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miércoles, 21 de diciembre de 2016

Cirugía plástica / Plastic surgery

Diciembre 21,  2016. No. 2545






Contorno del cuerpo y escultura
Body Contouring and Sculpting
Edited by Nikolay P. Serdev, ISBN 978-953-51-2830-4, Print ISBN 978-953-51-2829-8, 234 pages, Publisher: InTech, Chapters published December 14, 2016 under CC BY 3.0 license
DOI: 10.5772/62515
Edited Volume
Over the past decades, surgical techniques have greatly progressed to improve and correct appearance. They are artistic procedures to give the highly demanded proportions. The growing public interest in aesthetic and plastic surgery interventions such as body contouring and sculpting requires clear description and differentiation of these highly sophisticated techniques, their results and combinations, as well as scientific information about the different instrumentation, devices and materials used. Such clarification will be hugely beneficial both for patients and doctors, having in mind the increasing number of such interventions and progressing interest for a better and healthy living including improved appearance in society. The book adds some scientific news to the understanding of body contouring treatments. Currently, the request for atraumatic, short downtime procedures predominates and demonstrates the importance of hi-tech and safe liposculpture and fat transfer, although they cannot totally replace surgical excision methods.
El papel de los cirujanos plásticos en el avance del desarrollo global
The Role of Plastic Surgeons in Advancing Development Global.
World J Plast Surg. 2016 May;5(2):109-13.
Abstract
In September 2015, the international community came together to agree on the 2030 Agenda for Sustainable Development, a plan of action for people, the planet, and prosperity. Ambitious and far-reaching as they are, they are built on three keystones: the elimination of extreme poverty, fighting climate change, and a commitment to fighting injustice and inequality. Critical to the achievement of the Agenda is the global realization of access to safe, affordable surgical and anesthesia care when needed. The landmark report by the Lancet Commission on Global Surgery estimated that between 28 and 32 percent of the global burden of disease is amenable to surgical treatment. However, as many as five billion people lack access to safe, timely, and affordable surgical care, a burden felt most severely in low- and middle-income countries (LMICs). Surgery, and specifically plastic surgery, should be incorporated into the international development and humanitarian agenda. As a community of care providers dedicated to the restoration of the form and function of the human body, plastics surgeons have a collective opportunity to contribute to global development, making the world more equitable and helping to reduce extreme poverty. As surgical disease comprises a significant burden of disease and surgery can be delivered in a cost-effective manner, surgery must be considered a public health priority.
KEYWORDS: Capacity development; Global burden of disease; Global surgery; Plastic surgery; Sustainable development
Revisión de 2975 cirugías consecutivas por un cirujano en un centro quirúrgico ambulatorio acreditado. Experiencia canadiense
A review of 2975 consecutive operations by one surgeon in an accredited outpatient plastic surgicentre: A Canadian experience.
Can J Plast Surg. 2005 Winter;13(4):188-90.
Abstract
The present paper constitutes a retrospective review of 2975 consecutive operations performed by the author, one of the three owners of the Saskatoon Plastic Surgicentre. The unit opened in 1987; therefore, the study spans 17 years. Patients are not kept overnight, and the Surgicentre is approved and equipped as a level C facility for general anesthesia. Only patients who score 1 or 2 according to the American Association of Anesthesiologists are treated. Only certified anesthesiologists are used. Of the patients with postoperative complications, only two required transfer to a hospital. One developed a pneumothorax, which was treated on arrival at the intensive care unit with no sequelae. The other collapsed following facelift surgery. She was transferred to University of Saskatchewan hospital and died later that evening with a massive pulmonary embolus. In a properly established outpatient centre, a large number of patients can be safely treated with very few complications. However, despite placing patient safety as the first consideration and adhering strictly to the highest standards, death can occur.
KEYWORDS: Ambulatory surgery; Retrospective review; Surgical complications
Regional Anesthesiology and Acute Pain Medicine Meeting
April 6-8, 2017, San Francisco, California, USA
ASRA American Society of Regional Anesthesia and Pain Medicine
California Society of Anesthesiologists
Annual Meeting April 27-30, 2017
San Francisco California
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Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015
Publicado por Bibliomanazteca en 12:48 0 comentarios

Trasplante de mano comparado con prótesis

Trasplante de mano comparado con prótesis



Functional and Psychosocial Outcomes of Hand Transplantation Compared with Prosthetic Fitting in Below-Elbow Amputees: A Multicenter Cohort Study.
Fuente
Este artículo es originalmente publicado en:
De:
PLoS One. 2016 Sep 2;11(9):e0162507. doi: 10.1371/journal.pone.0162507. eCollection 2016.
Todos los derechos reservados para:
© 2016 Salminger et alThis is an open access article distributed under the terms of the
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.AbstractBACKGROUND:
Hand-transplantation and improvements in the field of prostheses opened new frontiers in restoring hand function in below-elbow amputees. Both concepts aim at restoring reliable hand function, however, the indications, advantages and limitations for each treatment must be carefully considered depending on level and extent of amputation. Here we report our findings of a multi-center cohort study comparing hand function and quality-of-life of people with transplanted versus prosthetic hands.
METHODS:
Hand function in amputees with either transplant or prostheses was tested with Action Research Arm Test (ARAT), Southampton Hand Assessment Procedure (SHAP) and the Disabilities of the Arm, Shoulder and Hand measure (DASH). Quality-of-life was compared with the Short-Form 36 (SF-36).
RESULTS:
Transplanted patients (n = 5) achieved a mean ARAT score of 40.86 ± 8.07 and an average SHAP score of 75.00 ± 11.06. Prosthetic patients (n = 7) achieved a mean ARAT score of 39.00 ± 3.61 and an average SHAP score of 75.43 ± 10.81. There was no significant difference between transplanted and prosthetic hands in ARAT, SHAP or DASH. While quality-of-life metrics were equivocal for four scales of the SF-36, transplanted patients reported significantly higher scores in “role-physical” (p = 0.006), “vitality” (p = 0.008), “role-emotional” (p = 0.035) and “mental-health” (p = 0.003).
CONCLUSIONS:
The indications for hand transplantation or prosthetic fitting in below-elbow amputees require careful consideration. As functional outcomes were not significantly different between groups, patient’s best interests and the route of least harm should guide treatment. Due to the immunosuppressive side-effects, the indication for allotransplantation must still be restrictive, the best being bilateral amputees.
PMID: 27589057  PMCID:  PMC5010226 DOI:  10.1371/journal.pone.0162507
[PubMed – in process]
Este estudio tuvo como propósito comparar objetivamente el uso de prótesis de miembro superior con el trasplante de mano. Todos los participantes que se sometieron a un trasplante experimentaron un episodio agudo de rechazo al menos una vez, y el tratamiento de este rechazo causa varios efectos secundarios. A pesar de esto, los niveles de calidad de vida para los receptores de trasplante fueron mayores que los usuarios de prótesis.
Perder una mano te cambia la vida; la ciencia y la tecnología han intentado durante años mejorar este problema con diferentes maneras de reemplazar el miembro perdido.
El primer aloinjerto se realizó en 1964 pero fue rechazado por el cuerpo del receptor: el primer trasplante exitoso, en 1998, fue rechazado en los primeros dos años y medio cuando el receptor no fue capaz de mantener el régimeninmunosupresivo.
Paralelo a este desarrollo, las prótesis mioeléctricas han avanzado de gran manera. Muchas prótesis modernas permiten un control intuitivo y movimientos finos. Sin embargo, las actividades relacionadas con el aseo son todavía una limitación común en las capacidades de la prótesis.
Para comparar las dos opciones, los participantes fueron medidos en su funcionalidad global del brazo y la satisfacción en la calidad de vida. Aunque hay muchas creencias sobre las limitaciones de las prótesis actuales, los resultados en la funcionalidad no mostraron diferencias significativas. El continuo régimen de inmunosupresivos es indispensable para evitar el rechazo, pero puede hacer al individuo vulnerable a infección, etc.
¿Quieres leer en mayor profundidad sobre este tema? ¡Echa un vistazo a este interesante artículo que fue publicado en The Lancet!
¿Qué opción elegirías?
> De: Salminger et al., PLoS One 11 (2016) e0162507. Todos los derechos reservados: The Author(s). Pincha aquí para acceder al resumen de Pubmed.. Traducido por Ivan Vivo.
Fuente:manoytrauma.com.mx
#trasplante de mano#mano#prótesis
Publicado por Bibliomanazteca en 12:39 0 comentarios
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