Operative Plastic Surgery

The second edition of Operative Plastic Surgery is a fully updated, comprehensive text that discusses the most common plastic surgery procedures in great detail. It covers the classic techniques in plastic surgery, as well as the most recent technical advances while maintaining a systematic approach to patient care within each chapter. Traversing the entirety of the human body, each chapter addresses assessment of defects, preoperative factors, pathology, trauma, operative indications and procedures, and more. Also covered is the operative room setup, with special consideration given to the operative plan, patient positioning and markings, and technique for each type of surgery. Detailing more than 90 specific surgical techniques, this book covers both reconstructive and aesthetic plastic surgery. A new section addresses noninvasive techniques such as Botox, injectables, lasers, and skin care. New chapters throughout the book also include anterolateral thigh (ALT) flaps, nasal cleft deformities, zygomaticomaxillary complex (ZMC) fractures, augmentation mastoplexy, body contouring for the massive weight loss patient, and endoscopic carpal tunnel repair. Led by Gregory R. D. Evans, this volume assembles thought leaders in plastic surgery to present operative surgery in a clear, didactic, and comprehensive manner and lays the groundwork for ideas that we have just scratched the surface of, such as translational research, fat grafting, stem cells, and tissue engineering.

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Samrat Mukherjee ◽  
Sachin Kamat ◽  
Samuel Adegbola ◽  
Sanjay Agrawal

Background. With the increase in bariatric surgery in the UK, there has been a substantial increase in patients undergoing massive weight loss (MWL) seeking postbariatric body-contouring (bariplastic) surgery. However, there is a wide variation of availability on the National Health Service (NHS). Aims. To (1) review the funding policies of Primary Care Trusts (PCTs) in England for bariplastic surgery and (2) analyse the number of procedures funded in two consecutive financial years. Methods. We sent out questionnaires to all PCTs in England regarding their funding policies for bariplastic surgery and requested the number of procedures funded in 2008-09 and 2009-10. Findings. 121/147 (82%) PCTs replied to our questionnaires. 73 (60%) excluded all bariplastic procedures. 106/121 (87.6%) PCTs had referral guidelines for plastic surgery. 46/121 (38%) PCTs provided the total number of funded abdominoplasty-apronectomy (A-A) in the two financial years: total number of A-A applicants rose from 393 to 531, but approval for funding fell from 24.2% to 19.6%. Only 3 (2%) PCTs indicated increase in their future spending on bariplastic procedures in the next 5 years, with 67% planning to decrease or unsure about future funding. Conclusion. There exists a postcode lottery for bariplastic surgery in England and we feel the need for guidelines on provision of bariplastic procedures following MWL.


Author(s):  
Ahmed M Hashem ◽  
Rafael A Couto ◽  
Chris Surek ◽  
Marco Swanson ◽  
James E Zins

Abstract Although previous publications have reviewed face and neck-lift anatomy and technique from different perspectives, seldom were the most-relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. As a result, the beginner is left with a plethora of varied publications that require sorting, re-arrangement, and critical reading. A recent survey of US plastic surgery residents and program directors disclosed less facility with facelift surgery when compared to aesthetic surgery of the breast and trunk. To this end four of the widely practiced facelift techniques (ie, MACS-lift, lateral-SMASectomy, extended-SMAS, and composite rhytidectomy) are described in an easy review format. The highlights of each are formatted followed by a summary of complications. Finally, the merits and limitations of these individual techniques are thoroughly compared and discussed.


2013 ◽  
Vol 46 (02) ◽  
pp. 445-452 ◽  
Author(s):  
Soumya Sankar Nath ◽  
Debashis Roy ◽  
Farrukh Ansari ◽  
Sundeep T. Pawar

ABSTRACTAnaesthesia related complications in plastic surgeries are fortunately rare, but potentially catastrophic. Maintaining patient safety in the operating room is a major concern of anaesthesiologists, surgeons, hospitals and surgical facilities. Circumventing preventable complications is essential and pressure to avoid these complications in cosmetic surgery is increasing. Key aspects of patient safety in the operating room are outlined, including patient positioning, airway management and issues related to some specific conditions, essential for minimizing post-operative morbidity. Risks associated with extremes of age in the plastic surgery population, may be minimised by a better understanding of the physiologic changes as well as the pre-operative and post-operative considerations in caring for this special group of patients. An understanding of the anaesthesiologist′s concerns during paediatric plastic surgical procedures can facilitate the coordination of efforts between the multiple services involved in the care of these children. Finally, the reader will have a better understanding of the perioperative care of unique populations including the morbidly obese and the elderly. Attention to detail in these aspects of patient safety can help avoid unnecessary complication and significantly improve the patients′ experience and surgical outcome.


Author(s):  
Natalie S. Barton ◽  
Al S. Aly ◽  
Gregory R. D. Evans

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