Document Detail

Contradicting an established mantra: microsurgeon experience determines free flap outcome.
MedLine Citation:
PMID:  23018710     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Since the inception and popularization of microsurgery in the 1960s and 1970s, it has been commonly accepted that the outcome of free tissue transfer directly correlates with surgeon experience.
METHODS: The clinical outcomes of three young microsurgeons at a single institution were retrospectively reviewed. Free flaps performed by these individuals were categorized according to the surgeon's years of practice and analyzed using statistical methods.
RESULTS: A total of 410 free flaps were identified. No correlation was found between the surgeon's years of experience and the outcomes measured.
CONCLUSIONS: There has been increased exposure to microsurgery during plastic surgery training at many programs, and consequently, residents have often already surpassed the learning curve. The imperfect correlation between experience and superior outcomes in medicine serves to suggest that further research in the specific underlying principles of surgical learning is needed to understand the relationship between experience and superior surgical outcomes.
Peter Kreymerman; Anna L Silverman; Alanna M Rebecca; William J Casey
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  130     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-28     Completed Date:  2012-12-14     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  507e-512e     Citation Subset:  AIM; IM    
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MeSH Terms
Clinical Competence*
Cohort Studies
Education, Medical, Continuing / methods
Free Tissue Flaps / blood supply*
Graft Rejection
Graft Survival
Linear Models
Microsurgery / adverse effects,  methods*
Physician's Practice Patterns
Quality Control
Reconstructive Surgical Procedures / adverse effects,  methods*
Retrospective Studies
Comment In:
Plast Reconstr Surg. 2013 May;131(5):850e-1e   [PMID:  23629130 ]
Plast Reconstr Surg. 2013 May;131(5):850e   [PMID:  23629129 ]

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