Our Summary

This research paper talks about the importance of innovation in the field of plastic and reconstructive surgery. The authors stress the need to constantly develop and improve procedures, practices, and technologies to advance the specialty. They also highlight the importance of safely introducing these innovations into clinical practice.

Until recently, the adoption of new knowledge into practice has been slow and passive. However, the authors suggest a new field, dissemination and implementation science, could speed up this process. This field is dedicated to quickly and effectively spreading evidence-based interventions into clinical practice.

The authors identify this as an increasingly important area in academia and a growing priority for health-related funding institutions. They encourage their fellow professionals in plastic and reconstructive surgery to engage in this emerging field, to help ensure the safe implementation and dissemination of new innovations in their specialty.

FAQs

  1. What is the importance of innovation in the field of plastic and reconstructive surgery according to the authors?
  2. How can the field of dissemination and implementation science improve the adoption of new knowledge into clinical practice for reconstructive surgery?
  3. Why do the authors encourage other professionals in plastic and reconstructive surgery to engage in the field of dissemination and implementation science?

Doctor’s Tip

A doctor may tell a patient considering reconstructive surgery to make sure they fully understand the procedure, including the risks and potential outcomes. They may also advise the patient to follow post-operative care instructions carefully to ensure optimal results and minimize complications. Additionally, the doctor may recommend regular follow-up appointments to monitor the healing process and address any concerns or issues that may arise.

Suitable For

Patients who may be recommended for reconstructive surgery include those who have experienced trauma, such as burns, injuries, or accidents that have resulted in disfigurement or loss of function. Patients with congenital abnormalities, such as cleft lip and palate, or those who have undergone cancer treatment and require reconstruction of affected areas may also be recommended for reconstructive surgery. Additionally, individuals seeking cosmetic surgery to improve their appearance or self-esteem may also be candidates for reconstructive procedures.

Timeline

Before reconstructive surgery:

  1. Patient consultation: The patient meets with a plastic surgeon to discuss their concerns, goals, and options for reconstructive surgery.
  2. Pre-operative evaluation: The patient undergoes a thorough evaluation to assess their overall health and suitability for surgery.
  3. Surgical planning: The plastic surgeon develops a customized surgical plan based on the patient’s individual needs and desired outcomes.

After reconstructive surgery:

  1. Recovery: The patient goes through a recovery period, which may involve pain management, wound care, and follow-up appointments with the surgeon.
  2. Healing and scar management: The patient works with their surgeon to manage scarring and promote optimal healing of the surgical site.
  3. Physical therapy: In some cases, the patient may need physical therapy to regain strength, mobility, and function in the reconstructed area.
  4. Follow-up appointments: The patient continues to see their surgeon for follow-up appointments to monitor progress and address any concerns or complications.
  5. Long-term care: The patient may require ongoing care and monitoring to ensure the best possible outcomes from the reconstructive surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about reconstructive surgery include:

  1. What specific procedure do you recommend for my condition?

  2. What are the risks and potential complications associated with this surgery?

  3. What is the expected recovery time and post-operative care plan?

  4. How many times have you performed this type of surgery, and what is your success rate?

  5. Can you provide before and after photos of previous patients who have undergone similar procedures?

  6. Are there any alternative treatment options available?

  7. What should I expect in terms of scarring and long-term outcomes?

  8. What is the cost of the surgery, and will my insurance cover any part of it?

  9. What is the expected level of pain and discomfort during the recovery process?

  10. How soon can I expect to see the final results of the surgery?

It is important for patients to have a clear understanding of the procedure, risks, benefits, and expected outcomes before undergoing reconstructive surgery. Open communication with their doctor can help ensure that they make informed decisions about their treatment.

Reference

Authors: Dengler J, Padovano WM, Davidge K, McKay V, Yee A, Mackinnon SE. Journal: Plast Reconstr Surg. 2021 Feb 1;147(2):303e-313e. doi: 10.1097/PRS.0000000000007492. PMID: 33009331