Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Jul 2013
Randomized Controlled Trial Comparative StudyProspective randomized controlled trial: fibrin sealant reduces split skin graft donor-site pain.
Pain at split skin graft donor sites is common. Fibrin sealant has been demonstrated to reduce time to hemostasis at wound sites, and patients receiving this treatment were incidentally noted to report less pain. This study aimed to evaluate pain and incapacity in split skin graft donor sites treated with and without fibrin sealant. ⋯ Therapeutic, II.
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Plast. Reconstr. Surg. · Jul 2013
Randomized Controlled Trial Comparative StudyDigital animation versus textbook in teaching plastic surgery techniques to novice learners.
The authors present a prospective, randomized, blinded trial comparing the educational efficacy of digital animation versus a textbook in teaching the Ivy loop technique to novice learners. ⋯ A prospective, randomized, blinded study comparing the educational efficacy of a surgical textbook to digital animation demonstrates that, in novice learners, digital animation is a more effective tool for learning the Ivy loop technique. Test takers found digital animation to be the superior educational medium.
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Plast. Reconstr. Surg. · May 2013
Randomized Controlled TrialBupivacaine digital blocks: how long is the pain relief and temperature elevation?
The goals of this study are threefold: (1) to determine what effect epinephrine has on the duration of bupivacaine finger block anesthesia; (2) to see whether the duration of action of bupivacaine on digital pain relief is the same duration as numbness to touch/pressure; and (3) to assess the fingertip temperature changes that result from bupivacaine digital blocks. ⋯ Therapeutic, I.
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Plast. Reconstr. Surg. · Oct 2012
Randomized Controlled Trial Multicenter Study Comparative StudyA comparison of a new skin closure device and intradermal sutures in the closure of full-thickness surgical incisions.
A novel topical skin adhesive system was developed to close the outermost layer of skin in an expeditious manner. To determine its clinical utility, a clinical investigation was undertaken to demonstrate equivalence of a new adhesive skin closure system (Prineo Skin Closure System) to intradermal sutures in wound closure. ⋯ The Prineo Skin Closure System can be considered equivalent to intradermal sutures for full-thickness surgical incisions with regard to safety and effectiveness. The ease and speed of application contribute to shortened operative times (4.5 times faster than intradermal sutures).
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Plast. Reconstr. Surg. · Sep 2012
Randomized Controlled TrialStroke volume variation as a guide for fluid resuscitation in patients undergoing large-volume liposuction.
: The potential for fluid overload in large-volume liposuction is a source of serious concern. Fluid management in these patients is controversial and governed by various formulas that have been advanced by many authors. Basically, it is the ratio of what goes into the patient and what comes out. Central venous pressure has been used to monitor fluid therapy. Dynamic parameters, such as stroke volume and pulse pressure variation, are better predictors of volume responsiveness and are superior to static indicators, such as central venous pressure and pulmonary capillary wedge pressure. Stroke volume variation was used in this study to guide fluid resuscitation and compared with one guided by an intraoperative fluid ratio of 1.2 (i.e., Rohrich formula). ⋯ : Therapeutic, II.