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  • Dr. Carlos Chacon

Consultations of Plastic Surgeons During Operations

Plastic surgeons must examine a variety of factors during intraoperative consultation. To begin, patients must understand their surgeon's responsibilities during surgery. Second, patients and surgeons must understand resident engagement distinctions during cosmetic and reconstructive surgery. Finally, it is critical to recognize the significance of an established main surgeon-patient connection. A resident cosmetic clinic may be extremely beneficial to any plastic surgery program. It is a method of providing residents with the experience they need to offer high-quality, safe care. A resident cosmetic clinic also helps you satisfy the ACGME's educational requirements.


There are several sorts of resident cosmetic clinics. Most typically involve a limited group of highly qualified residents who are paid per service. Some resident cosmetic clinics specialize in treating people trying to lose weight. These individuals are often in the early phases of a weight-reduction plan and do not require surgical treatment to meet their weight-loss objectives. Our research's most serious consequence was a hematoma requiring IV antibiotics. Another instance was an illness that necessitated an intravenous antibiotic injection. Other issues were trivial, taking only a few minutes of the resident's attention.


Several studies have proved the benefits of telepathology in plastic surgeons' intraoperative consultations. A descriptive synthesis of the data acquired is provided to emphasize the key obstacles and gains accomplished in this setting. In 2010, a digital pathology network was established in South Tyrol, a northern Italian region. Pathologists in the hub hospital used D-Sight consoles deployed in spoke hospitals to analyze swiftly produced slides. The pathologist might zoom up to 400x magnification and traverse the decline during the call.


The telepathology system has a diagnosis performance of 100% specificity and 65% sensitivity. It was used for 3078 frozen section specimens for diagnosis. The most frequently assessed patients were breast sentinel lymph nodes, gynaecological pathology, and urological pathology. Cost reductions are tough to quantify. They are associated with the time saved by medical and technical professionals. These savings, however, can be included in the total benefits of telepathology.


Fresh specimens were heated to a boiling temperature and deposited in a fixative ten times their volume using the Hazard and Stevenson procedure of preparing tissue for pathological analysis. The tissue was frozen using frozen aerosol sprays to generate a rigid matrix. After that, the tissue was fixed and put in a fixed block for examination under a microscope. Over time, the usage of frozen portions during intraoperative consultations has expanded. Furthermore, tissue preparation technology for pathological evaluation has advanced significantly.


The frozen section is important for assessing surgical margins in head and neck carcinomas. The study of frozen sections gives vital information that can assist surgeons in making rapid surgical treatment decisions. This approach, however, may have certain limits. This article discusses these limitations. Frozen section analysis presents several artefacts that might jeopardize the final diagnosis. These artefacts are created by the compression of the sample and freezing of the tissue during slide preparation. As a result, determining the ideal level of sampling is critical.

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