- Breast Implant and Reconstruction
- Reconstructive Surgery and Microvascular Techniques
- Digital Imaging in Medicine
- Breast Cancer Treatment Studies
- Orthopedic Surgery and Rehabilitation
- Reconstructive Facial Surgery Techniques
- Hemodynamic Monitoring and Therapy
- Bone fractures and treatments
- Acute Ischemic Stroke Management
- Hip and Femur Fractures
- Elbow and Forearm Trauma Treatment
- Clinical practice guidelines implementation
- Trauma and Emergency Care Studies
- Cutaneous Melanoma Detection and Management
- Peripheral Artery Disease Management
- Surgical site infection prevention
- Atrial Fibrillation Management and Outcomes
- Burn Injury Management and Outcomes
- Nonmelanoma Skin Cancer Studies
- Body Contouring and Surgery
- COVID-19 and healthcare impacts
- Cutaneous lymphoproliferative disorders research
- Medical and Biological Sciences
- Facial Trauma and Fracture Management
- Healthcare Quality and Management
Nuffield Orthopaedic Centre
2022-2024
University of Oxford
2022-2024
Imperial College Healthcare NHS Trust
2024
University Hospitals Coventry and Warwickshire NHS Trust
2024
University Hospital Coventry
2010-2023
NIHR Wellcome Trust Southampton Clinical Research Facility
2010
Queen Victoria Hospital
2003-2009
Royal Prince Alfred Hospital
2008
University of Worcester
2008
St George's Hospital
2002-2003
Abstract Introduction Prepectoral techniques are becoming standard of care for implant-based breast reconstruction due to reduced impact on chest wall function and improved patient satisfaction. Evidence support these benefits, however, is lacking. Here, patient-reported outcomes (PROs) prepectoral (PPBR) in the Pre-BRA cohort reported. Methods Women undergoing PPBR after mastectomy cancer or risk reduction between July 2019 December 2020 were recruited. Participants completed BREAST-Q...
Sixty-two centres in 16 countries contributed with 2,694 open fractures cases to an international, multi-centric, retrospective cohort study involving different healthcare settings. The INTELLECT results show that there are significant disparities on the management of lower limb internationally. A timely, multidisciplinary, guideline-directed care is a protective factor for developing infective complications, non-union and requiring amputation.
Repair and rehabilitation of the flexor digitorum profundus tendon in zone I may be demanding. The aim authors' study was to assess a new technique for reinsertion distal tendon.The series consisted 18 patients who required primary (n = 10) or secondary 8) repair I. A half-Bruner incision extended into volar skin expose insertion site. Two drill holes were made through base phalanx obliquely from dorsolateral direction. modified Kessler suture passed then these tied anteriorly, providing...
Lipomodelling is increasingly popular in breast surgery. The aims of this study were to elucidate the prevalence and practice lipomodelling by surgeons UK explore their attitudes reservations technique.A specific questionnaire was circulated Breast Plastic Surgeons with an interest reconstruction.228 responded. surgery performed 48/70 (69%) plastic 17/158 (11%) (p < 0.0001). Most positive over 60% agreeing that benefits outweighed risks. Critics cited lack prospective, long term follow up...
When intermittent compression devices (ICDs) are used to prevent venous thromboembolism (VTE) they can cause pressure sores in a selected group of women, undergoing long operations. A prospective audit pre and post intervention showed reduced risk with an alternative device, without increasing the VTE.
Aletta Carbone and Joanna Skillman discuss a rare case of Marjolin's ulcer the importance bridging gap between primary secondary care in management non-resolving ulcers
Purpose: Does a non-invasive pulse oximeter probe accurately indicate limb ischemia with inflation of tourniquet? How are the waveform, perfusion index and oxygen saturations affected? oximetry return to normal restoration blood flow? Are findings similar, regardless which is used? Methods: Single Centre, pilot, proof concept study. Each volunteer staff member had two probes applied both lower limbs then upper limbs. One tourniquet (experimental limb). The trace, were recorded before (time...
Abstract Purpose Does a non-invasive pulse oximeter probe accurately indicate limb ischaemia with inflation of tourniquet? How are the waveform, perfusion index and oxygen saturations affected? oximetry return to normal restoration blood flow? Are findings similar, regardless which is used? Methods Single centre, pilot, proof concept study. Each volunteer staff member had two probes applied both lower limbs then upper limbs. One tourniquet (experimental limb). The trace, were recorded before...
Breast surgery is changing from a purely resectional specialty to one in which aesthetic outcomes are becoming increasingly important. conservation has moved beyond ablation techniques that maintain or improve breast shape. Knowledge and surgical skills, traditionally the remit of plastic surgeons, crucial success these new being adopted adapted by breed oncoplastic surgeons. Professional boundaries blurred as surgeons trained both oncologically surgery. have welcomed opportunity for...