Journal of Plastic Reconstructive and Aesthetic Surgery最新文献_第2页

Recipient site selection in vascularized lymph node transfer for secondary lymphedema: A systematic review and meta-analysis 继发性淋巴水肿的血管化淋巴结转移的受体部位选择：系统回顾和荟萃分析

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.bjps.2026.01.005

Mohamad Rachadian Ramadan , Patricia Angelin , Parintosa Atmodiwirjo

Vascularized lymph node transfer (VLNT) is an established microsurgical approach for secondary lymphedema; however, the optimal recipient site remains uncertain. This systematic review and meta-analysis aimed to compare outcomes between different recipient sites in upper and lower extremity VLNT. Following the PRISMA guidelines, PubMed, Scopus, and ScienceDirect were searched to October 2024. Outcomes assessed included circumferential reduction rate (CRR), volume-based reduction, cellulitis incidence, and quality of life. Meta-analysis was performed using the generic inverse-variance method with random effects. Heterogeneity was assessed using I², and sensitivity and meta-regression analysis explored potential sources of variability. Fifteen studies met the inclusion criteria. Meta-analysis was feasible only for distal inset data due to substantial heterogeneity among proximal and middle sites. Distal inset demonstrated the highest pooled CRR (42.2% for upper extremity and 42.5% for lower extremity), though heterogeneity remained high (I² = 84–91%). Distal placement also showed reduced cellulitis incidence and improved quality of life scores. While distal inset placement yielded the greatest circumferential reduction, outcomes varied widely across studies. No single recipient site was universally superior, optimal selection should be tailored to disease stage, edema distribution, and tissue condition.

血管化淋巴结转移（VLNT）是继发性淋巴水肿的显微外科治疗方法；然而，最佳的受体位置仍然不确定。本系统综述和荟萃分析旨在比较上肢和下肢VLNT不同受者部位的结果。按照PRISMA指南，检索PubMed、Scopus和ScienceDirect至2024年10月。评估的结果包括圆周缩小率（CRR）、体积缩小、蜂窝织炎发生率和生活质量。采用随机效应的通用反方差法进行meta分析。使用I2评估异质性，敏感性和meta回归分析探索变异性的潜在来源。15项研究符合纳入标准。由于近端和中端位置的异质性，荟萃分析仅适用于远端插入数据。远端插入显示最高的总CRR（上肢42.2%，下肢42.5%），尽管异质性仍然很高（I2 = 84-91%）。远端放置也显示蜂窝织炎发生率降低，生活质量评分提高。虽然远端置入获得了最大的周向复位，但不同研究的结果差异很大。没有单一的受体部位是普遍优越的，最佳选择应根据疾病分期、水肿分布和组织状况量身定制。

{"title":"Recipient site selection in vascularized lymph node transfer for secondary lymphedema: A systematic review and meta-analysis","authors":"Mohamad Rachadian Ramadan , Patricia Angelin , Parintosa Atmodiwirjo","doi":"10.1016/j.bjps.2026.01.005","DOIUrl":"10.1016/j.bjps.2026.01.005","url":null,"abstract":"<div><div>Vascularized lymph node transfer (VLNT) is an established microsurgical approach for secondary lymphedema; however, the optimal recipient site remains uncertain. This systematic review and meta-analysis aimed to compare outcomes between different recipient sites in upper and lower extremity VLNT. Following the PRISMA guidelines, PubMed, Scopus, and ScienceDirect were searched to October 2024. Outcomes assessed included circumferential reduction rate (CRR), volume-based reduction, cellulitis incidence, and quality of life. Meta-analysis was performed using the generic inverse-variance method with random effects. Heterogeneity was assessed using I<sup>2</sup>, and sensitivity and meta-regression analysis explored potential sources of variability. Fifteen studies met the inclusion criteria. Meta-analysis was feasible only for distal inset data due to substantial heterogeneity among proximal and middle sites. Distal inset demonstrated the highest pooled CRR (42.2% for upper extremity and 42.5% for lower extremity), though heterogeneity remained high (I<sup>2</sup> = 84–91%). Distal placement also showed reduced cellulitis incidence and improved quality of life scores. While distal inset placement yielded the greatest circumferential reduction, outcomes varied widely across studies. No single recipient site was universally superior, optimal selection should be tailored to disease stage, edema distribution, and tissue condition.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 160-171"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080623","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}

引用次数: 0

Outcomes of immediate implant-based vs. autologous breast reconstruction after neoadjuvant therapy 新辅助治疗后即刻植入式乳房重建与自体乳房重建的结果

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.bjps.2026.01.006

Ziyue Lin , Jian Yin

Background

The choice of modality for immediate breast reconstruction (IBR) following neoadjuvant therapy (NAT) remains controversial. We compared the complications, aesthetic outcomes, and patient satisfaction between two IBR techniques, immediate autologous breast reconstruction (ABR) and implant-based breast reconstruction (IBBR), in patients treated with NAT, with the goal of informing clinical practice.

Methods

Data from patients who underwent unilateral IBR after receiving NAT were retrospectively analyzed. Demographic characteristics, tumour profiles, treatment regimens, complication data, patient-reported outcomes, and aesthetic scores were compared between the groups. Subgroup analyses were also conducted separately for each group.

Results

Of 172 patients who were included in the study, 97 underwent IBBR and 75 underwent ABR. Reconstruction failures (18.6% vs. 1.3%, p<0.001) and infection (13.4% vs. 4.0%, p=0.035) occurred more frequently in the IBBR than in the ABR group. Multivariable regression analysis showed that diabetes significantly increased reconstruction failure risk in the IBBR group (OR=16.14, 95% CI: 1.46–178.51, p=0.023), with infection also emerging as a notable risk factor (OR=5.26, 95% CI: 1.43–19.38, p=0.013). The IBBR group demonstrated significantly lower patient satisfaction scores compared to ABR patients (65.52±19.50 vs. 72.22±18.26, p=0.035). Aesthetic outcomes were analyzed by reconstruction stage, with significantly fewer people reporting “excellent” in the IBBR group than in the ABR group at the tissue expander phase (TEP) (65.6% vs. 89.5%, p=0.002).

Conclusion

Following NAT, fewer complications, higher patient satisfaction, and better aesthetic outcomes were observed with ABR compared to IBBR.

背景：新辅助治疗（NAT）后立即乳房重建（IBR）方式的选择仍然存在争议。我们比较了两种IBR技术（即刻自体乳房重建（ABR）和基于植入物的乳房重建（IBBR））在接受NAT治疗的患者中的并发症、美学结果和患者满意度，目的是为临床实践提供信息。方法回顾性分析NAT术后单侧IBR患者的资料。比较两组之间的人口统计学特征、肿瘤概况、治疗方案、并发症数据、患者报告的结果和美学评分。各组的亚组分析也分别进行。结果纳入研究的172例患者中，97例接受了IBBR， 75例接受了ABR。IBBR组的重建失败（18.6%对1.3%,p= 0.001）和感染（13.4%对4.0%,p=0.035）发生率高于ABR组。多变量回归分析显示，糖尿病显著增加了IBBR组重建失败的风险（OR=16.14, 95% CI: 1.46 ~ 178.51, p=0.023），感染也是一个显著的危险因素（OR=5.26, 95% CI: 1.43 ~ 19.38, p=0.013）。IBBR组患者满意度得分明显低于ABR组（65.52±19.50比72.22±18.26,p=0.035）。美学结果按重建阶段进行分析，在组织扩张期（TEP）， IBBR组报告“优秀”的人数明显少于ABR组（65.6%比89.5%,p=0.002）。结论NAT术后ABR比IBBR并发症少，患者满意度高，美观效果好。

{"title":"Outcomes of immediate implant-based vs. autologous breast reconstruction after neoadjuvant therapy","authors":"Ziyue Lin , Jian Yin","doi":"10.1016/j.bjps.2026.01.006","DOIUrl":"10.1016/j.bjps.2026.01.006","url":null,"abstract":"<div><h3>Background</h3><div>The choice of modality for immediate breast reconstruction (IBR) following neoadjuvant therapy (NAT) remains controversial. We compared the complications, aesthetic outcomes, and patient satisfaction between two IBR techniques, immediate autologous breast reconstruction (ABR) and implant-based breast reconstruction (IBBR), in patients treated with NAT, with the goal of informing clinical practice.</div></div><div><h3>Methods</h3><div>Data from patients who underwent unilateral IBR after receiving NAT were retrospectively analyzed. Demographic characteristics, tumour profiles, treatment regimens, complication data, patient-reported outcomes, and aesthetic scores were compared between the groups. Subgroup analyses were also conducted separately for each group.</div></div><div><h3>Results</h3><div>Of 172 patients who were included in the study, 97 underwent IBBR and 75 underwent ABR. Reconstruction failures (18.6% vs. 1.3%, p<0.001) and infection (13.4% vs. 4.0%, p=0.035) occurred more frequently in the IBBR than in the ABR group. Multivariable regression analysis showed that diabetes significantly increased reconstruction failure risk in the IBBR group (OR=16.14, 95% CI: 1.46–178.51, p=0.023), with infection also emerging as a notable risk factor (OR=5.26, 95% CI: 1.43–19.38, p=0.013). The IBBR group demonstrated significantly lower patient satisfaction scores compared to ABR patients (65.52±19.50 vs. 72.22±18.26, p=0.035). Aesthetic outcomes were analyzed by reconstruction stage, with significantly fewer people reporting “excellent” in the IBBR group than in the ABR group at the tissue expander phase (TEP) (65.6% vs. 89.5%, p=0.002).</div></div><div><h3>Conclusion</h3><div>Following NAT, fewer complications, higher patient satisfaction, and better aesthetic outcomes were observed with ABR compared to IBBR.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 135-143"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080624","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}

引用次数: 0

A novel umbrella graft approach in nasal reconstruction of patients with frontonasal dysplasia 一种新的伞形移植物入路用于额鼻发育不良患者的鼻部重建。

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.bjps.2026.01.019

Suleyman Yildizdal , Etkin Boynuyogun , Sinan Kadir Altunal , Berkay Kose , Ugur Koçer , Ibrahim Vargel

Background

Frontonasal dysplasia (FND) is a rare craniofacial anomaly characterized by hypertelorism and nasal deformities. Traditional intracranial approaches for correction, such as box osteotomy or facial bipartition, are effective but associated with high morbidity. This study presents an extracranial umbrella graft technique for nasal reconstruction in patients with FND.

Methods

Between 2014 and 2024, 55 patients with FND were retrospectively evaluated, and 14 met the criteria for extracranial nasal reconstruction. Inclusion criteria were interorbital distance (IOD) <40 mm and the presence of inwardly projecting concave nasal cartilage. Through a midline incision, inverted U-shaped osteotomies were performed to medialize nasal bones. Concave cartilage was harvested, inverted, and used as an umbrella graft to restore nasal projection. Septal cartilage grafts supported the lower nasal framework. Outcomes were assessed by complications and Whitaker classification.

Results

This study included 9 females and 5 males (mean age 8.3 years). Mean follow-up was 2.3 years. No major complications, such as cerebrospinal fluid leakage, visual impairment, or infection, were observed. One patient developed pressure sores from splints, and two underwent minor scar revisions. Mean anterior IOD decreased from 34 to 26.9 mm. Three patients reported insufficient projection, whereas all others achieved significant improvement. According to Whitaker classification, 10 patients were category I and 4 were category II.

Conclusion

This technique offers a safe, less invasive alternative for nasal reconstruction in selected patients with FND, providing satisfactory esthetic results with minimal morbidity. Although long-term outcomes remain to be clarified, this approach may serve as a valuable option.

背景：额鼻发育不良（FND）是一种罕见的颅面畸形，其特征是远端畸形和鼻畸形。传统的颅内矫正方法，如盒形截骨或面部双隔，是有效的，但与高发病率相关。本研究提出颅外保护伞移植技术用于FND患者的鼻部重建。方法：回顾性分析2014 - 2024年55例FND患者，其中14例符合颅外鼻部重建术标准。纳入标准为眶间距离（IOD）。结果：本研究纳入女性9例，男性5例，平均年龄8.3岁。平均随访时间为2.3年。未见脑脊液漏、视力损害或感染等重大并发症。一名患者因夹板产生压疮，两名患者进行了轻微的疤痕修复。平均前IOD从34 mm下降到26.9 mm。三名患者报告投射不足，而所有其他患者均有显著改善。根据Whitaker分类，ⅰ类10例，ⅱ类4例。结论：该技术为FND患者提供了一种安全、微创的鼻部重建方法，以最小的发病率提供了令人满意的美观效果。尽管长期结果仍有待澄清，但这种方法可能是一种有价值的选择。

{"title":"A novel umbrella graft approach in nasal reconstruction of patients with frontonasal dysplasia","authors":"Suleyman Yildizdal , Etkin Boynuyogun , Sinan Kadir Altunal , Berkay Kose , Ugur Koçer , Ibrahim Vargel","doi":"10.1016/j.bjps.2026.01.019","DOIUrl":"10.1016/j.bjps.2026.01.019","url":null,"abstract":"<div><h3>Background</h3><div>Frontonasal dysplasia (FND) is a rare craniofacial anomaly characterized by hypertelorism and nasal deformities. Traditional intracranial approaches for correction, such as box osteotomy or facial bipartition, are effective but associated with high morbidity. This study presents an extracranial umbrella graft technique for nasal reconstruction in patients with FND.</div></div><div><h3>Methods</h3><div>Between 2014 and 2024, 55 patients with FND were retrospectively evaluated, and 14 met the criteria for extracranial nasal reconstruction. Inclusion criteria were interorbital distance (IOD) <40 mm and the presence of inwardly projecting concave nasal cartilage. Through a midline incision, inverted U-shaped osteotomies were performed to medialize nasal bones. Concave cartilage was harvested, inverted, and used as an umbrella graft to restore nasal projection. Septal cartilage grafts supported the lower nasal framework. Outcomes were assessed by complications and Whitaker classification.</div></div><div><h3>Results</h3><div>This study included 9 females and 5 males (mean age 8.3 years). Mean follow-up was 2.3 years. No major complications, such as cerebrospinal fluid leakage, visual impairment, or infection, were observed. One patient developed pressure sores from splints, and two underwent minor scar revisions. Mean anterior IOD decreased from 34 to 26.9 mm. Three patients reported insufficient projection, whereas all others achieved significant improvement. According to Whitaker classification, 10 patients were category I and 4 were category II.</div></div><div><h3>Conclusion</h3><div>This technique offers a safe, less invasive alternative for nasal reconstruction in selected patients with FND, providing satisfactory esthetic results with minimal morbidity. Although long-term outcomes remain to be clarified, this approach may serve as a valuable option.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 205-211"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146128076","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}

引用次数: 0

Costal cartilage tissue regeneration after the modified first-stage autologous ear reconstruction for microtia: A retrospective study 改良一期自体耳廓重建术后肋软骨组织再生的回顾性研究

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1016/j.bjps.2026.01.008

Jiachao Xiong , Yingshen Shi , Zhe Liu, Ni Zhuang, Hua Jiang, Yuxin Qian, Rong Guo

Background

The modified first-stage autologous ear reconstruction for patients with microtia has been part of our regular practice since 2020, with long-term follow-up revealing no thoracic complications in the patients. Our previous clinical studies systematically investigated and advocated for the critical role of preserving the intact costal cartilage membrane and its precise suturing.

Methods

This retrospective cohort study focused on primary reconstruction for congenital microtia. Patients were screened based on exclusion and inclusion criteria. Data on patient demographics and three-dimensional CT reconstructions of the costal cartilage were collected. Additionally, in vivo animal experiments were conducted to assess the characteristics of the regenerated tissue within the perichondrium.

Results

A total of 161 ear reconstructions performed for patients with microtia were included, comprising 54 cases on the left side, 102 cases on the right side, and 5 cases on both sides. We found that suturing the preserved costal cartilage membrane in place maintained its native contour and trajectory. A direct relationship was found between advancing age, higher physical quality, and superior costal cartilage regeneration among patients undergoing the modified first-stage autologous ear reconstruction. Patients older than 10 years demonstrated a high proportion of tissue regeneration and good postoperative thoracic stability at an early stage. Furthermore, animal models revealed regenerated costal cartilage at the perichondrial suture sites in rabbits 6 months postoperatively.

Conclusions

We conducted long-term follow-up on patients who underwent the modified first-stage ear reconstruction and they showed no thoracic complications. It emphasized the critical importance of obtaining costal cartilage, preferably in patients 10 years of age and older, and preserving and suturing the intact costal cartilage membrane during the modified two-flap method. These findings provide theoretical support for clinically adopting this technique.

自2020年以来，微创患者改良的一期自体耳廓重建已成为我们常规实践的一部分，长期随访显示患者无胸部并发症。我们以前的临床研究系统地研究并提倡保留完整的肋软骨膜及其精确缝合的关键作用。方法采用回顾性队列研究方法，对先天性小体畸形进行初步重建。根据排除和纳入标准对患者进行筛选。收集了患者的人口统计学数据和肋软骨的三维CT重建。此外，还进行了体内动物实验，以评估软骨膜内再生组织的特性。结果共纳入161例小耳症患者的耳廓再造术，其中左侧54例，右侧102例，双侧5例。我们发现将保留的肋软骨膜缝合在适当的位置可以保持其原有的轮廓和轨迹。在接受改良一期自体耳廓重建术的患者中，年龄的增长、身体素质的提高与肋软骨再生能力的提高有直接关系。年龄大于10岁的患者在早期表现出高比例的组织再生和良好的术后胸部稳定性。此外，动物模型显示，术后6个月，家兔在软骨周围缝合部位出现了再生的肋软骨。结论我们对接受改良一期耳廓再造术的患者进行了长期随访，无胸部并发症。它强调了在改良的双瓣方法中获得肋软骨的重要性，最好是10岁及以上的患者，并保留和缝合完整的肋软骨膜。本研究结果为临床应用该技术提供了理论支持。

{"title":"Costal cartilage tissue regeneration after the modified first-stage autologous ear reconstruction for microtia: A retrospective study","authors":"Jiachao Xiong , Yingshen Shi , Zhe Liu, Ni Zhuang, Hua Jiang, Yuxin Qian, Rong Guo","doi":"10.1016/j.bjps.2026.01.008","DOIUrl":"10.1016/j.bjps.2026.01.008","url":null,"abstract":"<div><h3>Background</h3><div>The modified first-stage autologous ear reconstruction for patients with microtia has been part of our regular practice since 2020, with long-term follow-up revealing no thoracic complications in the patients. Our previous clinical studies systematically investigated and advocated for the critical role of preserving the intact costal cartilage membrane and its precise suturing.</div></div><div><h3>Methods</h3><div>This retrospective cohort study focused on primary reconstruction for congenital microtia. Patients were screened based on exclusion and inclusion criteria. Data on patient demographics and three-dimensional CT reconstructions of the costal cartilage were collected. Additionally, in vivo animal experiments were conducted to assess the characteristics of the regenerated tissue within the perichondrium.</div></div><div><h3>Results</h3><div>A total of 161 ear reconstructions performed for patients with microtia were included, comprising 54 cases on the left side, 102 cases on the right side, and 5 cases on both sides. We found that suturing the preserved costal cartilage membrane in place maintained its native contour and trajectory. A direct relationship was found between advancing age, higher physical quality, and superior costal cartilage regeneration among patients undergoing the modified first-stage autologous ear reconstruction. Patients older than 10 years demonstrated a high proportion of tissue regeneration and good postoperative thoracic stability at an early stage. Furthermore, animal models revealed regenerated costal cartilage at the perichondrial suture sites in rabbits 6 months postoperatively.</div></div><div><h3>Conclusions</h3><div>We conducted long-term follow-up on patients who underwent the modified first-stage ear reconstruction and they showed no thoracic complications. It emphasized the critical importance of obtaining costal cartilage, preferably in patients 10 years of age and older, and preserving and suturing the intact costal cartilage membrane during the modified two-flap method. These findings provide theoretical support for clinically adopting this technique.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 127-134"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080626","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}

引用次数: 0

Audit and technical modifications of scout vein graft technique 童军静脉移植技术的审核与技术改进。

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.bjps.2026.01.013

Madhu Periasamy, Vamseedharan Muthukumar, Hari Venkatramani, S. Raja Sabapathy

引用次数: 0

Meta-analysis of platelet-rich plasma for venous ulcers: Clinical efficacy and complications 富血小板血浆治疗静脉溃疡的meta分析：临床疗效和并发症。

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.bjps.2026.01.020

Tiago Rodrigues-Guimarães , Ricardo Horta , Mário Marques-Vieira , José Andrade , João Rocha-Neves

Background

Venous leg ulcers (VLUs) are a consequence of chronic venous insufficiency, resulting in prolonged healing, high recurrence rates, and substantial economic burden. Traditional treatments, including compression therapy and wound care management, often lead to slow and incomplete healing. Platelet-rich plasma (PRP) is a potential therapy for enhancing wound healing, though its effectiveness remains debated. This systematic review and meta-analysis assessed PRP’s impact on wound healing in VLUs compared to conventional treatments.

Methods

A systematic search was conducted in the PubMed and Web of Science databases and 13 studies with a total of 554 patients were included. Healing outcomes, including complete and partial ulcer healing rates, were analyzed using binary random-effects models. Heterogeneity across studies was assessed using tau², Q-tests, and I² statistics.

Results

Meta-analysis demonstrated that PRP treatment was associated with a 1.5-fold higher odds of complete wound healing compared with conventional treatments (95% CI 1.09–2.07) (I² = 58%). Ulcer area reduction was higher in the PRP group (OR: 16.37 [95% CI 6.45–26.28], I² = 97%). Complete healing at the fourth week showed a meta-analytical OR 3.65 [1.08–12.32] with substantial heterogeneity (I² = 61%, p < 0.001). Meta-regression revealed a significant positive association between age and treatment effect, whereas diabetes mellitus was a significant negative predictor. PRP reduced ulcer recurrence (OR: 0.25 [95% CI 0.06–0.99], p < 0.001) with low heterogeneity.

Conclusion

PRP was associated with improved healing outcomes in VLUs and significantly enhanced wound healing. These findings suggest that PRP may enhance wound healing in venous leg ulcers and warrant further high-quality, large-scale randomized controlled trials to confirm its clinical applicability.

背景：下肢静脉性溃疡（VLUs）是慢性静脉功能不全的结果，导致愈合时间长，复发率高，经济负担沉重。传统的治疗方法，包括压迫疗法和伤口护理管理，往往导致缓慢和不完全愈合。富血小板血浆（PRP）是一种促进伤口愈合的潜在疗法，尽管其有效性仍存在争议。本系统综述和荟萃分析评估了与常规治疗相比，PRP对vlu伤口愈合的影响。方法：系统检索PubMed和Web of Science数据库，纳入13项研究，共554例患者。愈合结果，包括溃疡完全和部分愈合率，使用二元随机效应模型进行分析。采用tau2、q检验和I2统计量评估各研究的异质性。结果：荟萃分析显示，PRP治疗与常规治疗相比，伤口完全愈合的几率高1.5倍（95% CI 1.09-2.07）（I2 = 58%）。PRP组溃疡面积减少更高（OR: 16.37 [95% CI 6.45-26.28], I2 = 97%）。第四周完全愈合的meta分析OR为3.65[1.08-12.32]，具有很大的异质性（I2 = 61%, p < 0.001）。meta回归显示年龄与治疗效果呈正相关，而糖尿病是显著的负相关预测因子。PRP减少溃疡复发（OR: 0.25 [95% CI 0.06-0.99], p < 0.001），异质性低。结论：PRP可改善vlu的愈合结果并显著促进伤口愈合。这些发现表明，PRP可能会促进静脉性腿部溃疡的伤口愈合，需要进一步进行高质量、大规模的随机对照试验来证实其临床适用性。

{"title":"Meta-analysis of platelet-rich plasma for venous ulcers: Clinical efficacy and complications","authors":"Tiago Rodrigues-Guimarães , Ricardo Horta , Mário Marques-Vieira , José Andrade , João Rocha-Neves","doi":"10.1016/j.bjps.2026.01.020","DOIUrl":"10.1016/j.bjps.2026.01.020","url":null,"abstract":"<div><h3>Background</h3><div>Venous leg ulcers (VLUs) are a consequence of chronic venous insufficiency, resulting in prolonged healing, high recurrence rates, and substantial economic burden. Traditional treatments, including compression therapy and wound care management, often lead to slow and incomplete healing. Platelet-rich plasma (PRP) is a potential therapy for enhancing wound healing, though its effectiveness remains debated. This systematic review and meta-analysis assessed PRP’s impact on wound healing in VLUs compared to conventional treatments.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in the PubMed and Web of Science databases and 13 studies with a total of 554 patients were included. Healing outcomes, including complete and partial ulcer healing rates, were analyzed using binary random-effects models. Heterogeneity across studies was assessed using tau<sup>2</sup>, Q-tests, and I<sup>2</sup> statistics.</div></div><div><h3>Results</h3><div>Meta-analysis demonstrated that PRP treatment was associated with a 1.5-fold higher odds of complete wound healing compared with conventional treatments (95% CI 1.09–2.07) (I<sup>2</sup> = 58%). Ulcer area reduction was higher in the PRP group (OR: 16.37 [95% CI 6.45–26.28], I<sup>2</sup> = 97%). Complete healing at the fourth week showed a meta-analytical OR 3.65 [1.08–12.32] with substantial heterogeneity (I<sup>2</sup> = 61%, p < 0.001). Meta-regression revealed a significant positive association between age and treatment effect, whereas diabetes mellitus was a significant negative predictor. PRP reduced ulcer recurrence (OR: 0.25 [95% CI 0.06–0.99], p < 0.001) with low heterogeneity.</div></div><div><h3>Conclusion</h3><div>PRP was associated with improved healing outcomes in VLUs and significantly enhanced wound healing. These findings suggest that PRP may enhance wound healing in venous leg ulcers and warrant further high-quality, large-scale randomized controlled trials to confirm its clinical applicability.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 212-224"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146128098","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}

引用次数: 0

Sustainability in hand trauma surgery: An eco-audit of the flexor tendon laceration repair pathway 手部创伤手术的可持续性：屈肌腱撕裂修复途径的生态审计

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.bjps.2025.12.033

Zahra Ahmed , Alexander Zargaran , Olivia Kamoga , Punn Tannirandorn , Sara Sousi , David Zargaran , Norbert Kang , Afshin Mosahebi

Background

Hand trauma accounts for nearly one-third of emergency department (ED) attendances in the United Kingdom (UK). Particularly, repair of flexor tendon injuries is one of the most commonly performed plastic surgery procedures and requires months of repeated contact with hand therapy for optimal outcomes. The environmental impacts of treatment have not previously been evaluated.

Methods

A pilot retrospective service evaluation using process mapping and life-cycle assessment of 17 patients undergoing flexor tendon repair was performed using the functional unit of one completed patient pathway cycle, from ED to surgery, to rehabilitation and full recovery. Data were collected retrospectively from electronic patient records, supplier data and emission factor databases. Estimates for carbon dioxide emissions were generated in kgCO₂eq., allowing us to look for specific opportunities for pathway optimisation, in line with the national guidelines.

Results

We estimated the carbon footprint of a patient undergoing flexor tendon repair to be approximately 113.2 kgCO₂eq. The rehabilitation phase made the greatest contribution to emissions (59.9 kgCO₂eq., 52.9%) and patient travel was responsible for 79.4% of total emissions (89.9 kgCO₂eq.), followed by the production and transport of equipment (8.5 kgCO₂eq., 7.5%) needed for treatment.

Conclusions

The results of this pilot eco-audit identified key emission sources and potential interventions to reduce carbon emissions for this pathway. These include reducing the need for patient travel, which can be achieved by greening hand therapy through increased use of virtual consultations and encouraging the use of mobile phone applications. We also recommend the adoption of circular economy principles by using reusable surgical gowns and drapes, creation of procedure-specific equipment packs, and increased use of wide-awake local anaesthesia, no tourniquet.

背景：手部创伤占英国急诊科（ED）就诊人数的近三分之一。特别是，屈肌腱损伤的修复是最常见的整形手术之一，需要数月的反复接触手部治疗才能达到最佳效果。治疗对环境的影响以前没有得到评估。方法对17例接受屈肌腱修复术的患者，采用过程图和生命周期评估的方法，采用一个完整的患者路径周期的功能单元，从急诊科到手术，再到康复和完全恢复，进行回顾性服务评价。数据回顾性收集自电子病历、供应商数据和排放因子数据库。估算的二氧化碳排放量以kgCO2eq为单位。，使我们能够根据国家指导方针寻找途径优化的具体机会。结果我们估计接受屈肌腱修复的患者的碳足迹约为113.2 kgco2。恢复阶段对排放的贡献最大（59.9 kgCO2eq）。占总排放量的79.4% （89.9 kgco2当量），其次是设备的生产和运输（8.5 kgco2当量）。（7.5%）。该试点生态审计的结果确定了该路径的主要排放源和潜在的减少碳排放的干预措施。这些措施包括减少患者的旅行需求，这可以通过增加使用虚拟咨询和鼓励使用移动电话应用程序来实现绿色手部治疗。我们还建议采用循环经济原则，使用可重复使用的手术服和纱布，创建手术专用设备包，并增加使用全清醒局部麻醉，不使用止血带。

{"title":"Sustainability in hand trauma surgery: An eco-audit of the flexor tendon laceration repair pathway","authors":"Zahra Ahmed , Alexander Zargaran , Olivia Kamoga , Punn Tannirandorn , Sara Sousi , David Zargaran , Norbert Kang , Afshin Mosahebi","doi":"10.1016/j.bjps.2025.12.033","DOIUrl":"10.1016/j.bjps.2025.12.033","url":null,"abstract":"<div><h3>Background</h3><div>Hand trauma accounts for nearly one-third of emergency department (ED) attendances in the United Kingdom (UK). Particularly, repair of flexor tendon injuries is one of the most commonly performed plastic surgery procedures and requires months of repeated contact with hand therapy for optimal outcomes. The environmental impacts of treatment have not previously been evaluated.</div></div><div><h3>Methods</h3><div>A pilot retrospective service evaluation using process mapping and life-cycle assessment of 17 patients undergoing flexor tendon repair was performed using the functional unit of one completed patient pathway cycle, from ED to surgery, to rehabilitation and full recovery. Data were collected retrospectively from electronic patient records, supplier data and emission factor databases. Estimates for carbon dioxide emissions were generated in kgCO<sub>2</sub>eq., allowing us to look for specific opportunities for pathway optimisation, in line with the national guidelines.</div></div><div><h3>Results</h3><div>We estimated the carbon footprint of a patient undergoing flexor tendon repair to be approximately 113.2 kgCO<sub>2</sub>eq. The rehabilitation phase made the greatest contribution to emissions (59.9 kgCO<sub>2</sub>eq., 52.9%) and patient travel was responsible for 79.4% of total emissions (89.9 kgCO<sub>2</sub>eq.), followed by the production and transport of equipment (8.5 kgCO<sub>2</sub>eq., 7.5%) needed for treatment.</div></div><div><h3>Conclusions</h3><div>The results of this pilot eco-audit identified key emission sources and potential interventions to reduce carbon emissions for this pathway. These include reducing the need for patient travel, which can be achieved by greening hand therapy through increased use of virtual consultations and encouraging the use of mobile phone applications. We also recommend the adoption of circular economy principles by using reusable surgical gowns and drapes, creation of procedure-specific equipment packs, and increased use of wide-awake local anaesthesia, no tourniquet.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 5-13"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993585","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}

引用次数: 0

The “Hourglass” umbilicoplasty: An original four-flap design for aesthetic umbilical reconstruction “沙漏”脐带成形术：一种原始的四瓣设计，用于美观的脐带重建

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.bjps.2026.01.003

Pavlo O. Badiul , Sergii V. Sliesarenko

Background

The aesthetic outcome of abdominoplasty is largely defined by the appearance of the umbilicus. Existing neoumbilicoplasty techniques may result in suboptimal contour, asymmetry, or visible scarring. This study presents a novel four-flap “Hourglass” technique designed to replicate natural umbilical anatomy with high aesthetic precision.

Methods

A retrospective comparative analysis was performed in 49 female patients who underwent abdominoplasty with neoumbilicoplasty between 2020 and 2025. Patients were allocated into three groups according to the surgical technique: Hourglass (n = 19), vertical oval incision (n = 15), and inverted-U incision (n = 15). Aesthetic outcomes were independently assessed by two plastic surgeons using a five-parameter Likert scale (shape, size, depth, natural appearance, and scar quality; maximum score = 25). Postoperative complications were recorded.

Results

The Hourglass technique achieved the highest mean aesthetic scores across all parameters, with statistically significant superiority in shape (p = 0.0009), natural appearance (p < 0.0001), and scar quality (p = 0.00002). No statistically significant differences were observed for size (p = 0.068), depth (p = 0.347), or overall complication rate (p = 0.27).

Conclusions

The Hourglass neoumbilicoplasty offers a simple, reproducible, and anatomically accurate method for reconstructing a natural-appearing umbilicus. It provides symmetrical, stable, and aesthetically superior results without increasing complication rates, supporting its routine application in abdominoplasty.

Evidence rating scale for therapeutic studies

Level of Evidence – III.

背景：腹部成形术的美学效果很大程度上取决于脐的外观。现有的新胆管成形术可能导致不理想的轮廓、不对称或可见的疤痕。本研究提出了一种新颖的四瓣“沙漏”技术，旨在以高美学精度复制自然脐带解剖。方法对2020 ~ 2025年间49例女性腹部成形术合并新胆管成形术患者进行回顾性比较分析。根据手术方式将患者分为三组：沙漏切口（n = 19）、垂直椭圆形切口（n = 15）、倒u形切口（n = 15）。美学结果由两名整形外科医生使用五参数李克特量表（形状、大小、深度、自然外观和疤痕质量；最高得分= 25）独立评估。记录术后并发症。结果沙漏技术在所有参数中获得了最高的平均美学评分，在形状（p = 0.0009）、自然外观（p < 0.0001）和疤痕质量（p = 0.00002）方面具有统计学上显著的优势。在大小（p = 0.068）、深度（p = 0.347）和总并发症发生率（p = 0.27）方面均无统计学差异。结论沙漏式新脐成形术提供了一种简单、可重复、解剖准确的方法来重建自然呈现的脐部。它提供对称，稳定，美观优越的结果，而不增加并发症的发生率，支持其在腹部成形术的常规应用。治疗性研究证据评定量表证据等级- III。

{"title":"The “Hourglass” umbilicoplasty: An original four-flap design for aesthetic umbilical reconstruction","authors":"Pavlo O. Badiul , Sergii V. Sliesarenko","doi":"10.1016/j.bjps.2026.01.003","DOIUrl":"10.1016/j.bjps.2026.01.003","url":null,"abstract":"<div><h3>Background</h3><div>The aesthetic outcome of abdominoplasty is largely defined by the appearance of the umbilicus. Existing neoumbilicoplasty techniques may result in suboptimal contour, asymmetry, or visible scarring. This study presents a novel four-flap “Hourglass” technique designed to replicate natural umbilical anatomy with high aesthetic precision.</div></div><div><h3>Methods</h3><div>A retrospective comparative analysis was performed in 49 female patients who underwent abdominoplasty with neoumbilicoplasty between 2020 and 2025. Patients were allocated into three groups according to the surgical technique: Hourglass (n = 19), vertical oval incision (n = 15), and inverted-U incision (n = 15). Aesthetic outcomes were independently assessed by two plastic surgeons using a five-parameter Likert scale (shape, size, depth, natural appearance, and scar quality; maximum score = 25). Postoperative complications were recorded.</div></div><div><h3>Results</h3><div>The Hourglass technique achieved the highest mean aesthetic scores across all parameters, with statistically significant superiority in shape (p = 0.0009), natural appearance (p < 0.0001), and scar quality (p = 0.00002). No statistically significant differences were observed for size (p = 0.068), depth (p = 0.347), or overall complication rate (p = 0.27).</div></div><div><h3>Conclusions</h3><div>The Hourglass neoumbilicoplasty offers a simple, reproducible, and anatomically accurate method for reconstructing a natural-appearing umbilicus. It provides symmetrical, stable, and aesthetically superior results without increasing complication rates, supporting its routine application in abdominoplasty.</div></div><div><h3>Evidence rating scale for therapeutic studies</h3><div>Level of Evidence – III.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 147-153"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080620","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}

引用次数: 0

Immediate versus delayed symmetrisation of the contralateral breast after oncoplastic procedures: A systematic review and meta-analysis 肿瘤整形手术后对侧乳房的即时对称与延迟对称：一项系统回顾和荟萃分析

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.bjps.2026.01.004

Hussain A. Abdulla , Mohamed A. Abdulla , Raja Eid , Sameh Hashem , Ahmed Alhaddad

Background

The optimal timing of contralateral symmetrisation in oncoplastic breast surgery remains controversial. The aim was to compare outcomes between patients who underwent immediate versus delayed symmetrising procedures.

Methods

A systematic review was performed in accordance with the PRIMSA guidelines. PubMed, Embase and Scopus databases were searched for studies reporting outcomes of oncoplastic procedures with immediate and delayed contralateral symmetrisation. Meta-analyses were conducted for surgical, oncological and patient-reported outcomes between the two groups.

Results

Twelve studies comprising 2339 (immediate, n = 1227 and delayed, n = 1112) patients were included. There were no significant differences in overall complications, all reoperations, reoperations for complications, aesthetic revisions, recurrence rates, delays in adjuvant therapy or patient-reported outcomes between the two groups. In the subgroup of patients who underwent breast conserving surgery, immediate symmetrisation was associated with lower rates of overall reoperations (19.3% vs 25%, p = 0.03), reoperations for complications (5.2% vs 10.9%, p = 0.01) and aesthetic revisions (6.6% v 15.2%, p = 0.0003). Delayed symmetrisation trended towards lower rates of aesthetic revisions in the mastectomy cohort (18% vs 28%, p = 0.002).

Conclusion

Immediate contralateral symmetrisation does not appear to increase oncologic risk and provides comparable overall outcomes to delayed procedures. In the setting of therapeutic mammaplasty, immediate symmetrisation may reduce the need for secondary procedures, thereby supporting its use in appropriately selected patients. These findings can help guide multidisciplinary decision-making and inform patient counselling regarding the timing of contralateral procedures in oncoplastic breast surgery, but it should be interpreted in the context of predominantly retrospective data and moderate heterogeneity.

背景：在乳腺肿瘤整形手术中对侧对称的最佳时机仍然存在争议。目的是比较接受即时和延迟对称手术的患者之间的结果。方法按照PRIMSA指南进行系统评价。检索PubMed、Embase和Scopus数据库，查找报告立即和延迟对侧对称的肿瘤整形手术结果的研究。对两组之间的手术、肿瘤和患者报告的结果进行meta分析。结果纳入12项研究，包括2339例患者（即刻，n = 1227，延迟，n = 1112）。两组患者在总并发症、所有再手术、并发症再手术、美学修复、复发率、辅助治疗延迟或患者报告的结果方面无显著差异。在接受保乳手术的患者亚组中，立即对称与总体再手术率（19.3% vs 25%, p = 0.03）、并发症再手术率（5.2% vs 10.9%, p = 0.01）和美学修复率（6.6% vs 15.2%, p = 0.0003）相关。在乳房切除术队列中，延迟对称倾向于较低的美学修复率（18% vs 28%, p = 0.002）。结论：即刻对侧对称手术不会增加肿瘤风险，并且与延迟手术的总体结果相当。在治疗性乳房成形术中，立即对称可以减少二次手术的需要，从而支持在适当选择的患者中使用。这些发现可以帮助指导多学科决策，并告知患者关于肿瘤乳房手术对侧手术时机的咨询，但它应该在主要回顾性数据和中等异质性的背景下进行解释。

{"title":"Immediate versus delayed symmetrisation of the contralateral breast after oncoplastic procedures: A systematic review and meta-analysis","authors":"Hussain A. Abdulla , Mohamed A. Abdulla , Raja Eid , Sameh Hashem , Ahmed Alhaddad","doi":"10.1016/j.bjps.2026.01.004","DOIUrl":"10.1016/j.bjps.2026.01.004","url":null,"abstract":"<div><h3>Background</h3><div>The optimal timing of contralateral symmetrisation in oncoplastic breast surgery remains controversial. The aim was to compare outcomes between patients who underwent immediate versus delayed symmetrising procedures.</div></div><div><h3>Methods</h3><div>A systematic review was performed in accordance with the PRIMSA guidelines. PubMed, Embase and Scopus databases were searched for studies reporting outcomes of oncoplastic procedures with immediate and delayed contralateral symmetrisation. Meta-analyses were conducted for surgical, oncological and patient-reported outcomes between the two groups.</div></div><div><h3>Results</h3><div>Twelve studies comprising 2339 (immediate, n = 1227 and delayed, n = 1112) patients were included. There were no significant differences in overall complications, all reoperations, reoperations for complications, aesthetic revisions, recurrence rates, delays in adjuvant therapy or patient-reported outcomes between the two groups. In the subgroup of patients who underwent breast conserving surgery, immediate symmetrisation was associated with lower rates of overall reoperations (19.3% vs 25%, p = 0.03), reoperations for complications (5.2% vs 10.9%, p = 0.01) and aesthetic revisions (6.6% v 15.2%, p = 0.0003). Delayed symmetrisation trended towards lower rates of aesthetic revisions in the mastectomy cohort (18% vs 28%, p = 0.002).</div></div><div><h3>Conclusion</h3><div>Immediate contralateral symmetrisation does not appear to increase oncologic risk and provides comparable overall outcomes to delayed procedures. In the setting of therapeutic mammaplasty, immediate symmetrisation may reduce the need for secondary procedures, thereby supporting its use in appropriately selected patients. These findings can help guide multidisciplinary decision-making and inform patient counselling regarding the timing of contralateral procedures in oncoplastic breast surgery, but it should be interpreted in the context of predominantly retrospective data and moderate heterogeneity.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 89-99"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039490","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}

引用次数: 0

The impact of institutional NIH funding on allopathic medical student exposure to plastic and reconstructive surgery 机构NIH资助对对抗疗法医学生接触整形和重建手术的影响

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.bjps.2026.01.023

Angad S. Sidhu, Carson J. Park, Zohaib Iqbal, Steven J. Sullivan, Christopher Subi-Kasozi, George S. Corpuz, Cristiane M. Ueno

Plastic and reconstructive surgery (PRS) is highly competitive, and medical students benefit from early access to research, mentorship, and clinical exposure. The National Institutes of Health (NIH) is the largest source of biomedical funding in the U.S., yet its relationship to PRS resource availability across allopathic medical schools is poorly understood. This study examined whether NIH funding correlates with stronger PRS opportunities for students. A cross-sectional review of 150 U.S. allopathic medical schools was performed by assessing each school’s website for PRS resources, including residency programs, student interest groups (SIGs), mentorship, advising, shadowing, and research opportunities. Schools were categorized by AAMC region, and a total resource score was generated. NIH funding data were obtained from the Blue Ridge Institute for Medical Research; schools without available data (n=10) were excluded. Statistical analyses were conducted using SPSS v31. Across all schools, 58% had PRS residencies, 54% offered research opportunities, 48% had SIGs, and fewer than one-third offered formal mentorship or advising. Total PRS resources were strongly correlated with NIH funding (Spearman’s Correlation Coefficient ρ=0.584; p<0.001). Highly funded schools had significantly greater odds of offering PRS residencies, research opportunities, mentorship, advising, and elective rotations (all p<0.001). PRS resources vary widely across U.S. medical schools and are strongly linked to NIH funding. Amid tightening federal support, programs, particularly at lower NIH-funded schools, should explore diversification toward non-government partnerships (foundations, philanthropy, industry, and alumni) to sustain equitable PRS exposure for students.

整形和重建外科（PRS）竞争激烈，医学生受益于早期的研究、指导和临床接触。美国国立卫生研究院（NIH）是美国最大的生物医学资金来源，但其与对抗疗法医学院PRS资源可用性的关系却鲜为人知。本研究考察了NIH资助是否与学生更强的PRS机会相关。通过评估每所学校的PRS资源网站，对150所美国对抗疗法医学院进行了横断面审查，包括住院医师计划、学生兴趣小组（SIGs）、指导、建议、影子和研究机会。根据AAMC地区对学校进行分类，并生成总资源分数。美国国立卫生研究院的资金数据来自蓝岭医学研究所；没有可用数据的学校（n=10）被排除。采用SPSS v31进行统计分析。在所有学校中，58%的学校有PRS实习，54%的学校提供研究机会，48%的学校有sig，不到三分之一的学校提供正式的指导或建议。PRS总资源与NIH经费密切相关（Spearman相关系数ρ=0.584; p<0.001）。资金雄厚的学校提供PRS实习、研究机会、指导、咨询和选修轮转的几率显著更高（均为p<；0.001）。美国医学院的PRS资源差异很大，与NIH的资助密切相关。在联邦政府支持日益紧缩的情况下，项目，特别是nih资助较低的学校，应该探索多样化的非政府合作伙伴关系（基金会、慈善事业、工业和校友），以保持学生公平的公共关系曝光率。

{"title":"The impact of institutional NIH funding on allopathic medical student exposure to plastic and reconstructive surgery","authors":"Angad S. Sidhu, Carson J. Park, Zohaib Iqbal, Steven J. Sullivan, Christopher Subi-Kasozi, George S. Corpuz, Cristiane M. Ueno","doi":"10.1016/j.bjps.2026.01.023","DOIUrl":"10.1016/j.bjps.2026.01.023","url":null,"abstract":"<div><div>Plastic and reconstructive surgery (PRS) is highly competitive, and medical students benefit from early access to research, mentorship, and clinical exposure. The National Institutes of Health (NIH) is the largest source of biomedical funding in the U.S., yet its relationship to PRS resource availability across allopathic medical schools is poorly understood. This study examined whether NIH funding correlates with stronger PRS opportunities for students. A cross-sectional review of 150 U.S. allopathic medical schools was performed by assessing each school’s website for PRS resources, including residency programs, student interest groups (SIGs), mentorship, advising, shadowing, and research opportunities. Schools were categorized by AAMC region, and a total resource score was generated. NIH funding data were obtained from the Blue Ridge Institute for Medical Research; schools without available data (n=10) were excluded. Statistical analyses were conducted using SPSS v31. Across all schools, 58% had PRS residencies, 54% offered research opportunities, 48% had SIGs, and fewer than one-third offered formal mentorship or advising. Total PRS resources were strongly correlated with NIH funding (Spearman’s Correlation Coefficient ρ=0.584; p<0.001). Highly funded schools had significantly greater odds of offering PRS residencies, research opportunities, mentorship, advising, and elective rotations (all p<0.001). PRS resources vary widely across U.S. medical schools and are strongly linked to NIH funding. Amid tightening federal support, programs, particularly at lower NIH-funded schools, should explore diversification toward non-government partnerships (foundations, philanthropy, industry, and alumni) to sustain equitable PRS exposure for students.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 85-88"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039591","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}

引用次数: 0