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Fifty Years of Innovation in Plastic Surgery

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Title: Fifty Years of Innovation in Plastic Surgery
Authors: Kwasnicki
Hughes-Hallett
Marcus, HJ
Yang, GZ
Darzi, A
Hettiaratchy, S
Item Type: Journal Article
Abstract: © 2016 The Korean Society of Plastic and Reconstructive Surgeons.Background Innovation has molded the current landscape of plastic surgery. However, documentation of this process only exists scattered throughout the literature as individual articles. The few attempts made to profile innovation in plastic surgery have been narrative, and therefore qualitative and inherently biased. Through the implementation of a novel innovation metric, this work aims to identify and characterise the most prevalent innovations in plastic surgery over the last 50 years. Methods Patents and publications related to plastic surgery (1960 to 2010) were retrieved from patent and MEDLINE databases, respectively. The most active patent codes were identified and grouped into technology areas, which were subsequently plotted graphically against publication data. Expert-derived technologies outside of the top performing patents areas were additionally explored. Results Between 1960 and 2010, 4,651 patents and 43,118 publications related to plastic surgery were identified. The most active patent codes were grouped under reconstructive prostheses, implants, instruments, non-invasive techniques, and tissue engineering. Of these areas and other expert-derived technologies, those currently undergoing growth include surgical instruments, implants, non-invasive practices, transplantation and breast surgery. Innovations related to microvascular surgery, liposuction, tissue engineering, lasers and prostheses have all plateaued. Conclusions The application of a novel metric for evaluating innovation quantitatively outlines the natural history of technologies fundamental to the evolution of plastic surgery. Analysis of current innovation trends provides some insight into which technology domains are the most active.
Issue Date: 18-Mar-2016
Date of Acceptance: 27-Jan-2016
URI: http://hdl.handle.net/10044/1/30385
DOI: https://dx.doi.org/10.5999/aps.2016.43.2.145
ISSN: 2234-6171
Publisher: Korean Society of Plastic and Reconstructive Surgeons
Start Page: 145
End Page: 152
Journal / Book Title: Archives of Plastic Surgery
Volume: 43
Issue: 2
Copyright Statement: Copyright © 2016 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Diffusion of innovation
History
Surgery, plastic
Technology
Publication Status: Published
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation