{"title":"Profunda artery perforator flap—a novel approach to soft tissue reconstruction post lower limb amputation: a case report","authors":"Shivani Aggarwala, Michael Y Cheung, Frank Hsieh","doi":"10.34239/ajops.89290","DOIUrl":"https://doi.org/10.34239/ajops.89290","url":null,"abstract":"The authors report a case with successful resurfacing of a through- knee amputation stump using two ipsilateral profunda artery perforator flaps from the same vascular tree.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140724212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of negative pressure wound therapy with instillation to salvage infected breast reconstruction implant pockets: a retrospective review of cases","authors":"Rebecca McLean, Meredith Simcock, Alessandra Canal, Michelle Locke","doi":"10.34239/ajops.87893","DOIUrl":"https://doi.org/10.34239/ajops.87893","url":null,"abstract":"\"Introduction: Periprosthetic breast implant infections are a well-known but devastating complication of breast reconstruction, occurring in up to 35 per cent of patients postoperatively. Historically, surgical washout and explantation was common practice to control infection, often sacrificing the reconstruction. Methods: After successfully using negative-pressure wound therapy with instillation (Veraflo, Intermed, Auckland) on lower leg wounds, we transferred the use of this technology to infected breast pockets. Results: In the first year using NPWTi, our department managed seven patients (8 breast reconstructions) presenting with breast device infection at an average of 15.3 days postoperatively. The average length of stay for treatment was 7.4 days with 2.5 operations over this period. Four patients had attempted salvage of their reconstructive pocket and all were discharged with a breast expander in situ. Conclusion: Attempted salvage using negative-pressure wound therapy with instillation may improve rates of reconstruction salvage after periprosthetic infection. We present our current management algorithm for periprosthetic infections.\"","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"30 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140720696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcio Coelho, T. Peltz, Jeremy Hunt, M. Gianoutsos
{"title":"Robotic surgery in plastic surgery: a review of its potential","authors":"Marcio Coelho, T. Peltz, Jeremy Hunt, M. Gianoutsos","doi":"10.34239/ajops.115362","DOIUrl":"https://doi.org/10.34239/ajops.115362","url":null,"abstract":"\"Background: Robotic surgery currently offers a number of benefits in specific areas of plastic and reconstructive surgery such as head and neck and microsurgery, however, many subspecialties are yet to benefit from robotic operating techniques. In this paper we review recent developments in the use of robotics for head and neck, breast reconstruction, microneural, lymphoedema, craniofacial and aesthetic surgery. Methods: A literature review of English-only articles on the use of robots in plastic and reconstructive surgery was conducted using the PubMed and Web of Science databases along with a free text search using the terms ‘robotic surgery plastic surgery’, ‘robotic-assisted plastic surgery’, ‘robot-assisted reconstructive surgery’, ‘da Vinci plastic surgery’, ‘da Vinci reconstructive surgery’ and ‘supermicrosurgery’. No limitation was placed on time from publication. Results: Of the studies reviewed, the most beneficial to reconstructive surgery is the area of the head and neck, with the most common procedures being transoral surgeries and microvascular procedures. Robotic assisted breast reconstructive surgery is a promising field. The main current limitations are the lack of adequate microsurgical instrumentation and the prolonged setting-up and operative time. Conclusion: As technology improves the outlook for robotic surgery is optimistic. Areas like microsurgery, head and neck, cleft palate, breast reconstructive surgery, lymphatic and microneural surgery already demonstrate promising results. Further technological advances and evidence-based studies are necessary to address current limitations such as appropriate microsurgical instrumentation, high costs and prolonged operative time.\"","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"28 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140723443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Early rapid tissue expansion of a free microvascular flap in head-neck reconstruction as salvage option: a case report","authors":"Dilip Gahankari, A. McCombe, Thomas Meares","doi":"10.34239/ajops.88851","DOIUrl":"https://doi.org/10.34239/ajops.88851","url":null,"abstract":"The authors present a unique case with the use of early rapid tissue expansion for salvage of a partially necrotic flap in a challenging head-neck reconstruction involving multiple defects.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"95 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140725136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Briffa, Zi Chow, Gehan Karunaratne, Michael Thomson, Daniel Bunker
{"title":"Deep inferior epigastric artery donor for hypothenar hammer syndrome reconstruction: a case series","authors":"James Briffa, Zi Chow, Gehan Karunaratne, Michael Thomson, Daniel Bunker","doi":"10.34239/ajops.75444","DOIUrl":"https://doi.org/10.34239/ajops.75444","url":null,"abstract":"The authors report an ulnar artery reconstructive option for hypothenar hammer syndrome with an autologous deep inferior epigastric artery graft.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140721139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Malcolm Franke, Jenaleen Law, Tim Wang, Rowan Gillies, Bishoy Soliman
{"title":"The lumbar artery perforator flap in large volume salvage autologous breast reconstruction: a case report","authors":"Malcolm Franke, Jenaleen Law, Tim Wang, Rowan Gillies, Bishoy Soliman","doi":"10.34239/ajops.88485","DOIUrl":"https://doi.org/10.34239/ajops.88485","url":null,"abstract":"The authors describe a case where a lumbar artery perforator (LAP) flap was used to salvage a failed breast reconstruction and address concerns about the use of LAP flaps.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"18 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140726659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angus Barber, Guy Stanley, Sarah Goh, Cheryl Hamill, Michael Findlay
{"title":"Delphi technique in plastic surgery research priority setting: a systematic review","authors":"Angus Barber, Guy Stanley, Sarah Goh, Cheryl Hamill, Michael Findlay","doi":"10.34239/ajops.88487","DOIUrl":"https://doi.org/10.34239/ajops.88487","url":null,"abstract":"\"Background: Delphi research priority setting exercises in plastic and reconstructive surgery aim to encourage future research in areas that align with clinical needs. This can guide the allocation of research funding and further the knowledge base of the speciality. This systematic review evaluates the content and quality of existing Delphi research priority setting studies in plastic and reconstructive surgery, to inform future studies. Method: A predefined protocol and PRISMA guidelines were followed. The search was performed by a research librarian. Screening and data extraction was performed in duplicate with a third reviewer arbitrating. Primary outcomes included the number of studies and subject areas. Secondary outcomes were the methods and results (including types of stakeholders, uncertainties, numbers of stakeholders, journal impact factor, implementation plans and dissemination plans). The risk of bias was assessed using four domains of quality. Data underwent synthesis with descriptive statistics. Results: Seven articles were included in the review, covering breast reconstruction, craniomaxillofacial, burns, aesthetics, skin and soft tissue, and general plastics. Studies had national or international scope, used either Delphi or modified Delphi methodology, and had a variable number of rounds. Four included studies had funding, and implementation plans were absent in four included studies. Discussion and conclusion: Included studies had a variable methodology, making a direct comparison between studies difficult. Six of the seven included studies had a high or moderate risk of bias, and implementation plans for studies were variable or absent. The review highlights the need for future Delphi research priority setting exercises to have a more standardised method and adhere to quality criteria.\"","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"56 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140726578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rod Cooter, Shiv Chopra, Gillian Farrell, S. Ahern
{"title":"History of the Australian Breast Device Registry","authors":"Rod Cooter, Shiv Chopra, Gillian Farrell, S. Ahern","doi":"10.34239/ajops.73942","DOIUrl":"https://doi.org/10.34239/ajops.73942","url":null,"abstract":"Following the Dow Corning crisis in the 1990s, several national breast implant registries were formed by plastic surgery societies around the world. The Australian Breast Implant Registry (BIR) was developed in 1997 as a voluntary registry where patients were charged a moiety per implant. At the time of the Poly Implant Prothèse (PIP) crisis in 2010, there were over 30,000 registrations in the BIR. However, when the dataset was interrogated to retrieve PIP implant-related information, only 3.4 per cent of 13,000 PIP implants were recorded in the BIR database.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140721842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeremy Bishay, Phaethon Karagiannis, Tim Wang, Bishoy Soliman
{"title":"A novel pedicle extension for lumbar artery perforator flaps: a case report","authors":"Jeremy Bishay, Phaethon Karagiannis, Tim Wang, Bishoy Soliman","doi":"10.34239/ajops.88484","DOIUrl":"https://doi.org/10.34239/ajops.88484","url":null,"abstract":"In this case, the authors describe the novel use of anterolateral thigh vessels as an alternative pedicle extension graft to the deep inferior epigastric vessels in autologous breast reconstruction.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"41 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140723406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thieves and kidnappers","authors":"Mark Lee, Mark W Ashton","doi":"10.34239/ajops.94148","DOIUrl":"https://doi.org/10.34239/ajops.94148","url":null,"abstract":"Plagiarism undermines the integrity of research. Editor-in-Chief Mark Lee outlines some tools that can help researchers avoid unintentional plagiarism and promote a culture of integrity in plastic surgery research.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"21 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140722360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}