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Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea

Although it is well recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers. This retrospective study was designed to investigate the scope of plastic surgery servi...

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Autores principales: Lee, Il Jae, Cha, Bohwan, Park, Dong Ha, Hahn, Hyung Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870198/
https://www.ncbi.nlm.nih.gov/pubmed/33592883
http://dx.doi.org/10.1097/MD.0000000000024357
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author Lee, Il Jae
Cha, Bohwan
Park, Dong Ha
Hahn, Hyung Min
author_facet Lee, Il Jae
Cha, Bohwan
Park, Dong Ha
Hahn, Hyung Min
author_sort Lee, Il Jae
collection PubMed
description Although it is well recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers. This retrospective study was designed to investigate the scope of plastic surgery services in acute trauma care, using clinical data obtained from a single, regional, level I trauma center. This study included patients who presented to a single, regional, level I trauma center between March 1, 2016 and February 28, 2018. Patients with acute trauma to the facial soft tissue and skeleton, soft tissue of the upper and lower limbs, trunk and perineum, and other areas requiring plastic surgical procedures were included in the analysis. Cases requiring consultation for the correction of posttraumatic deformity or secondary deformity and trauma sequelae, such as scars, were excluded. Data on patients’ demographics and detailed surgical procedures were acquired from electronic medical records. The reviewed cases were categorized by the primary anatomical region requiring surgery and the primary procedure performed. A total of 1544 patients underwent surgery, and 2217 procedures were recorded during the 2-year study period. In 2016, 1062 procedures on 690 patients, and, in 2017, 1155 procedures on 787 patients were registered. The average age of the patients who underwent plastic surgical procedure due to a trauma-related cause was 38.4 years (range, 2 days to 91 years), and 1148 patients (77.7%) were male. The head and neck region was the most commonly observed anatomical area that was operated on. The facial bone requiring the largest degree of surgical intervention was the mandible, followed by the zygomatic bone, nasal bones, orbital floor, and maxilla. Microsurgical procedures, such as flap surgery and microsurgery, were performed in 121 cases. The most commonly elevated free flap was the ALT flap (n = 69). Plastic surgeons play various roles in level I trauma centers, such as in the management of facial injury, performing limb-saving free tissue transfers, and complex wound reconstruction with flaps or skin grafts. Thus, plastic surgeons are an essential part of trauma centers.
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spelling pubmed-78701982021-02-10 Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea Lee, Il Jae Cha, Bohwan Park, Dong Ha Hahn, Hyung Min Medicine (Baltimore) 7100 Although it is well recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers. This retrospective study was designed to investigate the scope of plastic surgery services in acute trauma care, using clinical data obtained from a single, regional, level I trauma center. This study included patients who presented to a single, regional, level I trauma center between March 1, 2016 and February 28, 2018. Patients with acute trauma to the facial soft tissue and skeleton, soft tissue of the upper and lower limbs, trunk and perineum, and other areas requiring plastic surgical procedures were included in the analysis. Cases requiring consultation for the correction of posttraumatic deformity or secondary deformity and trauma sequelae, such as scars, were excluded. Data on patients’ demographics and detailed surgical procedures were acquired from electronic medical records. The reviewed cases were categorized by the primary anatomical region requiring surgery and the primary procedure performed. A total of 1544 patients underwent surgery, and 2217 procedures were recorded during the 2-year study period. In 2016, 1062 procedures on 690 patients, and, in 2017, 1155 procedures on 787 patients were registered. The average age of the patients who underwent plastic surgical procedure due to a trauma-related cause was 38.4 years (range, 2 days to 91 years), and 1148 patients (77.7%) were male. The head and neck region was the most commonly observed anatomical area that was operated on. The facial bone requiring the largest degree of surgical intervention was the mandible, followed by the zygomatic bone, nasal bones, orbital floor, and maxilla. Microsurgical procedures, such as flap surgery and microsurgery, were performed in 121 cases. The most commonly elevated free flap was the ALT flap (n = 69). Plastic surgeons play various roles in level I trauma centers, such as in the management of facial injury, performing limb-saving free tissue transfers, and complex wound reconstruction with flaps or skin grafts. Thus, plastic surgeons are an essential part of trauma centers. Lippincott Williams & Wilkins 2021-02-05 /pmc/articles/PMC7870198/ /pubmed/33592883 http://dx.doi.org/10.1097/MD.0000000000024357 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 7100
Lee, Il Jae
Cha, Bohwan
Park, Dong Ha
Hahn, Hyung Min
Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea
title Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea
title_full Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea
title_fullStr Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea
title_full_unstemmed Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea
title_short Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea
title_sort role of plastic surgeons in the trauma center: national level i trauma center startup experience in south korea
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870198/
https://www.ncbi.nlm.nih.gov/pubmed/33592883
http://dx.doi.org/10.1097/MD.0000000000024357
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