Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Letter to the Editor Re: Hypospadias: The lay of the land","authors":"Ewelina Wojciechowska, Hanna Garnier","doi":"10.1016/j.bjps.2025.05.043","DOIUrl":"10.1016/j.bjps.2025.05.043","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 71-72"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330205","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}

{"title":"Letter re: Evaluating large language model’s accuracy in current procedural terminology coding given operative note templates across various plastic surgery sub-specialties","authors":"Georgios Karamitros, Michael P. Grant, Gregory A. Lamaris","doi":"10.1016/j.bjps.2025.05.042","DOIUrl":"10.1016/j.bjps.2025.05.042","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 35-36"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270495","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}

{"title":"Letter to the editor regarding “Sustainability in breast surgery: An eco-audit of the breast implant pathway”","authors":"Qi Xu","doi":"10.1016/j.bjps.2025.05.041","DOIUrl":"10.1016/j.bjps.2025.05.041","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 37-38"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270496","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}

{"title":"Using large language models in Plastic Surgery may be unethical","authors":"Robert Browne ,&nbsp;Kevin C. Cahill","doi":"10.1016/j.bjps.2025.06.006","DOIUrl":"10.1016/j.bjps.2025.06.006","url":null,"abstract":"<div><div>This correspondence serves to highlight the potential ethical issues associated with the use of large language models in plastic surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 68-70"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313728","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}

{"title":"A rebuttal of Caprini scores and chemoprophylaxis to reduce venous thromboembolism risk in autologous breast reconstruction patients","authors":"Eric Swanson","doi":"10.1016/j.bjps.2025.04.056","DOIUrl":"10.1016/j.bjps.2025.04.056","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 267-268"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295531","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}

{"title":"Efficacy of indocyanine green fluorescence angiography in improving the reliability of pedicled flaps in head and neck reconstruction","authors":"Snigdha Elaprolu ,&nbsp;P Kishore ,&nbsp;Jimmy Mathew ,&nbsp;Deepak Balasubramanian ,&nbsp;Lakshmi Ravunniarth Menon ,&nbsp;Sam Thomas ,&nbsp;Krishnakumar Thankappan ,&nbsp;Subramania Iyer","doi":"10.1016/j.bjps.2025.06.005","DOIUrl":"10.1016/j.bjps.2025.06.005","url":null,"abstract":"<div><div>Pedicled flaps are frequently used for reconstructing the head and neck area. Partial or complete loss can be debilitating, affecting speech, swallowing, and appearance. This is a prospective interventional study conducted in head and neck cancer patients undergoing reconstruction with pedicled flaps from August 2022 to May 2023, where the Indocyanine green–fluorescence angiography (ICG-FA) technique was employed to improve the outcomes of flap surgery. Retrospective data of pedicled flaps performed from 2021 to June 2022 were collected from medical records to compare outcomes with the prospective group. Demographics, surgery details, and flap outcomes were obtained for both groups. Data from 46 patients in the prospective group and 77 patients in the retrospective group were analyzed. Each group was further categorized into laryngeal and non-laryngeal subgroups. Distribution of age, sex, history of prior surgery, and previous radiotherapy was similar between the two groups.</div><div>In the non-laryngeal group, the prospective intervention arm versus the retrospective arm had partial flap loss in 5.6% versus 22.9%. The occurrence of flap loss (partial/total) was significantly lower in the prospective group within the non-laryngeal subgroup (p=0.025). In the laryngeal subgroup, salivary leaks were used as a proxy for outcome, and there was no significant difference between both the groups (p=1.00). The prospective group experienced fewer secondary procedures, second flap surgeries, though these differences did not reach statistical significance.</div><div>ICG-FA appears to be a valuable tool for assessing flap perfusion. Further research is essential to obtain objective measures of perfusion and to apply ICG-FA in specific cases to enhance cost-effectiveness.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 39-48"},"PeriodicalIF":2.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280497","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}

{"title":"Response re: A rebuttal of Caprini scores and chemoprophylaxis to reduce venous thromboembolism risk in autologous breast reconstruction patients","authors":"Ioannis Kyriazidis,&nbsp;Moustapha Hamdi","doi":"10.1016/j.bjps.2025.05.045","DOIUrl":"10.1016/j.bjps.2025.05.045","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 269-270"},"PeriodicalIF":2.0,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287676","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}

{"title":"First experience from 200 cases with a new breast tissue expander for multi-stage pre-pectoral breast reconstruction after mastectomy","authors":"E. Limido ,&nbsp;F. Bonomi ,&nbsp;L. Guggenheim ,&nbsp;N. Peradze ,&nbsp;C. Parodi ,&nbsp;D. Schmauss ,&nbsp;A. Weinzierl ,&nbsp;Y. Harder","doi":"10.1016/j.bjps.2025.06.007","DOIUrl":"10.1016/j.bjps.2025.06.007","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer is the most common cancer globally, and mastectomy rates are increasing. Tissue expander-based breast reconstruction is used when direct-to-implant methods are unsuitable. A novel magnetic resonance imaging compatible breast tissue expander has recently been introduced. This study aims to evaluate its clinical use in pre-pectoral breast reconstruction and its complication profile.</div></div><div><h3>Methods</h3><div>A monocentric prospective cohort study included women undergoing expander-based breast reconstruction after mastectomy with the new tissue expander between August 2020 and October 2024. The expanders were placed in a pre-pectoral plane with optional use of acellular dermal matrices in selected cases. Demographic data, comorbidities, and surgical details were analyzed. Tissue expander-independent and -dependent complications were assessed.</div></div><div><h3>Results</h3><div>A total of 200 tissue expanders were implanted in 146 patients (92 unilateral, 54 bilateral). Major complications requiring expander replacement included infection (3.0%), partial necrosis of the mastectomy flap (2.5%), wound dehiscence (1.0%), hematoma (1.0%), and seroma (0.5%). Tissue expander rotation and/or flipping, as well as iatrogenic rupture, occurred in 2% and 3.5% of all cases. Definitive removal was required in ten cases, mainly due to mastectomy flap necrosis and wound dehiscence with or without expander exposure (2.5%), as well as infection (2.0%).</div></div><div><h3>Discussion</h3><div>The new breast tissue expander features a biocompatible surface that does not adhere to adjacent tissues and therefore needs fixation alongside the inframammary fold, particularly if used in the pre-pectoral plane, contributing to a low complication rate. While short-term results are promising, long-term follow-up on a larger scale is needed to confirm these outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 238-246"},"PeriodicalIF":2.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632742","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}

{"title":"Cost-effective strategies for reducing carbon emissions in plastic surgery","authors":"Ciara Walsh ,&nbsp;Dónal Murphy ,&nbsp;Niall McInerney ,&nbsp;Maire-Caitlin Casey ,&nbsp;Alan Hussey","doi":"10.1016/j.bjps.2025.06.003","DOIUrl":"10.1016/j.bjps.2025.06.003","url":null,"abstract":"<div><h3>Background</h3><div>Global warming is the biggest health threat of the 21st century. If healthcare were a country, it would be the 5th largest greenhouse gas emitter on the planet. The operating theatre produces 21–30% more waste than the rest of the hospital. This study aimed to implement carbon and cost saving measures in plastic surgery from minor operations to free flap reconstruction.</div></div><div><h3>Method</h3><div>Evaluate current departmental use of disposable sets and consumables. Perform a financial and environmental cost analysis comparing disposable and reusable minor plastic surgical sets. Repeat the same analysis and apply findings on rationalising main theatre plastics sets. Jamovi (2.3.28) built on R statistical language was used for statistical analysis.</div></div><div><h3>Results</h3><div>Introducing new minor plastics sets to main theatre with a 77% reduction in instruments from the previous major plastics sets for smaller cases can save €50310 and 2900–3388kgCO2e. Microsurgical breast reconstruction set contents were decreased by 55% along with reducing single use consumables, amounting to an annual saving of €10696 and 155–181kgCO2e. Up to 6500 disposable minor surgical sets per year are consumed in the three plastic surgery units within the HSE West Hospital Group. By removing disposable sets from one unit entirely, our projected savings will be €13173 and 2199.35 kgCO2e.</div></div><div><h3>Conclusion</h3><div>We have improved our environmental and economic impact on the hospital, with potential savings of over €74′000 and 5.7 t CO2e with no deficits to patient care. These carbon savings are the equivalent to the emissions produced by a new car driving approximately 1.33 times around the Earth’s circumference. These changes can be easily replicated across other departments to affect more widespread savings.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 85-92"},"PeriodicalIF":2.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490332","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}

{"title":"Measuring health-related quality of life in patients with peripheral vascular malformations with PROMIS® computerized adaptive tests","authors":"Delano J. de Oliveira Marreiros ,&nbsp;Max M. Lokhorst ,&nbsp;Danny A. Young-Afat ,&nbsp;Merel L.E. Stor ,&nbsp;Sophie E.R. Horbach ,&nbsp;Leo D. Roorda ,&nbsp;Michiel A.J. Luijten ,&nbsp;Lotte Haverman ,&nbsp;Chantal M.A.M. van der Horst ,&nbsp;Phyllis I. Spuls","doi":"10.1016/j.bjps.2025.05.036","DOIUrl":"10.1016/j.bjps.2025.05.036","url":null,"abstract":"<div><h3>Background</h3><div>The Patient-Reported Outcomes Measurement Information System (PROMIS) computerized adaptive tests (CATs) have been recommended for measuring health-related quality of life (HRQoL) in rare diseases.</div></div><div><h3>Objective</h3><div>To assess whether PROMIS CATs reliably measure HRQoL core outcome domains in adults with vascular malformations, and if so, to establish reference values for this population.</div></div><div><h3>Methods</h3><div>In this prospective cohort study, adult patients with vascular malformations at our tertiary referral center were invited to complete PROMIS CATs measuring HRQoL core outcome domains, followed by a retest seven days after completing the first questionnaires. Patients completed PROMIS CATs on pain interference, physical function, anxiety, depression, ability to participate in social roles and activities, and the PROMIS numeric rating scale (NRS) on pain intensity. Test-retest reliability was quantified by calculating intraclass correlation coefficients (ICC), standard errors of measurement (SEM) and smallest detectable changes (SDC). An ICC ≥0.7 was considered adequate. Moreover, descriptive statistics for each CAT were calculated and compared against the Dutch general population.</div></div><div><h3>Results</h3><div>One-hundred-twenty-three patients completed at least one CAT and 55 patients completed the retest of at least one CAT. All ICCs were above 0.85, SEMs were under 5 points and SDCs were around 10 points, indicating adequate test-retest reliability and measurement errors. All average CAT scores of patients with vascular malformations were within normal limits compared to PROMIS reference values for the Dutch general population.</div></div><div><h3>Conclusion</h3><div>PROMIS CATs reliably measure physical, mental and social HRQoL in adults with vascular malformations. Reference values for PROMIS CATs in this population were established.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 401-408"},"PeriodicalIF":2.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221521","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}