Use of suturing as a measure of technical competence.


:There is an ongoing demand for surgeons to demonstrate that they can operate well, maintain their performance, and deliver acceptable results. Currently, surgeons are assessed by a series of subjective and peer-reviewed interviews, but at no stage is the objective assessment of surgical competence measured. The authors have introduced an objective test of suturing skill as one of an array of tests used to assess technical ability. A range of surgeons with differing surgical skill was tested. The candidates were asked to suture a 4-cm wound on a latex skin pad. They were videotaped during the procedure and were scored by four independent observers using the Objective Structured Assessment of Technical Skill scoring system. Their movements were also monitored using an electromagnetic tracking system. Forty-three plastic surgeons and 46 general surgeons were divided into four groups, depending on grade, and were assessed. The difference in scores among the plastic surgeons gave a value of p < 0.001, whereas the general surgeons gave a value of p = 0.001. However, when similar grade but different specialties were compared, plastic surgeons scored significantly higher (down to senior house officer [resident year 1-2] level; mean p value = 0.019). Interrater reliability was also high (Cronbach alpha = 0.89). This task has shown that technical ability can be assessed objectively. The task has also been shown to exhibit face, construct, and concurrent validity. This has important implications for the future of surgical training in that it allows one to identify whether the fundamentals of surgical technique have been passed on to the trainee and to monitor their progress continually. It also may be used in revalidation of surgeons.


Ann Plast Surg


Khan MS,Bann SD,Darzi A,Butler PE




Has Abstract


2003-03-01 00:00:00


304-8; discussion 308-9












  • Skeletal distraction of the hypoplastic mandible.

    abstract::Six patients underwent percutaneous pin placement, 17 intraoral corticotomies, and application of an Orthofix lengthening device to facilitate complex multiplanar distraction as mandated by the patient's specific deformity. The patients underwent gradual bony and soft-tissue distraction at the rate of .25 mm four time...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Pensler JM,Goldberg DP,Lindell B,Carroll NC

    更新日期:1995-02-01 00:00:00

  • Management of the primary varicose veins with venous ulceration with assistance of endoscopic surgery.

    abstract::Two hundred sixty-two cases of primary varicose veins in which the lesions extended to the areas of the lower third of the leg and/or the ankle were treated with the assistance of endoscopic surgery. The conditions of varicose veins were classified by the reporting standards in venous disease. The number of cases in l...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Lin SD,Cheng KH,Lin TM,Chang KP,Lee SS,Sun IF,Wang WH,Lai CS

    更新日期:2006-03-01 00:00:00

  • Infection following cranial bone grafting--a need for caution?

    abstract::A case of delayed infection following the use of split-cranial bone graft is presented. Trauma and bacterial contamination of the donor area six months before harvest were the likely causes. We advise caution and the use of alternate donor sites in cases where a history of previous contaminating trauma exists, even if...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Lewis VL Jr,Cook JQ,Bailey MH

    更新日期:1990-03-01 00:00:00

  • Adherence of microorganisms to breast prostheses: an in vitro study.

    abstract::The quantitative and morphological characteristics of microbial adherence of four organisms--Staphylococcus epidermidis, S. aureus, Escherichia coli and Candida albicans--to the surfaces of different breast prostheses were observed. Semiquantitative adherence studies based on a modification of Maki's roll culture tech...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Sanger JR,Sheth NK,Franson TR

    更新日期:1989-04-01 00:00:00

  • Effectiveness of silicone sheets in the prevention of hypertrophic breast scars.

    abstract::A clinical study was designed in which 20 women who were to undergo bilateral McKissock reduction mammaplasties were requested to use a precut silicone elastomer sheet over the scars of one breast, starting at the time of suture removal. The patients were instructed to use the silicone sheet for 12 hours each day for ...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章


    authors: Cruz-Korchin NI

    更新日期:1996-10-01 00:00:00

  • Re-emergence of port wine stains following treatment with flashlamp-pumped dye laser 585 nm.

    abstract::Despite the advances in laser treatment of port wine stains (PWS), re-emergence of these lesions still occurs. We carried out a retrospective audit of all children that received laser treatment of PWS between 1997 and 2000 using the flashlamp-pumped dye laser with a 585-nm wavelength. Out of 110 patients treated, 15 r...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Soueid A,Waters R

    更新日期:2006-09-01 00:00:00

  • Preventing Breast Implant Contamination in Breast Reconstruction: A National Survey of Current Practice.

    abstract:BACKGROUND:Implant-based breast reconstruction is commonly performed by plastic surgeons worldwide. Bacterial contamination is of paramount concern because of its role in biofilm formation and capsular contracture. Plastic surgeons have adopted a variety of perioperative interventions in efforts to reduce implant conta...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Gowda AU,Chopra K,Brown EN,Slezak S,Rasko Y

    更新日期:2017-02-01 00:00:00

  • An alternative model of vascularized bone marrow transplant: partial femur transplantation.

    abstract::The vascularized whole femur transplantation model is one of the commonly used vascularized bone marrow transplant models. It involves technical complexity and morbidities. To optimize this model, we took 2/3 femur as the carrier of bone marrow cells, and developed a vascularized partial femur model. Four experimental...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Chen JW,Chen C,Su YJ,Yan L,Wang SP,Guo SZ

    更新日期:2014-12-01 00:00:00

  • Obstetric brachial plexus injury in subsequent deliveries.

    abstract::It is well known that multiparas who had previously been delivered of newborns with obstetric brachial plexus palsy are at risk of having the same complication in subsequent deliveries. However, none of the studies in the literature have actually attempted to estimate how high is that risk. The aims of the current pap...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: al-Qattan MM,al-Kharfy TM

    更新日期:1996-11-01 00:00:00

  • A new technique for correction of simple congenital earlobe clefts: diametric hinge flaps method.

    abstract:BACKGROUND:The earlobe plays an important part in the aesthetic appearance of the auricle. Congenital cleft earlobe may vary considerably in severity from a simple notching to extensive tissue deficiency. Most patients with cleft earlobe require surgical correction because of abnormal appearance. In this article, a new...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Qing Y,Cen Y,Xu X,Chen J

    更新日期:2013-06-01 00:00:00

  • Acquired digital fibrokeratoma: a case report.

    abstract::Acquired digital fibrokeratomas are benign, rare tumors that develop most commonly on the fingers. They can have an appearance of a rudimentary supernumerary digit or be misdiagnosed as a more common condition, such as verruca vulgaris. There are no case reports described in the plastic surgery literature. We are repo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Yu D,Morgan RF

    更新日期:2015-03-01 00:00:00

  • A rationale for the treatment of difficult basal cell and squamous cell carcinomas of the skin.

    abstract::During a 56-month period, 1,348 patients with either basal cell or squamous cell carcinoma of the skin underwent microscopically controlled excision (Mohs' fresh-tissue technique) by a dermatologic surgeon. Of these 1,348 patients, 394 required various types of wound reconstruction by a plastic surgeon. The average di...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Riefkohl R,Pollack S,Georgiade GS

    更新日期:1985-08-01 00:00:00

  • Fibroblast variability in photoaged and nonphotoaged facelift skin.

    abstract::Pre- and postauricular skin was harvested from 25 facelift patients to study fibroblast replicative ability (RA). In tissue cultures, considerable heterogeneity was found in the ability of facial skin fibroblasts to replicate, both from patient to patient, and in the relationship of preauricular and postauricular skin...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Rudolph R,Vande Berg J

    更新日期:1998-02-01 00:00:00

  • Reconstruction of advance head and neck cancer patients after tumor ablation with simultaneous multiple free flaps: indications and prognosis.

    abstract::Simultaneous multiple free flaps have become a useful option in head and neck reconstructions. We performed a 10-year retrospective study between 2001 and 2010. There were 58 men and 1 woman. The overall mortality rate was 51.7%. The longest surviving patient is 9 years and 4 months, whereas the shortest surviving pat...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Chien SH,Hsu H,Huang CC,Lee CY,Chiu CH,Lin CM

    更新日期:2012-12-01 00:00:00

  • Psychosocial aspects of melanoma.

    abstract::Seventy-five patients with melanoma were surveyed for recent history of major stress, coping styles, and psychiatric disturbance. Recurrence of disease was strongly related to biological variables (stage and Breslow depths) but not to psychological measures. Major life stress was not related to stage, Breslow, Clark l...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Gibertini M,Reintgen DS,Baile WF

    更新日期:1992-01-01 00:00:00

  • International Adoptees With Cleft Lip and/or Palate: Lessons Learned From a Growing Population.

    abstract:BACKGROUND:International adoptees with cleft lip and palate (CLP) are a growing population in the United States. They represent a clinical challenge, presenting at various ages and stages of cleft repair. METHODS:A retrospective review of patients seen at the CLP Program at the Children's Hospital of Philadelphia (CHO...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Shay PL,Goldstein JA,Wink JD,Paliga JT,Solot CB,Cohen MA,Friedman SA,Low DW,Taylor JA,Jackson OA

    更新日期:2016-10-01 00:00:00

  • Coverage of clavicular area by a pectoralis minor pedicle flap: anatomical study and description of three clinical cases.

    abstract::As the data in the literature concerning the vascularization of the pectoralis minor were conflicting, we conducted a new anatomic study on cadavers preliminary to clinical application of a pedicle flap for clavicular coverage in 3 patients. Twenty flaps were dissected, yielding numerous anatomic variations. In all ca...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Bourdais L,Bellier-Waast F,Perrot P,Delpierre J,Pannier M,Duteille F

    更新日期:2009-10-01 00:00:00

  • Tissue pH monitoring in microsurgery: a preliminary evaluation of continuous tissue pH monitoring as an indicator of perfusion disturbances in microvascular free flaps.

    abstract::In an experiment using a continuous tissue pH monitoring system, selective occlusion of the vessels supplying lower abdominal island flaps in Sprague-Dawley rats resulted in predictable tissue pH changes. Arterial occlusion resulted in a rapid fall in pH. In all three experimental groups, the steepest rate of pH drop ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Raskin DJ,Erk Y,Spira M,Melissinos EG

    更新日期:1983-10-01 00:00:00

  • Combined laser therapy for difficult dermal pigmentation: resurfacing and selective photothermolysis.

    abstract::Treating pigmented lesions of the skin, especially deep dermal pigmentations, are difficult to achieve satisfactory results without complications. To treat dermal pigmentations, such as nevus of Ota and congenital nevus, the combined therapy of a resurfacing laser (CO2) and a selective photothermolytic laser (the Q-Sw...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Park SH,Koo SH,Choi EO

    更新日期:2001-07-01 00:00:00

  • Versatility of scanning laser Doppler imaging to detect cutaneous perforators.

    abstract::Several perforator-based flaps have been developed recently and, although preoperative evaluation of perforator vessels is important, the conventional method using the Doppler flowmeter is still being used. The authors tried to identify perforator vessels in the abdominal region using scanning laser Doppler imaging an...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Komuro Y,Iwata H,Inoue M,Yanai A

    更新日期:2002-06-01 00:00:00

  • Missed breast cancer in an augmented woman using implant displacement mammography.

    abstract::Good mammography in the augmented patient is often difficult to achieve. A case is described that illustrates that posterior breast tissue is generally better seen with standard compression mammography and that physical examination by the radiologist must accompany mammography. Implant displacement mammography, while ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Silverstein MJ,Gamagami P,Handel N

    更新日期:1990-09-01 00:00:00

  • Case of the disappearing breast implants.

    abstract::In this case, after augmentation mammaplasty without infection or gross inflammatory reaction, Etheron implants decreased to a small volume of densely hyalinized tissue, leaving essentially no breast augmentation. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Schnur PL

    更新日期:1988-03-01 00:00:00

  • Anthropometric Changes in the Upper Lip Between the Standing Position in the Clinic and Supine Position on the Operative Table in Secondary Cleft Lip Nasal Deformities.

    abstract:BACKGROUND:We evaluated changes in lip height and length by position in cleft lip nasal deformity patients who underwent treatment with Millard technique. METHODS:A retrospective review of the medical records and an anthropometric analysis of photographs were performed in 209 cases of cleft lip nasal deformity. In the...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Han K,Kim T,Kim J,Choi J,Shin Y,Jeong W

    更新日期:2020-07-27 00:00:00

  • Introduction of an easy technique for purification and injection of autogenous free fat parcels in correcting of facial contour deformities.

    abstract:BACKGROUND:Facial contour deformities usually result from congenital abnormalities, trauma, and the aging process. All depressions in the face, including glabella wrinkles and mild retrogression of chins, fall in this category. Local injection of autogenous fat parcels has been introduced for correction of these facial...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Hu S,Zhang H,Feng Y,Yang Y,Han X,Han X,Zhong Y,Shi J

    更新日期:2007-06-01 00:00:00

  • Supplementation of fat grafts with adipose-derived regenerative cells improves long-term graft retention.

    abstract::Current practice of autologous fat transfer for soft tissue augmentation is limited by poor long-term graft retention. Adipose-derived regenerative cells (ADRCs) contain several types of stem and regenerative cells, which may help improve graft retention through multiple mechanisms. Using a murine fat transplantation ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Zhu M,Zhou Z,Chen Y,Schreiber R,Ransom JT,Fraser JK,Hedrick MH,Pinkernell K,Kuo HC

    更新日期:2010-02-01 00:00:00

  • An Evaluation of Reporting Guidelines and Clinical Trial Registry Requirements Among Plastic Surgery Journals.

    abstract:BACKGROUND:Ensuring that published studies are of the highest methodological quality is a critical step in plastic surgery's transition to a more evidence-based field. Reporting guidelines and reporting of clinical trial registration may serve as promising avenues of increasing the methodological quality in plastic sur...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Checketts JX,Cook C,Imani S,Duckett L,Vassar M

    更新日期:2018-08-01 00:00:00

  • Availability of COVID-19 Information From National Plastic Surgery Society Web Sites.

    abstract:BACKGROUND:National plastic surgery society web sites are an important source of information for patients, family members, and healthcare professionals. There are currently no standardized recommendations for the information provided on web sites. The aim of this study was to assess the information available on each na...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Al-Benna S,Gohritz A

    更新日期:2020-08-01 00:00:00

  • Soft tissue reconstruction using vascularized tissue transplantation following resection of musculoskeletal sarcoma: evaluation of oncologic and functional outcomes in 55 cases.

    abstract::Oncologic resection of musculoskeletal sarcoma sometimes requires reconstruction with vascularized soft tissue transplantation. To date, few reports have described treatment outcomes of such cases. In the present study, 55 cases were enrolled to examine oncologic/functional outcomes, complications, and the risks for p...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Morii T,Mochizuki K,Takushima A,Okazaki M,Satomi K

    更新日期:2009-03-01 00:00:00

  • Surgical treatment of axillary hyperhidrosis: a study comparing liposuction cannulas with a suction-curettage cannula.

    abstract:BACKGROUND:Suction-curettage is a minimally invasive surgical approach for the treatment of focal axillary hyperhidrosis. Studies comparing the efficacy of different surgical cannulas are missing. Therefore, we gravimetrically compared a specially designed cannula versus 2 standard liposuction cannulas. METHODS:Axilla...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Bechara FG,Sand M,Sand D,Altmeyer P,Hoffmann K

    更新日期:2006-06-01 00:00:00

  • Reducing postoperative infections and red breast syndrome in patients with acellular dermal matrix-based breast reconstruction: the relative roles of product sterility and lower body mass index.

    abstract:PURPOSE:The use of human acellular dermal matrices (ADM) has become routinely used in implant-based breast surgery. Notwithstanding the many benefits for tissue support, the morbidity associated with its use includes seroma and infection, among other potential complications. Some patients experience a specific complica...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Lewis P,Jewell J,Mattison G,Gupta S,Kim H

    更新日期:2015-05-01 00:00:00