Harrison Bridget, Khansa Ibrahim, Janis Jeffrey E
Dallas, Texas; and Columbus, Ohio From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Department of Plastic Surgery, The Ohio State University Wexner Medical Center.
Plast Reconstr Surg. 2016 Jan;137(1):351-360. doi: 10.1097/PRS.0000000000001882.
Reconstructive plastic surgery is vital in assisting patients with reintegration into society after events such as tumor extirpation, trauma, or infection have left them with a deficit of normal tissue. Apart from performing a technically sound operation, the plastic surgeon must stack the odds in the favor of the patient by optimizing them before and after surgery. The surgeon must look beyond the wound, at the entire patient, and apply fundamental principles of patient optimization. This article reviews the evidence behind the principles of patient optimization that are commonly used in reconstructive surgery patients.
重建整形外科对于帮助经历肿瘤切除、创伤或感染等事件后正常组织出现缺损的患者重新融入社会至关重要。除了进行技术上完善的手术外,整形外科医生还必须通过在手术前后对患者进行优化,使情况对患者有利。外科医生必须超越伤口本身,关注整个患者,并应用患者优化的基本原则。本文回顾了重建手术患者常用的患者优化原则背后的证据。