Reviewer: Geoffrey Fenner, MD (Northwestern University Feinberg School of Medicine)
Description: This fifteenth volume provides a collection of articles representative of the basic science, technical, and problem solving fundamentals inherent to our field. The impetus to solve surgical problems is based upon an understanding of historical shortcomings, and the motivation to simulate form and function as a priority of the field. The editors have successfully identified current innovative topics which have promise for ongoing patient benefit and technical advance. They present a comfortable balance between current basic science, technology, and surgical technique.
Purpose: The purpose is to review and analyze current issues and topics within the field of plastic and reconstructive surgery.
Audience: Useful information is provided for residents and practitioners in plastic surgery. The editors and contributors are prominent investigators and recognized authorities.
Features: Cumulative evidence regarding the health impact of silicone breast implants is now available for definitive review. Birdsell, et al. summarize the history of the silicone breast implant crisis, and relate recent and exhaustive case reports and cohort studies with respect to autoimmune and connective tissue diseases. Associated frequencies of breast cancer, rheumatoid arthritis, SLE, Sjogren's, and local breast changes are reviewed. The chapter serves as an excellent guide for informed consent, with a detailed summarization of potential complications. There is also an analysis of the ongoing silicone breast implant controversy that serves as a basis for patient related discussions. Managed care has resulted in the implementation of ongoing restrictions in our daily practices. Dr. Reisman encourages us, as a specialty, to utilize our inherent, problem solving ingenuity in optimizing the outcome and process of our practices. In his chapter, he offers insight into contract negotiations and clauses, practice assessment, risk management, and practice administration. The terminology and anatomy of managed care entities is reviewed. The development and reliability of osseo-integration has broadened the reconstructive spectrum for major craniofacial, auricular, orbital, and nasal defects. Indications and technical perspectives are discussed. Prostheses enable easy oncologic surveillance, salvage of autogenous failures, and outstanding camouflage. Capability for osseo-integration requires formation of a working multidisciplinary team, established patient reliability, and available finances for potential prosthetic remakes. Ultrasonic liposuction has become an established and useful adjunct with specific indications. Dr. Gingrass presents a concise review of the physics, instrumentation, and surgical technique. The potential advantages of UAL over tumescent liposuction include less trauma and blood loss, high volume aspiration, less surgeon fatigue, and intrinsic feathering. Its greatest advantage is realized in fibrous regions, such as in the back, buttocks, and gynecomastia where fat is emulsified and aspirated amidst the supporting fibrous network. Dr. Gingrass provides an extensive clinical review and helps us to avoid the common technical pitfalls and complications. Laser hair removal has become a highly marketable alternative to electro-depilation or waxing with the potential advantage of permanence. Pulsed ruby red lasers damage the pigment rich hair shaft at the follicular level and are now equipped with "cooled heads" to avoid epidermal injury. The FDA has acknowledged a "permanent" effect at five years of follow-up. Drs. Danton and Turk discuss the technical options and inherent physics. Advances provides two chapters dedicated to basic science. Dr. Scheuerle reviews current developments within the field of medical genetics and embryology. Fertilization is reviewed from over the counter pregnancy tests to embryonic development, prenatal vitamins, and neural crest migration. Gene expression and inheritance patterns and how they relate to birth defects are discussed. An interesting review of the more common syndromes, sequences and associations, and their etiologies, are reviewed. This is followed by a eloquent description of the current techniques in molecular biology and their impact in surgical research. Drs. Chang, Bogdan, and Lineaweaver review the basic fundamentals inherent to this field. Dr. Furlow graces us with a sequential derivation of his technique of palatal repair. This historical excerpt inspires the young investigator by describing a logical solution founded upon basic plastic surgical techniques (i.e., z-plasty). He dedicates his contribution to the many who impacted his training and influenced his career and relates these interactions through a personal perspective. Micrografting for male pattern baldness has undergone steady advance with remarkable improvement in aesthetic outcome. Dr. James Vogel discusses his preoperative assessment, classification, and restoration protocol for a variety of hair deficiencies and patterns. Finally, an update on current options for skin replacement is provided by Klein, Chang, and Young. A variety of options for inciting wound healing of difficult wounds as well as burns is discussed.
Assessment: This edition provides an assessment of newly developed technology, a concise review of basic science integral to plastic surgery, advice on how to manage our practices into the 21st century, and an inspirational memoir. It portrays a periodic appraisal of our field. The editors should be congratulated on having provided both a reference and a yearbook. It represents a worthy benchmark to any plastic surgeon's library.
3 Stars from Doody
This book covers recent scientific and clinicaladvances in plastic surgery. It reflects the opinions of individualswho are at the forefront of particular advances. The purpose of thebook is to keep practicing plastic surgeons informed of recentdevelopments and current topics such as the breast implant controversyand fetal wound healing through a broad scope by an internationalgroup. This book is written for practitioners of plastic surgery. Bydefinition the book will make significant omissions of advances in thefield of plastic surgery, but this book discusses topics of particularinterest. The authors are all credible authorities. The illustrationsare black-and-white (60% photographs; 40% line drawings). Quality ofthe photos varies with several clinical cases missing late follow-upphotos. References are current and appropriate. The index is detailedand useful. The chapters are short, ""nuggetized"" into easilyassimilated paragraphs. The book is small and attractive. Clinicaltopics range from broad (facial reconstruction after cancer) to obscure(exophthalmos surgery). Basic science chapters on fetal wound healingand antimicrobial therapy and breast implant biosurfaces areincluded. The book desribes a wide range of recent advances in thefield of plastic surgery. This is a useful supplement for the surgeonwho is unable to keep up-to-date with the literature, but would like tobe updated on new developments in the field.
This book presents a broad spectrum of topicsrepresenting what the editorial board members believe are advances inplastic surgery. The purpose is to bring to the plastic surgerycommunity new and exciting topics that are reflective of the innovativeand accepted treatment methods recently evolved. This type of periodicreappraisal of our rapidly growing field is clearly a worthy endeavor. The book meets these objectives to an extent, although many areas ofadvancement are not mentioned. It is written for the practitioner. This particular volume targets multiple areas. All authors are trueauthorities in their areas of expertise, without question orexception. The book follows in the tradition of previous volumes inthe series, but the illustrations are an improvement over past volumes. The references are timely and valuable. As in its predecessors, thetopics in this volume are timely and well covered by authorities intheir fields. I wish some discussion of endoscopic-assisted procedureshad been included, although its absence does not detract from thisvolume. The book would make an excellent addition to a resident's orpractitioner's library as a timely overview to newer advances in ourrapidly growing field.