Абдоминопластика в сочетании с холецистэктомией

CONSORT

The Belgian Society of Plastic Surgery was founded in 1955. The five founding members were Dr. M. Coelst, Dr. A. de Coninck, Dr. J. Polus, Dr. A. Fardeau and Dr. C. Steenebruggen. Dr. Maurice Coelst was the initiator and first president, and later became the first honorary member. The purpose of the Society was the scientific study of plastic surgery and related specialties, and the organization of congresses and conferences to promote the development of plastic surgery. From a very small group of five members, the Society has grown to a considerable size: 80 full members, 20 associated members and 75 candidate members. The Society also counts 12 honorary members and 16 foreign members. Full members are officially-certified Belgian and Luxembourg plastic surgeons who limit their activities to the domain of plastic, reconstructive and aesthetic surgery and who have made significant scientific contributions to the activities of the Society. These activities have grown from informal evening meetings in the 1950’s to presently two full-day congresses every year, during which communications of high scientific standard are presented and discussed. Because of the expansion of plastic surgery, the name of the Society has been changed into ‘‘Belgian Society of Plastic, Reconstructive and Aesthetic Surgery’’ and comprises subchapters for the study of burns, microsurgery and aesthetic surgery. The Society sponsors a two-yearly prize, which is attributed to a personal scientific study of exceptionally high standards by a Belgian or Luxembourg plastic surgeon or trainee. The Society also sponsors the activities of the Collegium Chirurgicum Plasticum Belgicum. This Collegium organizes teaching days and yearly examinations for all plastic surgery trainees on a national scale. Successfully passing these evaluations has become a prerequisite for obtaining certification as a specialist in plastic, reconstructive and aesthetic surgery. Together with a training of 6 years: 2 years of basic general surgery and 4 years of plastic surgery in one of the seven certified training centers in Belgium and Luxembourg,this system ensures a very high standard of specialization in plastic surgery. Many members participate very actively in many scientific societies in Belgium and abroad. The Belgian participation in EURAPS is very strong, and the prize for the best presentation has been awarded to Belgian plastic surgeons several times. The Society has a close relationship with its Dutch sister Society. Every 2 years a joint meeting is held, alternately in Belgium and in The Netherlands. In 2005 the Belgian Society of Plastic, Reconstructive and Aesthetic Surgery will celebrate its 50th anniversary with a 2-day Congress in Brussels on May 6 and 7. On the occasion of the Congress, a commemorative book will be published highlighting and illustrating the history of the Society. Finally, the Society is very grateful to Ian Jackson for allowing its members to fill an entire issue of the European Journal of Plastic Surgery.

Professional advancement in academic plastic surgery may depend on scholarly activity. The authors evaluate gender-based publishing characteristics in three international plastic surgery journals. A retrospective review of all articles published in 2016 in the following journals was undertaken: Plastic and Reconstructive Surgery, Journal of Plastic, Reconstructive and Aesthetic Surgery, European Journal of Plastic Surgery, Annals of Surgery, and New England Journal of Medicine. Data were collected on lead author gender (first or senior author) and differences in author gender proportions, by journal, by article topic, and by geographic location were evaluated. Overall, 2610 articles were retrieved: 34.1 percent were from plastic surgery journals, 12.8 percent were from the Annals of Surgery, and 53.1 percent were from the New England Journal of Medicine. There was a lower proportion of female lead authors among plastic surgery journals compared with the Annals of Surgery and the New England Journal of Medicine (31 percent versus 39 percent versus 39 percent; p = 0.001). There were no differences in female lead author geographic location in the Annals of Surgery or the New England Journal of Medicine; within the plastic surgery journals, there were differences (p = 0.005), including a lower proportion arising from East Asia (15 percent) and a higher proportion arising from Canada (48 percent). Within plastic surgery, Plastic and Reconstructive Surgery had the lowest proportion of female lead author (p < 0.001). The proportion of female lead author varied by article topic (p < 0.001) and was notably higher in breast (45.6 percent) and lower in head and neck/craniofacial-orientated articles (25.0 percent). There are gender disparities in three mainstream plastic surgery journals-Plastic and Reconstructive Surgery, the Journal of Plastic, Reconstructive and Aesthetic Surgery, the European Journal of Plastic Surgery-and there are lower proportions of lead female authorship compared with the Annals of Surgery and the New England Journal of Medicine. Further research should focus on understanding any geographic disparities that may exist.

Plastic Surgeonsʼ Performance during the February 27 Earthquake in Chile

Within plastic surgery, a patient's most commonly used first point of information before consulting a surgeon is the internet. Free-to-use artificial intelligence (AI) websites like ChatGPT (Generative Pre-trained Transformers) are attractive applications for patient information due to their ability to instantaneously answer almost any query. Although relatively new, ChatGPT is now one of the most popular artificial intelligence conversational software tools. The aim of this study was to evaluate the quality and readability of information given by ChatGPT-4 on key areas in plastic and reconstructive surgery. The ten plastic and aesthetic surgery topics with the highest worldwide search volume in the 15 years were identified. These were rephrased into question format to create nine individual questions. These questions were then input into ChatGPT-4. The response quality was assessed using the DISCERN. The readability and grade reading level of the responses were calculated using the Flesch-Kincaid Reading Ease Index and Coleman-Liau Index. Twelve physicians working in a plastic and reconstructive surgery unit were asked to rate the clarity and accuracy of the answers on a scale of 1-10 and state 'yes or no' if they would share the generated response with a patient. All answers were scored as poor or very poor according to the DISCERN tool. The mean DISCERN score for all questions was 34. The responses also scored low in readability and understandability. The mean FKRE index was 33.6, and the CL index was 15.6. Clinicians working in plastics and reconstructive surgery rated the questions well in clarity and accuracy. The mean clarity score was 7.38, and the accuracy score was 7.4. This study found that according to validated quality assessment tools, ChatGPT-4 produced low-quality information when asked about popular queries relating to plastic and aesthetic surgery. Furthermore, the information produced was pitched at a high reading level. However, the responses were still rated well in clarity and accuracy, according to clinicians working in plastic surgery. Although improvements need to be made, this study suggests that language models such as ChatGPT could be a useful starting point when developing written health information. With the expansion of AI, improvements in content quality are anticipated.

Change and change again

Where is Archives of Plastic Surgery Now? And Where is It Heading?

"Background: Robotic surgery currently offers a number of benefits in specific areas of plastic and reconstructive surgery such as head and neck and microsurgery, however, many subspecialties are yet to benefit from robotic operating techniques. In this paper we review recent developments in the use of robotics for head and neck, breast reconstruction, microneural, lymphoedema, craniofacial and aesthetic surgery. Methods: A literature review of English-only articles on the use of robots in plastic and reconstructive surgery was conducted using the PubMed and Web of Science databases along with a free text search using the terms ‘robotic surgery plastic surgery’, ‘robotic-assisted plastic surgery’, ‘robot-assisted reconstructive surgery’, ‘da Vinci plastic surgery’, ‘da Vinci reconstructive surgery’ and ‘supermicrosurgery’. No limitation was placed on time from publication. Results: Of the studies reviewed, the most beneficial to reconstructive surgery is the area of the head and neck, with the most common procedures being transoral surgeries and microvascular procedures. Robotic assisted breast reconstructive surgery is a promising field. The main current limitations are the lack of adequate microsurgical instrumentation and the prolonged setting-up and operative time. Conclusion: As technology improves the outlook for robotic surgery is optimistic. Areas like microsurgery, head and neck, cleft palate, breast reconstructive surgery, lymphatic and microneural surgery already demonstrate promising results. Further technological advances and evidence-based studies are necessary to address current limitations such as appropriate microsurgical instrumentation, high costs and prolonged operative time."

Integrating artificial intelligence (AI) in cosmetic surgery presents both transformative opportunities and significant challenges. From preoperative planning to postoperative care, AI offers tools that enhance precision, efficiency, and personalization. However, concerns such as algorithmic bias, ethical implications, and the potential depersonalization of patient care must be carefully considered. This article explores AI’s impact on cosmetic surgery, addressing its benefits, risks, and ethical considerations while proposing solutions on evidence-based strategies for safe and effective AI integration into clinical practice. By evaluating AI-driven advancements in patient education, treatment planning, and postoperative management, we aim to equip surgeons with actionable insights for navigating the future of our field. To fully realize AI’s potential in aesthetic and cosmetic surgery, it is essential to approach its integration through a structured framework that balances innovation with responsibility. This includes identifying key risk areas, implementing mitigation strategies, and outlining best practices for clinical adoption. The following sections are organized around major challenges—such as bias, ethical concerns, and depersonalization—and we aim to offer specific solutions to guide surgeons in applying AI thoughtfully and safely within their own practices. A combination of keywords related to “cosmetic surgery” and “artificial intelligence,” such as “AI trends,” “AI risks,” and “AI in surgery,” was used for a literature search across PubMed and Web of Science. The search was focused on published articles in English, in the past 10 years, to point out the recent trends and risks arising due to the use of AI in cosmetic plastic surgery. The search showed a long list of potential risks and complications associated with the use of AI when not applied carefully. On the contrary, the search also showed its versatility and colossal potential in transforming the field of cosmetic plastic surgery. While AI offers promising advancements in cosmetic plastic surgery, it is essential to navigate its integration carefully. By addressing issues such as potential biases, ethical concerns, and the risk of depersonalization, the field can leverage AI to enhance patient care and outcomes. The future of facial cosmetic plastic surgery with AI holds great potential, but it must be grounded in principles that prioritize patient safety, inclusivity, and the preservation of the human touch.

Sir: After the initiative by Plastic and Reconstructive Surgery and the American Society of Plastic Surgeons to promote evidence-based medicine1 and to strive for high levels of reporting quality,2 it is current belief that randomized controlled trials are the key to guiding and helping clinical decision making. The broad field of plastic surgery with its subdisciplines reconstructive surgery, burn surgery, aesthetic surgery, and hand surgery often lacks a fair amount of published randomized controlled trials. However, to date, there is no comparative analysis on the recent developments of randomized controlled trials in reconstructive, burn, aesthetic, and hand surgery. Furthermore, reporting quality of randomized controlled trials was addressed by the Consolidated Standards of Reporting Trials group first in 1996, and was updated in 2001 and very recently in 2010.3 The Consolidated Standards of Reporting Trials items aim to improve the reporting quality of randomized controlled trials in full article and in abstract form.4 Using the Consolidated Standards of Reporting Trials items, one can compare the reporting quality of randomized controlled trial conference abstracts, which was a second aim of this analysis. To analyze up to date, we decided to analyze various conferences rather than full articles, given the fact that not all randomized controlled trials presented as abstracts will find their way to a full article within the next 5 years. We analyzed 65 oral abstracts and 94 poster abstracts from the 2008 meeting of the American Society of Plastic Surgeons by two independent researchers. In addition, 152 oral and 100 poster presentations from the 2008 meeting of the American Burn Association were analyzed, as were102 abstracts from the American Society for Surgery of the Hand annual meeting. We determined the evidence-based medicine level of evidence for study design. Furthermore, the level of reporting quality according to the Consolidated Standards of Reporting Trials recommendations was determined with a maximum score of 17 of 17 points. We found that at the American Society of Plastic Surgeons 2008 meeting, 9 percent (5 percent oral and 4 percent poster abstracts) of presentations were randomized controlled trials. Reporting quality at the American Society of Plastic Surgeons meeting was 6.7 ± 1.2 for oral randomized controlled trials and 7.3 ± 1 for poster randomized controlled trials (p = 0.498; 95 percent confidence interval, –2.62 to 1.46) of 17 achievable points according to Consolidated Standards of Reporting Trials criteria. At the American Burn Association Annual Meeting, 7 percent randomized controlled trials were presented, with 5 percent oral and 2 percent poster presentations. Reporting quality according to Consolidated Standards of Reporting Trials criteria was not significantly different for oral versus poster randomized controlled trials (7.2 ± 1.4 versus 6.5 ± 1 of 17 points, p = 0.552; 95 percent confidence interval, –1.78 to 3.06). We identified 10 percent randomized controlled trials at the American Society for Surgery of the Hand meeting. Consolidated Standards of Reporting Trials reporting quality was 8.2 ± 1.4 of 17, somewhat higher than for randomized controlled trials presented at the American Society of Plastic Surgeons meeting. Our results indicate that the amount of randomized controlled trials presented either in oral or poster abstract form at American Society of Plastic Surgeons, American Burn Association, and American Society for Surgery of the Hand meetings is still below 10 percent of all presentations. Given the fact that not every conference abstract will be followed by a full article, these numbers should be discussed. In 1996, Amadio and colleagues studied the rate of full article randomized controlled trials from volume 1 to volume 19 (1994) of The Journal of Hand Surgery. From 3107 articles, letters, and abstracts, they identified 25 controlled clinical trials and eight randomized controlled trials (0.26 percent).5 A 10-year analysis of publications in Plastic and Reconstructive Surgery, Annals of Plastic Surgery, and Aesthetic Surgery Journal revealed a randomized controlled trial publication rate of 3.2 percent.6 A 16-year analysis of all articles published in Aesthetic Plastic Surgery revealed only a 1 percent randomized controlled trial publication rate (11 of 1048 original articles).7 In Plastic and Reconstructive Surgery, the number of randomized controlled trials published increased from 1983 to 2003 from 0 percent to 7 percent.8 As far as reporting quality is concerned, all conference abstracts presented at American Society of Plastic Surgeons, American Burn Association, and American Society for Surgery of the Hand meetings have plenty of room for improvement, with the Consolidated Standards of Reporting Trials statement to be endorsed substantially. Karsten Knobloch, M.D. Uzung Yoon Peter M. Vogt, M.D., Ph.D. Plastic, Hand, and Reconstructive Surgery Hannover Medical School Hannover, Germany

Objective To investigate the effect of cosmetic surgery on the facial soft tissue injuries. Methods The clinical data of 52 patients with facial soft tissue injuries from June 2013 to June 2014 were analyzed retrospectively. And plastic surgical techniques were applied to the early treatment of facial soft tissue injuries in patients, according to the size of defect and the degree of deformity of the patients, different plastic surgery treatment was chosen, such as skin flap or skin graft to repair wound surfaces. In this process, one must follow sterile noninvasive principle strictly with emphasis on the technique of plastic surgery such as entire debridement, wound healing application of skin flap and so on. Results Total 49 cases of facial soft tissue injuries were healed by first intention without significant complications, while 4 cases of them had mild scars. Absorbable suture exposition appeared in 3 patients after primary healing. Those sutures were romoved after disinfected and no sequelaes were happened. All patients were recovered with good appearances and functions to the most exent. Conclusions The treatment of facial soft tissue injuries, by applying plastic and aesthetic surgery, could reduce scar and postoperative deformity, and secondary corrective procedures can be avoided in most patients. Key words: Soft tissue injury; Facial; Emergency; Repair; Plastic surgery

Summary:Plastic surgery requires extensive wide-ranging surgical knowledge, special technical dexterity, and personal skills in order to achieve improved quality of life and satisfying outcomes for patients. For decades, international plastic surgery fellowship programs have offered opportunities to enhance the subspecialty training of young plastic surgeons abroad and promote international exchange of information in the field of plastic surgery. However, concerns around enrolling in a nontraditional educational strategy at the postgraduate level have restricted young plastic surgery residents from pursuing comprehensive training opportunities overseas. Therefore, we present a personal experience of a distinct established international fellowship program in plastic, reconstructive, and aesthetic surgery at Nippon Medical School Hospital, Japan, as an example. This institution has adopted the use of highly skilled surgical techniques, providing basic research education along with the teaching of essential personal skills needed in modern plastic surgery. As a mean to promote international educational collaboration in plastic surgery, we discussed the modern plastic surgery educational strategies worldwide that participate in developing a successful plastic surgeon’s career.

BackgroundAesthetic plastic surgery fellowships endorsed by The Aesthetic Society participated in the San Francisco (SF) Match in 2017 to 2018. Despite streamlined applications and increases in available positions, participating applicants did not increase through the 2022 match cycle.ObjectivesThe authors of this study compare match statistics for aesthetic plastic surgery, facial plastic surgery, and oculofacial surgery, with analysis extended through the 2025 match cycle.MethodsSF Match data for aesthetic plastic surgery (2018-2025), facial plastic surgery (2018-2024), and oculofacial surgery (2018-2024) were analyzed. Relevant data included the number of participating programs, positions, applicants, filled positions, and match rates. The 2017 to 2024 Accreditation Council for Graduate Medical Education Data Resource Books provided resident graduation data by subspecialty.ResultsAesthetic plastic surgery positions increased significantly (P = .047) between 2018 and 2022, whereas applicant numbers remained unchanged (P > .99). Participating aesthetic plastic surgery applicants more than doubled from 28 in 2022 to 59 in 2025 (P = .026), whereas available position numbers slightly decreased (P > .99). No significant changes occurred in filled positions (ie, applicants matched), fill rates, or match rates between match cycles. Facial plastic surgery and oculofacial surgery fellowship trends were stable, with no significant changes in these metrics.ConclusionsEfforts to improve the postgraduate plastic surgery aesthetic application process and training model have had a significant, although delayed, impact on application numbers. Applications to facial plastic surgery and oculofacial surgery fellowships have seen only nominal increases during the same time period. Previously, facial plastic surgery fellowships greatly outnumbered aesthetic plastic surgery fellowships. This gap has now significantly narrowed. Oculofacial surgery fellowships remain highly competitive and limited in numbers.Level of Evidence5 (Therapeutic)

To determine the impact of ChatGPT in plastic surgery research and assess the authenticity of such contributions. The study conducted a literature search in Sep'23 from databases like Pubmed, Google Scholar, SCOPUS, and OVID Medline.The following keywords 'ChatGPT', 'chatbot', 'reconstruction', 'aesthetic' and 'plastic surgery' were used. 32 papers were included from the initial 131 results of articles. English language articles from November 2022 to July 2023 discussing ChatGPT's role in plastic and aesthetic surgery were included whereas non-English documents, irrelevant content, and non-academic sources were excluded from the study. The manuscripts included in the systematic review had a diverse range, including original research articles, case reports, letters to the editor, and editorials. Among the included studies, there were 9 original research articles, 1 case report, 23 letters to the editor, and 2 editorials. Most publications originated from the United States (18) and Australia (7). Analysis suggested concerns, such as inaccuracies, plagiarism, outdated knowledge, and lack of personalized advice. Various authors recommend using ChatGPT as a supplementary tool rather than a replacement for human decision-making in medicine. ChatGPT shows potential in plastic surgery research, concerns about inaccuracies and outdated knowledge may provide deceiving information and it always requires human input and verification.

EURAPS at 20 years. A brief history of European Plastic Surgery from the Société Européenne de Chirurgie Structive to the European Association of Plastic Surgeons (EURAPS)