RÉSUMÉ
Given the challenges and the long journey that every plastic surgeon undergoes, it is commendable to witness the training received by residents in plastic and reconstructive surgery in aesthetic procedures (body contouring, breast augmentation, mastopexy, rhinoplasty, facelift, blepharoplasty) during their final year of training at a tertiary institution in a country like Mexico. It is important to verify whether they develop optimal and comprehensive training to face their professional lives. The number of aesthetic surgeries performed by 12 residents during their final year of plastic surgery training was captured from clinical records for the years 2022 and 2023. The data were compiled into a database using Microsoft excel V16.47.1 and subsequently analyzed using statistical package for social sciences (SPSS) software, v23.0. Significant differences were found among residents (p value=0.02) regarding the number of procedures performed by each one. However, according to the presented diagnoses, each resident faces the same cases, which are the most requested in Mexico and worldwide. This review study concludes that final-year residents in plastic surgery undergo training adhering to the academic program established by the PUEM, performing the most common aesthetic procedures in Mexico and worldwide according to the diagnoses presented by each resident.
RÉSUMÉ
Background: Breast reconstruction with latissimus dorsi muscle transfer is one of the most frequent procedures at our hospital. The objective is to evaluate if there is any functional impairment after the surgery with a potential impact of patient磗 daily life. Methods: Functional morbidity was analyzed applying the disabilities of the arm, shoulder and hand (DASH) questionnaire and shoulder range of motion with goniometer in 42 patients whose breast reconstruction was between 2016 and 2022 at our hospital. We collected data using Microsoft excel V16.47.1 and analyzed data with statistical package for the social sciences (SPSS) software, v23.0. Results: There was statistically significant difference for disability/symptom DASH score in cases of bilateral reconstruction and for cases undergoing a procedure on the right side versus left side. Conclusions: In patients with bilateral breast reconstruction, we found a greater DASH score in dysfunction and symptoms which associates with poor quality of life, as well as when the flap is on the contralateral extremity of the hand dominance; in those cases, there are other reconstructive procedures that provide greater safety and less disability to the patient. For evaluating extension, we need more prospective and comparative studies with strict follow up of the patients and same series of rehabilitation.