Browsing by Subject "Surgeons"
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Item Co-Surgeons in Breast Reconstructive Microsurgery: What Do They Bring to the Table?(2019-03-18) Haddock, Nicholas T.; Kayfan, Samar; Pezeshk, Ronnie A.; Teotia, Sumeet S.; Kayfan, Samar; Teotia, Sumeet S.; Haddock, Nicholas T.; Rozen, ShaiINTRODUCTION: Current research within other surgical specialties suggests that a co-surgeon approach may reduce operative times and complications associated with complex bilateral procedures, possibly leading to improved patient and surgical outcomes. We sought to evaluate the role of the co-surgery team and its development in free flap breast reconstruction. METHODS: A retrospective review of free-flap breast reconstruction by two surgeons from 2011-2016 was conducted. We analyzed 128 patients who underwent bilateral-DIEP breast. Surgical groups were: single-surgeon reconstruction (SSR; 35 patients), Co-Surgery where both surgeons are present for entire reconstruction (CSR-I; 69 patients), and Co-Surgery reconstruction where co-surgeons appropriately assist in two concurrent or staggered cases (CSR-II; 24 patients). Efficiency data collected was OR time and patient length-of-stay (LOS). The rate of flap-failure, return to OR, infection, wound breakdown, seroma, hematoma and PE/DVT were compared. RESULTS: Single-surgeon reconstruction had significantly longer OR time (678 vs 485 minutes, p< 0.0001), LOS (5 vs 3.9 days, p<0.001), higher wound occurrences of the umbilical site that required surgical correction [11.4 percent (n=4) versus 1.5 percent,(n=1); p<0.043] compared to CSR-I. Similarly, SSR had significantly longer average OR time (678 vs 527 minutes p< 0.0001), average LOS (5 days vs 4 days, p=0.0005) when compared to CSR-II. There were no total increased patient related complications associated with co-surgery (CSR- I or II). CONCLUSION: The addition of a Co-surgeon, even with concurrent surgery, reduces operative time, average patient LOS, and post-operative complications. This work lends a strong credence that Co-surgery model is associated with increased operative efficiency.Item Gynecologic surgery: call for reform(2021-05-11) King, Louise P.In this lecture, I describe historical and other influences that drive "double discrimination" in gynecologic surgery - lower pay in the area of surgery, which boasts the largest proportion of female surgeons, and potentially lower quality care for the field's exclusively female patients. Insurers reimburse procedures for women at a lower rate than similar procedures for men, although there is no medically justifiable reason for this disparity. The wage gap created by lower reimbursement rates disproportionately affects women surgeons who are disproportionately represented among gynecologic surgeons. This contributes to a large wage gap in surgery for women. Finally, poor reimbursement for gynecologic surgery pushes many Ob/Gyn surgeons to preferentially perform obstetric services resulting in a high prevalence of low-volume gynecologic surgeons, a metric that is closely tied to higher complications. Creating equity in reimbursement for gynecologic surgery is one important and ethical step forward to gender equity in medicine for patients and surgeons.Item [Southwestern News](1998-02-02) Abila, ReyesItem [UT Southwestern Medical Center News](2009-09-23) Rian, RussellItem [UT Southwestern Medical Center News](2010-04-26) Morales, KatherineItem [UT Southwestern Medical Center News](2011-06-15) Russell, RobinItem [UT Southwestern Medical Center News](2009-12-21) Morales, KatherineItem [UT Southwestern Medical Center News](2006-06-27) Morales, Katherine; Heinzl, ToniItem [UT Southwestern Medical Center News](2006-11-28) Rian, Russell