Intraoperative Consultations of Plastic Surgeons

During an Intraoperative consultation, plastic surgeons must take into consideration several issues:

1. Patients must have a clear understanding of their surgeon’s role during surgery.
2. Patients and surgeons must understand differences in resident involvement during cosmetic and reconstructive surgery.
3. It is important to understand the importance of a preexisting primary surgeon-patient relationship.

A resident cosmetic clinic can be a boon for any plastic surgery program. It is a way to give residents the experience they need to provide high-quality, safe care. Having a resident cosmetic clinic is also a way to meet the educational requirements of the ACGME.

There are several different types of resident cosmetic clinics. The most common type involves a small number of highly-qualified residents who are paid for their services per-service basis. Some resident cosmetic clinics are designed to care for losing weight patients. These patients are typically in the early stages of a weight loss regimen and do not need to undergo a surgical procedure to achieve their weight loss goals. Our study’s most notable complication was a hematoma requiring IV antibiotics. Another was an infection that required an infusion of intravenous antibiotics. Other complications were minor, requiring no more than a few minutes of the resident’s time.

The diagnostic performance of the telepathology system was 100% specificity and 65% sensitivity. It was used in the diagnosis of 3078 frozen section specimens. The most common cases evaluated were breast sentinel lymph nodes and gynaecological and urological pathology. The cost savings are difficult to assess. They are related to the saved time of medical and technical personnel. However, these savings can be considered in the overall benefits of telepathology.

Several studies have demonstrated the advantages of telepathology in intraoperative consultations with plastic surgeons. A descriptive synthesis of the data obtained highlights the main challenges and benefits achieved in this context. A digital pathology network was implemented in South Tyrol, a northern Italian province, in 2010. Pathologists in the hub hospital connected to D-Sight consoles installed in spoke hospitals evaluated rapidly processed slides. During the teleconference, the pathologist could zoom up to 400x magnification and navigate the descent.

Using the Hazard and Stevenson technique of preparing tissue for pathology examination, fresh specimens were heated to a boiling point and placed in a fixative ten times their volume. The tissue was then frozen using frozen aerosol sprays to form a hard matrix. The tissue was then fixed and placed in a static block to be examined under a microscope. The use of frozen sections during intraoperative consultations has increased over the years. In addition, the technology of preparing tissue for pathology examination has greatly improved.

A frozen section is valuable for evaluating operative margins in head and neck carcinomas. Frozen section analysis provides critical information that can help surgeons make immediate surgical management decisions. However, there are potential limitations to this technique. These limitations are discussed in this article. The frozen section analysis introduces several artefacts that can compromise the definitive diagnosis. These artefacts are caused by the sample’s compression and the tissue’s freezing during the slide’s preparation. It is, therefore, important to determine the optimal level of sampling.