TY - CHAP M1 - Book, Section TI - Plastic and Reconstructive Surgery A1 - Chandawarkar, Rajiv Y. A1 - Miller, Michael J. A1 - Kellogg, Brian C. A1 - Schulz, Steven A. A1 - Valerio, Ian L. A1 - Kirschner, Richard E. A2 - Brunicardi, F. Charles A2 - Andersen, Dana K. A2 - Billiar, Timothy R. A2 - Dunn, David L. A2 - Kao, Lillian S. A2 - Hunter, John G. A2 - Matthews, Jeffrey B. A2 - Pollock, Raphael E. PY - 2019 T2 - Schwartz's Principles of Surgery, 11e AB - Key Points It is critical to understand the physiologic basis and rationale of wound healing in order to further assimilate surgical and nonsurgical care of wounds and methods of wound care. Understanding the reconstructive choices in tissue repair cases is critical for any surgeon. The principles of soft tissue and skin repair are important for the reconstruction of defects, whether in a trauma situation of after excision of lesions. Children with cleft and craniofacial differences have complex medical, surgical, and social needs. Coordinated, interdisciplinary team care is crucial to success. Robin sequence, characterized by micrognathia, glossoptosis, and airway obstruction, can be managed with prone positioning, tongue-lip adhesion, mandibular distraction osteogenesis, or tracheostomy. The first-line treatment for high-risk hemangiomas is oral propranolol, which can induce rapid involution and has a more favorable side effect profile than systemic steroids. The coordination of care for patients in a trauma department is an important part of a surgeon’s role, whether that role be as a trauma emergency department surgeon or a surgeon in practice. The careful evaluation of a patient in a polytrauma involves a thorough assessment of internal and soft tissue injuries, planning of care, and the appropriate triage of reconstructive procedures. As a leader in a trauma bay of the trauma service, the surgeon typically assumes a captain’s role in decision-making. Principles of oncologic reconstruction have evolved significantly, and a deeper understanding of these reconstructive choices is essential for a surgeon who is often the first point of contact for cancer patients and responsible for making critical referrals. The combined work of general surgeons and reconstructive plastic surgeons has revolutionized the care of abdominal wall defects, including ventral hernias, repair after tumor ablation, and bariatric surgery. Any critical care unit or a medical surgical team that takes care of debilitated patients needs a detailed understanding of pressure sores, including their etiology and the reconstructive options that are available to these patients. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1175960500 ER -