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Learning From Our (My) Mistakes

Learning From Our (My) Mistakes EDITORIAL The 2010 American Society of Ophthalmic Plastic and Reconstructive Surgery Foundation Lecture HE FRENCH SURGEON RENE´ LERICHE WROTE, tion seemingly went fine, but the patient had significant “Every surgeon carries a little cemetery marked edema postoperatively (eFigure 2B) that once re- where he goes to pray, a cemetery of bit- solved left her with a severely ptotic eyelid (eFigure 2C). terness and regret, where he seeks the rea- My “simple” surgical incursion—with minimal dissection— T son for his failures.” In this lecture, I will caused a crippling dehiscence of the levator aponeurosis. show you a few of the many gravestones in my cem- I then attempted to fix the ptosis and was pleased with etery. Before we enter, I’ll give you the take-home mes- the eyelid position “on the table” (eFigure 2D). After sur- sage of what I’ve learned from my mistakes. When er- gery, the patient once again had marked edema despite rors happen, they consistently seem to be related to one minimal intraoperative or postoperative bleeding (eFig- or more of the following: objective or technical failures, ure 2E). A few weeks later, her severe eyelid ptosis was usually rooted in ignorance; subjective or human fail- unimproved http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Learning From Our (My) Mistakes

JAMA Ophthalmology , Volume 130 (2) – Feb 1, 2012

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References (8)

Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archopthalmol.2011.1288
pmid
22332221
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL The 2010 American Society of Ophthalmic Plastic and Reconstructive Surgery Foundation Lecture HE FRENCH SURGEON RENE´ LERICHE WROTE, tion seemingly went fine, but the patient had significant “Every surgeon carries a little cemetery marked edema postoperatively (eFigure 2B) that once re- where he goes to pray, a cemetery of bit- solved left her with a severely ptotic eyelid (eFigure 2C). terness and regret, where he seeks the rea- My “simple” surgical incursion—with minimal dissection— T son for his failures.” In this lecture, I will caused a crippling dehiscence of the levator aponeurosis. show you a few of the many gravestones in my cem- I then attempted to fix the ptosis and was pleased with etery. Before we enter, I’ll give you the take-home mes- the eyelid position “on the table” (eFigure 2D). After sur- sage of what I’ve learned from my mistakes. When er- gery, the patient once again had marked edema despite rors happen, they consistently seem to be related to one minimal intraoperative or postoperative bleeding (eFig- or more of the following: objective or technical failures, ure 2E). A few weeks later, her severe eyelid ptosis was usually rooted in ignorance; subjective or human fail- unimproved

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Feb 1, 2012

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