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Microsurgery and the community-based plastic surgeon.

Clinics in Plastic Surgery

|January 1, 1983

Summary

This summary is machine-generated.

Plastic surgeons trained after 1974 widely use microscopes for nerve repair and vessel repair. Microsurgical techniques like replantation and free flaps define community versus university practice boundaries.

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Area of Science:

Microsurgery
Plastic Surgery
Surgical Training

Background:

Microscope utilization in surgical training has evolved significantly since 1974.
Community-based plastic surgeons' practice patterns differ from university-based surgeons, particularly concerning advanced microsurgical procedures.

Purpose of the Study:

To investigate the adoption and utilization of microsurgical techniques and equipment among plastic surgeons.
To understand the evolving scope of practice for community-based plastic surgeons in relation to university-based centers.

Main Methods:

Survey of plastic surgeons regarding their training dates, use of microscopes and loupes, and types of procedures performed.
Analysis of trends in microsurgical procedure frequency based on years of practice.

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Main Results:

The majority of surgeons trained since 1974 use microscopes for nerve repair and vessel repair.
Surgeons trained before 1975 were less likely to use microscopes or loupes.
Replantation and free flap procedures are more common early in practice and often involve collaboration with university microsurgeons.

Conclusions:

Microscope use for nerve repair is standard for surgeons trained post-1974.
The scope of community plastic surgery practice is influenced by the availability of university-based microsurgical support.
Loupe usage is nearly universal among surgeons trained after 1978.