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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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Updated: Mar 27, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Evidence-Based Plastic Surgery: Its Rise, Importance, and a Practical Guide.

Riaz A Agha1, Dennis P Orgill1

  • 1Dr Agha is a Specialty Registrar, Department of Plastic Surgery, Guy's and St. Thomas' NHS Foundation Trust and Doctoral Candidate, Balliol College, University of Oxford, United Kingdom. Dr Orgill is a Professor of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

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Summary

Evidence-based medicine (EBM) offers a solution to healthcare challenges by prioritizing cost-effective treatments with superior patient outcomes. This approach is crucial for navigating modern healthcare complexities and fiscal constraints.

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Area of Science:

  • Healthcare Management
  • Medical Economics
  • Evidence-Based Practice

Background:

  • Healthcare faces increasing complexity and patient demands amid financial limitations.
  • Evidence-based medicine (EBM) presents a strategic approach to address these challenges.
  • The article explores the rise and application of EBM in plastic surgery.

Observation:

  • EBM emphasizes clinical pathways that optimize patient outcomes while minimizing relative costs.
  • This methodology is vital for sustainable healthcare delivery in the 21st century.
  • The current healthcare climate necessitates efficient and effective treatment strategies.

Findings:

  • The article details the historical development and significance of EBM.
  • It provides a practical guide for implementing EBM principles.
  • The future trajectory of EBM within plastic, reconstructive, and aesthetic surgery is discussed.

Implications:

  • Adoption of EBM can lead to improved patient care and resource allocation in surgery.
  • Understanding EBM is essential for plastic surgeons to enhance practice efficiency.
  • EBM integration promises to enhance the value and effectiveness of plastic surgery services.