PRS Global Open Deep Cuts

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”: https://bit.ly/DebridementFXLE [https://bit.ly/DebridementFXLE]  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 Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Scott Hansen talks about his new role as Chair of Plastic Surgery at UCSF, his experience as a program director, and his leadership approach to resident training. He also shares insights on performing awake hand surgeries, his role as a team hand surgeon for the San Francisco Giants, and the unique considerations when treating hand injuries in professional athletes. Dr. Hansen explores the surprising differences between college women's basketball and Major League Baseball, how his practice of hand surgery has evolved, the field of spinoplastic surgery, and why he finds treating hidradenitis rewarding. He also reflects on the lessons he's learned from Drs. Steve Mathes, Neil Ford Jones, and Prosper Benhaim. Read a recent PRS Global Open article by Dr. Hansen and his colleagues, “A Pilot Randomized Clinical Trial of Early Ambulation after Groin Reconstruction with Sartorius Muscle Flaps“: https://bit.ly/WalkingAfterGroinRecon [https://bit.ly/WalkingAfterGroinRecon]  Dr. Scott Hansen is a Professor, Chief of the Division of Plastic Surgery, and the Program Director for the Plastic Surgery Residency at the University of California San Francisco. He also serves as the Chief of Hand and Microvascular surgery and the Director of the Microsurgery fellowship. He graduated from Eastern Virginia Medical School, and then completed a Plastic Surgery residency and a post-doctoral research fellowship at UCSF followed by a Hand and Microvascular surgery fellowship at UCLA. He joined UCSF as full-time faculty, and recently became the Chief of the Division of plastic surgery there. He is the Hand and Microsurgery section editor for the Annals of Plastic Surgery. He is the team hand surgeon for the San Francisco Giants. He has remained involved in basic science research, with a focus in wound healing, hemangiomas, and limb development. 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. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. David Song discusses several key topics. He highlights the unique role that plastic surgeons can play as leaders within surgery and the broader medical system. Dr. Song emphasizes that being an excellent clinician with "street cred" is essential for effective leadership. He also talks about how to create and guide change effectively, and the importance of active listening in both surgery and patient care. Additionally, Dr. Song shares insights on preoperative and anesthetic modifications that can improve patient recovery after microsurgery. He explains why he always uses two separate venous systems in a DIEP flap and provides technical details on arterial anastomosis. He also discusses the latissimus immediate fat transfer flap for non-microsurgical autologous breast reconstruction. Finally, Dr. Song reflects on how being right and cultivating durable relationships can sometimes be at odds with each other. Read a classic PRS Global Open article by Dr. Song and Dr. James Economides, “Latissimus Dorsi and Immediate Fat Transfer (LIFT) for Complete Autologous Breast Reconstruction:”  https://bit.ly/LIFT_Breast_Recon_GOX [https://bit.ly/LIFT_Breast_Recon_GOX] Dr. David Song is the Chief Medical Officer and Vice President of Medical Affairs for MedStar Georgetown University Hospital, as well as a Professor and former Chairman of the Department of Plastic Surgery, and the former Chief of Surgery at Georgetown University School of Medicine. He completed residencies in general surgery and plastic surgery as well as a microsurgery fellowship at the University of Chicago, where he stayed on first as a faculty member, and then as the Chief of Plastic Surgery. He moved to Georgetown to become the Chair of Plastic Surgery in 2017, before recently moving into the role of Chief Medical Officer and VP of Medical Affairs. Among his many leadership roles in plastic surgery, he is a former President of the American Society of Plastic Surgeons, former Chair of the American Board of Plastic Surgery, and current chair of the ACGME Plastic Surgery Residency Review Committee. 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. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Mohammad Al-Qattan shares his remarkable journey in plastic and hand surgery. From his early training in Canada as a Saudi national to overcoming the personal challenge of a multiple myeloma diagnosis, Dr. Al-Qattan reflects on the pioneering mentors who shaped his dedication to the craft. He also discusses how he balanced the demands of a high-pressure career with his personal life. This conversation provides a unique insight into the resilience, determination, and commitment that have defined Dr. Al-Qattan’s distinguished career and his significant contributions to the field of hand surgery.   Read a recent classic PRS Global Open article by Dr. Al-Qattan and colleagues, “Open Surgical Excision of Dorsal Wrist Ganglia: Puncturing the Dome Reduces Surgery Time“: https://bit.ly/WristGangliaAlQattan [https://bit.ly/WristGangliaAlQattan]   Dr. Mohammad Al-Qattan is a distinguished plastic surgeon and one of the foremost experts in hand surgery. After completing his medical education at King Saud University, Dr. Al-Qattan went on to train in plastic surgery at the University of Manitoba in Winnipeg, Canada. During his residency, he received a special gift from his mentor, Professor Stranc, who instilled in him the principle of "Remember your roots." This message, along with the dedication to becoming a "fourth-generation plastic surgeon," has guided Dr. Al-Qattan throughout his esteemed career. His work has combined clinical practice with groundbreaking research, and he has published nearly 500 articles, primarily focused on hand surgery and basic science.   As he reflects on his career, Dr. Al-Qattan's journey has been marked by challenges and triumphs, including overcoming a battle with multiple myeloma. Today, he is regarded as a pioneer in Saudi Arabia's plastic and hand surgery fields, having earned numerous accolades, including an Honorary Fellowship from the American College of Surgeons. His legacy as a teacher, clinician, and researcher continues to inspire future generations of surgeons, as he seeks to pass on his knowledge and passion for combining clinical excellence with scientific inquiry to the next generation of hand surgeons.   Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 3 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery.   #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery

In this Leveling Up episode of the PRS Global Open Deep Cuts, Dr. Michael Bentz discusses connecting with patients and building trust and rapport, the changes in pediatric plastic surgery over the last few decades, his approach to the syndactyly patient and the use of full thickness skin grafts, the nuances of placing upper and lower extremity splints in kids, teaching and giving feedback to residents, interviewing and selecting applicants for the residency program, what he considers to be a successful resident, and the lessons he learned from his mentors at PIttsburgh and Wisconsin.  Read a classic PRS Global Open article by Dr. Bentz and colleagues, “What Influences a Plastic Surgery Resident to Pursue an Academic Career?”: https://bit.ly/PSAcadCareerInfluences_GOX [https://bit.ly/PSAcadCareerInfluences_GOX]    Dr. Michael Bentz is a Professor of Surgery, Pediatrics, and Neurosurgery at the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin. He recently stepped down as the chief of the Division of Plastic after 24 years and continues to serve as the Vice Chair in the Department of Surgery. A native of Pennsylvania, Dr. Bentz completed medical school and a General Surgery residency at Temple University in Philadelphia, followed by a plastic surgery residency and a microvascular research fellowship at the University of Pittsburgh Medical Center. He stayed on at Pitt and became the residency program director, but left for Wisconsin in 1999 and has remained a fixture at the University of Wisconsin for the last 25 years, building a broad reconstructive practice including pediatric hand surgery; cleft lip and palate surgery; and general reconstruction of the chest, abdominal wall, extremity and head and neck in adults and children.  Dr. Bentz has served as Chair of the American Board of Plastic Surgery, as an executive committee member for the Association of Academic Chairmen in Plastic Surgery, and has co-edited the two-volume book, Principles and Practice of Pediatric Plastic Surgery. He received the Honorary Citation Award from the American Society of Plastic Surgeons in 2018. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp