Barriers and Facilitators for Setting Upper Limb Reconstruction Services.

Authors

  • Luigi Troisi, MD, PhD, FEBOPRAS Reconstructive Microsurgery Service, University Department of Hand Surgery & Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group Milan, Italy. School of Specialization in Plastic and Hand Surgery, Milan University, Italy |School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Italy
  • Juan Enrique Berner MD, MSc, FRCS(Plast) FEBOPRAS Queen Victoria Hospital. East Grinstead, United Kingdom|Kellogg College, University of Oxford. Oxford, United Kingdom.
  • Macarena Vizcay, MD Reconstructive Microsurgery Service, University Department of Hand Surgery & Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group Milan, Italy. School of Specialization in Plastic and Hand Surgery, Milan University, Italy |School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Italy
  • Georgio Eugenio Pajardi, MD Reconstructive Microsurgery Service, University Department of Hand Surgery & Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group Milan, Italy. School of Specialization in Plastic and Hand Surgery, Milan University, Italy |School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Italy

DOI:

https://doi.org/10.38179/ijcr.v3i1.215

Abstract

Microsurgical limb reconstruction is a complex surgical technique that aims to preserve an extremity that has been affected by acquired conditions, such as trauma or cancer. It involves the transfer of free tissue flaps, which are micro-surgically revascularized in the recipient site to reconstruct a variety of defects. This can be not only technically demanding for the surgeon leading this type of procedure but also requires a well-set-up perioperative team and service. This article aims to present the experience of the first author setting up a new microsurgical service.

 

References

Pederson WC, Grome L. Microsurgical Reconstruction of the Lower Extremity. Semin Plast Surg. 2019;33(1):54-58. PMID: 30863213. https://doi.org/10.1055%2Fs-0039-1677878

Berner JE, Ewertz E. The importance of non-technical skills in modern surgical practice. Importancia de las habilidades no técnicas en la práctica quirúrgica actual. Cir Esp (Engl Ed). 2019;97(4):190-195. PMID: 30771999. https://doi.org/10.1016/j.ciresp.2018.12.007

Chapman TW, Arnez T, Arnez ZM. Creating a new microsurgical service. J Plast Reconstr Aesthet Surg. 2012;65(3):411-412. PMID: 21925987. https://doi.org/10.1016/j.bjps.2011.08.035

Nanchahal J, Nayagam S, Khan U, et al. Standards for the Management of Open Fractures of the Lower Limb. 1° ed. London: British Association of Plastic, Reconstructive and Aesthetic Surgeons; 2009.

Berner JE, Gokani V, Savage J, Blackburn A. Repeated never events in plastic surgery: Can human factors help us understand why we fail?. J Plast Reconstr Aesthet Surg. 2020;73(1):184-199. PMID: 31213397. https://doi.org/10.1016/j.bjps.2019.05.048

McCulloch, P., Catchpole, K. A three-dimensional model of error and safety in surgical health care microsystems. Rationale, development and initial testing. BMC Surg 11, 23 (2011). https://doi.org/10.1186/1471-2482-11-23

Carayon P, Smith MJ. Work organization and ergonomics. AppErgon. 2000;31(6):649-662. PMID: 11132049. https://doi.org/10.1016/s0003-6870(00)00040-5

Pendleton D, Furnham A. Leadership : All You Need To Know. 2nd Editio. Palgrave Mcmillan; 2016.

Townley WA, Urbanska C, et al. Costs and coding free-flap reconstruction in lower-limb trauma. Injury. 2011;42(4):381-384. https://doi.org/10.1016/j.injury.2010.10.006

Briggs T. A national review of adult elective orthopaedic services in England: GETTING IT RIGHT FIRST TIME. Br Orthop Assoc. 2015;(March):68. https://www.boa.ac.uk/wp-content/uploads/2015/03/GIRFT-National-Report-Mar15..pdf.

Barriers and Facilitators for Setting Upper Limb Reconstruction Services

Published

2022-07-30

How to Cite

Troisi, L., Berner, J. E. ., Vizcay, M., & Pajardi, G. E. (2022). Barriers and Facilitators for Setting Upper Limb Reconstruction Services. International Journal of Clinical Research, 3(1), 78-81. https://doi.org/10.38179/ijcr.v3i1.215

Issue

Vol. 3 No. 1 (2023): Volume 3, Issue 1

Section

Articles

Copyright (c) 2022 International Journal of Clinical Research

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.