scholarly journals Plastic Surgery Innovation Through War, Disaster and Pandemic

2020 ◽  
Vol 3 ◽  
Author(s):  
Kayla Clodfelter ◽  
Brian Mailey ◽  
Aladdin Hassanein
Keyword(s):  
World War I ◽  
Natural Disasters ◽  
Plastic Surgery ◽  
Cleft Lip ◽  
Soft Tissue Injuries ◽  
Mass Casualties ◽  
Targeted Muscle Reinnervation ◽  
Collaboration Modeling ◽  
K Wires ◽  
Cultured Epithelial Autografts

Introduction and Objectives: Mass casualties from modern warfare in World War I and advancements in medicine resulted in survivors with deformities. The field of Plastic Surgery developed from a need to reconstruct soft tissue injuries in these soldiers. Wars and disasters provide unique situations which push the development of new techniques that impact the field. The objective of this work was to identify innovations in plastic surgery that emerged from disasters.    Project Methods: The PubMed and Ovid databases were searched for articles documenting origination of plastic surgery ideas during a disaster with the terms “disaster”, “war”, “plastic”, “burn”, “terror”, and/or “novel”. Types of disasters considered include: war, terrorism, accident and natural disaster. Articles were included if they discussed novel therapies published emerging from a disaster.    Results: Twenty-one articles meeting inclusion criteria. Eleven papers described innovations during war including use of k-wires in hand fractures, gender affirmation surgery, delayed wound closure, cleft lip repair, vascular repair of acute trauma, sulfamylon antibiotics, and portable vacuum-assisted-closure (VAC) devices. Two articles resulted in surgical staff collaboration modeling and rapid recruitment from terrorist attacks. Five manuscripts defined accidents that brought about ideas of cultured epithelial autografts, VAC for burns, and targeted muscle reinnervation to decrease chronic pain in amputees. Natural disasters that caused change were depicted in three articles discussing adequate burn treatments for resource poor areas and using telemedicine for outpatient care and academic meetings.    Conclusions and Potential Impact: The field of Plastic Surgery continues to advance from innovations developed during disasters. Our study found war resulted in the greatest novel advancements. Terrorism and natural disasters have emerged as sparking innovation during the last few decades. Physicians should be encouraged to look for opportunities of innovation using their ingenuity when faced with disaster. What progress will COVID-19 bring? 

Disaster Preparedness

1985 ◽  
Vol 1 (S1) ◽  
pp. 118-121 ◽  
Author(s):  
E. L. Quarantelli
Keyword(s):  
United States ◽  
Natural Disasters ◽  
Emergency Medical Service ◽  
Disaster Preparedness ◽  
Large Scale ◽  
Medical Service ◽  
The United States ◽  
Mass Casualties ◽  
Disaster Plan ◽  
Emergency Medical

The 1973 Emergency Medical Services System Act in the United States mandates that one of the 15 functions to be performed by every EMS system is coordinated disaster planning. Implicit in the legislation is the assumption that everyday emergency medical service (EMS) systems will be the basis for the provisions of EMS in extraordinary mass emergencies, or in the language of the act, during “mass casualties, natural disasters or national emergencies.” Policy interpretations of the Act specified that the EMS system must have links to local, regional and state disaster plans and must participate in biannual disaster plan exercises. Thus, the newly established EMS systems have been faced with both planning for, as well as providing services in large-scale disasters.

scholarly journals PROFILE OF PLASTIC SURGERY TRAUMA PATIENTS AT H. ADAM MALIK GENERAL HOSPITAL MEDAN

2019 ◽  
pp. 1-4
Author(s):  
Darwin Firmansyah Siregar ◽  
Frank Bietra Buchari ◽  
Utama Abdi Tarigan ◽  
Aznan Lelo
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Bone Fractures ◽  
Soft Tissue Injuries ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Adult Age ◽  
Common Etiology ◽  
Tissue Injuries ◽  
Age Range

Introduction: According to data from Perhimpunan Dokter Bedah Plastik Rekonstruksi dan Estetik Indonesia (PERAPI), there are only 193 plastic surgeons throughout Indonesia. There is no sufcient data that described pattern of incidence, workload, and role of Plastic Surgery in trauma cases at Indonesian Referral Center Hospital, especially in the Province of North Sumatra. Methods: This research is a descriptive study with a retrospective approach. Sample of this study was medical records of trauma patients who required Plastic Surgery who came to the H. Adam Malik General Hospital Medan Emergency Room (1 January 2016-31 December 2018). This study used total sampling method. Results: This study involved 536 patients and 40.85% included in the adult age range. Men vs women ratio is 3:1 (405 vs 131). Based on type of injury, the most common injury is facial trauma, followed by burns and soft tissue injuries (291, 178 and 66). The most common etiology is trafc accidents (90 cases). Most of facial bone fractures located at mandibular bone (segmental fracture). Inhalation trauma due to burns only occurred in 6 cases (3.24%). Most of soft tissue injuries occurred at lower extremities (upper limbs). Conclusion: Trafc accidents are the most common etiology for trauma in Plastic Surgery. Most of the patients are men and included in the adult age range. Facial trauma is the most common injury in Plastic Surgery. Most facial bone fractures located at mandible (symphysis and parasymphysis). Most of burns injury are re burns. Most soft tissue injuries are located at lower extremities (upper limbs).

scholarly journals International Plastic Surgery: Leaving a Legacy

2011 ◽  
Vol 93 (10) ◽  
pp. 348-349
Keyword(s):  
Surgical Treatment ◽  
Cleft Palate ◽  
Plastic Surgery ◽  
Cleft Lip ◽  
Developing World ◽  
Plastic Surgeon ◽  
Comprehensive Care ◽  
British Association ◽  
Operation Smile ◽  
The World

Per Hall, Consultant Plastic Surgeon and member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons, has for the last four years been a volunteer surgeon for Operation Smile, an international charity providing free cleft lip and cleft palate surgery in the developing world. The charity has moved on from its historical position of providing fly-in/fly-out surgical treatment and is now working hard to develop sustainable comprehensive care centres in the most needy areas of the world.

True Median Cleft Lip—15 Years of Review and Prevalence

2020 ◽  
Vol 57 (8) ◽  
pp. 1051-1054
Author(s):  
Muhammad Izzuddin Hamzan ◽  
Wan Azman Wan Sulaiman
Keyword(s):  
Surgical Treatment ◽  
Plastic Surgery ◽  
Cleft Lip ◽  
Descriptive Study ◽  
Definitive Treatment ◽  
Associated Anomalies ◽  
Facial Cleft ◽  
Surgical Protocol ◽  
Median Cleft

Objectives: The author presents 4 cases and attempts to analyze the prevalence of true median cleft lip (MCL) in one center. Embryology, associated anomalies, and surgical treatment are discussed. Design: A retrospective descriptive study. Setting: Hospital Universiti Sains Malaysia. Participants: All patients with congenital facial cleft deformities from 2005 to 2019 were retrieved from the Plastic Surgery OR Registry. All characteristics in interest were individually tabulated and evaluated. Four cases were reviewed and discussed. Outcome: Prevalence of true MCL. Results: Out of the 494 patients included in the study, only 4 (0.81%) were affected with a median cleft, and the prevalence of true median cleft was hence determined to be 3 (0.61%) among the cleft population. Conclusion: The prevalence of the true MCL is rare which makes it hard to categorize these clefts, and the surgical protocol needs to be established for the definitive treatment.

PLASTIC SURGERY IN WORLD WAR I AND IN WORLD WAR II

1946 ◽  
Vol 123 (4) ◽  
pp. 610-621 ◽  
Author(s):  
John Staige Davis
Keyword(s):  
World War Ii ◽  
World War I ◽  
Plastic Surgery ◽  
World War

Cleft Lip Repair

2019 ◽  
pp. 503-518
Author(s):  
Samuel Lance ◽  
Catherine Tsai ◽  
Amanda Gosman
Keyword(s):  
Surgical Technique ◽  
Plastic Surgery ◽  
Clinical Evaluation ◽  
Postoperative Care ◽  
Cleft Lip ◽  
Surgical Techniques ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Repair ◽  
Rotation Advancement

Understanding the anatomy and surgical technique for repair of the unilateral and bilateral cleft lip remain essential to the practice of plastic surgery. This chapter summarizes the relevant anatomy, clinical evaluation, surgical technique, and postoperative care of the cleft lip patient. Step-by-step surgical descriptions and illustrations are provided along with commentary regarding common pitfalls encountered with these techniques. The surgical techniques described are a modified Millard rotation advancement technique for repair of the unilateral cleft lip and a modified Byrd repair for correction of the bilateral cleft lip.

Saving Private Ryan: Realism and the Enigma of Head-Wounds

1998 ◽  
Vol 3 (1) ◽  
pp. 157-172 ◽  
Author(s):  
John Roberts
Keyword(s):  
World War I ◽  
Plastic Surgery ◽  
The Body ◽  
World War ◽  
War Films ◽  
Large Section ◽  
The Face ◽  
Set Up ◽  
As If

AbstractIn Ernst Friedrich's Krieg dem Kriege there is a large section of photographs of survivors of World War I with the most hideous disfigurements of the face: jaws are missing, gaping slashes stare out where mouths should be. Friedrich leaves this gallery of ‘untouchables’ to the end of the book as if to achieve the maximum debasement of military glory and heroism. The head and face are obviously the most vulnerable part of the body in warfare – brutal wounds to the face and decapitations are common. In World War I, a number of hospitals were set up to deal solely with head-wounds, developing the basis of what we now know as plastic surgery. Yet, in the representation of combat on screen, even in the most candid and unsentimental of war films, such as Hamburger Hill and Platoon, injuries to the face are rare or nonexistent. This absence has something to do with the difficulty of producing convincing prosthetic wound-cavities on the head; blown-off limbs can obviously be created with ease through covering up the actor's extant limb with padded clothing; bloody disembowellings can be simulated with the judicious use of imitation innards and the illusionistic application of broken flesh, and so on. But the problems of modelling head-wounds clearly only half-explain the consistency of the absence.

Sign in / Sign up

Export Citation Format

Share Document