🗞 Botox for Finger Replants?

Apr 25, 2021 5 min read
🗞 Botox for Finger Replants?

thePlasticsPaper is delivered to your inbox every Sunday. As Plastic Surgeons, we often don't have time to sit down and read all the developments during the week. This weekly newsletter brings you the highlights of evidence-based content in a concise and digestible format. Happy reading :)

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In this Edition

  1. A Note from P'Fella on Earth Day
  2. How many new users in the last 30 days?
  3. Botox for Finger Replants?
  4. Upcoming Events


✍️

A Note from P'Fella

Did you know, last Thursday was Earth Day?

As Plastic surgeons, it's not really in our radar. That is, the impact our job can have on the environment. Overall, our understanding is limited.

There are some articles on the environmental impact of plastic surgery, but only a few. The theme of the literature appears to focus on 3 areas - here are the take-away points:

1. Carbon Neutrality

To achieve carbon neutrality, each year the following amount of woodlands are needed to sequester:

  • 10m-squared for rhinoplasty
  • 10m-squared for augmentation
  • 14m-squared for abdominoplasty

Measuring the carbon footprint of plastic surgery: A preliminary experience in a Chilean teaching hospital
Global warming is an ongoing phenomenon defined by a steady increase in the Earthtemperature. Even though still controversial, evidence suggests that human activitycould have an impact on this process by the emission of the so-called greenhouse gases.

2. Practical Tips

4 steps to reduce your footprint

  • Don't mix “safe" & “soiled” waste (burns 20% more energy)
  • 3-min scrub uses ~20L water
  • Avoid single-use instrument
  • Educate costs to reduce waste

Four Ways Plastic Surgeons Can Fight Climate Change : Plastic and Reconstructive Surgery – Global Open
ic surgeons might positively affect the environment through action in the operating room.Results: Several evidence-based, pro-climate practices may be undertaken by plastic surgeons. These strategies may be grouped into 4 types: material, energy, technique, and dissemination. Each strategy is a wa…

3. Overall Awareness

Slowly over time, awareness increased. But it's been slow. 12 years ago, @TheGardianNews asked: Can cosmetic surgery be green?

Lucy Siegle on eco-friendly cosmetic surgery
From human fat-fuelled cars to ‘natural’ breast implants, one end of the beauty industry is certainly flirting with sustainability, says Lucy Siegle

The answer is still no.  

What are your thoughts on plastic surgery and the environment? We asked this on Twitter. The results were promising.


📈

Has TPF grown in the last 30 days?

Absolutely. Thanks to you.

It's been 30 days since the launch of thePlasticsFella 3.0. Time flies right??

Here are some cool stats from the last 30 days:

  • 6604 mins of teaching
  • 4520 active users
  • 630 thePlasticsPaper readers
  • 91 countries
  • 8 new author requests

thePlasticsFella.com is obviosuly still a small platform, compared to the goliaths of Radiopedia and Orthobullets. But P'Fella is always amazed by the support and incredbiyl excited for next 30 days.

Thank you to everyone supporting the platform.

If you wondering where all this new traffic comes from, here is a breakdown of top sources.

Top 5 Referrals

Probably the only interesting aspect to this is, people use Bing?!?!

This type of "Big Data" allows analysis of online learning habits to improve your experience (& maybe a future big research paper). But privacy is so important.  

Thats why P’Fella uses @PlausibleHQ. Totally anonymous data. No cookies. No tracking. (unlike @googleanalytics)


💉

Botox for Replants?

This article caught P'Fella by surprise. But it is a pretty interesting read. The authors suggest that injections of botox into an ischaemic hand increases the salvage rate. Admittedly, the numbers are quite small (5 patients in one cohort, 6 in the other) - but still it's relatively novel and one which should be researched further.

Here is a link to the article:

Botulinum Toxin A Salvage of Ischemic Hand Trauma - PubMed
Posttraumatic hand injuries from crush injury, infusion, or iatrogenic vascular cannulation can cause ischemic finger damage that can progress to necrosis and digital amputation. Botulinum toxin type A (Botox) improves blood flow in chronic vasospastic disorders of the hand. Botox’s efficacy in salv…

But with anything new, it's important to do your due diligence. That's why this letter to the editor in response to the article is a great read.

Authors: Levet, Paul M.D.; Mayoly, Alice M.D.; Legré, Régis M.D., Ph.D.; Kachouh, Najib M.D.; Jaloux, Charlotte M.D

The idea is novel and could mean next day operating instead of operating at 2am. But, perhaps high quality of evidence is required first before mainstream adoption. Watch this space!


🎭

Upcoming Events

Measuring and Selecting the Optimal Implant in Breast Reconstruction

Mr Ben Chew (Consultant Plastic Surgeon) from the Canniesburn Plastic Surgery Unit discusses his extensive experience in Implant Based Breast Reconstruction

Apr 26, 2021 08:00 PM

Welcome! You are invited to join a webinar: Measuring and Selecting the Optimal Implant in Breast Reconstruction. After registering, you will receive a confirmation email about joining the webinar.
Mr Ben Chew (Consultant Plastic Surgeon) from the Canniesburn Plastic Surgery Unit discusses his extensive experience in Implant Based Breast Reconstruction

Advances in Replantation: Revisiting Conventional Wisdom

Stoke Mandeville Plastic Surgery Webinar Series

Speaker: Baubak Safa, Hand and Reconstructive Microsurgeon, Buncke Clinic

Apr 27, 2021 08:00 PM

Welcome! You are invited to join a webinar: Advances in Replantation: Revisiting Conventional Wisdom. After registering, you will receive a confirmation email about joining the webinar.
Stoke Mandeville Plastic Surgery Webinar Series Speaker: Baubak SafaHand and Reconstructive MicrosurgeonBuncke ClinicUSA

Facial palsy with Temporalis Myoplasty.

Friday 9:45 pm BST.

Join our Cloud HD Video Meeting
Zoom is the leader in modern enterprise video communications, with an easy, reliable cloud platform for video and audio conferencing, chat, and webinars across mobile, desktop, and room systems. Zoom Rooms is the original software-based conference room solution used around the world in board, confer…


You're now up-to-date from the week! :)



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