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意外的纪念品:整形手术旅游期间遗留异物的病例报告

Unintended Souvenirs: Case Report of a Retained Foreign Body During Cosmetic Surgery Tourism.

作者信息

Shaffrey Ellen C, Larson Jeffrey D

出版信息

Aesthet Surg J Open Forum. 2024 Aug 29;6:ojae070. doi: 10.1093/asjof/ojae070. eCollection 2024.

DOI:10.1093/asjof/ojae070
PMID:39421580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11483479/
Abstract

Medical tourism has grown exponentially, spurred by incentives such as cost reductions, minimal wait times, and the allure of recuperative vacations. However, this trend carries substantial risks, as illustrated by the case of a 52-year-old female patient who underwent an abdominoplasty as part of a medical tourism package in Miami, FL, which resulted in a retained foreign body. The case highlights the broader issues of continuity of care, patient safety, and the legal and ethical ramifications faced by patients opting for medical tourism surgical procedures domestically and abroad. It also emphasizes the need for updated standards from professional societies and international cooperation to safeguard patient well-being in the expanding medical tourism sector. Lastly, it underscores the need for physicians and surgeons who manage these complications at home to recognize that prompt management and intervention are critical to avoid the escalation of complications and the increased risk of morbidity and mortality.

摘要

医疗旅游呈指数级增长,其受到成本降低、等待时间短以及疗养度假的吸引力等因素的推动。然而,这种趋势存在重大风险,比如一名52岁女性患者的案例,她在佛罗里达州迈阿密接受了腹部整形手术,这是其医疗旅游套餐的一部分,结果体内遗留了异物。该案例凸显了更广泛的护理连续性、患者安全问题,以及国内外选择医疗旅游手术的患者所面临的法律和伦理后果。它还强调专业协会需要更新标准以及开展国际合作,以在不断扩大的医疗旅游领域保障患者福祉。最后,它强调国内处理这些并发症的内科医生和外科医生需要认识到,及时处理和干预对于避免并发症升级以及降低发病和死亡风险至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/61a0908d1fde/ojae070f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/795e98ca772d/ojae070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/88d1ec21972e/ojae070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/61a0908d1fde/ojae070f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/795e98ca772d/ojae070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/88d1ec21972e/ojae070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e392/11483479/61a0908d1fde/ojae070f3.jpg

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本文引用的文献

1
Plastic Surgery Tourism: Complications, Costs, and Unnecessary Spending?整形手术旅游:并发症、成本与不必要的开支?
Aesthet Surg J Open Forum. 2023 Dec 21;6:ojad113. doi: 10.1093/asjof/ojad113. eCollection 2024.
2
Complications of Aesthetic Surgical Tourism Treated in the USA: A Systematic Review.美国治疗美容手术旅游并发症的系统评价。
Aesthetic Plast Surg. 2023 Feb;47(1):455-464. doi: 10.1007/s00266-022-03041-z. Epub 2022 Oct 31.
3
Why Do Canadians Travel Abroad for Cosmetic Surgery? A Qualitative Analysis on Motivations for Cosmetic Surgery Tourism.
为什么加拿大人出国进行整容手术?对整容手术旅游动机的定性分析。
Plast Surg (Oakv). 2022 Nov;30(4):353-359. doi: 10.1177/22925503211019607. Epub 2021 May 28.
4
Outbound medical tourists: The interplay of perceived quality, length of stay, group-size, post-visit destination image and revisit intention.出境医疗游客:感知质量、停留时间、团队规模、访问后目的地形象和重游意向的相互作用。
PLoS One. 2022 May 10;17(5):e0267755. doi: 10.1371/journal.pone.0267755. eCollection 2022.
5
The Ever-Present Costs of Cosmetic Surgery Tourism: A 5-Year Observational Study.美容手术旅游的永久代价:一项为期 5 年的观察性研究。
Aesthetic Plast Surg. 2021 Aug;45(4):1912-1919. doi: 10.1007/s00266-021-02183-w. Epub 2021 Feb 24.
6
Complications of Cosmetic Surgery Tourism: Case Series and Cost Analysis.美容手术旅游的并发症:病例系列和成本分析。
Aesthet Surg J. 2021 Apr 12;41(5):627-634. doi: 10.1093/asj/sjaa092.
7
The Price of Medical Tourism: The Legal Implications of Surgery Abroad.医疗旅游的代价:海外手术的法律影响
Plast Reconstr Surg. 2018 Oct;142(4):1075-1080. doi: 10.1097/PRS.0000000000004816.
8
Nontuberculous mycobacteria infection risk in medical tourism.医疗旅游中的非结核分枝杆菌感染风险
JAAPA. 2018 Aug;31(8):45-47. doi: 10.1097/01.JAA.0000541484.62234.7f.
9
Medical Tourists: Incoming and Outgoing.医疗游客:入境与出境
Am J Med. 2019 Jan;132(1):9-10. doi: 10.1016/j.amjmed.2018.06.022. Epub 2018 Aug 11.
10
Plastic Surgery Complications from Medical Tourism Treated in a U.S. Academic Medical Center.美国学术医疗中心治疗的医疗旅游引发的整形手术并发症。
Plast Reconstr Surg. 2018 Apr;141(4):517e-523e. doi: 10.1097/PRS.0000000000004214.