- Reconstructive Surgery and Microvascular Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Digital Imaging in Medicine
- Burn Injury Management and Outcomes
- Surgical Simulation and Training
- Health and Medical Research Impacts
- Global Health Workforce Issues
- Abdominal Surgery and Complications
- Enhanced Recovery After Surgery
- Anorectal Disease Treatments and Outcomes
- Advances in Oncology and Radiotherapy
- Corneal Surgery and Treatments
- Innovations in Medical Education
- COVID-19 and healthcare impacts
- Orthopedic Surgery and Rehabilitation
- Planarian Biology and Electrostimulation
- Medical Education and Admissions
- Breast Lesions and Carcinomas
- Travel-related health issues
- Injury Epidemiology and Prevention
- Bacterial Identification and Susceptibility Testing
- Anatomy and Medical Technology
- Nerve injury and regeneration
- Diverticular Disease and Complications
University Hospitals of Leicester NHS Trust
2023
Leicester Royal Infirmary
2021-2023
South Tees Hospitals NHS Foundation Trust
2022
James Cook University Hospital
2020-2021
Royal Preston Hospital
2021
University Hospital of North Tees
2021
North Tees and Hartlepool NHS Foundation Trust
2020
Lancashire Teaching Hospitals NHS Foundation Trust
2017
University of Manchester
2016
Necrotising fasciitis is a life-threatening condition characterised by inflammation, affecting the soft tissues, which spreads within fascial plane. Skin changes can be delayed and often go unnoticed. The arises from bacterial infection, commonly being of polymicrobial aetiology. We describe an uncommon case necrotising caused Finegoldia magna , anaerobic coccus, in 40-year-old patient with diabetes. F. Gram-positive was previously known as Peptostreptococcus magnus . bacteria found normal...
'Burns challenges' leading to battle scars are a current youth culture phenomenon propagated by social media. Platforms such as YouTube, Twitter and Facebook have been noted show adolescents perform these challenges resulting in an increasing incidence of flame, friction or chemical burns varying severity. Aim: A literature review was performed on PubMed, READ, Epistemonikos with key search criteria including challenges, fire, deodorant, ice salt eraser burns. References each challenge were...
In July 2022, NICE updated the guidelines on management of melanoma by lowering number follow-up appointments and sentinel lymph node biopsy (SLNB) but increasing scans. This study aims to evaluate implications executing new in terms cost-effectiveness personnel.All patients newly diagnosed with 2019 at a regional skin cancer specialist center were reviewed. Data analyzed for their journey an idealized pathway modeled over 5-year period when adhering both previous guidelines. Differences...
Abstract Adequate local anaesthetic, in harvesting a split thickness skin graft (SSG), involves multiple passes of needle across the length and width marked donor site. We describe technique using hyaluronidase to uniformly anaesthetise an SSG site with one injection, pass needle. Mix 10mls 1% Lidocaine solution Adrenaline 1:200,000 1 vial Hyaluronidase Unit/ml solution. The mixture is buffered ml NaHCO3 neutralise acidity minimise pain.Mark out siteUsing 27G long (sterican), enter...
Background Pilonidal sinus disease is a common of the natal cleft with an incidence 25/100,000 people in UK. Males are most commonly affected, compared to females. It was reported be caused from ingrowing hair, leading formation abscess and sinuses underneath skin. These discharge their contents skin surface by aid pits. Surgery treatment choice for chronic pilonidal disease; however, literature has revealed high rates postsurgical complications. As consequence, follow-up appointments needed...
Abstract Introduction Venous insufficiency remains one of the commonest causes for flap failure. Forward-looking infrared (FLIR) thermography measures emissions from dissipated heat and converts temperature values into an image. This has various advantages to current use indocyanine green (ICG) angiography assess perfusion. Case A man in his mid-30s was involved a road traffic accident sustained extensive injuries right hand. These included multiple metacarpal fractures, degloving proximal...
INTRODUCTION The demand for free flap breast reconstruction appears to be increasing. aim of this study was evaluate the capacity microsurgical across UK and compare with apparent inform future workforce planning. METHODS A questionnaire sent all 56 plastic surgery units in establish whether they performed reconstructive surgery, number flaps each year what issues were encountering meeting demand. unit response rate 93%. RESULTS Current planning figures show that there are 161 consultant...
Adequate local anesthetic, in harvesting a split-thickness skin graft (SSG), traditionally involves multiple passes of needle across the length and width marked donor site. We describe technique using hyaluronidase to uniformly anaesthetize an SSG site with one injection, pass, needle. 1. Preop application EMLA cream/AMITOP 2. Mix 10 mL 1% lidocaine solution Adrenaline 1:200,000 1 vial Hyaluronidase 1500 units. The mixture is buffered 1 mL 8.4% sodium bicarbonate neutralize acidity minimize...
Abstract The demand for free flap breast reconstruction appears to be increasing. This study aims evaluate the capacity microsurgical across UK and compare this apparent inform future workforce planning. A questionnaire was sent all plastic surgery units in establish whether they performed reconstructive surgery, number of flaps a year what issues were encountering meeting demand. response rate 92.8% 56 units. Current planning figures show that there are 161 Consultant Plastic Surgeons who...
Abstract Background Cross-sectional imaging using MRI is most commonly used to evaluate the response neoadjuvant chemotherapy. Furthermore, CT scan of chest, abdomen, and pelvis (CAP) in staging breast cancer. This study seeks feasibility preoperative cross-sectional oncoplastic surgical planning for patients undergoing chemotherapy Method All female who underwent cancer between January 2019 2020 pre- post-neoadjuvant CTCAP were included. images independently reviewed analysed by two...