Document Detail


Selecting aesthetic gynecologic procedures for plastic surgeons: a review of target methodology.
MedLine Citation:
PMID:  23381650     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The objective of this article was to assist cosmetic-plastic surgeons in selecting aesthetic cosmetic gynecologic-plastic surgical interventions.
METHODS: Target methodological analyses of pertinent evidence-based scientific papers and anecdotal information linked to surgical techniques for cosmetic-plastic female external genitalia were examined. A search of the existing literature from 1900 through June 2011 was performed by utilizing electronic and manual databases.
RESULTS: A total of 87 articles related to cosmetic-plastic gynecologic surgeries were identified in peer-review journals. Anecdotal information was identified in three sources (Barwijuk, Obstet Gynecol J 9(3):2178-2179, 2011; Benson, 5th annual congress on aesthetic vaginal surgery, Tucson, AZ, USA, November 14-15, 2010; Scheinberg, Obstet Gynecol J 9(3):2191, 2011). Among those articles on cosmetic-plastic gynecologic surgical technique that were reviewed, three articles met the criteria for evidence-based medicine level II, one article was level II-1 and two papers were level II-2. The remaining papers were classified as level III. The pertinent 25 papers met the inclusion criteria and were analyzed. There was no documentation on the safety and effectiveness of cosmetic-plastic gynecologic procedures in the scientific literature.
CONCLUSIONS: All published surgical interventions are not suitable for a cosmetic-plastic practice. The absence of documentation on safety and effectiveness related to cosmetic-plastic gynecologic procedures prevents the establishment of a standard of practice. Traditional gynecologic surgical procedures cannot be labeled and used as cosmetic-plastic procedures, it is a deceptive practice. Obtaining legal trademarks on traditional gynecologic procedures and creating a business model that tries to control clinical-scientific knowledge dissemination is unethical.
LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Authors:
Adam Ostrzenski
Publication Detail:
Type:  Journal Article; Review     Date:  2013-02-05
Journal Detail:
Title:  Aesthetic plastic surgery     Volume:  37     ISSN:  1432-5241     ISO Abbreviation:  Aesthetic Plast Surg     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-26     Completed Date:  2013-09-19     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  7701756     Medline TA:  Aesthetic Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-65     Citation Subset:  IM    
Affiliation:
Institute of Gynecology, Inc, 7001 Central Ave., St. Petersburg, FL 33710, USA. ao@baymedical.com
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MeSH Terms
Descriptor/Qualifier:
Female
Genital Neoplasms, Female / surgery
Gynecologic Surgical Procedures / methods*
Humans
Reconstructive Surgical Procedures / methods*
Recovery of Function
Surgery, Plastic / methods*
Surgical Flaps / blood supply*
Treatment Outcome
Vagina / surgery
Vulva / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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