ABSTRACT Current wound management through the use of a split‐thickness skin graft often requires hospital admission, period immobility, attentive donor site care and pain management. This study evaluates feasibility using novel epidermal graft‐harvesting device ( CelluTome ) that allows pain‐free grafting in outpatient clinic setting. A prospective series 35 patients was performed 2 centres, involving 10 acute 25 chronic wounds. All were subjected to specialist clinic, without anaesthesia,...

Split-thickness skin grafting (SSG) is an important modality for wound closure. However, the donor site becomes a second, often painful wound, which may take more time to heal than graft itself and holds risk of infection scarring. Epidermal (EG) alternative method autologous that harvests only epidermal layer by applying continuous negative pressure on normal raise blisters. This procedure has minimal morbidity relatively pain-free, allowing in outpatient setting. We plan compare EG SSG...

Abstract Wound coverage by split‐thickness skin graft (SSG) and epidermal (EG) shortens healing time, with comparable outcomes. However, the mechanism of EG is not as well understood SSG. The difference in mechanisms SSG was investigated using gap junctional proteins, proliferative marker, cytokeratin markers. Paired punch biopsies were taken from wound edge bed patients undergoing at weeks 0 1 to investigate keratinocyte migratory activities (connexins 43, 30, 26), activation (Ki67),...

Summary: Wound care represents a significant socioeconomic burden, with over half of chronic wounds taking up to year heal. Measures accelerate wound healing are beneficial patients and also reduce the cost burden management. Epidermal grafting (EG) is an emerging option for autologous skin in outpatient setting improve healing. Although several case series have previously reported good clinical outcome EG, rate comparison conservative management not known. In this report, we compare weekly...

This article portrays the authors' experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis pathological fracture, which was managed by multidisciplinary orthoplastic team. The decision for functional amputation versus salvage deemed necessary, enhanced principles of "spare parts" in reconstructive microsurgery. case describes successful use osteocutaneous distal tibia turn-up fillet flap that allowed "lowering level amputation" from through knee to...

Objectives: The inability to remove a ring from finger is common presentation Emergency Departments in addition Orthopaedic and Plastic Surgery Units. This often complicated by factors including trauma infection, leading superimposed tourniquet effect the ring, strangulating subcutaneous tissues. threat of neurovascular compromise favours early removal limit associated morbidity. article illustrates methods within literature. We offer assessing clinicians an illustrated summary techniques...

We report a case of necrotising fasciitis caused by metastatic endometrial adenocarcinoma. Metastases to the lumbar spine with local invasion iliopsoas muscle led an abscess, which subsequently progressed flank. This patient lacked common risk factors for fasciitis. There are no previous reports in literature this aetiology. discuss available evidence aetiology and fasciitis, relation time surgery prognosis.

Seven models for tendon repair simulation (urinary catheter, liquorice, fishing lure, dental rolls, drinking straw, silicone sealant and the authors' modification of with Micropore™ tape) were assessed their performance in a number domains. The surgical tape model scored highest overall each individual domain. This was significantly higher than all other exception alone. lowest scoring straw model.

ObjectiveThis study aimed to examine trends in gender, ethnicity, and less-than-full-time (LTFT) training reconstructive plastic surgery the UK, comparing them overall surgical specialties from 2009 2020.MethodsWe analyzed NHS Digital workforce data 2009-2020, examining LTFT working among consultants registrars, compared specialties. Data was using linear regression models.ResultsThe percentage of female registrars increased significantly over period, with groups having higher percentages...

Abstract Background Evidence for postoperative care of lower extremity free flap reconstruction (LEFF) varies and is yet to be standardized, despite established guidelines by the British Orthopedic Association Standard Trauma (BOAST-4). This study assesses protocols LEFF clinical monitoring, warming, dangling, compression in United Kingdom's (UK) major trauma centers (MTCs). Methods An online questionnaire was distributed consultant leads all UK adult MTCs. Data requested existence a...

Background Effective skin graft fixation is vital in preventing sheering forces, seroma, and hematoma from compromising take. Yet, selecting the ideal technique for securing grafts remains a contentious subject, with significant variation practice existing between surgeons. There is, therefore, benefit to be derived assessing literature evidence-based recommendations guide decision-making process. Methods A search of Medline Embase was performed using appropriate key terms, yielding 419...

Objectives The main objective of this study was to assess the impact changes in care commissioning policies on National Health Service (NHS)-funded cosmetic procedures over an 11-year period at our centre. Setting setting a tertiary hospital London regulated by North Central Hospitals NHS Trust group. Participants We included all patients logged database time which 2087 but later excluded 61 from analysis due insufficient information. Primary and secondary outcome measures were results...