Key result
A review of evidence-based medicine in microsurgery highlights that varying practices are often driven by conventional wisdom rather than convincing evidence, leading to ongoing controversy.
This review emphasizes the need for more evidence-based medicine in microsurgery to resolve controversies driven by conventional wisdom.
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Challenges reliance on conventional wisdom in microsurgery; leaves open need for standardized, evidence-based protocols.
Microsurgery practice, including preoperative patient selection, intraoperative technique, and anesthetic considerations, varies from institution to institution and from surgeon to surgeon. Many surgeons' practices are driven by "conventional wisdom," which is handed down from mentors to fellows and residents. In this article, the authors explore the oxymoron that there is evidence to support controversy in microsurgery. Indeed, if there was convincing evidence to support varying microsurgery practices, there would be no controversy. The authors conducted a review with a focus on evidence-based medicine to support microsurgery practice.
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Fan et al. (2015) conducted a review in Microsurgery practice. Evidence-based medicine in microsurgery was evaluated. A review of evidence-based medicine in microsurgery highlights that varying practices are often driven by conventional wisdom rather than convincing evidence, leading to ongoing controversy.
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