scholarly journals Surgical treatment of pressure ulcers: an 11-year experience at the Department of Plastic and Reconstructive Surgery of Hospital of Kaunas University of Medicine

Medicina ◽  
2009 ◽  
Vol 45 (4) ◽  
pp. 269 ◽  
Author(s):  
Kęstutis Maslauskas ◽  
Donatas Samsanavičius ◽  
Rytis Rimdeika ◽  
Vygintas Kaikaris
Keyword(s):  
Surgical Treatment ◽  
Reconstructive Surgery ◽  
Pressure Ulcers ◽  
Morphological Characteristics ◽  
Plastic And Reconstructive Surgery ◽  
Myocutaneous Flaps ◽  
Retrospective Data Analysis ◽  
M 31 ◽  
The Mean ◽  
Discharge From Hospital

The aim of this study was to evaluate morphological characteristics of pressure ulcers, methods of surgical treatment and its effectiveness in the Clinic of Plastic and Reconstructive Surgery of Kaunas University of Medicine Hospital. Material and methods. A retrospective data analysis of 139 patients with pressure ulcers treated in the Clinic of Plastic and Reconstructive Surgery, Kaunas University of Medicine Hospital, from January 1996 to January 2007 was performed. Results. A total of 139 patients were surgically treated for pressure ulcers at the Clinic of Plastic and Reconstructive Surgery, Kaunas University of Medicine Hospital, from January 1996 to January 2007. Eighty-one patients were treated repeatedly (from 1 to 7 admissions; M=1). Pressure ulcers were healed completely in 94 patients who underwent surgery during the treatment in the hospital; in 45 patients who underwent surgical treatment, pressure ulcers were partially healed, and on discharge from hospital, only small wounds were left. Pressure ulcers most commonly occur in tuber ischii area (69 cases). The mean age of patients was 42±13.65 years (M=31); pressure ulcers were for 8.9±8.5 months on average (M=31). At admission to Kaunas University of Medicine Hospital, the mean size of pressure ulcers was 42.62±53.27 cm2 (M=10). The results showed that the size of pressure ulcers depends on the duration of paraplegia (P<0.05). In 93 cases, pressure ulcers were treated using myocutaneous flaps; 17 of them were closed with V-Y advancement technique over the sacral area, 35 were closed with m. gluteus rotation flap, and in 41 cases, V-Y advancement technique using hamstring flaps was used. Conclusions. In patients with paraplegia, the first pressure ulcer occurs after 74.79±61.34 months from the onset of the disease. Pressure ulcers most commonly occur over tuber ischii area. The most effective surgical treatment of pressure ulcers is closure of the wound using myocutaneous flaps (use of the hamstrings); fasciocutaneous flaps were the most commonly used method in patients who underwent surgery for the second time.

scholarly journals Characteristics and Publication Rates for Podium Presentations at National Hand Surgery Meetings from 2007 to 2012

2019 ◽  
Vol 12 (02) ◽  
pp. 107-110
Author(s):  
Alexander S. Kuczmarski ◽  
Nicholas J. Lemme ◽  
Dustin Biron ◽  
Andrew D. Sobel ◽  
Arnold-Peter C. Weiss
Keyword(s):  
Reconstructive Surgery ◽  
American Association ◽  
Region Of Interest ◽  
Hand Surgery ◽  
Body Region ◽  
Level Of Evidence ◽  
Plastic And Reconstructive Surgery ◽  
Publication Rates ◽  
The Mean ◽  
American Society

AbstractThe purpose of this study was to evaluate and compare the research presented at the annual meetings of the American Society for Surgery of the Hand (ASSH) and the American Association for Hand Surgery (AAHS). Podium presentation data were extracted from the abstract books of the annual meetings of the ASSH and AAHS from 2007 to 2012. Corresponding publications were identified using searchable online publication databases and an algorithm linking authorship and content. The majority of research was clinical and the most common topics were trauma, degenerative conditions, and biomechanics. The most common body region of interest was the wrist/forearm. ASSH podium presentations were of a stronger level of evidence and were more likely to be published. The mean times to publication for research presented at the ASSH and AAHS meetings were 16.7 and 16.4 months, respectively. Presentations from each society were subsequently published at higher proportions in their affiliated journals. Furthermore, in comparison to AAHS presentations, a significantly larger proportion of research presented at the ASSH meetings was published in the Journal of Bone and Joint Surgery, while a larger proportion of AAHS presentations were published in Plastic and Reconstructive Surgery and Microsurgery.

scholarly journals Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000–2010: A Retrospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Shkelzen B. Duci ◽  
Hysni M. Arifi ◽  
Mimoza E. Selmani ◽  
Agon Y. Mekaj ◽  
Musli M. Gashi ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Pressure Ulcers ◽  
Calculated Data ◽  
Duration Of Treatment ◽  
Statistical Parameters ◽  
Surgical Interventions ◽  
Plastic And Reconstructive Surgery ◽  
Clinical Center ◽  
The Difference ◽  
The University

Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortality. Materials and Methods. This study includes 55 patients with PUs treated surgically in 2000–2010 period in the Department of Plastic and Reconstructive Surgery Kosovo. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Data processing was done with the statistical package In Stat 3. From statistical parameters arithmetic median and standard deviation were calculated. Data testing is done with χ2-test and the difference is significant if P<0.05. Conclusion. Despite preventive measures against PUs, the incidence of Pus remains high.

scholarly journals Comparative study between fasciocutaneous and myocutaneous flaps in the surgical treatment of pressure ulcers of the sacral region

JPRAS Open ◽  
2018 ◽  
Vol 16 ◽  
pp. 50-60 ◽  
Author(s):  
D. Oksman ◽  
O.M. de Almeida ◽  
R.G. de Arruda ◽  
M.L.M. de Almeida ◽  
F.S. do Carmo
Keyword(s):  
Surgical Treatment ◽  
Comparative Study ◽  
Pressure Ulcers ◽  
Sacral Region ◽  
Myocutaneous Flaps

223 The Clinical Applications of Machine Learning in Plastic and Reconstructive Surgery: A Systematic Review

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Mantelakis
Keyword(s):  
Machine Learning ◽  
Reconstructive Surgery ◽  
Clinical Utility ◽  
Outcome Prediction ◽  
Support Vector ◽  
Plastic And Reconstructive Surgery ◽  
Prediction Outcome ◽  
Operative Planning ◽  
The Mean ◽  
Applications Of Machine Learning

Abstract Background Machine learning (ML) is a set of models and methods that can automatically detect patterns in vast amounts of data and use this information to perform various kinds of decision-making under uncertain conditions. The aim of this review is to evaluate the applications of machine learning in plastic and reconstructive surgery. Method EMBASE, MEDLINE and CENTRAL were searched from 1990 to 2020 for studies in which machine learning has been employed in the clinical setting of reconstructive surgery. Primary outcomes will be the evaluation of the accuracy of machine learning models in predicting a clinical diagnosis and post-surgical outcomes. Results The database identified 1181 articles, of which 51 articles were included in this review. The clinical utility of these algorithms was to assist clinicians in diagnosis prediction (n = 22), outcome prediction (n = 21) and pre-operative planning (n = 8). The mean accuracy for diagnosis prediction, outcome prediction and pre-operative planning was 88.80%, 86.11% and 80.28% respectively. The most commonly used models were neural networks (n = 31), support vector machine (n = 13), decision trees/random forests (10) and logistic regression (n = 9). Discussion ML has demonstrated excellent performance in diagnosis and outcome predictions, but it is still in its infancy. Further research is warranted to evaluate its applications.

The Impact of COVID-19 on the Surgical Wait Times for Plastic and Reconstructive Surgery in Ontario

2021 ◽  
pp. 229255032110643
Author(s):  
Moaath M. Saggaf ◽  
Dimitri J. Anastakis
Keyword(s):  
Reconstructive Surgery ◽  
Wait Time ◽  
Baseline Period ◽  
Wait Times ◽  
Surgical Volume ◽  
Time Data ◽  
Plastic And Reconstructive Surgery ◽  
Percent Change ◽  
The Mean ◽  
The Impact

Purpose: The aim of this study was to assess the impact of COVID-19 on surgical wait times for Plastic and Reconstructive Surgery (PRS) in Ontario, Canada. Methods: Ontario's wait time data has fourteen reporting categories for PRS. For each category, the mean wait time for consultation and for surgery were reported. Each category was given a priority ranging from 1 to 4. Two periods, three-month and six-month, were selected and compared to the same calendar months of the previous year. Wait times, surgical volume and percent change to the provincial wait time target were reported and compared to the baseline data. Results: This study reviewed 9563 consults and 15,000 operative cases. There was a 50% reduction in the volume of surgical consults during the study period compared to the baseline period (P = 0.004). The reduction ranged from 46% to 75% based on the reporting category. The volume of surgical cases decreased by 43% during the study period compared to the baseline period (P = 0.005). A statistically significant increase in the mean wait times for surgery was observed, involving priorities 2 to 4 (overall mean = 32 days, P ≤ 0.01). There was a 15% decrease in the percentage of surgeries meeting the provincial target times (P < 0.0001). Conclusion: COVID-19 has caused a significant reduction in the volume of cases performed in the majority of PRS categories with an overall increase in the wait times for consultation and for surgery. Recovery following COVID-19 will require strategies to address the growing volume of cases and wait times for surgery across all PRS categories.

New reconstructive surgery for radical surgical treatment of colon non-tumorous diseases

2019 ◽  
Vol 0 (1) ◽  
pp. 23-28
Author(s):  
V. M. Melnik ◽  
A. I. Poyda ◽  
A. A. Qadeer
Keyword(s):  
Surgical Treatment ◽  
Reconstructive Surgery

scholarly journals Effects of COVID-19 on Facial Plastic and Reconstructive Surgery Fellowship Training and Director Practices

OTO Open ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 2473974X2110141
Author(s):  
Parsa P. Salehi ◽  
Sina J. Torabi ◽  
Yan Ho Lee ◽  
Babak Azizzadeh
Keyword(s):  
Facial Nerve ◽  
Reconstructive Surgery ◽  
Trauma Surgery ◽  
The United States ◽  
Fellowship Training ◽  
Craniofacial Surgery ◽  
Worker Safety ◽  
Plastic And Reconstructive Surgery ◽  
Facial Plastic ◽  
The Impact

Objectives The objectives of this study include characterizing the practice patterns and testing strategies of facial plastic and reconstructive surgery (FPRS) fellowship directors (FDs) secondary to COVID-19 and to quantify the impact of COVID-19 on FPRS fellowship training. Study Design Cross-sectional survey. Setting Online. Methods A survey was sent to all American Academy of Facial Plastic and Reconstructive Surgery FDs and co-FDs in September 2020. Descriptive analyses were performed. Results Of 77 eligible FDs, 45 responded (58.4%) representing a diverse group across the United States. All but 1 FD routinely screened patients for COVID-19 in the preoperative setting. FDs largely believed that universal preoperative testing was cost-effective (66.7%), improved patient safety (80.0%) and health care worker safety (95.6%), and was not burdensome for patients (53.3%). With regard to volume of cosmetic/aesthetic, reconstructive, facial nerve, and trauma surgery, FDs indicated largely no change in volume (34.9%, 71.0%, 68.4%, and 80.0%, respectively) or fellow experience (67.4%, 80.6%, 84.2%, and 80.0%). Half (50.0%) of the FDs reported decreased volume of congenital/craniofacial surgery, but 75.0% did not believe that there was a change in fellow experience. Overall, of the 15 responses indicating “worsened training” across all domains of FPRS, 14 were located in the Northeast (93.33%). Conclusions The COVID-19 pandemic has had the least impact on the volume of reconstructive procedures, facial nerve operations, and trauma surgery and a negative impact on congenital/craniofacial surgery volume, and it has accelerated the demand for cosmetic/aesthetic operations. Overall, the majority of FDs did not feel as though their fellows’ trainings would be adversely affected by the ongoing pandemic.

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