Reconstructive plastic surgery is vital in assisting patients with reintegration into society after events such as tumor extirpation, trauma, or infection have left them with a deficit of normal tissue. Apart from performing a technically sound operation, the plastic surgeon must stack the odds in the favor of the patient by optimizing them before and after surgery. The surgeon must look beyond the wound, at the entire patient, and apply fundamental principles of patient optimization. This article reviews the evidence behind the principles of patient optimization that are commonly used in reconstructive surgery patients.
Dallas, Texas; and Columbus, Ohio
From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Department of Plastic Surgery, The Ohio State University Wexner Medical Center.
Republished from Plast Reconstr Surg. 137:351–360, 2016.
Received for publication February 10, 2015; accepted August 24, 2015.
Disclosure:Dr. Janis is a consultant for LifeCell, has received a prior honorarium from Pacira and Bard, and receives royalties from Quality Medical Publishing/CRC Press. Dr. Khansa and Dr. Harrison have no relevant financial disclosures.
Jeffrey E. Janis, M.D., 915 Olentangy River Road, Suite 2100, Columbus, Ohio 43212, firstname.lastname@example.org