EP.TU.216Golden Patient Protocol: A Closed Loop Audit

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Mhairi Mactier ◽  
Russell Bramhall
Keyword(s):  
Plastic Surgery ◽  
Closed Loop ◽  
Operating Capacity ◽  
Subsequent Effect ◽  
Surgery Department

Abstract Introduction Identifying a ‘Golden Patient’ the proceeding day improves emergency theatre efficiency and overall operating capacity. Aim Use this strategy to improve theatre efficiency in our Regional Plastic Surgery Department. Methods Cycle one: Interventions: Cycle two: Cycle three: Results Cycle one: Cycle two: Cycle three: Conclusions Use of the ‘Golden Patient’ protocol improves emergency theatre efficiency with subsequent effect on overall operating capacity.

scholarly journals The Effects of a Novel Global Pandemic (COVID-19) on a Plastic Surgery Department

2020 ◽  
Vol 40 (7) ◽  
pp. NP423-NP425 ◽  
Author(s):  
Prateush Singh ◽  
Allan Ponniah ◽  
Dariush Nikkhah ◽  
Afshin Mosahebi
Keyword(s):  
Plastic Surgery ◽  
Global Pandemic ◽  
Surgery Department

Widespread Subcutaneous Emphysema After J-Plasma Therapy

2020 ◽  
pp. 074880682094790
Author(s):  
Jia Y. Lim ◽  
Muhammad Umair Javed ◽  
Wiktor Pilch ◽  
Abdullah Ibrahim ◽  
Jack Harbison
Keyword(s):  
Surgical Technique ◽  
Plastic Surgery ◽  
Subcutaneous Emphysema ◽  
Subcutaneous Tissue ◽  
Rare Complication ◽  
Plasma Therapy ◽  
Postoperative Assessment ◽  
Risks And Benefits ◽  
Surgery Department ◽  
Fatal Complications

Subcutaneous emphysema refers to the abnormal presence of free gas within the subcutaneous tissue. Its cause can be broadly classified into 3 main causes: (1) infection by gas-forming microorganisms, (2) visceral perforation of luminal organs, and (3) spontaneous alveolar rupture. We report a case of a 48-year-old lady who developed extensive subcutaneous emphysema after undergoing VASER-assisted liposuction and J-Plasma® therapy at a local cosmetic clinic. The patient was admitted to our tertiary plastic surgery department where she was managed conservatively and discharged at day 3 without any complications. Subcutaneous emphysema is a known but rare complication of liposuction. While subcutaneous emphysema is usually self-limiting, fatal complications can occur. As such, patients considering these procedures should be informed of its risks and benefits to allow them to make an informed decision. This report highlights the importance of meticulous surgical technique in liposuction and its postoperative assessment.

scholarly journals A Novel Way of Standardization of ICG Lymphangiography Reporting

2020 ◽  
Vol 53 (03) ◽  
pp. 377-380
Author(s):  
Ashok Basur Chandrappa ◽  
Ritu Batth ◽  
Srikanth Vasudevan ◽  
Anantheswar Yellambalase N. ◽  
Dinkar Sreekumar
Keyword(s):  
Indocyanine Green ◽  
Plastic Surgery ◽  
Fluorescence Imaging ◽  
Interrater Reliability ◽  
Reporting System ◽  
Imaging System ◽  
Repeat Testing ◽  
Fluorescence Imaging System ◽  
Novel Method ◽  
Surgery Department

Abstract Background Indocyanine green (ICG) lymphangiography is being increasingly employed to assess the severity of lymphedema, locate the areas of patent linear lymphatics and dermal backflow and plan treatment. This study suggests a novel method of reporting ICG findings in extremities to enable easy understanding among surgeons and physiotherapists and avoid repeat testing when a patient visits a disparate lymphedema center or clinician. Methods A reporting protocol was developed in the lymphedema clinic of the plastic surgery department, and patients were asked to bring along the report in every subsequent review. The ICG findings were recorded on the fluorescence imaging system as well. The report was prepared by one and analyzed by two different clinicians without repeating the test on 10 consecutive patients. Results The interrater reliability of findings in the report was found to be 98.7% among the three clinicians. Conclusion The reporting system was found to be illustratable and reproducible

scholarly journals Deliberate Self-Harm and the Elderly: A Volatile Combination—An Overview from the Plastic Surgery Perspective

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
J. Packer ◽  
M. A. Hussain ◽  
S. H. A. Shah ◽  
J. R. Srinivasan
Keyword(s):  
Plastic Surgery ◽  
Protective Factor ◽  
Previous History ◽  
Later Life ◽  
The Elderly ◽  
Elderly Group ◽  
History Of ◽  
Group A ◽  
Almost All ◽  
Surgery Department

Aims. To study the factors associated with the DSH in the elderly group of 60 years and above and to recommend changes to be implemented in order to improve the management in this specific group. Materials and Methods. Five-year retrospective study was undertaken from July 2005 to July 2010 in the Plastic Surgery Department of the Royal Preston Hospital, NHS Trust. A Performa was designed to collect data about the inpatient admission and included certain areas of key information. The case notes for all patients were extensively analysed in order to gather adequate information for the devised Performa. Results. DSH is getting more common in the elderly group, and males are more affected than females. 60% of the patients had a previous history of DSH. A large number (80%) of patients had a previous history of mental illness. 60% of those DSH patients were living with family. Almost all patients (90%) were reviewed by the Psychiatry Liaison Team. The timing of patients being assessed was highly variable. Conclusions. Marriage is not a protective factor in the prevention of the DSH in the elderly group. A mental health team referral in the early phases of the management would be of huge benefit and a likely step to prevent possible future admissions. The Department would benefit from the creation of a protocol for the management of these patients. There should be a joint effort of the professionals in the management of DSH in the elderly, and GPs play a very important role in the prevention of DSH in the later life.

scholarly journals 598 Burns Management at A UK Major Trauma Centre During The COVID-19 Lockdown

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Payne ◽  
E Campbell ◽  
T Welman ◽  
G Pahal ◽  
S Myers
Keyword(s):  
Plastic Surgery ◽  
Major Trauma ◽  
Healthcare Delivery ◽  
Total Body Surface Area ◽  
Trauma Centre ◽  
Control Group ◽  
Major Trauma Centre ◽  
The Government ◽  
The Uk ◽  
Surgery Department

Abstract Aim The COVID-19 pandemic forced huge changes in healthcare delivery in the UK within a matter of weeks. We report our experience of managing burns presenting to a UK Major Trauma Centre during the COVID-19 lockdown period. Method Retrospective patient data was collected on aetiology, severity and management of burns during the first six weeks of the government-enforced lockdown. Data was compared with patients presenting with burns during the same period in 2019 (control) and statistical analysis was performed. Results Fifteen patients were treated during the COVID-19 lockdown and fourteen in the control group. Adults treated during the COVID-19 lockdown had a greater total body surface area (TBSA) (9% vs. 2.9%, p 0.035) and were more likely to suffer full thickness burns (40% vs. 0%). In the COVID-19 group all patients that did not require resuscitation, seven of whom met criteria for referral to burns services, were managed locally by the plastic surgery department with good outcomes. Conclusions Despite the increase in severity of adult burns seen during the COVID-19 lockdown period, local plastic surgery units have been able to adapt their practice and successfully manage more complex burns. This adaptability will be key as we move through the pandemic.

scholarly journals THE SKIN TUMORS EVOLVED FROM THE FACE. EXPERIENCE OF THE PLASTIC SURGERY DEPARTMENT CHU MOHAMMED VI ABOUT 60 CASES.

2019 ◽  
Vol 7 (1) ◽  
pp. 1262-1270
Author(s):  
Mariam quaboul ◽  
◽  
Mahrouch ElMehdi ◽  
Moulay DrissAmrani ◽  
Yassine Benchamkha ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Skin Tumors ◽  
The Face ◽  
Surgery Department
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