- Breast Implant and Reconstruction
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Venous Thromboembolism Diagnosis and Management
- Intraperitoneal and Appendiceal Malignancies
- Appendicitis Diagnosis and Management
- Colorectal and Anal Carcinomas
- Thyroid and Parathyroid Surgery
- Pancreatitis Pathology and Treatment
- Hidradenitis Suppurativa and Treatments
- Chemotherapy-related skin toxicity
- Central Venous Catheters and Hemodialysis
- Orthopedic Surgery and Rehabilitation
- Intestinal and Peritoneal Adhesions
- Reconstructive Surgery and Microvascular Techniques
- Anatomy and Medical Technology
- Bone Metabolism and Diseases
- Abdominal Surgery and Complications
- Infection Control and Ventilation
- Neurofibromatosis and Schwannoma Cases
- Chemotherapy-induced cardiotoxicity and mitigation
- Lymphatic System and Diseases
- Tissue Engineering and Regenerative Medicine
- Peripheral Nerve Disorders
- Urinary Tract Infections Management
Royal College of Surgeons in Ireland
2015-2025
Morriston Hospital
2025
Sheffield Teaching Hospitals NHS Foundation Trust
2024
Beaumont Hospital
2022-2024
University of Hull
2024
Musgrove Park Hospital
2023
Barnsley Hospital
2023
University Hospital Galway
2020-2022
We describe a simple and effective technique to retrieve retracted flexor tendon without palmar incision. Level of evidence: V
Electrosurgical devices are commonly used during mastectomy for simultaneous dissection and haemostasis, can provide potential benefits regarding vessel lymphatic ligation. The aim of this prospective RCT was to assess whether using a vessel-sealing device (LigaSure™) improves perioperative outcomes compared with monopolar diathermy when performing simple mastectomy.
Endometriosis is a gynecological condition referring to the presence of endometrial tissue outside endometrium with potential progressing malignancy. It mostly affects pelvic organs; however, it has been described beyond pelvis. In 10% cases occurs in bowel, rectum and sigmoid. Involvement small bowel rare. Here we report endometriosis terminal ileum appendix patient no previous diagnosis endometriosis.We describe case 39-year-old-female who presented abdominal pain, nausea vomiting...
Schwannomas are rare mesenchymal tumors. They usually diagnosed incidentally during endoscopic or diagnostic imaging for another reason. Malignant transformation is rare. In this case report, we present an incidental schwannoma protruding through the appendiceal orifice endoscopy. A healthy 56-year-old female underwent a surveillance colonoscopy family history of colorectal cancer. prominent and edematous was noted, area aggressively biopsied. Histopathological assessment revealed benign...
Background: With increasing demand for autologous reconstruction from low body mass index breast cancer patients, we sought to assess our deep inferior epigastric perforator (DIEP) procedural complication rates, post-procedural revision rates and patient-reported outcomes using the previously validated BREAST-Q module.
Abstract Aim Failure to conduct a risk assessment and administer suitable venous thromboprophylaxis in surgical patients is deemed as negligence. It was estimated that 25,000 deaths the UK due VTE 2004-2005. Seventy percentage of hospital acquired potentially preventable with appropriate prophylaxis. The Trust published form for patient. Our aim examine departments adherence trust guidelines. Method All plastic surgery inpatients stay longer than 24 h were reviewed prophylaxis prescription...
Abstract Background Acute pancreatitis is a common, yet complex, emergency surgical presentation. Multiple guidelines exist and management can vary significantly. The aim of this first UK, multicentre, prospective cohort study was to assess the variation in acute guide resource planning optimize treatment. Methods All patients aged greater than or equal 18 years presenting with pancreatitis, as per Atlanta criteria, from March April 2021 were eligible for inclusion followed up 30 days....
Duplex appendix is a rare anatomical entity with incidence rate of 0.004 and 0.009%. Diagnosis often missed despite growth in radiological investigations. Missed appendiceal anomalies can lead to undesirable medicolegal implications.Here we discuss case 76-year-old-male who initially presented his primary care physician right-sided abdominal pain for several weeks. A colonoscopy was performed demonstrated lesion arising from the appendicular orifice. The patient underwent staging imaging...
Abstract Buried bumper syndrome (BBS) is a rare complication associated with percutaneous endoscopic gastrostomy (PEG) tubes. It develops when the internal migrates through gastric wall, lodging anywhere along tract leading to overgrowth of mucosa thereby encasing tube. BBS can lead bleeding, perforation, peritonitis and intra-abdominal sepsis. Our case 71-year-old female presenting tenderness, erythema purulent discharge at PEG tube site 2-weeks post-insertion. Computer tomography scan...
Background: Acute pancreatitis continues to increase in incidence across Europe. The approach management has changed over the last 10 years, but incorporation of new information is slow. objectives our study were examine demographics, causes and complications compare diagnosis protocols with available literature. Methods: All admissions acute presenting between 2013 2018 (5-year period) reviewed. A was confirmed presence 2 3 factors: abdominal pain, elevated amylase radiological evidence....
While aneurysm and pseudoaneurysm are common complications to arteriovenous (AV) fistula, the development of from stump a ligated AV fistula is unusual. The involvement radial artery after ligation an extremely rare entity with only two cases reported in literature. In this report, we describe 40-year-old kidney transplant patient who presented radiocephalic which was managed by plastic surgery team using autologous vein graft reconstruction, compare our case described literature...
Background Osteoporosis has become a major public health problem, it is characterised by loss of bone mass and architecture due to disturbance in remodelling. Most current treatments retard but have no stimulating effect on formation [1]. Osteocytes act as an orchestrator for modelling, secrete the glycoprotein sclerostin which negatively regulates potential novel drug target [2]. Due difficulty accessing studying osteocytes vitro, osteocyte-like MLO-Y4 cell line was developed. However,...
Abstract Introduction LigaSure is an electrothermal bipolar vessel-sealing system shown to decrease blood loss and drainage volume compared electrocautery in axillary node dissection. This prospective randomised controlled trial aimed assess whether using improved perioperative outcomes when with monopolar diathermy alone performing mastectomy without Methods Mastectomy was performed the device conventional a trial. Patients were recruited over 39 months aged from 33 86 years of age. Block...
Abstract Introduction Thyroglossal cyst is one of the most common benign congenital neck lumps, however, incidental malignancy in these cysts a rare entity with incidence rate <1%. Method We present case 35-year-old female, who presented an asymptomatic midline mass. ultrasound confirmed 3.5 cm thyroglossal duct (TDC). She underwent Sistrunk procedure to excise cyst. On histological examination, there was finding papillary cell carcinoma. After multidisciplinary discussion, patient...
Abstract Introduction Low-BMI patients are candidates for both implant and free autologous tissue breast reconstruction. However, deep inferior epigastric perforators (DIEP) flaps not a popular option among thin women. The objective of this study was to evaluate patient reported outcomes patient’s population. Method A retrospective chart review conducted all the DIEP-based reconstruction performed over five-year period between June 2016 2021. Inclusion criteria included with BMI < =...
Abstract Introduction Hospital-acquired venous thromboembolism (VTE) is considered a significant cause of morbidity and mortality in all inpatients. It potentially preventable with adequate thromboprophylaxis. All surgical patients should be assessed commenced on an appropriate dose anticoagulant agent. Drug charts 40 admitted under general surgery teams at Galway University Hospital were reviewed audited against the Irish VTE prophylaxis guidelines release 2019. Results A total (21 M, 19 F)...
Background: Breast cancer is the most common malignancy in females. It accounts for approximately 32% of cancers women. The life time risk associated with condition estimated to be 1:10. can metastasise primarily lungs, bone, liver, brain and lymph nodes. Metastatic breast gastrointestinal tract thought extremely rare. occurs <1% cases. Patients metastatic present isolated or multitude symptoms including abdominal pain, nausea, vomiting, diarrhoea, constipation, ascites, etc. Methods: We...
Abstract Aim The COVID-19 pandemic continues to present unprecedented challenges for healthcare systems. This has resulted in the pragmatic shift practice of plastic surgery units worldwide. Many reported a significant fall urgent melanoma referrals, leading patients presenting with advanced disease. Our objective was evaluate our unit's experience both non-invasive and invasive during compare it UK, mainland Europe North America. Method A Retrospective chart review performed on all...
Abstract Hidradenitis suppurativa (HS) is a chronic recurrent debilitating condition. It characterized by abscesses, and can be complicated rupture, scarring sinuses. The management of HS multidisciplinary, involving general lifestyle modification, medical treatment, surgery. A wide range surgical interventions have been described for disease control management. However, strategies are highly variable. We present case 33-year-old female with extensive in both axillae resulting extreme pain,...