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State-of-the-Art in Plastic Surgery
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State-of-the-Art in Plastic Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: 25 July 2024 | Viewed by 496

Special Issue Editors

Dr. Gabriel Del Corral

E-Mail Website
Guest Editor
1. Department of Plastic and Reconstructive Surgery, District of Columbia, MedStar Georgetown University Hospital, Washington, DC, USA
2. Department of Plastic and Reconstructive Surgery, MedStar Franklin Square Medical Center, Baltimore, MD, USA
Interests: microsurgery; reconstructive surgery; maxillofacial surgery; cosmetic surgery; gender-affirming procedures; vaginoplasty; facial feminization; phalloplasty
Dr. Kenneth L. Fan

E-Mail Website
Guest Editor
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
Interests: surgery
Dr. Oscar Javier Manrique

E-Mail Website
Guest Editor
Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY, USA
Interests: breast reconstruction; lymphedema surgery; gender affirming surgery; oncologic and trauma reconstruction; vascularized composite allotransplantation; minimally invasive surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue of the Journal of Clinical Medicine promises to provide an in-depth exploration of recent innovations in the field of plastic surgery. Focusing on four key areas, this comprehensive review addresses breakthroughs in breast reconstruction, trunk reconstruction, lower-extremity reconstruction, as well as the latest advancements in lymphatic surgery and gender affirmation surgery.

Our aim is to provide readers with a comprehensive understanding of cutting-edge developments in plastic surgery, with particular emphasis on innovative techniques and emerging trends. The articles featured will delve into the current state of the field, exploring future directions and potential advancements.

Readers can anticipate a wealth of information on advancements in breast reconstruction, examining the most recent techniques and technologies that have revolutionized the field. Trunk and lower-extremity reconstruction will also be explored in detail, shedding light on novel approaches to addressing complex challenges in these areas.

This Special Issue will highlight the latest developments in lymphatic surgery, offering insights into the evolving landscape of this specialized branch of plastic surgery. The inclusion of gender affirmation surgery adds a progressive dimension to the collection, presenting the most up-to-date information on procedures designed to support individuals in affirming their gender identity.

In conclusion, this Special Issue aspires to captivate and inform its readership, providing an extensive overview of the most advanced and groundbreaking topics within the realm of plastic surgery.

The editorial team hopes that this collection will be not only informative but also inspire excitement and anticipation for the future of the field.

Dr. Gabriel Del Corral
Dr. Kenneth L. Fan
Dr. Oscar Javier Manrique
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • breast reconstruction
  • trunk reconstruction
  • lower-extremity reconstruction
  • lymphatic surgery
  • gender affirmation surgery

Published Papers (1 paper)

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Research

16 pages, 1951 KiB  
Article
A Multidisciplinary Approach to End-Stage Limb Salvage in the Highly Comorbid Atraumatic Population: An Observational Study
by Karen R. Li, Christian X. Lava, Monique B. Neughebauer, Rachel N. Rohrich, Jayson Atves, John Steinberg, Cameron M. Akbari, Richard C. Youn, Christopher E. Attinger and Karen K. Evans
J. Clin. Med. 2024, 13(8), 2406; https://doi.org/10.3390/jcm13082406 - 20 Apr 2024
Viewed by 300
Abstract
Background: The use of free tissue transfer (FTT) is efficacious for chronic, non-healing lower extremity (LE) wounds. The four pillars of managing patient comorbidities, infection control, blood flow status, and biomechanical function are critical in achieving successful limb salvage. The authors present their [...] Read more.
Background: The use of free tissue transfer (FTT) is efficacious for chronic, non-healing lower extremity (LE) wounds. The four pillars of managing patient comorbidities, infection control, blood flow status, and biomechanical function are critical in achieving successful limb salvage. The authors present their multidisciplinary institutional experience with a review of 300 FTTs performed for the complex LE limb salvage of chronic LE wounds. Methods: A single-institution, retrospective review of atraumatic LE FTTs performed by a single surgeon from July 2011 to January 2023 was reviewed. Data on patient demographics, comorbidities, preoperative management, intraoperative details, flap outcomes, postoperative complications, and long-term outcomes were collected. Results: A total of 300 patients who underwent LE FTT were included in our retrospective review. Patients were on average 55.9 ± 13.6 years old with a median Charlson Comorbidity Index of 4 (IQR: 3). The majority of patients were male (70.7%). The overall hospital length of stay (LOS) was 27 days (IQR: 16), with a postoperative LOS of 14 days (IQR: 9.5). The most prevalent comorbidities were diabetes (54.7%), followed by peripheral vascular disease (PVD: 35%) and chronic kidney disease (CKD: 15.7%). The average operative LE FTT time was 416 ± 115 min. The majority of flaps were anterolateral thigh (ALT) flaps (52.7%), followed by vastus lateralis (VL) flaps (25.3%). The immediate flap success rate was 96.3%. The postoperative ipsilateral amputation rate was 12.7%. Conclusions: Successful limb salvage is possible in a highly comorbid patient population with a high prevalence of diabetes mellitus, peripheral vascular disease, and end-stage renal disease. In order to optimize patients prior to their LE FTT, extensive laboratory, arterial, and venous preoperative testing and diabetes management are needed preoperatively. Postoperative monitoring and long-term follow-up with a multidisciplinary team are also crucial for long-term limb salvage success. Full article
(This article belongs to the Special Issue State-of-the-Art in Plastic Surgery)
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