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  1. Article ; Online: Patient safety in plastic surgery.

    Trussler, Andrew P / Tabbal, Georges N

    Plastic and reconstructive surgery

    2012  Volume 130, Issue 3, Page(s) 470e–478e

    Abstract: Learning objectives: After reading this article, the participant should be able to: 1. Recognize risk factors for venous thromboembolism and identify patients who would benefit from prophylactic anticoagulation; 2. Describe the effects of hypothermia in ...

    Abstract Learning objectives: After reading this article, the participant should be able to: 1. Recognize risk factors for venous thromboembolism and identify patients who would benefit from prophylactic anticoagulation; 2. Describe the effects of hypothermia in the perioperative period. 3. Understand the importance of blood pressure control in the plastic surgery patient.
    Summary: This article provides a summary of important factors that contribute to improved patient safety in plastic surgery. The identification of patients and procedures that have an increased risk of complications enables the physician to carry out prophylactic measures to reduce the rate of these complications. Venous thromboembolism, hypothermia, bleeding diathesis, and perioperative hypertension are identifiable risks of plastic surgery, which can lead to significant morbidity and mortality. An evidence-based system and individual practice measures can help to decrease these risks. Thorough preoperative patient evaluation, detailed informed consent, and perioperative care delivered in a safe environment can contribute to improved safety in plastic surgery.
    MeSH term(s) Blood Loss, Surgical/prevention & control ; Electronic Health Records ; Evidence-Based Medicine ; Humans ; Hypertension/prevention & control ; Hypothermia/prevention & control ; Informed Consent ; Lidocaine/toxicity ; Lipectomy/methods ; Lipectomy/standards ; Operative Time ; Patient Education as Topic/methods ; Patient Safety/standards ; Postoperative Complications/prevention & control ; Quality of Health Care/organization & administration ; Reconstructive Surgical Procedures/methods ; Reconstructive Surgical Procedures/standards ; Risk Factors ; Risk Management/methods ; Risk Management/organization & administration ; Surgery, Plastic/methods ; Surgery, Plastic/standards ; Surgical Wound Infection/prevention & control ; Venous Thromboembolism/prevention & control
    Chemical Substances Lidocaine (98PI200987)
    Language English
    Publishing date 2012-07-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Video-Audio Media
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0b013e31825dc349
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.142: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 293: Show issues

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  2. Article ; Online: "Brazilian Butt Lift" under Local Anesthesia: A Novel Technique Addressing Safety Concerns.

    Chia, Christopher T / Theodorou, Spero J / Dayan, Erez / Tabbal, Georges / Del Vecchio, Daniel

    Plastic and reconstructive surgery

    2018  Volume 142, Issue 6, Page(s) 1468–1475

    Abstract: Background: The gluteal lift ("Brazilian butt lift") has improved significantly in technique and in outcomes. Some postulate that fat embolism occurs because of damage to veins superficial to the gluteus muscles and that fat must be injected ... ...

    Abstract Background: The gluteal lift ("Brazilian butt lift") has improved significantly in technique and in outcomes. Some postulate that fat embolism occurs because of damage to veins superficial to the gluteus muscles and that fat must be injected intramuscularly to achieve satisfactory aesthetic results. The purpose of this article is to present data where gluteal lift is performed under local anesthesia, address safety concerns, and clarify these speculations.
    Methods: All patients underwent gluteal lift under local anesthesia using oral medications and tumescent infiltration. Fat was harvested by closed-system liposuction, separated by gravity, injected using a peristaltic pump and reticulating basket cannulas.
    Results: Thirty-two female patients with an average age of 38.6 years and a body mass index of 24.8 kg/m underwent 47 gluteal lift operations under local anesthesia over 52 months. The average volume of injected fat was 359 ml per buttock. There were no deaths or complications.
    Conclusions: Recent concerns regarding buttock injections have been raised due to death from fat embolism. Despite numerous theories on the mechanism of entry, the fact that venous injury occurs with the introduction of boluses of fat in enough quantities to cause mechanical disruption of the cardiopulmonary circuit is not in dispute. The authors believe this cannot occur in the awake patient without the surgeon being acutely aware of a misguided cannula. These data suggest that buttock fat grafting under local anesthesia is a safe and effective procedure with an excellent safety profile and durable results.
    Clinical question/level of evidence: Therapeutic, IV.
    MeSH term(s) Adipose Tissue/transplantation ; Adult ; Anesthesia, Local/adverse effects ; Anesthesia, Local/methods ; Body Contouring/adverse effects ; Body Contouring/methods ; Buttocks/surgery ; Female ; Humans ; Operative Time
    Language English
    Publishing date 2018-11-22
    Publishing country United States
    Document type Evaluation Study ; Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000005067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.142: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 293: Show issues

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  3. Article ; Online: Closed mallet thumb injury: a review of the literature and case study of the use of magnetic resonance imaging in deciding treatment.

    Tabbal, Georges N / Bastidas, Nicholas / Sharma, Sheel

    Plastic and reconstructive surgery

    2009  Volume 124, Issue 1, Page(s) 222–226

    Abstract: Summary: At present, the literature dedicated to closed mallet thumb injury offers conflicting evidence between conservative and operative approaches. Although conservative treatment is often successful, retraction of the extensor pollicis tendon may ... ...

    Abstract Summary: At present, the literature dedicated to closed mallet thumb injury offers conflicting evidence between conservative and operative approaches. Although conservative treatment is often successful, retraction of the extensor pollicis tendon may lead to improper reattachment and continued deformity. This discussion and case report serve to highlight the use of magnetic resonance imaging as an adjunct in selecting the proper treatment strategy for this injury at initial presentation.
    MeSH term(s) Female ; Finger Injuries/diagnosis ; Finger Injuries/therapy ; Humans ; Magnetic Resonance Imaging ; Male ; Tendon Injuries/diagnosis ; Tendon Injuries/surgery ; Thumb/injuries
    Language English
    Publishing date 2009-07
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0b013e3181ab1172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.142: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 293: Show issues

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  4. Article ; Online: Classifying deformities of the columella base in rhinoplasty.

    Lee, Michael R / Tabbal, Georges / Kurkjian, T Jonathan / Roostaeian, Jason / Rohrich, Rod J

    Plastic and reconstructive surgery

    2013  Volume 133, Issue 4, Page(s) 464e–470e

    Abstract: Background: Although much has been published with regard to the columella assessed on the frontal and lateral views, a paucity of literature exists regarding the basal view of the columella. The objective of this study was to evaluate the spectrum of ... ...

    Abstract Background: Although much has been published with regard to the columella assessed on the frontal and lateral views, a paucity of literature exists regarding the basal view of the columella. The objective of this study was to evaluate the spectrum of columella deformities and devise a working classification system based on underlying anatomy.
    Methods: A retrospective study was performed of 100 consecutive patients who presented for primary rhinoplasty. The preoperative basal view photographs for each patient were reviewed to determine whether they possessed ideal columellar aesthetics. Patients who had deformity of their columella were further scrutinized to determine the most likely underlying cause of the subsequent abnormality.
    Results: Of the 100 patient photographs assessed, only 16 (16 percent) were found to display ideal norms of the columella. The remaining 84 of 100 patients (84 percent) had some form of aesthetic abnormality and were further classified based on the most likely underlying cause. Type 1 deformities (caudal septum and/or spine) constituted 18 percent (18 of 100); type 2 (medial crura), 12 percent (12 of 100); type 3 (soft tissue), 6 percent (six of 100); and type 4 (combination), 48 percent (48 of 100).
    Conclusions: Deformities may be classified according to the underlying cause, with combined deformity being the most common. Use of the herein discussed classification scheme will allow surgeons to approach this region in a comprehensive manner. Furthermore, use of such a system allows for a more standardized approach for surgical treatment.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Nose Deformities, Acquired/classification ; Nose Deformities, Acquired/pathology ; Nose Deformities, Acquired/surgery ; Retrospective Studies ; Rhinoplasty/methods
    Language English
    Publishing date 2013-10-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000000022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.142: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 293: Show issues

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