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Departmental sponsored research funding has increased some 20-fold on an annual basis (see graph). This research support comes from a variety of government, foundation, industry and institutional sources. Department of Defense funds make up approximately 80 percent of the total, with NIH, multiple foundation and industry grants making up the balance. A 2010 gift from Milton Edgerton, the first full-time plastic surgery chief at Johns Hopkins, and the blue moon fund established the Milton T. Edgerton, M.D., Professorship and Directorship of Plastic and Reconstructive Surgery, held since then by department director W. P. Andrew Lee. In spring 2015, the department opened a state-ofthe-art craniofacial center and high-tech dental lab to support the pediatric cleft and craniofacial program. The center will be capable of full digital imaging, planning and support of three-dimensional modeling. 2 | Plastic and Reconstructive Surgery 3 The department has an expanded presence in clinical activities including Johns Hopkins Bayview Medical Center, Johns Hopkins Green Spring Station, Johns Hopkins White Marsh, Greater Baltimore Medical Center, Johns Hopkins Odenton, and All Children’s Hospital (St. Petersburg, FL), in addition to its home base of The Johns Hopkins Hospital. Editor-in-Chief Gerald Brandacher Johns Hopkins University School of Medicine Co-Editors David H. Sachs Massachusetts General Hospital and Harvard Medical School W. P. Andrew Lee Johns Hopkins University School of Medicine Photo Credit: Johan van Rensburg, South Africa Volume 1 • Issue 1 • Oct/Nov/Dec 2014 Official Journal of the American Society for Reconstructive Transplantation USE THE VIEW menu to isolate specific layer groups. [see below] Black layers are for “Health” Red layers are for Thompson See also Thompson No Wilmer which is preferred For NCR map HIDE those areas that overlap the white frame Suburban Wellness is plotted but HIDDEN JHCP Heart Care DELETED 121205 120927 Confirm I-Street and Rockville locations (special case and closing) Rockville removed 121121 130222 I Street added 95 66 95 95 95 83 70 270 495 495 395 795 70 81 Washington D.C. Baltimore 97 695 Johns Hopkins Green Spring Station Sibley Ambulatory Surgery Center Johns Hopkins White Marsh The Johns Hopkins Hospital Johns Hopkins Bayview Medical Center Johns Hopkins Odenton Not shown on map All Children’s Hospital St. Petersburg, Florida *Opening Soon:check * on Fulton location Suburban Outpatient Medical Center Johns Hopkins Health Care and Surgery Center The ranks of residents in the combined Johns Hopkins/ University of Maryland program have grown from 18 in 2010 to 30 in 2016 and will continue to grow. The shift from divisional to departmental status led to an expansion of services, programs and faculty, which provided more surgeries and clinical learning opportunities for residents. New postgraduate fellowships have been added in hand surgery and microsurgery to the existing craniofacial and burn programs, training a total of six fellows every year. Department faculty members Chad Gordon, Damon Cooney and Amir Dorafshar have been named recipients of the prestigious American Association of Plastic Surgeons Academic Scholarship Awards for three years in a row. The annual awards recognize young investigators deemed most likely to advance knowledge in their field. dimensional modeling. 2 | Plastic and Reconstructive Surgery The department has an expanded presence in clinical activities including Johns Hopkins Bayview Medical Center, Johns Hopkins Green Spring Station, Johns Hopkins White Marsh, Greater Baltimore Medical Center, Johns Hopkins Odenton, and All Children’s Hospital (St. Petersburg, FL), in addition to its home base of The Johns Hopkins Hospital. Editor-in-Chief Gerald Brandacher Johns Hopkins University School of Medicine Co-Editors David H. Sachs Massachusetts General Hospital and Harvard Medical School W. P. Andrew Lee Johns Hopkins University School of Medicine Photo Credit: Johan van Rensburg, South Africa Volume 1 • Issue 1 • Oct/Nov/Dec 2014 Official Journal of the American Society for Reconstructive Transplantation USE THE VIEW menu to isolate specific layer groups. [see below] Black layers are for “Health” Red layers are for Thompson See also Thompson No Wilmer which is preferred For NCR map HIDE those areas that overlap the white frame Suburban Wellness is plotted but HIDDEN JHCP Heart Care DELETED 121205 120927 Confirm I-Street and Rockville locations (special case and closing) Rockville removed 121121 130222 I Street added 95 95 95 95 83 70 270 495 495 395 795 70 Washington D.C. Baltimore 97 695 Johns Hopkins Green Spring Station Sibley Ambulatory Surgery Center Johns Hopkins White Marsh The Johns Hopkins Hospital Johns Hopkins Bayview Medical Center Johns Hopkins Odenton Not shown on map All Children’s Hospital St. Petersburg, Florida heck * on Fulton location Suburban Outpatient Medical Center Johns Hopkins Health Care and Surgery Center The ranks of residents in the combined Johns Hopkins/ University of Maryland program have grown from 18 in 2010 to 30 in 2016 and will continue to grow. The shift from divisional to departmental status led to an expansion of services, programs and faculty, which provided more surgeries and clinical learning opportunities for residents. New postgraduate fellowships have been added in hand surgery and microsurgery to the existing craniofacial and burn programs, training a total of six fellows every year. Department faculty members Chad Gordon, Damon Cooney and Amir Dorafshar have been named recipients of the prestigious American Association of Plastic Surgeons Academic Scholarship Awards for three years in a row. The annual awards recognize young investigators deemed most likely to advance knowledge in their field. Award funds help them establish and support their own research laboratories. In 2014, the VCA Journal was launched with Gerald Brandacher, scientific director of the reconstructive transplantation program, serving as editorin-chief. The publication is the official journal of The American Society for Reconstructive Transplantation and chronicles advances in the field of vascularized composite allotransplantation. The past five years have seen the launch of several new department programs. These include Hand/Arm Transplant, Face Transplant, Nonbreast Oncologic Reconstruction, Lymphedema and Penile Transplant. The penile transplant program was established after years of research and development of novel surgical techniques to better perfuse the graft and enhance nerve regeneration. It aims to restore genitourinary function in servicemen and civilians who have suffered devastating injuries to the pelvic region. The reconstructive transplant team performed the nation’s most extensive and complicated bilateral arm transplant in 2012 in a quadruple amputee soldier. That success laid the foundation for another above-elbow transplant, in 2015. The department’s hand transplant surgeons have performed three of the four above-elbow transplants in the U.S. to date. Plastic and Reconstructive Surgery | 3 When patients experience lymphedema, the most common treatment approach is the conservative route, reducing the swelling and discomfort with compression and massage therapy and/or diet modification. But some patients find greater relief with surgical management, which may include tissue removal, liposuction, lymph node transfer or the lesser-known lymphovenous bypass. Five years ago, few were performing lymphovenous bypasses. Although the concept had existed for decades, the technology had not yet caught up to the procedure, which involves super-microscopic techniques and equipment. The procedure is now an outpatient one that reroutes the lymphatic system directly to the venous system, bypassing the damaged nodes and connecting the lymphatic channels directly into tiny, almost microscopic veins. It can significantly reduce the swelling and, in some cases, return the limb to normal function. “We’re excited about this technique because it can have the potential to help a lot of people with not a lot of downside for the patient,” says Damon Cooney, assistant professor of plastic and reconstructive surgery. Another microvascular option for patients with lymphedema is lymph node transfer, where surgeons transplant a group of lymph nodes, along with their blood supply, from a healthy part of the body to the affected area. “For years, patients had no good option other than therapy,” says Justin Sacks, director of oncological reconstruction. “Now we have new techniques that address the physiology of the patient,
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