Evidence-Based Perioperative Nutrition Recommendations: Optimizing Results and Minimizing Risks.


:Plastic surgery patients span the nutritional spectrum from generally healthy, nutritionally competent patients to inherently catabolic, nutritionally deficient, and chronic wound patients. Therefore, plastic and reconstructive surgery affords the opportunity to investigate the impact of nutrition across a heterogeneous patient population following a wide variety of procedures. Although patients may be nutritionally deficient in certain vitamins warranting perioperative repletion, other supplements have the potential to benefit all patients, regardless of nutritional status. Despite these putative benefits, there is a dearth of information regarding nutritional optimization, with the limited, available literature focusing mostly on herbal supplements and their potential side effects. A significant barrier to supplement use is the lack of education and available supporting information regarding the indications, contraindications, and physiology of these adjuncts. The goal of this article is to provide a comprehensive, evidence-based review of available nutritional supplements that can be considered for the plastic surgery patient in the perioperative period to optimize surgical outcomes while minimizing risk. Prospective, well-designed studies using validated, high-quality supplements will be critical in determining the significance that perioperative supplementation can have for surgical outcomes. Until well-done prospective studies are performed, the supplement, dose, and duration should be determined on an individual, patient-per-patient basis at the discretion of the operating surgeon.


Plast Reconstr Surg


Knackstedt R,Oliver J,Gatherwright J




Has Abstract


2020-08-01 00:00:00














  • Cadaveric Study of a Z-Plasty Modification to the Moberg Flap for Increased Advancement and Decreased Morbidity.

    abstract:BACKGROUND:The Moberg advancement flap is a well-established tool to provide sensate, vascularized tissue for thumb reconstruction. Modifications providing additional length have been described, but no studies have examined how much additional advancement can be achieved consistently, and at what cost. The authors hypo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Jindal R,Schultz BE,Ruane EJ,Spiess AM

    更新日期:2016-03-01 00:00:00

  • Does double gloving protect surgical staff from skin contamination during plastic surgery?

    abstract::In a randomized study, the effectiveness of double gloving in maintaining an intact barrier between the patient and the hands of the surgical staff during plastic surgery operations was tested. For 2 months, the surgical staff of a plastic surgery unit randomly wore single or double gloves during all elective surgical...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Marín-Bertolín S,González-Martínez R,Giménez CN,Marquina Vila P,Amorrortu-Velayos J

    更新日期:1997-04-01 00:00:00

  • Another method to prevent venous thrombosis in microsurgery: an in situ venous catheter.

    abstract::Free-flap failure is in the order of 4 to 10 percent. Heparin is more effective at preventing venous thrombosis than arterial thrombosis. This study was undertaken to investigate the efficacy of delivering heparin at a high dose locally but low dose systemically (heparin infusion via a catheter placed proximal to the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hudson DA,Engelbrecht G,Duminy FJ

    更新日期:2000-03-01 00:00:00

  • Treatment of breast animation deformity in implant-based reconstruction with pocket change to the subcutaneous position.

    abstract:UNLABELLED:Breast animation may be an unfortunate result of subpectoral implant-based reconstruction following mastectomy. This article reviews a novel approach to the treatment of animation deformity in cases of reconstruction, whereby the pectoralis major muscle is sutured down to the chest wall and the implant is tr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hammond DC,Schmitt WP,O'Connor EA

    更新日期:2015-06-01 00:00:00

  • Rupture of inflated breast implants in closed compression capsulotomy: case report.

    abstract::A case is reported of bilateral rupture of inflatable implants from a closed capsulotomy, with ingrowth of fibrous tissue through the inflation valves. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Feliberti MC,Arrillaga A,Colon GA

    更新日期:1977-06-01 00:00:00

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    abstract::This paper describes the wound management and treatment of 12 consecutive patients with severe radiation damage to the hands. Three of these were secondary to therapeutic radiation for squamous cell carcinoma in one and synovial sarcoma in two, and nine were healthy professional people exposed to radiation in the work...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Milanov NO,Shilov BL,Tjulenev AV

    更新日期:1993-08-01 00:00:00

  • Untreated hemangiomas: growth pattern and residual lesions.

    abstract:BACKGROUND:Hemangiomas of infancy can give rise to alarm because of their rapid growth and occasional dramatic appearance. The objective of this study was to investigate the growth pattern of hemangiomas and risk factors for residual lesions. METHODS:A follow-up study was performed of patients with hemangiomas that we...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bauland CG,Lüning TH,Smit JM,Zeebregts CJ,Spauwen PHM

    更新日期:2011-04-01 00:00:00

  • Easy orientation of the cut ends for nerve suture.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vickers DW

    更新日期:1979-01-01 00:00:00

  • Cardiac arrhythmias during phenol face peeling.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gross BG

    更新日期:1984-04-01 00:00:00

  • Heterotopic Procedures in Mutilating Hand Injuries: A Synopsis of Essential Reconstructive Tools.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kokkoli E,Spyropoulou GA,Shih HS,Feng GM,Jeng SF

    更新日期:2015-11-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


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    更新日期:1983-12-01 00:00:00

  • Risk factors for infection following operative treatment of mandibular fractures: a multivariate analysis.

    abstract::Utilizing a retrospective study design and a study sample of 284 consecutive patients, we measured the association between five different risk factors and the development of infection following the operative management of mandibular fractures. The five risk factors analyzed were age, sex, number of fractures per patie...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stone IE,Dodson TB,Bays RA

    更新日期:1993-01-01 00:00:00

  • Segmental Multiple-Jaw Surgery without Orthodontia: Clear Aligners Alone.

    abstract::Segmental Le Fort I osteotomy, a complex procedure with many mobile parts, has traditionally required presurgical orthodontics with conventional braces, composed of metal brackets, bands, and archwires. These appliances are not always accepted by patients, particularly older teenagers and professional adults who previ...

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    pub_type: 杂志文章


    authors: Kankam HKN,Gupta H,Sawh-Martinez R,Steinbacher DM

    更新日期:2018-07-01 00:00:00

  • The cost effectiveness of the DIEP flap relative to the muscle-sparing TRAM flap in postmastectomy breast reconstruction.

    abstract:BACKGROUND:The deep inferior epigastric perforator (DIEP) flap has gained notoriety because of its proposed benefit in decreasing donor-site morbidity but has been associated with longer operative times, higher perfusion-related complications, and increased cost relative to muscle-sparing free transverse rectus abdomin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Krishnan NM,Purnell C,Nahabedian MY,Freed GL,Nigriny JF,Rosen JM,Rosson GD

    更新日期:2015-04-01 00:00:00

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    pub_type: 杂志文章


    authors: Cole P,Kaufman Y,Izaddoost S,Hatef DA,Hollier L

    更新日期:2009-03-01 00:00:00

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    pub_type: 杂志文章


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    pub_type: 杂志文章


    authors: Tramier H

    更新日期:1997-02-01 00:00:00

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    authors: Klein M,Glatzer C

    更新日期:2006-02-01 00:00:00

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    pub_type: 传,历史文章,杂志文章


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    pub_type: 杂志文章,评审


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    pub_type: 杂志文章,评审


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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Pernia LR,Ronel DN,Leeper JD,Miller HL

    更新日期:2000-04-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Goin MK,Goin JM,Gianini MH

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    pub_type: 杂志文章


    authors: Bertelli JA,Tacca CP,Winkelmann Duarte EC,Ghizoni MF,Duarte H

    更新日期:2012-12-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Paletta CE,Huang DB,Sabeoiro AP

    更新日期:1999-07-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Frants A,Garber D,Lafer MP,Gordon SA,Markey JD,Zhang Y,Wang B,Lee JW

    更新日期:2021-01-01 00:00:00

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ofodile FA,Oluwasanmi JO

    更新日期:1979-04-01 00:00:00

  • Vascular Endothelial Growth Factor Enhances Proliferation of Human Tenocytes and Promotes Tenogenic Gene Expression.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kraus A,Sattler D,Wehland M,Luetzenberg R,Abuagela N,Infanger M

    更新日期:2018-11-01 00:00:00