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Related Experiment Videos

Microsurgery in private practice: is it feasible economically?

J W Wade1, J A Stephens, R F Bragham

  • 1Department of Surgery, Louisiana State University Medical Center, New Orleans, USA.

Annals of Plastic Surgery
|April 11, 2001
PubMed
Summary

Microsurgical free tissue transfer and replantations can be successfully performed in private practice. This study demonstrates the feasibility of maintaining a microsurgical practice outside traditional academic medical centers.

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Area of Science:

  • Microsurgery
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Microsurgical free tissue transfer and replantations are traditionally performed in academic and tertiary referral centers.
  • The practice of microsurgery has evolved with changes in the medical economic environment.

Purpose of the Study:

  • To evaluate the feasibility and practicality of maintaining a microsurgical practice in a private setting.
  • To analyze the authors' experience with over 350 consecutive free tissue transfers in a private practice over 15 years.

Main Methods:

  • Retrospective review of 350+ consecutive free tissue transfers performed over 15 years.
  • Analysis of outcomes and practice logistics in a private, non-academic setting.

Main Results:

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  • Successful completion of over 350 free tissue transfers in a private practice.
  • Demonstration of the viability of microsurgical services outside of academic institutions.

Conclusions:

  • Microsurgical free tissue transfer and replantation are practical and feasible in a purely private setting.
  • The authors' extensive experience supports the sustainability of private microsurgical practices.