New Developments in Plastic Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 10 June 2025 | Viewed by 4126

Special Issue Editors

Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, VIC 3199, Australia
Interests: hand surgery; medical education; aesthetic surgery; cosmetic surgery; applied artificial intelligence

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Guest Editor
Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, VIC 3199, Australia
Interests: microsurgery; oculoplastic surgery; medical education; breast surgery; applied artificial intelligence; hand surgery
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Plastic, Reconstructive and Hand Surgery, Peninsula Campus, Central Clinical School, Monash University, Frankston, VIC 3199, Australia
Interests: skin cancer; hand surgery; breast reconstruction; vascular imaging; peripheral nerve surgery; abdominoplasty
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue, entitled "New Developments in Plastic Surgery", aims to highlight the latest advancements and innovations within the field of plastic surgery. We invite researchers and practitioners to contribute original research articles, comprehensive reviews, and insightful case reports that explore cutting-edge techniques, technologies, and methodologies in plastic surgery. The Special Issue seeks to provide a platform for discussing emerging trends, clinical practices, and the integration of artificial intelligence and other novel approaches into surgical procedures and patient care. By gathering contributions from experts worldwide, we aim to offer a comprehensive overview of the current state and future directions of plastic surgery, ultimately enhancing clinical outcomes and patient satisfaction. This Special Issue serves as an essential resource for professionals looking to stay abreast of the latest developments and enhance their practice with evidence-based insights.

Dr. Bryan Lim
Dr. Ishith Seth
Prof. Dr. Warren M. Rozen
Guest Editors

Manuscript Submission Information

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Keywords

  • hand surgery
  • microsurgery
  • breast reconstruction
  • artificial intelligence
  • rhinoplasty
  • blepharoplasty
  • aesthetic surgery
  • surgical anatomy
  • 3D printing

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Published Papers (1 paper)

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Research

8 pages, 467 KiB  
Article
Perforator Selection with Computed Tomography Angiography for Unilateral Breast Reconstruction: A Clinical Multicentre Analysis
by Ishith Seth, Bryan Lim, Robert Phan, Yi Xie, Peter Sinkjær Kenney, William E. Bukret, Jørn Bo Thomsen, Roberto Cuomo, Richard J. Ross, Sally Kiu-Huen Ng and Warren M. Rozen
Medicina 2024, 60(9), 1500; https://doi.org/10.3390/medicina60091500 - 14 Sep 2024
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Abstract
Background and Objectives: Despite CTAs being critical for preoperative planning in autologous breast reconstruction, experienced plastic surgeons may have differing preferences for which side of the abdomen to use for unilateral breast reconstruction. Large language models (LLMs) have the potential to assist [...] Read more.
Background and Objectives: Despite CTAs being critical for preoperative planning in autologous breast reconstruction, experienced plastic surgeons may have differing preferences for which side of the abdomen to use for unilateral breast reconstruction. Large language models (LLMs) have the potential to assist medical imaging interpretation. This study compares the perforator selection preferences of experienced plastic surgeons with four popular LLMs based on CTA images for breast reconstruction. Materials and Methods: Six experienced plastic surgeons from Australia, the US, Italy, Denmark, and Argentina reviewed ten CTA images, indicated their preferred side of the abdomen for unilateral breast reconstruction and recommended the type of autologous reconstruction. The LLMs were prompted to do the same. The average decisions were calculated, recorded in suitable tables, and compared. Results: The six consultants predominantly recommend the DIEP procedure (83%). This suggests experienced surgeons feel more comfortable raising DIEP than TRAM flaps, which they recommended only 3% of the time. They also favoured MS TRAM and SIEA less frequently (11% and 2%, respectively). Three LLMs—ChatGPT-4o, ChatGPT-4, and Bing CoPilot—exclusively recommended DIEP (100%), while Claude suggested DIEP 90% and MS TRAM 10%. Despite minor variations in side recommendations, consultants and AI models clearly preferred DIEP. Conclusions: Consultants and LLMs consistently preferred DIEP procedures, indicating strong confidence among experienced surgeons, though LLMs occasionally deviated in recommendations, highlighting limitations in their image interpretation capabilities. This emphasises the need for ongoing refinement of AI-assisted decision support systems to ensure they align more closely with expert clinical judgment and enhance their reliability in clinical practice. Full article
(This article belongs to the Special Issue New Developments in Plastic Surgery)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: Current Clinical Evidence of Bioengineered Materials including 3D-Printing in Plastic and Reconstructive Surgery
Authors: Anthony Ojochonu [1], Li Siew Lim [1], Ishith Seth [2], Marcel Chua [1]
Affiliation: 1. Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Victoria, Australia 3168 2. Department of Plastic and Reconstructive Surgery, Peninsula Health, Victoria, Australia 3199
Abstract: /

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