Plastic Surgery
Volume 1: Principles
- 5th Edition - August 31, 2023
- Authors: Geoffrey C Gurtner, Peter C. Neligan
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 3 8 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 3 7 7 - 2
Comprehensive and fully up to date, the six-volume Plastic Surgery remains the gold standard text in this complex area of surgery. Completely revised to meet the demands of both… Read more
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Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteNew chapters cover value-based healthcare, health services research in plastic surgery, education and teaching in plastic surgery, and gender-affirming surgery; coverage throughout includes new, pioneering translational work shaping the future of plastic surgery.
New digital video preface by Dr. Peter C. Neligan addresses the changes across all six volumes.
New treatment and decision-making algorithms added to chapters where applicable.
New video lectures and editor-narrated slide presentations offer a step-by-step audiovisual walkthrough of techniques and procedures.
Evidence-based advice from an expanded roster of international experts allows you to apply the very latest advances in plastic surgery and ensure optimal outcomes.
Purchase this volume individually or own the entire set, with the ability to search across all six volumes online!
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
- Instructions for Online Access
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Lecture Video Contents
- Volume One
- Volume Two
- Volume Three
- Volume Four
- Volume Five
- Volume Six
- Preface to the Fifth Edition
- List of Editors
- List of Contributors
- Acknowledgments
- Dedication
- 1. Plastic surgery and innovation in medicine
- Abstract
- Introduction
- Adaptation and change
- Innovation and research
- Collaboration and teamwork
- Documentation, data-gathering, and regulation
- Conclusion
- References
- 2. History of reconstructive and aesthetic surgery
- Abstract
- Historical definition of plastic surgery
- Origin of plastic surgery
- Plastic surgery after the decline of the Roman Empire
- The nineteenth century
- The twentieth century
- Aesthetic surgery
- References
- Further reading
- 3. Applying psychology to routine plastic surgery practice
- Abstract
- Introduction
- What motivates people to seek appearance-altering surgery?
- Does cosmetic surgery meet patients’ needs? The psychological benefits and limitations of cosmetic surgery
- Who is psychologically vulnerable – does vulnerability lead to poorer outcomes?
- How can I manage my patients more effectively?
- Summary
- References
- 4. The role of ethics in plastic surgery and medico-legal issues in plastic surgery
- Abstract
- Introduction
- History of ethics and plastic surgery
- Core ethical principles and plastic surgery
- Patient communication, education, informed consent, and disclosure
- Conflict of interest
- Concurrent and overlapping surgery
- Medical errors
- Expert witness testimony
- Social media and advertising
- Conclusions
- References
- 5. Business principles for plastic surgeons
- Abstract
- Introduction
- Strategy
- Accounting
- Summary of cash flows
- Finance
- Economics
- Marketing
- Operations
- Innovation
- Entrepreneurship
- Sustainable enterprise
- Human resource management
- Legal and regulatory considerations
- Negotiation
- Ethics
- Leadership
- Acknowledgments
- References
- Additional Reading
- 6. Value-based healthcare
- Abstract
- Introduction
- Why value-based healthcare matters in plastic surgery
- Defining value within plastic surgery
- Tools for value-based care in plastic surgery
- Future directions
- Conclusions
- References
- 7. Digital photography in plastic surgery
- Abstract
- Purpose
- Standards in capturing images
- Digital image characteristics
- Composition and positioning
- Archiving and image management
- Digital image processing
- New frontiers
- References
- 8. Pre- and intra-operative imaging for plastic surgery
- Abstract
- Introduction
- Traditional imaging techniques
- Novel intra-operative imaging techniques
- New frontiers in surgical training
- Conclusion
- References
- 9. Patient safety in plastic surgery
- Abstract
- Introduction
- Preoperative
- Intra-operative
- Postoperative
- Conclusions
- References
- 10. Anesthesia and pain management in plastic surgery
- Abstract
- Introduction
- Clinical consequences of inadequate pain relief
- Acetaminophen, nonsteroidal anti-inflammatory drugs, and cyclooxygenase-2 selective inhibitors
- NMDA-receptor antagonists and gabapentinoids
- Opioids
- Local anesthetics
- Summary
- References
- 11. Evidence-based medicine and health services research in plastic surgery
- Abstract
- The best evidence – where do we find it?
- Study design and levels of evidence
- Large-database analysis
- Patient-reported outcomes research
- Utilities and preference-based measures
- Comparative effectiveness research
- The preconditions to credible clinical research in plastic surgery
- Future trends
- Role of electronic health records/integrating data collection into flow of usual care versus research
- What do we do with the outcomes?
- Conclusions
- Acknowledgment
- References
- 12. Patient-reported outcomes in plastic surgery
- Abstract
- Introduction
- Early PROMs in plastic surgery
- Types of PROMs
- Methodology involved in modern PROM development
- Characteristics to consider when selecting a PROM
- Future directions for PROMs in plastic surgery
- Summary
- References
- 13. Health services research in plastic surgery
- Abstract
- What is health services research?
- Eliminating inequities – necessary considerations for impactful work
- Health policy research
- Measuring quality
- Assessing patient-reported outcomes
- Comparative effectiveness
- Collaborative quality improvement
- Implementation science: how to change practice
- Qualitative research methods – an underused approach
- Conclusions
- References
- 14. Principles of cancer management
- Abstract
- Background
- Cancer presentation and initial evaluation
- Cancer diagnosis and treatment planning
- Localized treatments
- Systemic treatments
- Cancer management: the plastic surgeon perspective
- Conclusions
- References
- 15. Wound healing
- Abstract
- Introduction
- The wound healing process
- Abnormal wound healing
- Factors affecting wound healing
- Wound types and treatments
- Wound dressings
- Skin tissue engineering
- Wound imaging and assessment techniques
- Wound healing research
- Future directions and opportunities
- References
- 16. Scar prevention, treatment, and revision
- Abstract
- Personal and social significance of scars
- History and physical examination
- Assessing scars
- Scar biology
- Scar prevention: skin regeneration after repair
- Conditions of excessive scarring
- Prevention
- Treatment
- Scar revision
- Wound dressings and postoperative care
- References
- 17. Skin grafting
- Abstract
- Introduction
- Anatomy and physiology of skin
- The skin graft
- Beyond the graft
- References
- 18. Tissue engineering
- Abstract
- Introduction
- Plastic surgery principles in tissue engineering and the first 40 years
- Case studies of tissue engineering in plastic surgery
- Conclusion and future perspectives
- References
- 19. Repair, grafting, and engineering of cartilage
- Abstract
- Introduction
- Autologous cartilage grafts and applications
- Autologous perichondrial graft
- Cartilage engineering
- References
- 20. Repair and grafting of bone
- Abstract
- Microanatomy and histochemistry
- Principles of bone homeostasis and turnover
- Healing of fractures
- Bone remodeling
- Clinical application of bone transfers
- References
- 21. Repair and grafting of peripheral nerve
- Abstract
- Introduction
- Pathophysiology of nerve injury
- Evaluation of nerve injuries
- Patient selection
- Treatment
- Postoperative care
- Prognosis and outcomes
- Secondary procedures
- Summary
- Acknowledgment
- References
- 22. Repair and grafting fat and adipose tissue
- Abstract
- Introduction
- Basic science
- Historical perspective
- Fat harvesting, preparation, and grafting techniques
- Diagnosis/patient presentation
- Patient selection
- Treatment/surgical technique
- Postoperative care
- Outcomes, prognosis, and complications
- Secondary procedures
- References
- 23. Vascular territories
- Abstract
- Introduction
- Vascular anatomical research
- Historical perspective
- Applications of the angiosome concept
- References
- 24. Flap physiology, classification, and applications
- Abstract
- History
- Classification of flaps
- Flap applications
- Complications
- References
- 25. Principles and techniques of microvascular surgery
- Abstract
- Introduction
- Tools
- Historical perspective
- General principles of microvascular surgery
- Microvascular anastomosis techniques
- General aspects of free flap surgery
- Special techniques and flap modifications
- Postoperative management, complications, and outcomes
- The future of microsurgery
- References
- 26. Tissue expansion and implants
- Abstract
- Introduction
- Basic science of tissue expansion
- Historical perspective
- Patient and tissue expander/implant selection
- Diagnosis/preoperative planning/implant selection
- Treatment and surgical technique
- Postoperative care
- Complications
- References
- 27. Principles of radiation therapy
- Abstract
- Introduction
- Radiation technology
- Historical perspective
- Particle therapy
- Brachytherapy
- Applications
- Physics
- Radiation therapy delivery techniques
- Radiobiology
- Specific toxicities and complications
- Conclusion and future trends
- References
- 28. Lymphedema: pathophysiology and basic science
- Abstract
- Introduction
- Anatomy and physiology
- Etiology of lymphedema
- Pathophysiology of lymphedema
- Risk factors of lymphedema
- Clinical presentation, evaluation, and diagnosis
- Lymphedema classification
- Summary
- References
- 29. Benign and malignant nonmelanocytic tumors of the skin and soft tissue
- Abstract
- Introduction
- Diagnosis
- Pathologic diagnosis
- Treatment
- Radiation therapy
- Benign cutaneous and soft-tissue tumors
- Malignant cutaneous and soft-tissue tumors
- References
- 30. Melanoma
- Abstract
- Introduction
- Clinical evaluation – dermoscopy and confocal
- Benign melanocytic lesions
- Predisposing conditions
- Melanoma
- Staging
- Other histopathological features
- Follow-up and imaging
- Surgical considerations and management
- Lymph node dissection (lymphadenectomy)
- Distant metastases
- Systemic therapy for melanoma
- Radiotherapy
- References
- 31. Implants and biomaterials
- Abstract
- Metals
- Historical perspective
- Polymers
- Ceramics
- Adhesives and glues
- Skin substitutes
- Bioprosthetic mesh
- Amniotic/placental-based materials
- Addressing the foreign body response
- Future materials
- References
- 32. Transplantation in plastic surgery
- Abstract
- Introduction
- Transplant immunology
- History of transplantation in plastic surgery
- VCA program requirements
- Selection of patients and donors
- Surgical approach
- Postoperative care
- Outcomes
- Future of VCA
- References
- 33. Technology innovation in plastic surgery: a practical guide for the surgeon innovator
- Abstract
- Introduction
- The idea
- Determining the value
- Funding
- Intellectual property
- Institutional technology transfer
- FDA regulatory approval process
- AI/ML device regulatory approval process
- Starting clinical trials in plastic surgery
- Innovating for global health and low- and middle-income countries
- Conflict of interest
- Innovations in plastic surgery
- References
- 34. Robotics in plastic surgery
- Abstract
- Introduction
- Transoral robotic reconstructive surgery (TORRS)
- Robotic microsurgery
- Robotic flap harvest
- Limitations of robotic surgery
- New frontiers in robotic plastic surgery
- Conclusion
- References
- 35. Digital technology in plastic surgery
- Abstract
- Introduction
- Digital technology before the first consultation
- Digital technology during the office visit
- Perioperative digital technology
- Digital technology between patient visits (including long-term follow-up)
- Digital technology in plastic surgery education and training
- Digital technology for the advancement of plastic surgery (research and clinical outcomes and advocacy)
- References
- 36. Aesthetic improvement through noninvasive technologies
- Abstract
- Introduction
- Cryolipolysis
- Magnetic resonance contouring
- Radiofrequency energy devices (RFED)
- Ultrasound
- Low-level laser therapy (LLLT)
- Discussion
- References
- 37. Education and teaching in plastic surgery
- Abstract
- Introduction
- Medical education theory
- Adult learning theory
- The evolution of plastic surgery education
- Standardizing graduate medical education outcomes
- The future of plastic surgery education
- Conclusion
- References
- 38. Global plastic surgery
- Abstract
- Introduction
- Suggested guidelines for participation in global plastic surgery
- Ethical considerations
- Conclusion
- References
- 39. Gender-affirming surgery
- Abstract
- Introduction
- General preoperative evaluation
- Chest and breast gender-affirming surgery
- Genital gender-affirming surgery
- Facial gender affirmation surgery
- Conclusions
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 888
- Language: English
- Edition: 5
- Published: August 31, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323810388
- eBook ISBN: 9780323873772
GG
Geoffrey C Gurtner
PN