Australasian Journal of Plastic Surgery最新文献_第9页

An update on the management of nerve gaps 神经间隙处理的最新进展

Australasian Journal of Plastic Surgery Pub Date : 2020-03-23 DOI: 10.34239/ajops.v3n1.162

W. Alexander, C. Coombs

引用次数: 0

Incisional negative pressure wound therapy in bilateral breast reductions patients 双侧缩乳患者的切口负压伤口治疗

Australasian Journal of Plastic Surgery Pub Date : 2020-03-23 DOI: 10.34239/ajops.v3n1.165

Nicholas Savage, Mohit J. Jain, R. Champion, B. Snell

{"title":"Incisional negative pressure wound therapy in bilateral breast reductions patients","authors":"Nicholas Savage, Mohit J. Jain, R. Champion, B. Snell","doi":"10.34239/ajops.v3n1.165","DOIUrl":"https://doi.org/10.34239/ajops.v3n1.165","url":null,"abstract":"Introduction: Incisional negative pressure wound therapy (iNPWT) has been applied to bilateral breast reduction patients and shown a reduction in surgical complications. However, its effects on opioid use and hospitalisation length in this patient group has not been investigated.Methods: In this single surgeon retrospective cohort study, 52 patients who underwent bilateral breast reduction were analysed, with 23 patients in the iNPWT cohort and 29 in the standard-of-care (SOC) wound dressing cohort. Hospitalisation length, postoperative opioid use and surgical site complications were compared between cohorts. Mean (range) follow-up time was 369.15 (77-1329) days.Results: Hospitalisation length in days was significantly less in the iNPWT cohort (1.35) than the SOC cohort (2.03). Total ward opioid use was significantly reduced in the iNPWT cohort (45.50mg) compared to the SOC cohort (62.50mg). Discharge opioid prescription was significantly reduced in the iNPWT cohort (125.50mg) compared to the SOC cohort (230.00mg). The number of surgical site complications was significantly different between the groups (p=0.014).Discussion: This study suggests the use of iNPWT in bilateral breast reduction provides significant benefit through the reduction of hospitalisation, complications and opioid use. Conclusion: This is the first study to provide evidence for iNPWT in bilateral breast reduction in reducing postoperative opioid use and hospitalisation. It supports current literature showing a reduction in surgical site complications using iNPWT in bilateral breast reduction.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131386727","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}

引用次数: 1

Vol 2 No 2 (2019): AJOPS issue information 第2卷第2期(2019):AJOPS发布信息

Australasian Journal of Plastic Surgery Pub Date : 2019-10-18 DOI: 10.34239/ajops.v2n2.181.5

Journal

引用次数: 0

A keystone solution for major head and neck reconstructions 主要头颈部重建的关键解决方案

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.154

F. Behan

引用次数: 1

Primary cutaneous gamma-delta T-cell lymphoma masquerading as severe soft tissue infection 原发性皮肤γ - δ t细胞淋巴瘤伪装成严重的软组织感染

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.108

Nilay G Yalcin, R. Teixeira

引用次数: 0

Reporting quality of systematic review abstracts in articles hand and wrist pathology: a review 手和手腕病理学文章系统综述摘要的报告质量综述

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.141

A. Shen, R. Ware, T. O’Donohoe, J. Wasiak

{"title":"Reporting quality of systematic review abstracts in articles hand and wrist pathology: a review","authors":"A. Shen, R. Ware, T. O’Donohoe, J. Wasiak","doi":"10.34239/ajops.v2n2.141","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.141","url":null,"abstract":"Background: An increasing number of systematic reviews are published on an annual basis. Although perusal of the full text of articles is preferable, abstracts are sometimes relied upon to guide clinical decisions. Despite this, the abstracts of systematic reviews have historically been poorly reported. We evaluated the reporting quality of systematic review abstracts within hand and wrist pathology literature. Methods: We searched MEDLINE®, EMBASE and Cochrane Library from inception to December 2017 for systematic reviews in hand and wrist pathology using the 12-item PRISMA-A checklist to assess abstract reporting quality. Results: A total of 114 abstracts were included. Most related to fracture (38%) or arthritis (17%) management. Forty-seven systematic reviews (41%) included meta-analysis. Mean PRISMA-A score was 3.6/12 with Cochrane reviews having the highest mean score and hand-specific journals having the lowest. Abstracts longer than 300 words (mean difference [MD]: 1.43, 95% CI [0.74, 2.13]; p <0.001) and systematic reviews with meta-analysis (MD: 0.64, 95% CI [0.05, 1.22]; p = 0.034) were associated with higher scores. Unstructured abstracts were associated with lower scores (MD: –0.65, 95% CI [–1.28, –0.02]; p = 0.044). A limitation of this study is the possible exclusion of relevant studies that were not published in the English language. Conclusion: Abstracts of systematic reviews pertaining to hand and wrist pathology have been suboptimally reported as assessed by the PRISMA-A checklist. Improvements in reporting quality could be achieved by endorsement of PRISMA-A guidelines by authors and journals, and reducing constraints on abstract length.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114709278","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}

引用次数: 0

Reconstructing ‘dual-defect’ pressure sores in spinal patients 脊柱患者“双缺损”压疮的重建

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.107

R. Shayan, A. Hurley, D. Neoh, S. Flood, Michael D Weymouth

{"title":"Reconstructing ‘dual-defect’ pressure sores in spinal patients","authors":"R. Shayan, A. Hurley, D. Neoh, S. Flood, Michael D Weymouth","doi":"10.34239/ajops.v2n2.107","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.107","url":null,"abstract":"Background: Recurrent pressure sores and unstable scars over the bony prominences of the greater trochanter and ischium are a troublesome sequela of spinal injury. A reliable reconstruction is needed for patients with ‘dual-defect’ pressure sores in these locations. We modified the pedicled anterolateral thigh (ALT) flap to fit the reconstructive requirements of ‘dual-defect’ pressure sores.Methods: Eleven consecutive patients with concurrent pressure sores (> grade III) or unstable scar in one of the ‘dual-defect’ areas and an active pressure sore in the other were identified from the Victorian state tertiary referral centre for spinal injuries. We describe the technique and clinical experience of pedicled ALT flaps for reconstruction of ‘dual-defect’ pressure sores in this patient cohort. Preoperative status and minor and major postoperative complications were recorded. Results: Eleven consecutive pedicled myocutaneous ALT flaps were performed for reconstruction of ‘dual-defect’ pressure sores. Several key variations in the anatomical landmarks and the intra-operative flap raise technique that are integral to the use of the ALT flap for this application are described herein. The average dimensions of the cutaneous pressure sore defects were 6 x 4.9 cm (greater trochanter) and 8.2 x 6.7 cm (ischial). The average dimensions of the cutaneous paddle of the flaps raised were 27.3 x 8.4 cm. Two postoperative complications necessitated return to theatre but no incidences of flap loss were recorded. Conclusions: The modified pedicled myocutaneous ALT provides a robust reconstructive solution for resurfacing ‘dual-defect’ pressure sores in spinal patients. Further recommendations for future technical adaptations are made.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122766804","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}

引用次数: 0

Prevention of surgical fires in facial plastic surgery 面部整形手术中手术火灾的预防

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.140

H. Alani, J. Southwell-Keely, E. Moisidis, R. Haddad, Fr Clarke, M. Kernohan

{"title":"Prevention of surgical fires in facial plastic surgery","authors":"H. Alani, J. Southwell-Keely, E. Moisidis, R. Haddad, Fr Clarke, M. Kernohan","doi":"10.34239/ajops.v2n2.140","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.140","url":null,"abstract":"Introduction: The objective of this review is to draw attention to the risk factors, causes and prevention of surgical fires in facial plastic and reconstructive surgery performed under local anaesthesia and sedation using a review of the literature.Method: Comprehensive search terms were developed, and PubMed and MEDLINE® searches were performed, including articles published in the last 25 years (1993–2018). Reference review was also undertaken. Eligible manuscripts described surgical fires involving patients undergoing surgical procedures under local anaesthesia in the head and neck region.Results: Risk factors forming the three arms of the fire triangle are detailed. High oxygen concentration in proximity to the surgical field where electrocautery is being used is the most common combination leading to surgical fire accidents. Conclusion: Summary recommendations for the prevention of surgical fires are presented. Preventing the development of an oxidiser-enriched environment is the main risk-reducing measure. Identifying high-risk cases and improving communication between the surgical, anaesthetic and nursing staff who control the arms of the fire triangle are very important measures in avoiding theses catastrophic events.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132908350","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}

引用次数: 0

Biopsy! Biopsy! Biopsy! 活组织检查!活组织检查!活组织检查!

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.170

R. Shayan

引用次数: 0

Ethical dilemmas in the surgical management of body integrity identity disorder 身体完整性认同障碍手术处理中的伦理困境

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.142

N. Tang, Nicholas Burgess, H. Park, A. Ramakrishnan

引用次数: 0