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The factitious wound: plastic surgeon beware
1Plastic Surgery Associates of Redding, Mercy Medical Center, CA, USA.
Plastic surgeons often manage difficult wounds, encountering patients with factitious wounds due to psychological issues or secondary gain. Early recognition is crucial for appropriate patient care and surgical outcomes.
Area of Science:
- Plastic Surgery
- Psychiatry
- Wound Management
Background:
- Plastic surgeons manage complex chronic wounds, often after other treatments fail.
- This patient population may include individuals feigning, producing, or perpetuating wounds.
Observation:
- Presents three cases of factitious wounds encountered in a plastic surgery practice.
- Analyzes these cases within the existing medical literature on factitious disorders.
Findings:
- Factitious wounds share common features among affected patients.
- Highlights the underrepresentation of this condition in surgical literature.
Implications:
- Emphasizes the need for increased awareness of factitious wounds in surgical settings.
- Addresses the economic, social, and potential legal ramifications of undiagnosed cases.
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