Summary Introduces pioneering techniques in suture removal without scissors, meshed skin graft preparation, and multiple Z-plasty! Innovative Techniques in Skin Surgery features new material on modified buried vertical mattress sutures for wounds under moderate and severe tension bury-and-knot sutures for grafting skin tissue out. Request an e-inspection copy. The Bookshelf application offers access: Offline Computer — Download Bookshelf software to your desktop so you can view your eBooks with or without Internet access.
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Get free access to newly published articles Create a personal account or sign in to: From a personal standpoint, a surgeon must be adequately trained before performing surgery on a patient. Within the institutions, a number of ways can be used to manage the learning curve, such as conferences or case-by-case analysis. Another institutional responsibility is to develop simulation facilities to move at least part of the learning curve out of the operating room. Our society needs to better define appropriate training programs for specific procedures.
The next ethical issue is conflicts of interest. Professional oversight can help to manage this risk.
The issue of cost arises because innovations can lead to a rapid rise in the cost of health care. It is not only a hospital management problem, also a societal justice. With greater understanding of the ethical issues of surgical innovation, surgeons will be better prepared to address these issues openly when implementing new technique or technologies. Research conducted by Reitsma 32 showed that, different from FDA regulation for development of new drugs and devices, most surgical innovation is not clearly defined nor formally regulated by governing bodies.
Existing guidelines and regulations still appear insufficient. For some forms of human subject research, such as retrospective reviews or cohort studies, surgeons show a lower level of appreciation for federal rules. Surgeons could benefit greatly from additional education about basic regulatory requirements. Plastic surgery is facing more and more competition today, because unlike other medical specialties, plastic surgery does not treat one specific area of the body.
The increased revenue of aesthetic surgery especially attracts competition from many different specialties. The results also showed that there are growing numbers of non-surgery-trained individuals providing surgical cosmetic treatments. Our strategy should continue to emphasize innovation within plastic surgery. Referring back to the innovation process, during the idea generation phase, aesthetic surgery was derived from plastic and reconstructive surgery.
Plastic surgery innovators have more sources to generate new concepts, such as generating new ideas from relevant reconstructive surgeries or by accessing up-to-date peer-reviewed information from clinical work, conferences or journals. In the evaluation of project and organizations, we also have the capabilities to promote investment in both clinical care and research and to provide appropriate resources and management in carrying out new projects for the development phase.
New technology, trends and information also can be rapidly disseminated through our cooperative networks and stimulate further innovations. The future innovative areas in aesthetic surgery can also be classified as product, process and structural innovations.
For example, product innovation refers to new technique and technologies, which can be translated into novel therapies. One author predicted that total cosmetic surgery volume will exceed 55 million annual procedures by However, the future demand in cosmetic surgery will be driven largely by nonsurgical procedures.
Process innovations represent how patients get the service. For providers of aesthetic services, communication with the public is very important. Plastic surgeons should become familiar with the available Internet tools and aggressively utilize these tools for effective, but truthful practice building 35 and also innovate new methods to improve service by using a documentary-style format to depict patients before, during, and after various surgical procedures to help patients better understand the procedure. The application of valuable business innovation strategies into plastic surgery can provide us a systematic way to conceive and practice innovation.
The innovation genome has two basic structural components. Adapted from Jeff DeGraff. How you innovate is what you innovate. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript. National Center for Biotechnology Information , U.
Author manuscript; available in PMC Sep 3. Chung , MD, MS 3. Author information Copyright and License information Disclaimer. The publisher's final edited version of this article is available at Plast Reconstr Surg. See other articles in PMC that cite the published article.
Innovation, creativity, plastic reconstructive surgery. Process of Innovation Innovations generally go through a five-phase process that involves idea generation, evaluation, development, diffusion and adoption 15 Figure 2. Open in a separate window.
Sufficient numbers of small or incremental innovations can lead to big profits. It is a valuable system to combine innovation purpose, practices, approaches, leadership behaviors and stages together and has been used in business consultation services. There is a need for this research project. After a substantial proportion of surgeons have adopted the new technology and when there is ample evidence regarding the results of treatment, the great majority of surgeons may adopt the innovation. New technology, trends and information also can be rapidly disseminated through our cooperative networks and stimulate further innovations. However, for surgical innovation, the first responsibility is to do no harm. The control approach focuses on continuity, elimination of errors, and leads to incremental innovation.
Idea generation-sources of innovation Innovation starts with good ideas, but where do these concepts come from? The sources of innovation. Idea evaluation There may be more innovative ideas than available resources in the organization. The R-W-W real, win, and worth it screen. Idea conversion In this phase, ideas are developed into first result, such as viable products, services, or business. Idea diffusion and adoption Innovation requires people to take risks and face failure.
Ethical Issues and Regulation in Surgical Innovation McKneally 30 made a list of ethical issues specific to innovative surgery, including consent, validity, competence, conflicts of interests, cost and oversight. Applying the Innovation Principles to Plastic Surgery Plastic surgery is facing more and more competition today, because unlike other medical specialties, plastic surgery does not treat one specific area of the body.
Footnotes Financial Disclosures None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript. From bedside to bench and back again: Plastic and reconstructive surgery. Advanced technologies in plastic surgery: Simulation in plastic surgery training and education: Creating a virtual surgical atlas of craniofacial procedures: Three-dimensional digital models of craniofacial deformities.
Dictionary and Thesaurus-Merriam-Webster Online. Accessed November 18, , at http: Innovations Phila ; 6: Innovation in health care: American journal of medical quality: An evidence-based approach to the adoption of new technology. The Journal of bone and joint surgery American volume. Making innovation a core competency. A systematic approach to effectively leading enterprise innovation. The innovation value chain; p. Harvard business review on the innovative enterprise.