrane ((R)) Glove is an important and cost neutral tool in the treatment of second degree burn wounds of the hand.
-
Handchir Mikrochir Plast Chir · Dec 2009
Comparative Study[Academic plastic surgery: a comparison of residency models in Germany and the USA].
In this review article, the current postgraduate training programs in plastic surgery in Germany and the USA are compared with regard to structure, methods, duty hours, income, board examination and research opportunities.
-
Handchir Mikrochir Plast Chir · Oct 2009
[Palmar wrist arthroscopy for evaluation of concomitant carpal lesions in operative treatment of distal intraarticular radius fractures].
Fractures of the distal radius, which currently are treated with palmar locking plates, are often accompanied by carpal lesions. Tears of the scapholunate interosseus ligament (SL) can affect the outcome. Between January 2007 and May 2008, 28 patients with distal intraarticular fractures of the radius were included in a prospective study. ⋯ In this study, an assessment of ulnocarpal structures was not possible. For assessment of the ulnocarpal structures, CT-arthrography was superior to palmar wrist arthroscopy. However, the latter is an alternative during emergency treatment or when CT-arthrography is not available.