Clinics in plastic surgery
-
Anesthetic management of patients for craniofacial reconstruction is based on a careful preanesthethic evaluation emphasizing the airway, with examination for other associated anomalies. Specific perioperative issues include airway management, blood loss reduction and replacement, and control of brain volume. Good communication between the anesthesiologist and the craniofacial surgeon, with an understanding of each other's clinical concerns, is essential.
-
This article follows the development of computerized devices from the primitive manual systems of the ancient world to the sophisticated electronic devices of today.
-
From the exercise principles of Galen through the compassionate practices of Canute and the leadership of Tissot, Dunton, Bunnell, Brand, and Hunter, hand rehabilitation has grown. Surgeons, nurses, physical therapists, and occupational therapists now work together for a common goal--to restore the patient with the injured hand to the greatest possible productivity in the shortest period of time.
-
The biology, management, and results of primary repair and secondary reconstruction are reviewed. Repair of the tendon sheath and controlled mobilization appear to improve the results of both groups.
-
A successful outcome to the management of the significantly burned patient requires a team approach. Although at one time survival alone was considered a sufficient indicator of success, the quality of that survival now must be closely assessed prior to self-congratulations. The burn team, in addition to the usual medical personnel, requires occupational and physical therapy, as well as rehabilitation medical specialists, whose goals are to preserve function and restore independence. Burn care that does not emphasize these goals from the first day of injury, and extended well beyond initial discharge from the hospital, does not match contemporary standards of excellent care.