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At least 19 recordsLinked to original sources
PubMed1991

[Ambulatory surgery in plastic surgery].

The spectrum of plastic surgery is wide. It covers constructive, reconstructive and anaplastic surgery. A considerable portion of the operations can be carried out ambulatorily. Several examples show the practicability and limits. They are different according to the orientation of the surgeon and the equipment in his practice. Unfortunately also economic problems must be pointed out.

Ambulatory Surgical Procedures↗
PubMed1992

[Plastic surgery and breast cancer. Are there contraindications for plastic surgery?].

Plastic surgery has acquired an important place in primary breast cancer treatment (conservative or radical) and in the treatment of sequelae. The authors have tried to define, based on their experience, the contraindications for breast reconstruction. They are rare from a technical point of view. The carcinologic contraindications are relative: highly aggressive cancers, locally advanced cancers, cancers with metastases or recurrences. Radionecrosis and radio-induced sarcomas, treatment sequelae are also contraindications for breast reconstruction. General contraindications are relative (major obesity, smoking, diabetes, general weakness). Psychological contraindications must be taken into consideration. The authors conclude that contraindications for breast reconstruction are mainly carcinologic and the decision for reconstruction is usually taken by the patient after complete medical information.

Breast Neoplasms↗
PubMed1991

Reducing the need for intubation in plastic surgery.

Many plastic surgery procedures that have traditionally been performed under general endotracheal anesthesia may safely be undertaken using a ketamine-based intravenous sedation technique. General endotracheal anesthesia has many drawbacks, including lack of patient acceptance. Ketamine-based intravenous sedation technique includes the following steps: 1. The patient is placed in a dissociated state using sedative and narcotic agents accompanied by a subanesthetic dose (0.5 mg/kg) of ketamine. 2. A dilute local anesthetic solution (0.25% lidocaine with 1:2,000,000 epinephrine) is infiltrated into the involved tissues to provide anesthesia and hemostasis. 3. The patient is maintained in a tranquil state throughout the procedure by periodic titration of additional doses of sedative and narcotic agents. Advantages of the technique include reducing the need for intubation and its associated hazards, dramatically decreased blood loss due to use of dilute epinephrine solution, reduced recovery time, ability of patients to respond to commands during surgery, avoidance of positioning injuries and increased rapport between patient, surgeon and anesthetist. Disadvantages include respiratory depression and potential for hypoxia. Dissociative intravenous sedation combined with dilute local anesthetic provides a useful addition to the anesthetist's armamentarium.

Anesthesia, Endotracheal↗
PubMed1992

Teaching plastic surgery to medical students.

A plastic surgery syllabus for third-year medical students is described. It is intended for a teaching programme in which plastic surgery is integrated into the surgical teaching on the same basis as the other surgical specialties. The syllabus was designed to concentrate on aspects of plastic surgery relevant to the needs of undergraduates. An audit of the teaching showed that the students were readily interested and considered the teaching to be relevant to their examinations and to their future as doctors. A survey of all plastic surgery centres in the British Isles showed that similar teaching was being undertaken in 11 centres out of 51.

Clinical Competence↗
PubMed1990

Plastic surgery in the elderly.

Plastic surgery has an ever-increasing role in the management of medical problems in the elderly. These procedures can be performed with minimal risk to the patient in order to maximize the quality of life for these patients and their families.

Aged↗
PubMed1991

Soft-tissue plastic surgery.

Soft-tissue plastic surgery was previously referred to as mucogingival surgery by Friedman (Tex Dent J 1957, 75:358-362). This term referred to any surgery "designated to preserve attached gingiva, to remove frena or muscle attachment, and to increase the depth of the vestibule." The aim of this type of surgery was to maintain an adequate mucogingival complex, focusing on the importance of the amount of attached gingiva. Soft tissue plastic surgery is important not only for reasons of health, but also for cosmetic purposes.

Gingiva↗
PubMed1978

Plastic surgery in the twentieth century.

Plastic surgical operations are among the oldest and have been developed increasingly from ancient times down to the present. However, the age of medical specialization did not begin until the latter part of the nineteenth century, and the specialty of plastic surgery is largely a child of the twentieth century. Most of the operations we do today have been created by plastic surgeons with the past 50 years, but were made possible only by the rapid developments in other surgical specialties and in all of medicine and science. The relationship with other specialties has been an interdependent one, and this is likely to be the pattern of the future. Plastic surgery, bridging the anatomical specialties as it does, must continue to draw bits of information here and there from them and to synthesize these into major contributions of great benefit to all. The specialty will grow in direct proportion to the success of the innovators within it in fulfilling their crucial role.

Europe↗
PubMed1978

[The history of plastic surgery (author's transl)].

The plastic surgery begins with rhinoplastic methods in the early medieval India and was unknown to Western medicine until 1400. The first European surgeon, who restored a lost nose, was Branca de'Branca in Sicily. He took the flap from the cheek, but his son Antonio Branca took the reparative flap from the upper arm, and this "Italian method" was first described by the knight of Teutonic Order Heinrich von Pfalzpaint in 1460. Antonio Branca repaired also mutilated lips and ears, and the methods employed by him and by the Vianeo family in Calabria are described by various authors, most extensively by Gaspare Tagliacozzi in his "Chirurgia Curtorum" (1597). -Soon after Tagliacozzi's death, plastic surgery fell into disuse, until in 1794 the description of a rhinoplastic operation in India brought the methods again to the attention of European surgeons and initiated the revival of the practice. German surgeons as Carl Ferdinand Graefe, Johann Friedrich Dieffenbach and Bernhard Langenbeck leaded it to its full modern development.

Ear, External↗
PubMed1977

[Indications for plastic surgery (author's transl)].

The paper deals with the three main areas of indications for plastic surgery: 1. Reconstructive plastic surgery or treatment of defects resulting from trauma or disease. 2. Constructive plastic surgery or treatment of innate defects. 3. Anaplastic surgery or treatment of disfunction of appearance. By defining these different branches of plastic surgery criteria are elaborated that govern all plastic surgery. Differences between the general surgical approach and the plastic surgical approach are explained and emphasis is put on the patients' subjective situation and possible pressures from outside as well as environmental influences that may have bearing on the indication.

Breast↗