Plastic and reconstructive surgery最新文献_第4页

A Video-Based Learning Module Is an Effective Way to Teach the Interpretation of Preoperative Electrodiagnostic Studies. "基于视频的学习模块是教授术前电诊断研究解释的有效方法"。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-06-01 Epub Date: 2024-11-26 DOI: 10.1097/PRS.0000000000011907

Ruby L Taylor, Justin K Zhang, J Megan M Patterson, Noah S Llaneras, Stahs Pripotnev, Kitty Y Wu, Susan E Mackinnon

{"title":"A Video-Based Learning Module Is an Effective Way to Teach the Interpretation of Preoperative Electrodiagnostic Studies.","authors":"Ruby L Taylor, Justin K Zhang, J Megan M Patterson, Noah S Llaneras, Stahs Pripotnev, Kitty Y Wu, Susan E Mackinnon","doi":"10.1097/PRS.0000000000011907","DOIUrl":"10.1097/PRS.0000000000011907","url":null,"abstract":"Background: Electrodiagnostic studies are critical for surgical decision-making in nerve injuries. Surgeons typically rely on the electrodiagnostician's reports and lack formal training in electrodiagnostic study interpretation. This knowledge gap highlights a need for accessible and effective educational resources for surgeons to improve their understanding of electrodiagnostic studies and enhance patient care.Methods: The educational module consisted of a prelecture knowledge assessment, a 42-minute video lecture on interpreting electrodiagnostic study results, and a postlecture knowledge assessment. Knowledge retention was assessed by means of an additional survey distributed 3 months after module completion.Results: This study, involving 119 participants (79% attending surgeons, 8% fellows, 9% surgical residents, and 2% who described their position as \"other\"), demonstrated that a 42-minute video-based learning module significantly improved knowledge of electrodiagnostic study interpretation. Median scores increased from 7 to 9 ( P < 0.001), with improvement persisting at 3 months (median retention score, 11; P < 0.025). Among surgeons completing the 3-month assessment, 65.5% reported that knowledge gained from the module had changed their clinical practice.Conclusion: This study demonstrates that a concise, video-based learning module can effectively enhance surgeon knowledge of electrodiagnostic study interpretation and may serve as a valuable tool for surgical education and improving patient selection in nerve surgery.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"1024-1032"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound Assisted Liposuction with VASER for lower limb lipedema: a single-center cohort of 191 female patients. 超声辅助吸脂与VASER治疗下肢脂肪水肿：191名女性患者的单中心队列。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-20 DOI: 10.1097/PRS.0000000000012217

Barbara Hersant, Eloi de Clermont-Tonnerre, Giulia Argentino, Malika Bensid, Said Bensaid, Gioanni Roccaro, Oana Hermeziu, Andrea Murante, Simone La Padula, Jean Paul Meningaud

{"title":"Ultrasound Assisted Liposuction with VASER for lower limb lipedema: a single-center cohort of 191 female patients.","authors":"Barbara Hersant, Eloi de Clermont-Tonnerre, Giulia Argentino, Malika Bensid, Said Bensaid, Gioanni Roccaro, Oana Hermeziu, Andrea Murante, Simone La Padula, Jean Paul Meningaud","doi":"10.1097/PRS.0000000000012217","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012217","url":null,"abstract":"Introduction: Lipedema, a chronic condition affecting 11% of women, causes abnormal fat buildup in the lower limbs, leading to disproportionate body shape and functional problems. Often misdiagnosed, its cause is unclear, and conservative treatments are typically tried first. If these fail, surgical options like lymphatic-sparing liposuction, including ultrasound-assisted liposuction (UAL), may be considered for lower limb lipedema after six months of conservative treatment.Materials and methods: Our cohort included 191 patients with lower limb lipedema (stages 1-3) who underwent two stages of lymphatic-sparing UAL following six months of conservative treatment. Outcome measures included changes in pain assessment using visual analog scales, pannus thickness, aesthetic satisfaction, and the documentation of complications before and 12 months after the complete surgical treatment.Results: Our protocol resulted in significant reductions in circumferences across all assessed regions (p < 0.001), with an average decrease of -6.396 cm [-9.268; -3.523]. Pain levels, sensitivity to touch, bruising, and other discomforts significantly decreased following liposuction (all p < 0.0001). Complication rates were within expected ranges, with no instances of postoperative phlebitis. All patients reported high levels of post-treatment satisfaction.Conclusion: The integration of a comprehensive medical protocol for managing lipedema, combined with the use of next-generation lymphatic-sparing UAL in two-stage procedures for the lower limbs, shows promising potential. These findings highlight the effectiveness and safety of liposuction in treating lipedema, providing valuable insights for clinical practice. Long-term follow-up studies are necessary to confirm sustained efficacy.Level of evidence: II.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alzheimer's Disease: A New Frontier for Plastic Surgeons. 阿尔茨海默病：整形外科的新前沿。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-20 DOI: 10.1097/PRS.0000000000012216

Shahnur Ahmed, Angad Sidhu, Dustin B Hammers, Ganesh Mohan, Parhom N Towfighi, Mithun Sinha, Aladdin H Hassanein

引用次数: 0

Advancing Pure-Skin-Perforator Flap Application: Microscope-Free Harvesting, Versatile Donor Sites, and Clinical Outcomes. 推进纯皮肤穿支皮瓣应用：无显微镜收获，多用途供体部位，和临床结果。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-20 DOI: 10.1097/PRS.0000000000012215

Juyoung Bae, Jong-Koo Lee, Kyeong-Tae Lee

{"title":"Advancing Pure-Skin-Perforator Flap Application: Microscope-Free Harvesting, Versatile Donor Sites, and Clinical Outcomes.","authors":"Juyoung Bae, Jong-Koo Lee, Kyeong-Tae Lee","doi":"10.1097/PRS.0000000000012215","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012215","url":null,"abstract":"Background: Reconstruction of shallow but complicated defects with exposed critical structures often requires vascularized tissue with skin-like thinness, which pure-skin-perforator flaps can provide. Despite their benefits, pure-skin-perforator flaps are underutilized due to remained uncertainties surrounding their application. This study reviews our experience with free pure-skin-perforator flap reconstruction, focusing on the elevation process, donor site selection, and clinical outcomes.Methods: Patients who underwent microsurgical reconstruction using pure-skin-perforator flaps between April 2021 and January 2024 were reviewed. All flaps were elevated using loupe magnification through distal-to-proximal dissection. Donor sites were selected based on the defect: superficial circumflex iliac perforator (SCIP) flaps for finger/toe defects, and anterolateral thigh (ALT) or thoracodorsal artery perforator (TDAP) flaps for longer pedicles generally. The development of complications and associated risk factors were investigated.Results: Seventy-one cases were analyzed, with a mean body mass index of 24.2 kg/m², including 55 SCIP, 10 ALT, and six TDAP flaps. No conversions to microscope-assisted elevation were needed. The mean skin paddle size was 26.3 cm² with a thickness of 3.5 mm; TDAP flaps were thickest, and SCIP flaps were thinnest. The average pedicle length was 4.8 cm, with TDAP flaps having the longest. Flap elevation took 37.0 minutes averagely, consistent across flap types. Flap complications occurred in 18 cases, including two total flap losses and four partial losses, associated with chronic wounds, and larger flap sizes.Conclusions: Pure-skin-perforator flaps might be a valuable reconstructive option for shallow, but complicated defects, offering easy harvesting of microscope-free, versatile donor selection, and reliable outcomes.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complications Following Primary Implant-Based Gluteal Augmentation: A Systematic Review and Meta-Analysis. 初次植体臀肌隆胸术后并发症：系统回顾和荟萃分析。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-20 DOI: 10.1097/PRS.0000000000012213

Ahmed Elsaftawy, Michał Bonczar, Marta Jagosz, Patryk Ostrowski

{"title":"Complications Following Primary Implant-Based Gluteal Augmentation: A Systematic Review and Meta-Analysis.","authors":"Ahmed Elsaftawy, Michał Bonczar, Marta Jagosz, Patryk Ostrowski","doi":"10.1097/PRS.0000000000012213","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012213","url":null,"abstract":"Background: Gluteal augmentation is a widely performed aesthetic procedure, with implants providing a reliable alternative for patients with insufficient donor fat or those seeking a more pronounced and predictable volume enhancement. However, complication rates remain a concern, and it is unclear how different surgical techniques influence outcomes such as wound dehiscence, seroma formation, capsular contracture, and implant malposition. This systematic review and meta-analysis aimed to evaluate the safety and complication rates associated with implant-based gluteal augmentation, with a focus on how different surgical and procedural factors may influence these outcomes.Methods: A systematic search of Medline (PubMed), Embase, Scopus, and Web of Science was conducted following PRISMA guidelines. The ROBINS-I V2 tool was used to assess the risk of bias, and publication bias was analyzed using funnel plots and the LFK index.Results: A total of 32 studies comprising 2,682 patients were included in the meta-analysis. Textured implants had higher complication rates, including seromas (7.50% vs. 2.56%), dehiscence (13.98% vs. 6.63%), and capsular contracture (2.06% vs. 0.55%) compared to smooth implants. Subfascial placement had the highest seroma (22.25%) and dehiscence (27.07%) rates, whereas intramuscular and submuscular placements showed lower complication rates. The overall implant removal rate was 1.05%, with subfascial placement exhibiting the highest rate (5.23%).Conclusions: Implant-based gluteal augmentation remains a viable option, but careful selection of surgical technique is crucial to minimize complications. While intramuscular and submuscular placement appear safer, further prospective, standardized studies with long-term follow-up are needed to refine surgical strategies and improve patient outcomes.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prophylactic Absorbable Antibiotic Beads: Effect on Tissue Expander Reconstruction Outcomes following Mastectomy Skin Necrosis. 预防性可吸收抗生素微珠：对乳房切除术后皮肤坏死组织扩张器重建结果的影响。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-20 DOI: 10.1097/PRS.0000000000012220

Shahnur Ahmed, Shozaf Zaidi, Carla S Fisher, Kandice K Ludwig, Folasade O Imeokparia, R Jason VonDerHaar, Ravinder Bamba, Rachel M Danforth, Aladdin H Hassanein, Mary E Lester

{"title":"Prophylactic Absorbable Antibiotic Beads: Effect on Tissue Expander Reconstruction Outcomes following Mastectomy Skin Necrosis.","authors":"Shahnur Ahmed, Shozaf Zaidi, Carla S Fisher, Kandice K Ludwig, Folasade O Imeokparia, R Jason VonDerHaar, Ravinder Bamba, Rachel M Danforth, Aladdin H Hassanein, Mary E Lester","doi":"10.1097/PRS.0000000000012220","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012220","url":null,"abstract":"Summary: Mastectomy skin necrosis (MSN) is problematic in tissue expander (TE) reconstruction. Partial or full-thickness skin necrosis may harbor bacterial colonization promoting infection and implant loss. Absorbable antibiotic beads have been described to reduce TE/implant infection when used prophylactically for prepectoral breast reconstruction. The purpose of this study is to evaluate the effect of absorbable antibiotic beads on outcomes in patients who develop MSN after immediate TE reconstruction.Patients who underwent mastectomy with immediate prepectoral TE reconstruction who developed MSN were included. Patients were divided into two groups: Group 1 (absorbable calcium sulfate antibiotic beads) and Group 2 (no antibiotic beads). Surgical-site infection (90-days) and device removal were outcome variables. The study included 61 patients (75 total breasts) who underwent prepectoral TE reconstruction and developed MSN. The were 12 patients in Group 1 (16 breasts) and 49 patients in Group 2 (59 breasts). Surgical management of MSN (debridement and reclosure) was required in 50% (6/12) of Group 1 compared to 73.5% (36/49) of Group 2 patients (p=0.1604). There was one occurrence (6.3%, 1/16 TEs) of surgical-site infection in Group 1 and 35.6% (21/59 TEs) in Group 2 (p=0.0178). TE removal was required in 6.3% (1/16 TEs) in Group 1 and 33.9% (20/59 TEs) in Group 2 (p=0.0310).Patients who develop MSN are at high risk for infection and TE loss. Prophylactic absorbable antibiotic beads placed at the time of TE reconstruction decrease the risk of infection and TE loss in those that develop MSN.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dissector-Assisted Liposuction for Dorsocervical Fibro-Lipodystrophy (Buffalo Hump): Results from 57 Patients. 解剖辅助吸脂治疗颈背纤维脂肪营养不良（Buffalo驼峰）：57例患者的结果。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-20 DOI: 10.1097/PRS.0000000000012212

Shaoluan Zheng, Liqun Teng, Xiangren Wang, Fei Yang, Xichao He, Shunli Yeoh, Fazhi Qi, Jiaqi Liu

{"title":"Dissector-Assisted Liposuction for Dorsocervical Fibro-Lipodystrophy (Buffalo Hump): Results from 57 Patients.","authors":"Shaoluan Zheng, Liqun Teng, Xiangren Wang, Fei Yang, Xichao He, Shunli Yeoh, Fazhi Qi, Jiaqi Liu","doi":"10.1097/PRS.0000000000012212","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012212","url":null,"abstract":"Background: Buffalo hump is fibro-lipodystrophy in posterior part of neck. Although established surgical treatments, such as lipectomy and liposuction, are available, they each have notable limitations. Lipectomy often leads to significant scarring, trauma, and prolonged recovery. Traditional liposuction encounters challenges such as high suction resistance and potential complications. The objective of this study is to introduce a novel technique, dissector-assisted liposuction, as a potential solution to address these limitations.Methods: A case series study was conducted. The fibrous tissue was first dissected using a specialized dissector to reduce the resistance in the subcutaneous and deep fascia layers. The fibers within the buffalo hump were also carefully dissected. Once the resistance in the buffalo hump area was significantly reduced, a 3.5mm harvesting cannula with a cutting edge was used to perform liposuction. A 5-point Likert scale was used to assess outcomes preoperatively and 6 months postoperatively.Results: A total of 57 patients underwent the dissector-assisted liposuction for buffalo hump treatment without complications. The average volume of the buffalo hump was 328.72 mL. Immediate improvements in appearance were observed in all patients. Six months after surgery, with the exception of scarring (which showed a median LS value of 0 in both the preoperative and postoperative periods), the LS for the other four parameters showed a significant increase (P<0.05).Conclusions: Dissector-assisted liposuction offers several advantages, including the pre-dissecting of fibrous tissue, reduction of fibrous tissue volume, and decreased resistance during liposuction, making it a promising approach for treating buffalo hump.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Revisiting Ehlers-Danlos Syndrome as a Relative Contraindication to Elective Plastic Surgery: A Retrospective Matched Cohort Study. 回顾选择性整形手术的相对禁忌症：一项回顾性匹配队列研究。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-13 DOI: 10.1097/PRS.0000000000012205

R'ay Fodor, Riley Marlar, Ying Ku, Mazen Al-Malak, Kate Jensen, Jacob Lammers, Ryan Khalaf, Abigail Meyers, Antonio Rampazzo, Bahar Bassiri Gharb

{"title":"Revisiting Ehlers-Danlos Syndrome as a Relative Contraindication to Elective Plastic Surgery: A Retrospective Matched Cohort Study.","authors":"R'ay Fodor, Riley Marlar, Ying Ku, Mazen Al-Malak, Kate Jensen, Jacob Lammers, Ryan Khalaf, Abigail Meyers, Antonio Rampazzo, Bahar Bassiri Gharb","doi":"10.1097/PRS.0000000000012205","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012205","url":null,"abstract":"Background: Ehlers-Danlos Syndromes comprise a heterogeneous group of connective tissue disorders, often associated with concerns about poor wound healing and elevated surgical complication rates. This study evaluated the safety of elective plastic surgery in EDS patients relative to matched controls. We hypothesized that EDS patients would not experience higher complication rates relative to matched controls.Methods: An IRB approved retrospective cohort study of EDS patients and matched controls who underwent elective plastic surgery between 2003 and 2023 was conducted at a tertiary health care system. Patients were matched for comorbidities, medications, and other factors affecting wound healing. Complication rates, categorized by severity and timing, were compared between groups. Data analysis included paired t-tests and McNemar's tests. To detect a complication rate difference of 10% (α=0.05, β=0.2), a sample of 97 patients per group was required.Results: One-hundred EDS patients (86% female, mean age 43.29±17.45 years, mean BMI 26.47±6.01) and 100 matched controls (86% female, mean age 42.98±18.12 years, mean BMI 26.82±6.61) were included. The most common EDS subtype was hypermobile EDS (41%), followed by classical (6%) and vascular EDS (2%). Complications were observed in 25% of EDS patients and 35% of controls (p=0.16). There was no significant difference in the rate of minor complications (EDS: 19% vs. Controls: 24%, p=0.39) or major complications (EDS: 6% vs. Controls: 12%, p=0.20).Conclusions: Elective plastic surgery can be performed safely in patients with EDS, particularly those with hypermobile EDS.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower extremity nerve decompression for superimposed peripheral neuropathy in diabetes: awareness among medical professionals. 下肢神经减压治疗糖尿病合并周围神经病变：医学专业人员的认识。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-13 DOI: 10.1097/PRS.0000000000012200

Nadine Boers, Isabelle M L P Kamm, Manuel Castro Cabezas, Wynand B Melenhorst, Willem D Rinkel, J Henk Coert

{"title":"Lower extremity nerve decompression for superimposed peripheral neuropathy in diabetes: awareness among medical professionals.","authors":"Nadine Boers, Isabelle M L P Kamm, Manuel Castro Cabezas, Wynand B Melenhorst, Willem D Rinkel, J Henk Coert","doi":"10.1097/PRS.0000000000012200","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012200","url":null,"abstract":"Background: In 2009, a Dutch survey disclosed that 23% of medical professionals involved in diabetes care acknowledged the role of superimposed nerve compression in diabetic sensorimotor polyneuropathy (DSP) symptoms, although less than 10% were aware of the potential value of nerve decompression surgery. Our current aim was to assess whether awareness changed since this survey together with an updated review of the literature.Methods: A cross-sectional, national, multi-institutional survey-based study was conducted among professionals from different specialties in the Netherlands including general practitioners, endocrinologists, neurologists, plastic surgeons, vascular surgeons, orthopedic surgeons, neurosurgeons, anesthesiologists, diabetes specialist nurses and podiatrists.Results: Among the 730 respondents, 84% confirmed their involvement in diabetes care. 57% (versus 23% in 2009) stated to be aware of the concept that superimposed nerve compressions play a role in the symptoms of DSP and 74% (previously: 60%) believed that this could be the case. In their communication to patients, 78% (versus 45%) of the professionals explained that DSP was irreversible. 30% (versus 3%) reported to refer patients to a surgeon. The reviewed literature reports an encouraging effect regarding pain reduction and PROMs, albeit with inconsistencies in outcomes related to sensibility (static one-point, two-point discrimination) and nerve conduction parameters.Conclusions: In the last 13 years, studies reporting positive effects of surgery on both patient-reported outcomes and post-operative pain have raised an increased awareness on lower extremity neuropathy and LEND surgery with significantly more referrals to surgeons. However, long-term outcomes and appropriate patient selection criteria for LEND surgery are still needed.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unmasking Inequality: The Current State of Health Disparities Research in Plastic Surgery. 揭露不平等：整形外科健康差异研究的现状。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-05-13 DOI: 10.1097/PRS.0000000000012198

Isabel A Snee, Kishan S Shah, Luke J Llaurado, Laura K Tom

{"title":"Unmasking Inequality: The Current State of Health Disparities Research in Plastic Surgery.","authors":"Isabel A Snee, Kishan S Shah, Luke J Llaurado, Laura K Tom","doi":"10.1097/PRS.0000000000012198","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012198","url":null,"abstract":"Introduction: Health disparities persist within plastic and reconstructive surgery, disproportionately impacting patient populations based on social determinants of health. These disparities contribute to delayed treatment, higher complication rates, and worse aesthetic and functional outcomes, ultimately affecting quality of life and patient well-being. While progress has been made in identifying these inequities, there remains a need for targeted research to design, implement, and assess interventions that directly address these disparities.Methods: We conducted a scoping review of recent PRS literature to evaluate the proportion of studies focused on identifying, understanding, and addressing disparities. Using the PRISMA-ScR guidelines, a systematic search identified national studies published since 2019 that addressed healthcare disparities specific to PRS.Results: Of the 173 studies included, 81.5% focused on identifying disparities, while only 10.4% aimed to understand causative factors, and an additional 8.10% implemented interventions to reduce disparities. Disparities were most reported in breast surgery, followed by general reconstruction and non-breast microsurgery, with minority racial groups, lower socioeconomic status, and women experiencing the greatest burden of inequity. Most studies evaluated barriers such as treatment access, offers of care, and post-surgical complications, yet few studies progressed to implementing solutions that address these challenges.Conclusion: To achieve meaningful progress, PRS disparities research must move beyond identifying inequities to actively reducing them through evidence-based interventions, policy initiatives, and patient-centered care. Addressing these inequities can improve access to treatment, surgical outcomes, and quality of life for underserved populations. By prioritizing actionable solutions, the field of PRS can achieve more equitable healthcare delivery.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0