Seminars in Plastic Surgery最新文献_第3页

Critical Care of the Pediatric Burn Patient 小儿烧伤患者的重症护理

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782647

Catherine Naber, Robert Sheridan

引用次数: 0

Stephen W.P. Kemp, PhD. 斯蒂芬-坎普（Stephen W.P. Kemp）博士

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-03-15 eCollection Date: 2024-02-01 DOI: 10.1055/s-0044-1780514

Edward P Buchanan

引用次数: 0

Michigan Special Issue: 60 Years of Michigan Plastic Surgery. 密歇根特刊：密歇根整形外科 60 年。

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-03-15 eCollection Date: 2024-02-01 DOI: 10.1055/s-0044-1780513

Stephen W P Kemp

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Robotics in Microsurgery and Supermicrosurgery 显微外科和超显微外科机器人技术

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-03-04 DOI: 10.1055/s-0043-1771506

Heather R. Burns, Alexandra McLennan, Erica Y. Xue, Jessie Z. Yu, Jesse C. Selber

{"title":"Robotics in Microsurgery and Supermicrosurgery","authors":"Heather R. Burns, Alexandra McLennan, Erica Y. Xue, Jessie Z. Yu, Jesse C. Selber","doi":"10.1055/s-0043-1771506","DOIUrl":"https://doi.org/10.1055/s-0043-1771506","url":null,"abstract":"Microsurgery has changed the ability to perform highly precise and technical surgeries through the utilization of high-powered microscopes and specialized instruments to manipulate and repair anatomical structures as small as a few millimeters. Since the first human trials of robotic-assisted microsurgery in 2006, the expansion of microsurgery to supermicrosurgery (luminal diameter less than 1 mm) has enabled successful repair of previously inaccessible structures. Surgical robotic systems can offer two distinct operative advantages: (1) minimal access surgery—by entering body cavities through ports, flap harvest can be redesigned to affect a minimally invasive approach for flaps such as the rectus abdominis muscle, the latissimus flap, and the deep inferior epigastric perforator flap; and (2) precision—by eliminating physiologic tremor, improving ergonomics, increasing accessibility to difficult spaces, and providing motion scaling, precision is significantly enhanced. Robotic-assisted microsurgery is a promising application of robotics for the plastic surgeon and has played an important role in flap harvest, head and neck reconstruction, nerve reconstruction, gender-affirming surgery, and lymphatic reconstruction—all the while minimizing surgical morbidity. This article aims to review the history, technology, and application of microsurgery and supermicrosurgery in plastic surgery. ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"10 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140033106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Applications for Robotic Surgery within Lymphedema, Pelvic Recon, and Breast. 机器人手术在淋巴水肿、盆腔重建和乳房方面的应用。

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-03-04 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1774303

Jessie Z Yu, Jesse C Selber

引用次数: 0

Jessie Z. Yu, MD, and Jesse C. Selber, MD. Jessie Z. Yu, MD, and Jesse C. Selber, MD.Selber, MD.

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-03-04 eCollection Date: 2023-08-01 DOI: 10.1055/s-0043-1771534

Edward P Buchanan

引用次数: 0

Perioperative Opioid-Related Harms: Opportunities to Minimize Risk 围手术期阿片类药物相关危害：将风险降至最低的机会

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-02-18 DOI: 10.1055/s-0043-1778043

Dominic Alessio-Bilowus, Alexandra O. Luby, Samantha Cooley, Sarah Evilsizer, Elizabeth Seese, Mark Bicket, Jennifer F. Waljee

{"title":"Perioperative Opioid-Related Harms: Opportunities to Minimize Risk","authors":"Dominic Alessio-Bilowus, Alexandra O. Luby, Samantha Cooley, Sarah Evilsizer, Elizabeth Seese, Mark Bicket, Jennifer F. Waljee","doi":"10.1055/s-0043-1778043","DOIUrl":"https://doi.org/10.1055/s-0043-1778043","url":null,"abstract":"Although substantial attention has been given to opioid prescribing in the United States, opioid-related mortality continues to climb due to the rising incidence and prevalence of opioid use disorder. Perioperative care has an important role in the consideration of opioid prescribing and the care of individuals at risk for poor postoperative pain- and opioid-related outcomes. Opioids are effective for acute pain management and commonly prescribed for postoperative pain. However, failure to align prescribing with patient need can result in overprescribing and exacerbate the flow of unused opioids into communities. Conversely, underprescribing can result in the undertreatment of pain, complicating recovery and impairing well-being after surgery. Optimizing pain management can be particularly challenging for individuals who are previously exposed to opioids or have critical risk factors, including opioid use disorder. In this review, we will explore the role of perioperative care in the broader context of the opioid epidemic in the United States, and provide considerations for a multidisciplinary, comprehensive approach to perioperative pain management and optimal opioid stewardship. ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139902383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Ethical Principles in Plastic Surgery Research 整形外科研究的伦理原则

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-02-08 DOI: 10.1055/s-0043-1778045

引用次数: 0

Merging Humans and Neuroprosthetics through Regenerative Peripheral Nerve Interfaces 通过再生外周神经接口实现人类与神经假肢的融合

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-02-06 DOI: 10.1055/s-0044-1779028

{"title":"Merging Humans and Neuroprosthetics through Regenerative Peripheral Nerve Interfaces","authors":"","doi":"10.1055/s-0044-1779028","DOIUrl":"https://doi.org/10.1055/s-0044-1779028","url":null,"abstract":"Limb amputations can be devastating and significantly affect an individual's independence, leading to functional and psychosocial challenges in nearly 2 million people in the United States alone. Over the past decade, robotic devices driven by neural signals such as neuroprostheses have shown great potential to restore the lost function of limbs, allowing amputees to regain movement and sensation. However, current neuroprosthetic interfaces have challenges in both signal quality and long-term stability. To overcome these limitations and work toward creating bionic limbs, the Neuromuscular Laboratory at University of Michigan Plastic Surgery has developed the Regenerative Peripheral Nerve Interface (RPNI). This surgical construct embeds a transected peripheral nerve into a free muscle graft, effectively amplifying small peripheral nerve signals to provide enhanced control signals for a neuroprosthetic limb. Furthermore, the RPNI has the potential to provide sensory feedback to the user and facilitate neuroprosthesis embodiment. This review focuses on the animal studies and clinical trials of the RPNI to recapitulate the promising trajectory toward neurobionics where the boundary between an artificial device and the human body becomes indistinct. This paper also sheds light on the prospects of the improvement and dissemination of the RPNI technology.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"24 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139751568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

60 Years of Michigan Plastic Surgery 密歇根整形外科 60 年历史

IF 2 3区医学

Seminars in Plastic Surgery Pub Date : 2024-02-05 DOI: 10.1055/s-0043-1778035

Ipek Berberoglu, Katherine L. Burke, Robert H. Gilman, Steven Kasten, Paul S. Cederna, Stephen W.P. Kemp

{"title":"60 Years of Michigan Plastic Surgery","authors":"Ipek Berberoglu, Katherine L. Burke, Robert H. Gilman, Steven Kasten, Paul S. Cederna, Stephen W.P. Kemp","doi":"10.1055/s-0043-1778035","DOIUrl":"https://doi.org/10.1055/s-0043-1778035","url":null,"abstract":"In 1964, the Section of Plastic and Reconstructive Surgery at the University of Michigan opened its doors to future surgeons and leaders in the field. Today, we are celebrating the 60-year history of the program and its significant contributions to the field. Beginning under the leadership of Reed O. Dingman, MD, DDS, the program began with three faculty members and two independent surgical residents. Since that time, it has expanded dramatically to include 24 faculty members and 28 integrated plastic surgery residents. The goals of the program have always been to achieve excellence in all three of our academic missions including clinical care, teaching, and research. Annually, the program sees an average of 35,000 outpatient clinic visits, 4,000 major operations, 200 peer-reviewed publications, $5,000,000 in research spending, and residents who are well trained and highly competitive for fellowships of their choosing every single year. Through scientific collaborations, academic exchanges, and medical missions, the program's influence has spread beyond Michigan, reaching the entire world. In addition to training world-renowned surgeons, Michigan's faculty and graduates have assumed leadership roles in prestigious professional organizations, scientific journals, and research foundations. In this article, we explore the roots of the program and reflect on six decades of impact, innovation, and inspiration. ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"24 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139751541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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