A5087072618- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Surgical site infection prevention
- Lymphatic System and Diseases
- Nerve Injury and Rehabilitation
- Diagnosis and Treatment of Venous Diseases
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Cutaneous Melanoma Detection and Management
- Surgical Sutures and Adhesives
- Pressure Ulcer Prevention and Management
- Dysphagia Assessment and Management
- COVID-19 and healthcare impacts
- Tracheal and airway disorders
- Peripheral Artery Disease Management
- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Esophageal and GI Pathology
- Facial Rejuvenation and Surgery Techniques
- Dermatologic Treatments and Research
- Vascular Procedures and Complications
- Dupuytren's Contracture and Treatments
- Traumatic Ocular and Foreign Body Injuries
- Nasal Surgery and Airway Studies
- Facial Nerve Paralysis Treatment and Research
St Thomas' Hospital
2015-2023
Guy's and St Thomas' NHS Foundation Trust
2014-2021
China Medical University
2014-2020
China Medical University Hospital
2014-2020
Guy's Hospital
2020
St. Thomas Hospital
2019
The Royal Melbourne Hospital
2018
Glasgow Royal Infirmary
2012-2013
Polish Mother’s Memorial Hospital Research Institute
2012
Royal Hospital for Sick Children
2012
Surgical options for breast reconstruction include alloplastic and autogenous reconstructions. In autologous cases where the abdomen is not a suitable primary donor site, secondary sites such as thigh or buttock are considered. The aim of this report to describe novel approach, combined transverse upper gracilis profunda artery perforator (TUGPAP) flap, aimed at medium large volume reconstruction, with single site used per breast.Between January 2011 June 2013, 32 consecutive unilateral...
Background Reconstruction in a vessel‐depleted neck is challenging. The success rates can be markedly decreased because of unavailability suitable recipient vessels. In order to obtain reliable flow, vessels away from the zone fibrosis, radiation, or infection need explored. aim this report present our experience and clinical outcomes using retrograde flow coming distal transverse cervical artery (TCA) as source for arterial inflow complex head reconstruction patients with neck. Methods...
Background The anterolateral thigh flap is a workforce in reconstructive surgery, however, variations it vascular anatomy are not uncommon. These may affect design and survival, especially when large flaps required. In some anatomical variants the supplied by two separate dominant pedicles, these cases bi‐pedicle modification be necessary to ensure complete viability. aim of this report evaluate outcomes, present our approach using as method reduce risk partial necrosis reconstructing...
Gastric pull-up (GPU) is the most common procedure for restoring continuity of alimentary tract. Yet, complications because anastomotic problems are reported to be as high 25% after this procedure. Managing neck with leakage or stricture following failed GPU and/or radiotherapy formidable. We report our method, basic algorithm and results complicated management intestinal transfers .Nineteen cases referred department esophageal reconstruction were included in report. Of the19 patients, 18...
Background: Parotidectomy has well-documented post-operative complications. Dissection of the facial nerve branches can be challenging even under loupe magnification, and partial, or complete injury occur during surgery. To reduce this risk associated complications, we propose a number microsurgical best practices, which performed parotidectomy. Methods: A retrospective survey was conducted on 109 patients (45 males 64 females, average age 46.2 years, range 6 to 74 years) who underwent...
Abstract Objective The coronavirus disease 2019 pandemic resulted in the cessation of elective surgery. continued provision complex head and neck cancer surgery was extremely variable, with some UK centres not performing any During pandemic, Guy's St Thomas’ NHS Foundation Trust received high numbers admissions. This paper presents our experience major throughout pandemic. Methods A hub set up that provided a co-ordinated managed care pathway for patients during pandemic; Cancer Centre...
Background : Anterolateral thigh (ALT) flap is now a workhorse for reconstruction of skin and soft tissue defects. However, there are some drawbacks in its application, revisions often needed after surgery. Here, we present the results use special type partition ALT based on concept perforator vascular anatomy around protruding structure, cavity or canal, patients. Patients methods We used keyhole design with flaps five Wounds involved circumferential defects following structures: thumb (two...
Reconstruction of complex upper extremity defects requires a need for multiple tissue components. The supercharged latissimus dorsi (LD)-groin compound flap is an option that can provide large skin paddle with simultaneous functional muscle transfer. It necessary to supercharge the superficial circumflex iliac pedicle ensure viability its groin extension. In this report, we present case LD-groin in combination vascularized inguinal lymph nodes, which was used limb reconstruction young male...
Background: The purpose of this study was to propose a surgical algorithm for revision otoplasty, based on an evaluation patient concerns, desires, and clinical findings. A series instructive cases is presented. Methods: Thirty-six patients with average age approximately 15 years (range, 6 61 years), who underwent otoplasty between 2006 2011, were included. Demographic data, complications, indications surgery, operative details retrieved from case notes preoperative postoperative...
The supraclavicular fasciocutaneous flap is a well‐recognized in head and neck reconstruction. In this report, we describe for the first time variation of flap, osteocutaneous (SOC) free which was used to reconstruct composite nasal defect. defect arose after resection recurrent squamous cell carcinoma involved dorsal skin, cartilage, entire bone. A 6 cm × 4 size including subcutaneous tissue, vascularized cortico‐periosteal segment clavicle raised based on transverse cervical artery....
Orbital exenteration is a radical oncological surgery that usually indicated for advanced primary orbital tumors or invasion from local malignancy. We report 5-year series tertiary head and neck center with particular focus on our ablative reconstructive approach.We performed clinicopathological review of patients referred to Guy's St Thomas' NHS Foundation Trust Head Neck multidisciplinary team management input an malignancy during the period 2013 2018. Cases involving sinonasal were...
Groin lymph node free flap (G-LNF) transfer is a well-known technique for the treatment of lymphedema. Despite promising early and long-term results, concerns regarding postoperative donor site lymphedema adequacy G-LNF vessels have limited popularity amongst microsurgeons.
Abstract Over the last decade, lymph node flap ( LNF ) transfer has turned out to be an effective method in management of lymphoedema extremities. Most time, pockets created for cannot closed primarily and need resurfaced with split thickness skin grafts. Partial graft loss was frequently noted these cases. The prevent on iatrogenic wounds made us explore possibility attempting delayed grafting. We have herein reported our experience grafting autologous banked grafts cases Ten patients...
Background and objective: Facial vascular malformations can cause a number of functional problems, including difficulties in breathing, eating, speech, mobility. Psychological problems also arise due to the possible unpleasant appearance such lesions. Further, these lesions lead complications, pain, ulceration, infection, significant bleeding. Many treatments have been proposed literature. Laser therapy (and its related by non-coherent light sources) is now considered gold standard treatment...
Vascularized lymph node transfer is a quite innovative physiological surgical procedure for the lymphedema treatment. Although gaining more popularity due to its promising results, there are some concerns regarding difficult harvest it and potential risk of iatrogenic lymphedema. Here, we present alternative vascular constructs flap treatment lymphedema, which provide benefits technically easier dissection reconstruction damaged lymphatics. Furthermore, introduce classification based on...
To describe the approach and outcomes from two cancer centres in Southern Northern Europe during first wave of coronavirus disease 2019 (COVID-19) patients with head neck (HNC).Data collection was performed on a retrospective cohort surgically treated for primary HNC between March May 2020, using data tertiary hospitals: European Institute Oncology (Milan) Guy's & St Thomas' NHS Foundation Trust (London).We included 77 HNC. More COVID-19 were taking angiotensin-converting enzyme (ACE)...