Plastic surgery最新文献

{"title":"Anatomical Landmarks of Umbilical Aesthetics.","authors":"Edoardo Raposio, Elisa Bertulla","doi":"10.1177/22925503261438772","DOIUrl":"https://doi.org/10.1177/22925503261438772","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261438772"},"PeriodicalIF":0.6,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147675934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WALANT Thumb CMC Joint Denervation Under Field Sterility: A Case Report and Description of Technique.","authors":"Alexander Platt, Merry Faye Graff, Brett Ponich, Aaron Knox","doi":"10.1177/22925503261436369","DOIUrl":"https://doi.org/10.1177/22925503261436369","url":null,"abstract":"<p><p>Thumb carpometacarpal (CMC) osteoarthritis is a common condition that can affect a patient's ability to function normally in daily life. Surgical CMC denervation of the thumb has emerged as a less invasive option for patients who want to recover and return to activity sooner. Here, we report the use of the Wide-Awake Local Anesthesia No Tourniquet technique for first CMC denervation under field sterility.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261436369"},"PeriodicalIF":0.6,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147675908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative Hypothermia in Plastic Surgery: Procedure-Specific Patterns and the Call for Preventive Strategies.","authors":"Keenan S Fine, Sara Booth, Heather Larson, Karin L Zuegge, Katherine Gast","doi":"10.1177/22925503261436334","DOIUrl":"10.1177/22925503261436334","url":null,"abstract":"<p><p><b>Introduction:</b> Intraoperative hypothermia is a common yet underrecognized concern in plastic surgery, contributing to increased risks of surgical site infections, coagulopathy, and delayed recovery. This study characterizes intraoperative temperature dynamics and identifies procedure-specific risks to guide warming strategies. <b>Methods:</b> We performed a retrospective review of 1923 elective plastic and reconstructive surgeries under general anesthesia at a single academic institution. Preincision and postoperative core temperatures were recorded using nasopharyngeal or esophageal monitoring. Intraoperative temperature change was defined as the difference between these measurements. Multivariable linear and logistic regression models assessed associations between procedure type and both temperature change and postoperative hypothermia (<36.0 °C), adjusting for surgery duration, inpatient status, and preincision temperature. <b>Results:</b> The mean intraoperative temperature change across all procedures was +0.16 °C. However, substantial variation existed by procedure. Free flap breast reconstruction, facial procedures, oncoplastic breast reduction, and panniculectomy were associated with temperature increases, while hand surgery showed significant decreases (<i>P</i> = .002). Preincision hypothermia was present in 36.6% of cases and postoperative hypothermia in 32.3%. On multivariable analysis, body contouring (OR = 1.84, <i>P</i> = .005) and hand procedures (OR = 3.91, <i>P</i> = .004) were significantly associated with increased odds of postoperative hypothermia, while aesthetic breast revision trended toward significance (OR = 1.84, <i>P</i> = .055). Neither surgery duration nor inpatient status predicted postoperative hypothermia. <b>Conclusions:</b> Hypothermia remains highly prevalent in plastic surgery procedures performed under general anesthesia, particularly among patients undergoing hand and body contouring procedures. High rates of preincision hypothermia further underscore the need for improved perioperative warming protocols. Multimodal warming strategies should be implemented consistently to maintain normothermia and reduce the risk of hypothermia-related complications.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261436334"},"PeriodicalIF":0.6,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Bladder Distension Leading to Compromised VRAM Flap Perfusion Following Abdominoperineal Reconstruction: A Two-Case Series.","authors":"Nicholas S Hernandez, Taylor Waitt, Adam He, Nicholas Lombana, Nicholas Webster","doi":"10.1177/22925503261429458","DOIUrl":"https://doi.org/10.1177/22925503261429458","url":null,"abstract":"<p><p>Vertical rectus abdominis myocutaneous (VRAM) flaps remain a reliable option for perineal reconstruction following abdominoperineal resection (APR). Despite their robust vascularity, postoperative factors can compromise flap perfusion. We present a two-case series of patients who developed flap congestion secondary to postoperative bladder distension after APR with VRAM reconstruction. In both cases, removal of the Foley catheter led to urinary retention, abdominal distension, and venous congestion of the flap. Imaging in one patient demonstrated direct pedicle compression by the distended bladder. Prompt reinsertion of the Foley catheter and decompression restored flap perfusion, with both patients ultimately achieving full healing. To our knowledge, bladder distension as a cause of VRAM flap compromise has not been previously reported. These cases highlight the importance of vigilant postoperative urinary monitoring and consideration of prolonged catheterization protocols to prevent reversible, avoidable flap congestion in perineal reconstructions using pedicled VRAM flaps.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261429458"},"PeriodicalIF":0.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desire for and Successful Access to Feminizing and Masculinizing Gender-Affirming Surgeries: A Cross-Sectional Canada Wide Survey.","authors":"Kathleen Armstrong, Ayden I Scheim, Gioi Tran, Emery Potter, Adrian Edgar, Greta Bauer","doi":"10.1177/22925503261436314","DOIUrl":"https://doi.org/10.1177/22925503261436314","url":null,"abstract":"<p><p><b>Background:</b> An increasing number of transgender and non-binary (TNB) individuals are presenting for gender-affirming surgery (GAS) in Canada. The purpose of this study is to understand demand and completion rates of GAS among transgender and non-binary (TNB) individuals. <b>Methods:</b> The Trans PULSE Canada cross-sectional survey recruited TNB individuals aged 14+ living in Canada in 2019. Using Trans PULSE Canada data, we analyzed desired and completed procedures according to surgery type and gender identity. <b>Results:</b> Among 2118 respondents who answered surgery questions, vaginoplasty (84% of trans women and 32% of non-binary people who were assigned male at birth) and mastectomy (98% of trans men and 63% of non-binary people who were assigned female at birth) were among the most desired procedures. There were low levels of completion across all types of surgery. The highest level of completion was 48% for mastectomy in trans men. Surgeries not consistently covered by provincial health insurance had completion levels between 0% and 5%. Those with non-binary identities had lower completion percentages across all surgery types. <b>Conclusion:</b> This study highlights significant demand for GAS among TNB individuals in Canada, with completion percentages varying based on gender identity and surgery type. The low completion percentages speak to persistent challenges despite provincial health insurance coverage for some surgeries. This emphasizes the need to address barriers to ensure equitable access to gender-affirming care. Further research is needed to understand how to mitigate these barriers effectively.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261436314"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Immediate Breast Reconstruction Rates in Rural and Urban Populations: A Global Systematic Review and Meta-Analysis: Comparer les taux de reconstruction mammaire immédiate dans les populations rurales et urbaines : une analyse systématique et méta-analyse globales.","authors":"Alexis E Mah, Damoon Ranjbar, Brandon Chai, Laura M Snell","doi":"10.1177/22925503261436341","DOIUrl":"https://doi.org/10.1177/22925503261436341","url":null,"abstract":"<p><p><b>Background:</b> Immediate breast reconstruction (IBR) contributes to comprehensive breast cancer care. Rural patients often face barriers to healthcare access and worse health outcomes versus urban counterparts. We sought to (1) compare rates of IBR among rural and urban residents; (2) identify sociodemographic and economic factors associated with breast reconstruction rates. <b>Methods:</b> In this systematic review and meta-analysis, MEDLINE, Embase, Web of Science, and CENTRAL were searched from inception to May 15, 2025, for studies comparing IBR rates among rural versus urban individuals globally. Risk of bias was assessed using the Risk of Bias in Non-Randomized Studies - of Exposures tool. The primary outcome was the literature-pooled odds ratio (OR) of rural patients receiving IBR versus urban patients, evaluated with a random-effects meta-analysis, followed by sensitivity and leave-one-out analyses. Univariate meta-regression was conducted to explore whether mean age, socioeconomic status (SES), and data collection year explain heterogeneity and rural-urban IBR disparities. <b>Results:</b> Fifteen studies were included, encompassing 46 986 rural and 1 833 906 urban mastectomy patients. Rural patients were significantly less likely to undergo IBR (OR 0.67; 95% confidence interval [0.57-0.79], <i>I</i> ² = 97%). There was no temporal trend suggesting changes in geographic disparities in IBR rates. Mean age, SES, and midpoint data collection year did not significantly explain heterogeneity nor rural-urban IBR disparities. <b>Conclusions:</b> Rural patients were approximately 33% less likely to receive IBR versus urban patients. However, considerable heterogeneity suggested the need for research on moderators to explain this association and inform strategies to promote equitable IBR access, including ride-share programs and increased plastic surgeon density in rural communities.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261436341"},"PeriodicalIF":0.6,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on: Recommendations for a Canadian Breast Implant Registry.","authors":"Paul J Oxley","doi":"10.1177/22925503261434946","DOIUrl":"10.1177/22925503261434946","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261434946"},"PeriodicalIF":0.6,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation Study on Movement Sonification of the Hand as a Rehabilitation Tool.","authors":"Alexander Platt, Martin J Giuffre, Robert T Moore, Emma Yanko, Ryan Hoeve, Maleka Ramji, Aaron Knox, Justin Yeung","doi":"10.1177/22925503261429452","DOIUrl":"https://doi.org/10.1177/22925503261429452","url":null,"abstract":"<p><p><b>Introduction:</b> Hand injuries can lead to lasting impairments that limit one's ability to perform activities of daily living. Many individuals who undergo surgery following a hand injury participate in post-operative rehabilitation. Evidence suggests that geographical and socioeconomic barriers may hinder rehabilitation progress and limit recovery after surgery. Telemedicine and augmented reality may be useful tools for addressing issues concerning accessibility and adherence in rehabilitation. This study validates the use of a novel movement sonification interface that uses Google's MediaPipe hand-tracking technology to map single-digit PIP joint motion to real-time auditory feedback. <b>Methods:</b> Nineteen healthy adults (mean age 32 years; 10 males, 9 females) with no prior exposure to movement sonification participated. Through webcam, participants interacted with a web-based program that mapped fourth digit PIP joint flexion and extension to musical pitch changes (low pitch for extension, high pitch for flexion). Construct, face, content, and predictive criterion validity were assessed through structured surveys after participants viewed and explored the program. <b>Results:</b> Construct validity was 89%, with participants correctly identifying the relationship between fourth digit PIP movement and pitch changes. Both face and content validity were 100%, with participants recognizing the sound-movement relationship and that only the fourth digit produced sound. Predictive criterion validity demonstrated high accuracy, with participants correctly matching hand configurations to sounds (95%) and predicting sounds from muted videos (95%). <b>Conclusions:</b> Results demonstrate excellent construct, face, content, and predictive criterion validity. This supports the feasibility of using music sonification as an intuitive and accessible tool for augmented hand rehabilitation.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261429452"},"PeriodicalIF":0.6,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: The Sunshine Act Open Payment Database: A 7-Year Analysis of Trends Within Plastic Surgery and Its Subspecialties.","authors":"Devra Beyer Becker","doi":"10.1177/22925503261434831","DOIUrl":"10.1177/22925503261434831","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261434831"},"PeriodicalIF":0.6,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cost Analysis of Carpal Tunnel Procedures Performed in an Office Procedure Room Versus a Hospital Operating Room in a Rural Midwest Health System.","authors":"Luke J Hurley, Kyler A Hardie, Robert E Van Demark","doi":"10.1177/22925503261429901","DOIUrl":"10.1177/22925503261429901","url":null,"abstract":"<p><p><b>Introduction:</b> Carpal tunnel release (CTR) is one of the most common performed hand surgery procedures, yet the estimated yearly cost of carpal tunnel syndrome in the United States is $2 billion, resulting in significant costs to both healthcare systems and patients. Recently, there has been a trend to move minor hand surgery cases from the hospital operating room (OR) to a clinic-based procedure room (PR). This study aimed to examine CTR costs within our institution performed in the PR compared to the OR. <b>Methods:</b> All CTR surgeries performed by three fellowship-trained orthopedic hand surgeons in the OR and PR at a rural health system from 2019-2020 were reviewed. The operative times, number of personnel and supplies required in each clinical location were examined to calculate costs. CTR cost and insurance revenue models were created, and total costs, revenue, and net revenue were compared. <b>Results:</b> A total of 1416 CTRs were performed during the study period, with 855 in the OR and 561 in the PR. The average total cost for CTR in the OR was $2196.10 compared to $549.07 in the PR. The average net revenue of CTR was significantly greater when done in the OR versus PR at $1011.06 and $85.87, respectively. The average reimbursement rate was greater in the OR at 55% compared to 30% for CTRs done in the PR. <b>Conclusion:</b> Overall, the average total cost and net revenue for OR CTR were significantly higher than PR CTR, secondary to higher reimbursement rates in the hospital setting.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261429901"},"PeriodicalIF":0.6,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}