All specialtiesPlastic Surgery
Plastic Surgery Evidence Evolution
5 evidence evolution narratives tracing how landmark trials and guideline updates reshaped plastic surgery practice.
30.12000-2024
Breast Reconstruction Timing
Immediate becomes the standard
Delayed only → immediate evidence → skin/nipple-sparing → prepectoral → direct-to-implant
iBRANATTRESSSbitany studies
Read evolution
30.21995-2024
Fat Grafting in Reconstructive Surgery
From discarded to therapeutic
Discarded → Coleman technique → structural fat grafting → oncological safety → stem cell debates
Coleman 1997Petit 2012 safety study
Read evolution
30.31968-2024
Burn Resuscitation Fluids
Beyond the Parkland formula
Parkland (1968) → fluid creep → modified Parkland → goal-directed → colloid adjuncts
Baxter originalfluid creep studies
Read evolution
30.41997-2024
Negative Pressure Wound Therapy
Vacuum-assisted healing
Open wound → VAC (1997) → incisional NPWT → RCTs by wound type → cost-effectiveness
Morykwas 1997PICO trials
Read evolution
30.52005-2024
Microsurgery for Lymphedema
Physiological surgical options
Conservative only → LVA → VLNT → combined → supermicrosurgery
Chang LVA studiesLYMPHA trial
Read evolution