Pub Date : 2023-10-04DOI: 10.1177/22925503231203224
Rawan ElAbd, Tyler Safran, Joshua Vorstenbosch
{"title":"Invited Discussion: Examination of Sensory Recovery of Breasts Reconstructed With Silicone Breast Implants After Nipple-Sparing Mastectomy","authors":"Rawan ElAbd, Tyler Safran, Joshua Vorstenbosch","doi":"10.1177/22925503231203224","DOIUrl":"https://doi.org/10.1177/22925503231203224","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135597261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-26DOI: 10.1177/22925503231201634
Jouseph O. Barkho, Cameron Leveille, Alex Pozdnyakov, Kyrillos M. Faragalla, Neil K. Sengupta, Chloe R. Wong, Harsha Shanthanna, Forough Farrokhyar, Matthew C. McRae
Background: Understanding opioid prescription, consumption, and the factors related to these is important to prescribe opioids responsibly. Our primary purpose is to determine the factors predicting opioid prescription, and the secondary purpose is to examine the factors predicting opioid tablet consumption. Methods: A prospective cohort was evaluated using 2 surveys. The primary outcome was type of prescription given (opioid vs non-opioid). The secondary outcome was the number of opioid tablets consumed at the second survey. Demographics, the pain catastrophizing scale, and patient health questionnaire-4 (PHQ-4) for depression and anxiety were collected. Statistics included Chi-Square, student's t-test, univariable, and multivariate regression analyses. Results: Four hundred and forty patients completed the first survey, of which 193 completed the second. Two-hundred and fourteen (49%) patients received an opioid prescription. Opioids were given most often after: surgery in the main operating room (OR 23.6 [10.0-55.2]), breast or abdomen (OR 11.1 [1.2-101.1]), upper limb (OR 4.0 [1.7-9.3]), and less often after dermatologic surgery (OR 0.2 [0.1-0.5]). Among patients who received opioids, a mean of 10 opioid tablets were consumed at the post-operative survey. More tablets were consumed when: age was less than 60 ( P < .05), with pre-operative opioid use ( P = .03), and with a high score on the PHQ-4 ( P = .002). Conclusions: The patterns of opioid prescription and consumption after outpatient Plastic Surgery are elucidated. Plastic surgeons over-estimate patients’ opioid requirements. Potentially less opioids could be prescribed in the minor procedure room without an increase in pain crises. Public health campaigns should focus on the proper disposal of unused opioid tablets.
{"title":"A Prospective Analysis of Opioid Prescription, Consumption, and Psychometric Correlations in Outpatient Plastic Surgery Procedures","authors":"Jouseph O. Barkho, Cameron Leveille, Alex Pozdnyakov, Kyrillos M. Faragalla, Neil K. Sengupta, Chloe R. Wong, Harsha Shanthanna, Forough Farrokhyar, Matthew C. McRae","doi":"10.1177/22925503231201634","DOIUrl":"https://doi.org/10.1177/22925503231201634","url":null,"abstract":"Background: Understanding opioid prescription, consumption, and the factors related to these is important to prescribe opioids responsibly. Our primary purpose is to determine the factors predicting opioid prescription, and the secondary purpose is to examine the factors predicting opioid tablet consumption. Methods: A prospective cohort was evaluated using 2 surveys. The primary outcome was type of prescription given (opioid vs non-opioid). The secondary outcome was the number of opioid tablets consumed at the second survey. Demographics, the pain catastrophizing scale, and patient health questionnaire-4 (PHQ-4) for depression and anxiety were collected. Statistics included Chi-Square, student's t-test, univariable, and multivariate regression analyses. Results: Four hundred and forty patients completed the first survey, of which 193 completed the second. Two-hundred and fourteen (49%) patients received an opioid prescription. Opioids were given most often after: surgery in the main operating room (OR 23.6 [10.0-55.2]), breast or abdomen (OR 11.1 [1.2-101.1]), upper limb (OR 4.0 [1.7-9.3]), and less often after dermatologic surgery (OR 0.2 [0.1-0.5]). Among patients who received opioids, a mean of 10 opioid tablets were consumed at the post-operative survey. More tablets were consumed when: age was less than 60 ( P < .05), with pre-operative opioid use ( P = .03), and with a high score on the PHQ-4 ( P = .002). Conclusions: The patterns of opioid prescription and consumption after outpatient Plastic Surgery are elucidated. Plastic surgeons over-estimate patients’ opioid requirements. Potentially less opioids could be prescribed in the minor procedure room without an increase in pain crises. Public health campaigns should focus on the proper disposal of unused opioid tablets.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134960952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.1177/22925503231201631
Oluwatobi R. Olaiya, Minh Huynh, Tega Ebeye, Lucas Gallo, Lawrence Mbuagbaw, Matthew McRae
Purpose: It is unknown whether early mobilization after cubital tunnel decompression improves functional outcomes without increasing complication risks. This systematic review aims to evaluate the effectiveness of early mobilization compared to delayed mobilization of the elbow after ulnar nerve decompression. Methods: Randomized controlled trials (RCTs) and observational studies comparing adults who received early mobilization or late mobilization were included. Embase, MEDLINE, CENTRAL, PEDro, clinicaltrials.gov, and the World Health Organization database were systematically searched from inception to January 2023. Results: Of the 2183 studies identified and screened, five studies (two RCT and three observational) totaling 224 patients (232 elbows) were included in this review. Evidence from two RCTs (100 patients) suggests that early mobilization may result in a large reduction in the amount of time needed to return to work (mean difference 40.1 days, 95% confidence interval [CI] 16-64 days earlier, I 2 = 85%, low-certainty evidence) and little to no difference in grip strength (0 kg, 95% CI = −0.17 to 0.17, I 2 = 0%, low-certainty evidence). There was little to no difference in adverse events or range of motion (low to very-low certainty evidence). Pooled results from the three observational studies showed similar findings (very low-certainty evidence). There were no studies that evaluated upper extremity related quality of life. Conclusion: Immobilizing patients for periods longer than 3 days appears to delay patient's return to work with no appreciable clinical benefit.
{"title":"Immediate Versus Delayed Mobilization After Cubital Tunnel Release Surgery: A Systematic Review and Meta-analysis","authors":"Oluwatobi R. Olaiya, Minh Huynh, Tega Ebeye, Lucas Gallo, Lawrence Mbuagbaw, Matthew McRae","doi":"10.1177/22925503231201631","DOIUrl":"https://doi.org/10.1177/22925503231201631","url":null,"abstract":"Purpose: It is unknown whether early mobilization after cubital tunnel decompression improves functional outcomes without increasing complication risks. This systematic review aims to evaluate the effectiveness of early mobilization compared to delayed mobilization of the elbow after ulnar nerve decompression. Methods: Randomized controlled trials (RCTs) and observational studies comparing adults who received early mobilization or late mobilization were included. Embase, MEDLINE, CENTRAL, PEDro, clinicaltrials.gov, and the World Health Organization database were systematically searched from inception to January 2023. Results: Of the 2183 studies identified and screened, five studies (two RCT and three observational) totaling 224 patients (232 elbows) were included in this review. Evidence from two RCTs (100 patients) suggests that early mobilization may result in a large reduction in the amount of time needed to return to work (mean difference 40.1 days, 95% confidence interval [CI] 16-64 days earlier, I 2 = 85%, low-certainty evidence) and little to no difference in grip strength (0 kg, 95% CI = −0.17 to 0.17, I 2 = 0%, low-certainty evidence). There was little to no difference in adverse events or range of motion (low to very-low certainty evidence). Pooled results from the three observational studies showed similar findings (very low-certainty evidence). There were no studies that evaluated upper extremity related quality of life. Conclusion: Immobilizing patients for periods longer than 3 days appears to delay patient's return to work with no appreciable clinical benefit.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136155046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-11DOI: 10.1177/22925503231199769
Lucas Gallo, Oluwatobi Olaiya, Sophocles Voineskos, Mark McRae
{"title":"Acellular Dermal Matrices in Prepectoral Breast Reconstruction—Do We Need It?","authors":"Lucas Gallo, Oluwatobi Olaiya, Sophocles Voineskos, Mark McRae","doi":"10.1177/22925503231199769","DOIUrl":"https://doi.org/10.1177/22925503231199769","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136023650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-07DOI: 10.1177/22925503231198091
Douglas J. Courtemanche
{"title":"Invited Discussion: Excess Opioid Medication and Variation in Prescribing Patterns Following Common Breast Procedures","authors":"Douglas J. Courtemanche","doi":"10.1177/22925503231198091","DOIUrl":"https://doi.org/10.1177/22925503231198091","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135046925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-18DOI: 10.1177/22925503231177608
Steven Morris, Earl Campbell
{"title":"Canadian Society of Plastic Surgeons / Société Canadienne Des Chirurgiens Plasticiens","authors":"Steven Morris, Earl Campbell","doi":"10.1177/22925503231177608","DOIUrl":"https://doi.org/10.1177/22925503231177608","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135768236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-18DOI: 10.1177/22925503231177609
Ronen Avram, Jennifer Matthews
{"title":"Groupe pour l’Avancement de la Microchirurgie Canada (GAM)","authors":"Ronen Avram, Jennifer Matthews","doi":"10.1177/22925503231177609","DOIUrl":"https://doi.org/10.1177/22925503231177609","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135768235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-01-01DOI: 10.1177/229255031302100105
Edward W Buchel
One year ago, the Canadian Journal of Plastic Surgery (CJPS) announced the beginning of a new and exciting phase in the Journal’s history. In collaboration with Pulsus Group Inc, and the continued support of the Canadian Society of Plastic Surgeons, our sponsors, advertisers and readers, we have made significant advancements over the past year. Issues in excess of 60 pages, the introduction of new sections, including educational material, CME, financial and practice management, invited special topics and the implementation of level of evidence rating to the online submission system are a few of the Journal’s accomplishments in the past year. The goal of the Journal is to continue this momentum into the years to come. One of the ways the Journal plans to achieve this goal is to increase accessibility and readership. In 2013, the primary modality for this will be the introduction of the CJPS App. CJPS is proud to announce the release of its own App. The App is FREE and available at the Apple App Store now (https://itunes.apple.com/us/app/canadian-journal-plastic-surgery/id592183537?mt=8). The App provides quick access to the complete CJPS (some articles may require subscriber login). The App allows you to: Browse, filter, and search multiple volumes and their issues. Download full-text articles for offline reading Automatically receive new issues as they become available. View surgical demonstration videos from full-text articles. Bookmark articles and make notes on articles. E-mail yourself a list of all your notes. Review bookmarks and notes or recently accessed articles in ‘Viewed’ tab. Follow the #CJPS Twitter feed and post your own opinion about an article on Twitter. Share article information on social media. In addition to the Apple App, the Journal will be releasing an ‘Android’ version of the App shortly. Thank you to our sponsors, advertisers, members and the Canadian Society of Plastic Surgeons for their continued support as we develop the CJPS.
{"title":"Canadian Journal of Plastic Surgery's momentum continues in 2013.","authors":"Edward W Buchel","doi":"10.1177/229255031302100105","DOIUrl":"https://doi.org/10.1177/229255031302100105","url":null,"abstract":"One year ago, the Canadian Journal of Plastic Surgery (CJPS) announced the beginning of a new and exciting phase in the Journal’s history. In collaboration with Pulsus Group Inc, and the continued support of the Canadian Society of Plastic Surgeons, our sponsors, advertisers and readers, we have made significant advancements over the past year. Issues in excess of 60 pages, the introduction of new sections, including educational material, CME, financial and practice management, invited special topics and the implementation of level of evidence rating to the online submission system are a few of the Journal’s accomplishments in the past year. The goal of the Journal is to continue this momentum into the years to come. \u0000 \u0000One of the ways the Journal plans to achieve this goal is to increase accessibility and readership. In 2013, the primary modality for this will be the introduction of the CJPS App. \u0000 \u0000CJPS is proud to announce the release of its own App. The App is FREE and available at the Apple App Store now (https://itunes.apple.com/us/app/canadian-journal-plastic-surgery/id592183537?mt=8). The App provides quick access to the complete CJPS (some articles may require subscriber login). \u0000 \u0000 \u0000The App allows you to: \u0000 \u0000 \u0000Browse, filter, and search multiple volumes and their issues. \u0000 \u0000 \u0000Download full-text articles for offline reading \u0000 \u0000 \u0000Automatically receive new issues as they become available. \u0000 \u0000 \u0000View surgical demonstration videos from full-text articles. \u0000 \u0000 \u0000Bookmark articles and make notes on articles. E-mail yourself a list of all your notes. \u0000 \u0000 \u0000Review bookmarks and notes or recently accessed articles in ‘Viewed’ tab. \u0000 \u0000 \u0000Follow the #CJPS Twitter feed and post your own opinion about an article on Twitter. \u0000 \u0000 \u0000Share article information on social media. \u0000 \u0000 \u0000 \u0000 \u0000In addition to the Apple App, the Journal will be releasing an ‘Android’ version of the App shortly. Thank you to our sponsors, advertisers, members and the Canadian Society of Plastic Surgeons for their continued support as we develop the CJPS.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/229255031302100105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32036673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-01-01DOI: 10.1177/229255031302100202
Kevin Mowbrey
The present article chronicles the career of Dr Albert Ross Tilley, one of the most important Canadian plastic surgeons of the 20th century. Tilley is most well known for his innovations of burn management during World War II and his treatment of a group of burn patients known affectionately as the ‘Guinea Pig Club’. In addition to the superb surgical skills he applied to the physical wounds of his patients, Tilley was also a pioneer of caring for the emotional and psychological afflictions suffered by many airmen of World War II. As one of the founding fathers of the Canadian Society of Plastic Surgeons, Tilley's work was instrumental in establishing the specialty and ensured its prosperity for years to come. Serving in the capacity of leader, educator and innovator, Tilley remains one of Canada's most decorated physicians, and his body of work encompasses contributions to the medical field that remain significant and beneficial to patient care to this day.
{"title":"Albert Ross Tilley: The legacy of a Canadian plastic surgeon.","authors":"Kevin Mowbrey","doi":"10.1177/229255031302100202","DOIUrl":"https://doi.org/10.1177/229255031302100202","url":null,"abstract":"The present article chronicles the career of Dr Albert Ross Tilley, one of the most important Canadian plastic surgeons of the 20th century. Tilley is most well known for his innovations of burn management during World War II and his treatment of a group of burn patients known affectionately as the ‘Guinea Pig Club’. In addition to the superb surgical skills he applied to the physical wounds of his patients, Tilley was also a pioneer of caring for the emotional and psychological afflictions suffered by many airmen of World War II. As one of the founding fathers of the Canadian Society of Plastic Surgeons, Tilley's work was instrumental in establishing the specialty and ensured its prosperity for years to come. Serving in the capacity of leader, educator and innovator, Tilley remains one of Canada's most decorated physicians, and his body of work encompasses contributions to the medical field that remain significant and beneficial to patient care to this day.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/229255031302100202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32034171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-01-01DOI: 10.1177/229255031302100308
Colin P White, Nicolas M Hynes
Reduction mammoplasty is one of the most common procedures performed by plastic surgeons in Canada. The Wise and vertical scar techniques are two of the most commonly published and performed. Although the horizontal breast reduction is a less commonly used technique, it offers added benefits over other procedures. These include elimination of the vertical scar and a consistently round nipple. However, one of the criticisms of the horizontal technique is the loss of projection of the breast mound. The present article outlines several important points that can aid in achieving an optimal aesthetic result when performing a horizontal breast reduction.
{"title":"The horizontal breast reduction: Surgical tips for maintaining projection.","authors":"Colin P White, Nicolas M Hynes","doi":"10.1177/229255031302100308","DOIUrl":"https://doi.org/10.1177/229255031302100308","url":null,"abstract":"<p><p>Reduction mammoplasty is one of the most common procedures performed by plastic surgeons in Canada. The Wise and vertical scar techniques are two of the most commonly published and performed. Although the horizontal breast reduction is a less commonly used technique, it offers added benefits over other procedures. These include elimination of the vertical scar and a consistently round nipple. However, one of the criticisms of the horizontal technique is the loss of projection of the breast mound. The present article outlines several important points that can aid in achieving an optimal aesthetic result when performing a horizontal breast reduction. </p>","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/229255031302100308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32027249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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