Our Summary

This research paper discusses the impact of the COVID-19 pandemic on the field of plastic and reconstructive surgery. The pandemic has caused significant disruption to all medical fields, including plastic surgery. Many surgeries have been cancelled, and medical equipment has been preserved for life-saving procedures. This has been difficult for many, especially with the confusing and often conflicting information being shared. The research paper provides a review of relevant literature on COVID-19 and suggests ethical guidelines for plastic surgeons dealing with the pandemic. The paper presents a framework based on core ethical principles to help plastic surgeons navigate the pandemic. The lessons learned during this time will be valuable for future challenges.

FAQs

  1. How has the COVID-19 pandemic affected the field of plastic and reconstructive surgery?
  2. What ethical guidelines are suggested for plastic surgeons during the pandemic?
  3. How can the lessons learned during the pandemic be useful for future challenges in the field of plastic and reconstructive surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about reconstructive surgery is to carefully follow all pre-operative and post-operative instructions provided by your surgeon. This includes taking any prescribed medications, attending follow-up appointments, and following any restrictions on physical activity. By following these guidelines, you can help ensure a successful outcome and minimize the risk of complications.

Suitable For

In general, patients who may benefit from reconstructive surgery include those who have experienced trauma, burns, congenital abnormalities, cancer, or other medical conditions that have resulted in physical deformities or functional impairments. Reconstructive surgery aims to restore form and function to the affected area, improve quality of life, and enhance self-esteem.

Specific types of patients who may be recommended for reconstructive surgery include:

  1. Trauma patients: Individuals who have suffered injuries from accidents, falls, sports-related incidents, or other traumatic events may require reconstructive surgery to repair damaged tissues, bones, nerves, or blood vessels.

  2. Cancer patients: Patients who have undergone cancer treatment, such as mastectomy for breast cancer or tumor removal for skin cancer, may need reconstructive surgery to restore the appearance of the affected area and improve function.

  3. Congenital abnormalities: Patients born with birth defects or genetic conditions, such as cleft lip and palate, microtia (underdeveloped ear), or syndactyly (webbed fingers or toes), may benefit from reconstructive surgery to correct the anomaly and improve physical appearance.

  4. Burn victims: Individuals who have sustained severe burns may require reconstructive surgery to repair damaged skin, muscles, and other tissues, improve mobility, and minimize scarring.

  5. Patients with functional impairments: Some patients may experience functional impairments due to conditions such as arthritis, nerve damage, or muscle weakness. Reconstructive surgery can help improve mobility, restore strength, and enhance overall function.

It is important for patients considering reconstructive surgery to consult with a board-certified plastic surgeon to discuss their specific needs, goals, and expectations. The surgeon will conduct a thorough evaluation, recommend appropriate treatment options, and create a personalized surgical plan to achieve the desired outcome.

Timeline

  • Initial consultation: The patient meets with a plastic surgeon to discuss their goals, concerns, and options for reconstructive surgery.
  • Pre-operative preparation: The patient undergoes medical evaluations, imaging tests, and preparation for surgery, including obtaining necessary clearances from other medical specialists.
  • Surgery: The patient undergoes the reconstructive surgery, which can range from a few hours to several hours depending on the complexity of the procedure.
  • Post-operative recovery: The patient is closely monitored in the immediate post-operative period for any complications and is given instructions for at-home care.
  • Follow-up appointments: The patient has regular follow-up appointments with the plastic surgeon to monitor their recovery, address any concerns, and assess the outcomes of the surgery.
  • Long-term follow-up: The patient may require additional procedures or treatments in the future to maintain or improve the results of the reconstructive surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with the reconstructive surgery I am considering?
  2. How long is the recovery period expected to be, and what can I do to aid in my recovery?
  3. What are the realistic expectations for the outcome of the surgery?
  4. Are there any alternative treatments or procedures that could achieve similar results?
  5. How many times have you performed this specific type of reconstructive surgery, and what is your success rate?
  6. What type of anesthesia will be used during the surgery, and what are the potential risks associated with it?
  7. Will there be scarring after the surgery, and if so, what can be done to minimize its appearance?
  8. How long will the results of the surgery last, and are there any additional procedures that may be needed in the future?
  9. What post-operative care will be required, and what can I do to ensure the best possible outcome?
  10. Are there any lifestyle changes or restrictions that will be necessary after the surgery?

Reference

Authors: Chi D, Chen AD, Dorante MI, Lee BT, Sacks JM. Journal: J Reconstr Microsurg. 2021 Feb;37(2):124-131. doi: 10.1055/s-0040-1714378. Epub 2020 Jul 21. PMID: 32693423