- Reconstructive Surgery and Microvascular Techniques
- Surgical Simulation and Training
- Reconstructive Facial Surgery Techniques
- Anatomy and Medical Technology
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Breast Implant and Reconstruction
- Surgical Sutures and Adhesives
- Organ and Tissue Transplantation Research
- Surgical site infection prevention
- Digital Imaging in Medicine
- Cardiac and Coronary Surgery Techniques
- Venous Thromboembolism Diagnosis and Management
- Peripheral Artery Disease Management
- Nerve Injury and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Procedures and Complications
- Trauma Management and Diagnosis
- Hip and Femur Fractures
- Abdominal Trauma and Injuries
- Diversity and Career in Medicine
- Minimally Invasive Surgical Techniques
- Augmented Reality Applications
- Trauma and Emergency Care Studies
- Cerebrovascular and Carotid Artery Diseases
Barts Health NHS Trust
2015-2025
Royal London Hospital
2014-2025
University of Cyprus
2023-2024
Queen Mary University of London
2014-2023
University College London
2019-2023
University College Hospital
2022-2023
Akademikliniken
2021-2023
China Medical University
2017-2023
China Medical University Hospital
2017-2023
King's College Hospital NHS Foundation Trust
2023
Background: Recently, a superthin “pure skin perforator” flap without any subcutaneous tissue was proposed, but the vascularity is still unclear. The authors therefore investigated of proposed superficial circumflex iliac artery–pure perforator along with its clinical applications and findings on indocyanine green imaging. Methods: locations dimension 70 pure perforators 40 flaps were classified into central-peripheral mediolateral parts. Indocyanine angiography used to analyze patterns...
The Exoscope is a novel high-definition digital camera system. There limited evidence signifying the use of exoscopic devices in microsurgery. This trial objectively assesses effects as an alternative to standard operating microscope (OM) on performance experts simulated microvascular anastomosis.Modus V and OM were used by expert microsurgeons perform standardized tasks. Hand-motion analyzer measured total pathlength (TP), movements (TM), time (TT), quality end-product anastomosis. A...
Microsurgery is an essential element of plastic surgery practice. However, it remains unavailable or rudimentary in several developing countries, especially sub-Saharan Africa. This study presents the local surgeons experience, while focusing on specific challenges encountered and methods to improve global microsurgery practice.An online survey was sent all registered with College Surgeons East Central Southern Africa respective national surgical societies east central southern regional...
Background Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have established place Surgical microsurgery training, and support the principles replacement, reduction refinement animal use. A more sophisticated version basic chicken thigh model has been developed to include dissection a type 1-muscle flap described validated here. Methods step-by-step guide on how perform...
Abstract Background Circumferential hypopharyngeal defects with anterior neck skin loss often require double‐stacked or chimeric flaps to achieve good surgical outcomes. The thoracoacromial artery perforator (TAAP) flap is a simple and reliable method for defect reconstruction. Methods From March 2012 February 2015, 19 male patients an average age of 62 years (range 42‐81 years) underwent complex pharyngoesophageal reconstruction TAAP flaps. Results All who achieved optimal functional donor...
Mobile computing devices (MCDs), such as smartphones and tablets, are revolutionizing medical practice. These almost universally available offer a multitude of capabilities, including online features, streaming high-quality cameras, numerous applications. Within the surgical field, MCDs increasingly being used for simulations. Microsurgery is an expanding field surgery that presents unique challenges to both trainees trainers. Simulation-based training assessment in microsurgery currently...
Primary hyperparathyroidism (pHPT) is usually the result of a single adenoma that can often be accurately located preoperatively and excised by focused operation. Intraoperative parathyroid hormone (IOPTH) measurement used occasionally to detect additional abnormal glands. However, it remains controversial as whether IOPTH monitoring necessary. This study presents results large series parathyroidectomy without measurement.Data from 2003 2014 were collected on 180 consecutive patients who...
Loco-regional flaps have been widely used for the reconstruction of digital injuries without requiring microvascular anastomosis, however, they result in scarring and compromised functional outcomes. This study demonstrates our experience utilizing innervated radial artery superficial palmar branch (RASPB) perforator free flap complex injury reconstruction. From May 2007 to March 2014, RASPB was reconstruct 79 distal hand soft tissue defects which 14 were re-vascularise digit a flow-through...
Venous catheter malposition is a rare event with potential catastrophic consequences. To our knowledge we describe one of the first case reports an adult presenting late complication femoral venous malposition: abdominal compartment syndrome.A 39 year-old female sustained severe cerebral injury in road traffic accident. During initial resuscitation was inserted without ultrasound guidance no immediate concerns. After 48h whilst intensive care unit patient developed progressive distension....
Microsurgery is used in a variety of surgical specialties, including Plastic Surgery, Maxillofacial Ophthalmic Otolaryngology and Neurosurgery. It considered one the most technically challenging fields surgery. Microsurgical skills demand fine, precise controlled movements, microsurgical skill acquisition has steep initial learning curve. simulation provides safe environment for before operating clinically. The traditional starting point anyone wanting to pursue microsurgery basic training...