Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Assessment of Appearance-related Questions About Breast Reconstruction Generated by Chat Generative Pre-trained Transformer.","authors":"Xiomara T Gonzalez, Margaret S Roubaud, Mark V Schaverien, Rene D Largo, Christopher S Parham, Ashleigh M Francis, Tzuan A Chen, Aubri S Hoffman, Ryan M Dickey, Mia K Markey, Gregory P Reece","doi":"10.1097/GOX.0000000000006625","DOIUrl":"10.1097/GOX.0000000000006625","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have explored the ability of artificial intelligence (AI) tools based on large language models, such as Chat Generative Pre-Trained Transformer (ChatGPT), to answer patient questions about breast reconstruction. In this study, we assessed the quality of questions generated by ChatGPT for breast reconstruction patients to ask their providers.</p><p><strong>Methods: </strong>ChatGPT was prompted to generate appearance-related questions representative of what patients might ask during breast reconstruction consultations. As a benchmark, a comparison group of questions from credible online sources was compiled. Blinded to the source, surgeons assessed the quality of questions in terms of their acceptability, contribution to the informed consent process, and contribution to the shared decision-making process. Surgeons were also asked to report their agreement on whether questions were generated by an AI tool.</p><p><strong>Results: </strong>Experienced reconstructive surgeons rated ChatGPT-generated questions about appearance-related outcomes of breast reconstruction as acceptable (15 of 16), likely to positively contribute to the informed consent process (15 of 16), and likely to positively contribute to the shared decision-making process (16 of 16). These ratings were comparable to those for benchmark questions. Surgeons did not readily recognize questions as being AI-generated. Differences in surgeon assessments were most pronounced regarding the perceived potential for the questions to contribute to the informed consent process.</p><p><strong>Conclusions: </strong>The quality of ChatGPT-generated questions related to appearance concerns is comparable to that of questions sourced from reputable online websites. Patients may benefit from discussion with their providers about best practices for using AI tools in preparation for consultations.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6625"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tumescent Local Anesthesia for Wide-awake Sentinel Lymph Node Biopsy.","authors":"Jayson S Dool, Donald H Lalonde","doi":"10.1097/GOX.0000000000006578","DOIUrl":"10.1097/GOX.0000000000006578","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6578"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimal Pain Tumescent Local Anesthesia WALANT Basal Thumb Arthritis Implant Arthroplasty.","authors":"Jean-Paul Brutus, Donald H Lalonde","doi":"10.1097/GOX.0000000000006571","DOIUrl":"10.1097/GOX.0000000000006571","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6571"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Inflammatory Reaction to Silicone Implants: Polyurethane Foam Versus Nanotextured Surface-An Experimental Study in Rats.","authors":"Bruno Anastácio Ferraz Guimarães, Charbel G Saad, Gregory Nicolas, Fernando Serra Guimarães, Leandro Cavalcante Lipinski, Adriana Yuriko Koga, Gisela Hobson Pontes","doi":"10.1097/GOX.0000000000006596","DOIUrl":"10.1097/GOX.0000000000006596","url":null,"abstract":"<p><strong>Background: </strong>The interaction between the surface of the implant and the human body results in a local and systemic inflammatory reaction that leads to the formation of a peri-implant capsule and entails complications. This study aimed to evaluate and compare the local and systemic inflammatory reactions of silicone implants coated with polyurethane foam and those with a nanotextured surface.</p><p><strong>Methods: </strong>Using indirect enzyme-linked immunosorbent assay, the levels of interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor necrosis factor alpha (TNF-α) were measured in the serum and per-implant capsule of rats submitted to surgical placement of the 2 different types of implants. The statistical analysis was conducted within each group, comparing the parameters according to the times at which the rats were euthanized at 3 distinct durations of exposure (30, 60, and 90 d).</p><p><strong>Results: </strong>The results show that at both 30 and 60 days, there was no significant increase in the levels of markers in either group; however, a change becomes evident at 90 days. The nanotextured surface showed a decreased production of inflammatory markers at 30 and 60 days as compared with the polyurethane group. Nevertheless, at 90 days, there is a marked increase in these markers observed in the nanotextured group and a decrease in the polyurethane group, yet without any statistical significance between either group at that time.</p><p><strong>Conclusions: </strong>After a lapse of an extended period of time (90 d), nanotextured surface implants cause a local and systemic inflammatory reaction similar to those with a polyurethane foam surface.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6596"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WALANT Decreases Costs of Surgery to Increase Access and Help Alleviate Poverty in East Africa.","authors":"Pankaj Jani, James Kariuki, Nilkanth V Jani, Sameer M Pandya, Ankit J Dave, Sara M Amin, Baiya A Rashid, Donald H Lalonde","doi":"10.1097/GOX.0000000000006572","DOIUrl":"10.1097/GOX.0000000000006572","url":null,"abstract":"<p><p>Surgery is essential to help people regain health and get back to work. Many Africans cannot afford traditional surgery because the sedation and main operating room sterility components are much too expensive. This often results in crushing debt for African families. Lack of access to surgery leads to poverty and poverty leads to lack of access to surgery. Wide-awake local anesthesia no tourniquet surgery, minimal pain tumescent local anesthesia, and evidence-based sterility are 3 disruptive game-changing innovations that eliminate the expensive general anesthesia and/or main operating room sterility components for many operations. Eliminating the tourniquet removes its need for sedation. Minimal pain tumescent local anesthesia enables comfortable numbing of large areas of the body to perform sedation-free operations such as soft tissue facial reconstruction, long bone fracture fixation, breast surgery, hernia repair, extremity surgery, and skin grafting. Evidence-based sterility has proven that many operations can be performed with field sterility outside of the main operating room environment with no significant increase in infection rates. No sedation also means no need for the main operating room environment. Moving some surgery out of the main operating room increases access for other operations that need full sterility to be accomplished. Since January 2020, these 3 disruptive changes have been adopted in 75 hospitals in 8 East African countries. This article documents how these changes have decreased the costs of surgery for the patients and, therefore, increased access to surgery, which helps alleviate poverty.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6572"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Gaps in Surgical Care: Facial Trauma Management Through the Surgeons in Humanitarian Alliance for Reconstruction, Research, and Education Initiative.","authors":"Henok Tilahun, Matteo Laspro, Bashar A Hassan, Joyce K McIntyre, Amanda A Gosman, Donald Lalonde, Andrea L Pusic","doi":"10.1097/GOX.0000000000006631","DOIUrl":"10.1097/GOX.0000000000006631","url":null,"abstract":"<p><p>Facial trauma presents a significant healthcare challenge in low- and middle-income countries (LMICs) due to limited access to specialized surgical care. This case report describes the management of a complex forehead degloving injury in a 20-year-old woman in Somalia, highlighting the role of remote surgical mentorship in resource-limited settings. The patient sustained a right forehead degloving injury in a motor vehicle collision, exposing a 3 × 5 cm segment of the frontal bone. Initial debridement resulted in a large soft-tissue defect, and the local surgical team faced challenges in selecting an optimal reconstructive approach due to limited experience and resources. The patient's aesthetic concerns further complicated decision-making. Through the Surgeons in Humanitarian Alliance for Reconstruction, Research, and Education program, the team sought virtual expert consultation via a secure WhatsApp platform. Based on expert recommendations, conservative management with daily Vaseline dressings was initiated to promote granulation tissue formation. Over 6 weeks, complete bone coverage was achieved, followed by full-thickness skin grafting, resulting in a satisfactory aesthetic outcome. This case demonstrates the value of global surgical networks in guiding complex reconstructions in LMICs, allowing local teams to deliver high-quality care despite resource constraints. Although short-term results were successful, long-term follow-up is necessary to assess functional and aesthetic durability. The success of this case underscores the importance of international collaborations in improving surgical education, patient outcomes, and sustainability of reconstructive techniques in LMICs.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6631"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to Start WALANT Procedure Room Surgery Like Ghana to Improve Access and Affordability.","authors":"Zainab N Schumacher, Emile K Tano, Papa K S Fiifi-Yankson, Donald H Lalonde","doi":"10.1097/GOX.0000000000006575","DOIUrl":"10.1097/GOX.0000000000006575","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6575"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WALANT Technique Scaphoid Fracture and Wrist Surgery With Field Sterility.","authors":"Brett J Ponich, Martin J Giuffre, Maleka Ramji, Donald H Lalonde, Aaron D K Knox","doi":"10.1097/GOX.0000000000006576","DOIUrl":"10.1097/GOX.0000000000006576","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6576"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wide Awake Breast Reduction.","authors":"Meegan M Gruber, Donald H Lalonde","doi":"10.1097/GOX.0000000000006577","DOIUrl":"10.1097/GOX.0000000000006577","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6577"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent Developments in WALANT Flexor Tendon Repair and Rehabilitation.","authors":"Donald H Lalonde, Sarvnaz Sepehripour","doi":"10.1097/GOX.0000000000006573","DOIUrl":"10.1097/GOX.0000000000006573","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6573"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}