Background. Numerous studies have evaluated the use of autologous abdominal tissue for breast reconstruction; nevertheless, complications and donor site morbidity rates vary significantly. The study aims to compare the literature regarding morbidity of the donor site and complication rates of breast reconstruction with autologous abdominal flaps. Methods. The databases of MEDLINE, EBSCO, Scopus, Wiley Library, and Web of Sciences were searched for studies that compared different flaps in terms of complications and donor site morbidity. The procedures studied included pedicled transverse rectus abdominis myocutaneous flap (pTRAM), free TRAM (fTRAM), deep inferior epigastric perforator (DIEP), and superficial inferior epigastric artery perforator (SIEA) flaps. A total of 34 studies were included. Of these, 28 were retrospective studies and 9 were prospective cohort studies. Results. When compared to DIEP, fTRAM flaps were found to have a decreased incidence of flap fat necrosis, hematoma, and total thrombotic events, yet a higher risk of donor site hernia/bulging. pTRAM flaps were also associated with an increased risk of hernia/bulging at the donor site, as well as wound infection, yet flap hematoma was less common. On the other hand, SIEA flaps showed the lowest risk of donor site hernia/bulging while still having a high risk of wound infection. Conclusion. fTRAM procedures comparatively had the least complications. However, regarding flap choice, patients would benefit most from a case-by-case analysis, taking into consideration individual risk factors and preferences.
Objectives: To assess the knowledge and attitudes of physicians of different specialties, including psychiatrists, regarding forensic psychiatry to determine whether further modification or training is needed in the psychiatry residency program.
Methods:This cross-sectional study was carried out using a 3-page, 3-section questionnaire containing 21 questions disseminated randomly online via Google forms using social media platforms. The 482 participants were residents, specialists, and consultants of various specialties. The study was conducted between September 2020 and August 2021 in various tertiary hospitals across Saudi Arabia.Results: A total of 482 physicians were recruited. The most common age group was 25-35 years, comprising mostly Saudis (62.4%). Based on the results, "poor" and "good" knowledge of forensic psychiatry was identified in 89% and 11% of the Original Article physicians, while "negative" and "positive" attitudes were identified in 16.4% and 83.6% of the physicians.
Conclusion:Although the perspective of physicians regarding forensic psychiatry was found to be positive, their knowledge of the topic seems to be lacking.
Background Plastic surgery is considered one of the most competitive specialties globally. In Saudi Arabia, it was established in 2001 in the central province (Riyadh) and then expanded in 2009 to include more eastern and western provinces. Previous research has identified several factors that impact pursuing a career in plastic surgery.Methods This cross-sectional study was conducted through a five-page, five-section questionnaire distributed among senior medical students and interns using online platforms between August 2021 and January 2022. The overall number of questions was 25, which tackled different aspects, including sociodemographic characteristics (i.e., age and gender); the duration of the elective rotation; supervisor during the elective; encouraging, discouraging, and influencing factors; and the rating of participants’ desire to become a plastic surgeon.Results After elective training, the most common factor that influenced medical students to choose a plastic surgery career was exposure to a variety of cases (favorable to agree: 80.4%), followed by involvement in clinical activities (i.e., rounding, clinics, and case presentations) (favorable to agree: 70.6%). On the contrary, the most common factor discouraging students from choosing a plastic surgery career after elective training was plastic surgery being a competitive specialty for matching (favorable to agree: 62.7%), followed by the intense workload (favorable to agree: 56.9%).Conclusions Medical students were more likely than medical interns to explore a career in plastic surgery. Exposure to a variety of cases, inspiring mentors, and a decent amount of time spent in the operating room were the most influential factors.
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