In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Christopher Attinger discusses how to build a successful wound center, the benefits of including psychiatry in a wound care service, the importance of removing all indurated tissues during a debridement, why placing a skin graft on granulation tissue is actually a bad idea, the benefits of bypass surgery over angioplasty, how to know when Integra has good take, his go-to local flaps for the foot and ankle and why he doesn't like reverse sural flaps. He also discusses the nuances of performing a TMA and a BKA, why he never uses deep sutures in any wound closure, how TMR has been a game changer in his practice, the rating system for medial arterial calcinosis that predicts the risk of complications, and how he has structured the service to maximize resident education.

Read a classic PRS Global Open article by Dr. Attinger and his colleagues, “The Effect of Positive Postdebridement Cultures on Local Muscle Flap Reconstruction of the Lower Extremity”: /

Dr. Christopher Attinger is a Professor in the Plastic and Reconstructive Surgery Department at Georgetown University Medical Center, and the Director of the Center for Wound Healing at MedStar Georgetown University Hospital. He served two tours of duty in Vietnam, as a lieutenant in the 82nd Airborne and the 101st Airborne divisions, and was honorably discharged with a Purple Heart and Bronze Star. He received his medical degree from Yale University, and then completed a residency in general surgery and fellowship in vascular surgery at Brigham and Women's Hospital in Boston, and a plastic surgery residency and hand surgery fellowship at New York University. After completing his training, he joined the faculty at Georgetown, and has been there ever since. In 2007, Dr. Attinger started an annual limb salvage conference to bring together all the members of the limb salvage community to exchange ideas and innovations.

Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas.

The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

#PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this episode of the PRS Global Open Keynotes podcast, the team from Geissinger Medical Center in Danville, Pennsylvania discuss the importance of exercise in the life and wellbeing of plastic surgeons. Why is exercise important? What are the benefits? How can we fit exercise into our busy schedules?
 
This episode discusses the following PRS Global Open article: “Importance of Exercise for Career Longevity: Maintaining Fitness, Strength, and Flexibility as a Plastic Surgeon” by Hunter M. Rogoff, Yasmeen M. Byrnes and Christian A. Kauffman.

Read it for free on PRSGlobalOpen.com:
https://journals.lww.com/prsgo/fulltext/2025/01000/importance_of_exercise_for_career_longevity_.74.aspx

Dr. Hunter Rogoff and Dr. Yasmeen Byrnes are plastic surgery residents and Dr. Christian Kauffman is a board-certified plastic surgeon and Head of Department of Plastic Surgery at the Geisinger Medical Centre in Danville, Pennsylvania.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

In this episode of the PRS Global Open Keynotes podcast, Dr. Jean Paul Brutus and Dr. Donald Lalonde discuss what you should and shouldn't say not only during surgery under local anaesthesia, but also before and after surgery. Plastic surgery procedures performed under local anaesthesia have demonstrated improved efficiency, cost-effectiveness and patient satisfaction. But having a wide-awake patient hearing everything going on the operating room certainly changes the dynamic of the conversations being had.

This episode discusses the following PRS Global Open article: “Words to Avoid During Wide-awake Local Anesthesia No Tourniquet Surgery to Enhance Patient Experience” by Jean Paul Brutus, Natasha Barone, Kira Stolberg, Patricia Russell, and Donald H. Lalonde,

Read it for free on PRSGlobalOpen.com:

Dr. Jean Paul Brutus is plastic surgeon specializing in hand surgery in Montreal Canada.

Dr. Don Lalonde is a Professor in the Division of Plastic Surgery at Dalhousie University and plastic surgeon in Saint John Canada.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this episode of the PRS Global Open Keynotes podcast, Dr. Eric Wagner discusses the pros and cons of joint replacement and joint fusion for interphalangeal joint arthritis. His paper reported decreasing rates of joint replacement in the USA over the period 2010-2019.

This episode discusses the following PRS Global Open article: “Utilization of Interphalangeal Joint Arthroplasty and Arthrodesis in the United States From 2010 to 2019” by Erica L. Smearman, Anthony L. Karzon, Hayden L. Cooke, Zaamin B. Hussain, Musab Gulzar, Nina Suh, Michael B. Gottschalk and Eric R. Wagner.

Read it for free on PRSGlobalOpen.com:

Dr. Eric Wagner is an Associate Professor in the Department of Orthopaedics at Emory University School of Medicine in Atlanta, Georgia.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this episode of the PRS Global Open Keynotes podcast, Dr. Justin Broyles from Harvard Medical School discusses how surgical drains impact the quality of life for patients. His recent study investigated patient reported outcome measures of breast reconstruction patients who had drains placed at the time of surgery.

This episode discusses the following PRS Global Open article: “Understanding the Impacts of Surgical Drains on Postoperative Pain and Quality of Life” by Goutam K. Gadiraju, Matthew R. Prospero, Finn Tobias, Andrew J. Malek, Erik Reiche and Justin M. Broyles.

Read it for free on PRSGlobalOpen.com:

Dr. Justin Broyles is an Assistant Professor at Harvard Medical School and board-certified plastic surgeon at Brigham and Women’s Hospital in Boston

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this special Resident Review episode of the PRS Global Open Keynotes Podcast, Dr. Mohin Bhadkamkar discusses the sleep and work patterns for residents doing on-call from home.
 
This episode discusses the following PRS Global Open article: “Work Where You Live or Live Where You Work? Resident Work and Sleep Patterns While on “Home Call” by David T. Mitchell, Noa G. Koppin, Michael T. Talanker, Mohin A. Bhadkamkar, Erik S. Marques, Matthew R. Greives and David C. Hopkins.

Read it for free on PRSGlobalOpen.com:
https://journals.lww.com/prsgo/fulltext/2024/09000/work_where_you_live_or_live_where_you_work_.45.aspx

Dr. Mohin Bhadkamkar is a board-certified plastic surgeon and Assistant Professor in the Division of Plastic Surgery at McGovern Medical School at UT Health in Houston, Texas.

Dr. Hatan Mortada a plastic surgery resident at the King Soud University Medical City in Riyadh Saudi Arabia and a current Resident Ambassador for PRS Global Open.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this episode PRS Global Open Keynotes Podcast, Dr. Miles Pfaff and the team from the UCLA Irving Medical School discuss ways of decreasing the environmental footprint of surgery.

This episode discusses the following PRS Global Open article: “Interventions to Reduce Surgical Waste Burden: A Systematic Review” by Cindy Vu, Alejandra Ibarra-Vega, Christopher D. Yang, Karlos Manzanarez-Felix, Caleb L. Ting, Mikhail Pakvasa, Raj M. Vyas and Miles J. Pfaff.

Read it for free on PRSGlobalOpen.com:

Dr. Miles Pfaff is a plastic surgeon and associate professor of surgery at the University of California Irvine Campus.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this episode PRS Global Open Keynotes Podcast, Jarrod Bogue discusses the utility of three-dimensional planning in orthoplastic tumour resection and reconstruction.
 
This episode discusses the following PRS Global Open article: “The Emerging Role of Three-dimensional Technologies in Orthoplastic Surgery” by Sarah E. Diaddigo, Myles N. LaValley, Alexander F. Dagi, Kevin Kuonqui, Yong Shen, Wakenda J. Tyler and Jarrod T. Bogue.

Read it for free on PRSGlobalOpen.com:
https://bit.ly/3D-Ortho

Dr. Bogue is an Assistant Professor in the Division of Plastic Surgery at Columbia university in New York.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this episode PRS Global Open Keynotes Podcast, Edward Buchel discusses his research comparing fat necrosis rates in breast reconstruction with the DIEP and SIEA flaps.
 
This episode discusses the following PRS Global Open article: “Fat Necrosis in Single Perforator Deep Inferior Epigastric Artery and Superficial Epigastric Artery Perforator Free Flaps: A Prospective Randomized Study” by Rebecca L.R. Miller, Christopher M. Nguyen, Blair R. Peters, Leif Sigurdson, Thomas E.J. Hayakawa, Rae Spiwak, Kimberly Dalke and Edward W. Buchel.

Read it for free on PRSGlobalOpen.com:
https://bit.ly/BrstRecon

Dr. Edward Buchel is a plastic and reconstructive surgeon, as well as being a Professor and Head of the Department of Surgery, Rady Faculty of Health Sciences at the University of Manitoba, Canada.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open

In this episode PRS Global Open Keynotes Podcast, medical student Joseph Kaleeny discusses the diagnosis and management of pyogenic granulomas.
 
This episode discusses the following PRS Global Open article: “Pyogenic Granuloma Diagnosis and Management: A Practical Review” by Joseph Kaleeny and Jeffrey Janis.

Read it for free on PRSGlobalOpen.com:
https://bit.ly/PGDiagnosis

Joseph Kaleeny is a senior medical student at Touto University in New York.

Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia.

#PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open