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• W2747923513 abstract "Despite his abbreviated career, tragically cut short at the age of 43, Marko Godina had such a profound effect on the world of reconstructive surgery that an award was created in his honor by the American Society for Reconstructive Microsurgery. Recognizing his vision and spirit, a traveling fellow is selected each year to continue to expand the horizons of our field by traveling and sharing their knowledge and friendship. The first Marko Godina Lectureship was awarded to Dr. Larry Colen for his excellence in microsurgery. We had talked about how this award has changed the microsurgery environment starting from his time more than 20 years ago and how it influenced the overall thought process for reconstructive microsurgeons around the globe. We began a quest to find some answers on the impact of Marko Godina on reconstructive surgery and surgeons. So why did Marko Godina have such a profound effect on us and what was the passion behind his life? We performed a small survey with the past Godina fellowship awardees asking how they would describe Marko Godina. The one dominant word that appeared was “innovative.” His influence and effect on us came from his innovation. How, then, was he able to develop such innovations that were not previously developed by his peers? This was the key question we had, and the fellowship journey was, in part, to find answers to this question. The first quality that I found intriguing was that he deeply appreciated his roots. Dr. Marko Godina was born in 1943 in Slovenia, and during his early career, he was taught by many leaders in reconstructive surgery such as Drs. Derganc, Cobbett, Acland, Skoog, and Buck-Gramco.1 Having learned from these great surgeons, his practice developed rapidly, setting the stage for the great contributions in reconstructive plastic surgery he was to produce. He clearly understood how he was “engineered” into a reconstructive surgeon by the many teachers in his life. He had a deep gratitude for his opportunities and the benevolence of his teachers. The second quality that contributed to Marko’s legacy was the importance he placed on the sharing of knowledge and the significance of friendship. He was keen on sharing his ideas and frequently accepted many visitors into his plastic surgery unit in addition to organizing multiple scientific meetings such as the European course in hand surgery. The third quality that he possessed was passion for his work. Looking at his pivotal publication in Plastic and Reconstructive Surgery in 1986 on the management of complex trauma to the lower extremities using emergency free flaps, it is hard to believe he performed complex reconstructions on 532 patients with lower extremity trauma in such a short period.2 Without an intense dedication to his ideals and his patients, this would not have been possible. It was these qualities of dedication and passion that he transmitted so well to those who had an opportunity to meet him. In spite of such illustrious achievements, Marko Godina was a man of great humility. He placed importance on a balance of work and fun. This was witnessed by his colleagues, who say he was actively engaged in a social life with musicians, writers, and the cultural elite in his town.1 This defines his fourth quality: being humble and knowing how to maintain a balance in his life with work and fun. Marko’s legacy lives on in the care of our patients today as a standard for the management of lower extremity trauma. His work on the concepts of end-to-side anastomosis is still widely respected.3 His lasting contributions continue with the first clinical use of the microvascular latissimus dorsi muscle flap, the first free lateral arm flap, and the first saphenous neurovascular flap, and for advocating for the use of arterial autografts in microvascular surgery.4–6 His incredibly innovative ideas defied the edict of contemporary treatment such as his implementing the first temporary ectopic implantation of an amputated hand and subsequent replantation after wound stability had been achieved.7 How was he able to think and innovate in this way? Innovation is his fifth quality. As a traveling fellow, I had the opportunity to meet many bright, young microsurgeons who may well be Godina fellows in the future. These young surgeons were constantly seeking answers to difficult reconstructive problems. To generate answers, the first step is to clarify the question. Asking “why” is the most critical step in the process of developing new thinking. Without curiosity, there would be no innovation. The “why” must come from a deep understanding of both science and clinical experience. A question gains value when you are able to convince yourself of the importance of this question. A valid “why” comes from initial research on the Web or in books. It is not uncommon that there will be another individual who is asking a similar question with the same curiosity. You may find your answer during this research phase and your curiosity may then be satiated. If there is no answer, you must do further research, and, if possible, put your theories into preclinical studies. Once you have a concept, you must share it with your peers and teachers, as communication will provide insights that you were not aware of or provide healthy criticism that will make your theory stronger. Once you build a theory for your “why,” you should put it into action. Without this approach, there will never be innovation. The innovation cycle starts by asking why, then doing the proper research, communicating with peers, and finally ends by putting it into action. I believe that Marko Godina proceeded in this manner. Marko Godina’s five main qualities—being appreciative of the journey, having passion for your work, sharing knowledge and friendship, being humble and maintaining a balance in your life, and understanding how to innovate—are traits that we all strive for. In this sense, we, as reconstructive microsurgeons, all have some of Marko Godina’s character genes. How has he influenced us? We all aspire to be better. Perhaps Marko Godina has shown us the best of what we can be and that is why he had such an impact on our careers. Now it is up to us to continue to build on his character and to evolve not only in clinical science but as human beings. ACKNOWLEDGMENTS The authors feel deeply honored to write this editorial as Godina fellows and thank the American Society for Reconstructive Microsurgery for the opportunity to see and feel the world of reconstructive microsurgery." @default.
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• W2747923513 title "How Has Dr. Marko Godina Influenced Us?" @default.
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