Annual Report 2012 - 2013
DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY
The 2012-2013 academic year has been a highly
productive and exciting year for the Department of Plastic and Reconstructive
Surgery. During this time period we have made significant outreach endeavors
into our community, opened a new surgery center, grown our new wound center,
and undertaken several projects of giving back to our institution, local
community, and international community. We will highlight our activities in
these areas. In addition, we continue to encourage our faculty to be both
clinically and academically productive.
Plastic Surgery continues to be a very busy clinical
department. Our 8 surgeons are
recognized locally, regionally, nationally, and internationally and provide
state of the art care in all areas of reconstructive and aesthetic
surgery. Each faculty member has
specialized talents in Pediatric Surgery, Craniofacial Surgery, Breast
Reconstruction, Hand Surgery, Burn Management and Reconstruction, Wound Care,
Microvascular Surgery, General Reconstructive Surgery, and Cosmetic
Surgery. Newest faculty (Drs. Sanger and
Pestana) are continuing to grow their practices and reach out to hospitals in
both Greensboro and Lexington that normally were not referring to our
Data regarding new patient visits, return patient
visits and RVU’s are not reliable at this time as a result of the Epic learning
We added Dr. Lucian Vlad to the faculty in the July
1, 2012 and the Wound Care Center offers a full spectrum of medical care
required by complex wound patients. Prior
to the opening of our wound care center in January 2011, we were losing
referrals to surrounding Wound Care Centers in Forsyth County, Statesville, and
Greensboro. The Center has been and has
remained profitable since its inception.
The Wound Center saw 622 new patients, 4,392 return patient visits, 21
new HBO patients and 6,288 HBO segments.
Return patient visits increased 10 percent, new HBO patients increased
65 percent and HBO segments increased 118 percent. We expect this service line to continue to
grow as we expand the number of providers that staff our clinic.
Our outpatient surgery center and clinics have been
well received by the Forsyth County community.
This center has 2 AAAASF certified operating suites, 2 procedure rooms,
and 5 clinic rooms. Since its opening, the community reception has been
outstanding. Patients and their families are happy with the additional space and
it has significantly increased our year-to-date volume of aesthetics which is
impressive given the current market restraints. In the past 12 months our
cosmetic practice has generated $1,347,928.00 in revenue. We expect the volume of patients cared for in
this new facility to continue to rise.
Press Ganey evaluations at the Cosmetic Surgery Center
are consistently in the 93 to 99 percentile.
The Wake Forest Baptist Health Surgical Specialists
Office in Greensboro has been open for two and a half years. The initial
outreach endeavors have continued to show results with the adult and pediatric
clinics at full capacity. Patients receiving breast reconstruction after
cancer treatment is fifty percent of the current clinic volume. Dr.
Sanger remains a regular participant in the weekly Cone Breast Center Tumor
Board meetings and the monthly Breast Center Specialist Task Force meetings.
She is also the Inpatient and Outpatient Wound Care Director.
Surgical cases from the wound care center have doubled in the past year.
This includes referrals to WFBMC for flap reconstruction. Complex
reconstructions including microvascular breast reconstruction, craniofacial
surgery and unusual wounds are referred for surgery to Wake Forest Baptist Health.
addition to our general Plastic Surgery Clinic, Cosmetic Surgery Clinic, and
Hand Clinic we are an integral part of several multidisciplinary clinics.
Cleft and Craniofacial Clinic
Our cleft and craniofacial clinic continues to be a
thriving part of our practice. Due to increases in volume, we now have 2
scheduled cleft and craniofacial clinics monthly which translates to, on
average, about 45 patients per month. This is a multidisciplinary clinic that
provides coordinated care of several clinical providers including hearing and
speech, genetics, ENT, Plastic surgery, dentistry, and orthodontics. Because we
feel that being part of a coordinated team is critical to the care of these
children, the Department of Plastic Surgery funds the membership of all team
members to the ACPCA (American Cleft Palate and Craniofacial Association). This
membership is a requirement for our team accreditation. In addition, we send
members of the team to the annual meeting to receive additional training in
their area of expertise. This year we funded these educational endeavors for
our speech pathologist and geneticist, as well as our care coordinator. The
multidisciplinary approach is crucial for these children so that their care is integrated
and the disruption in their daily lives is minimized.
Our center continues to be on the cutting edge for
craniofacial care. The use of an innovative treatment modality, spring assisted
surgery, continues to bring us patients from all over the country for
treatment. In addition, we continue to be the leading trainer for craniofacial
surgeons in this treatment modality.
Since his addition to Wake Forest Baptist Health,
our microvascular breast reconstruction has increased dramatically and we have performed
40 free tissue transfer breast reconstructions in 2013.
2011, the PSU department began the development of a new relationship with the
recently acquired Lexington Memorial Hospital. After assessment of inpatient,
outpatient, intensive care, and operating room capabilities, outreach
initiatives were instituted and culminated in cooperative work with Davidson
Surgical Associates, a Lexington-based general surgery practice. The
result of this relationship has allowed all forms of immediate and delayed
breast reconstruction to be offered to that region which was previously devoid
of reconstructive breast surgery options. This
fiscal year, the relationship between our department and the Lexington
community has grown. Not only are all
forms of immediate and delayed breast reconstruction offered to the Lexington
community but other forms of elective plastic surgery services such as body
contouring and wound management have been performed at Lexington Memorial Hospital.
The plastic surgery residency program is now
classified as a high volume microvascular reconstruction program with 50 or
greater free flaps performed.