James Warbrick‐Smith

The modified Stack procedure for central slip reconstruction: a case series

James Warbrick‐Smith, Holly Morris, Shirley Collocott, Amy Wang et autres

There are many surgical techniques for reconstruction of the divided or incompetent central slip. Most rely upon postoperative immobilisation to protect the repair. We present our experience using a distally based flexor digitorum superficialis slip to reconstruct the central slip and allow …

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Outcomes Following Immediate Vertical Rectus Abdominis Myocutaneous (VRAM) Flap‐Based Perineal Reconstruction Following Resectional Surgery For Pelvic Malignancies

Rhiannon Harries, Rami Radwan, Madlen Dewi, Jonathan Cubitt et autres

BACKGROUND: Increasingly radical surgery combined with neo-adjuvant radiotherapy present a challenge for the reconstructive surgeon. The study objective was to review outcomes of Vertical Rectus Abdominis Myocutaneous (VRAM) flap-based perineal reconstruction following resectional surgery for pelvic malignancies. METHODS: Single-centre retrospective analysis of …

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Chest wall reconstruction with an anatomically designed 3-D printed titanium ribs and hemi-sternum implant

Ira Goldsmith, Peter Evans, Heather Goodrum, James Warbrick‐Smith et autres

BACKGROUND: Chest wall resection following wide local excision for bone tumor results in a large defect. Reconstructing this defect is complex and requires skeletal and soft tissue reconstruction. We describe the reconstruction of a large skeletal defect with a three-dimensional (3-D) printed …

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A 10‐year review of surgical management of dermatofibrosarcoma protuberans*

Alana Durack, Sonia Gran, Matthew D. Gardiner, Abhilash Jain et autres

BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) is a rare skin cancer. Standard treatment in the UK is either wide local excision (WLE) or Mohs micrographic surgery (MMS). It is unclear which approach has the lower recurrence rate. OBJECTIVES: We undertook a retrospective comparative review …

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Principles of burn reconstruction

James Warbrick‐Smith, Tom Potokar

Burn reconstruction continues until either the maximal functional and aesthetic outcome has been achieved, or the patient and surgeon feel no further intervention is warranted. Communication with the patient about the limitations of outcome is vital. This chapter discusses the process of …

Perineal and genital burns

James Warbrick‐Smith, Peter Drew

Burns to the perineal area and genitals are normally found in the context of widespread burn damage, and are uncommon in isolation. Causes, challenges, and the initial management of genital burns are discussed.

Exploring the benefits of ‘See & Treat’ (S&T) in sarcoma management at the welsh centre for burns & plastic surgery: A step towards quality improvement?

Garikai Kungwengwe, E. Jones, James Warbrick‐Smith, Thomas Bragg

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‘You can keep your hat on’: a giant forehead trichilemmal cyst

Martin Van, James Warbrick‐Smith, Maurizio Brotto, Sarah Hemington‐Gorse

A 70-year-old man was referred to plastic surgery with a progressively enlarging lesion to his forehead. A small nodule had been present since 30 years. The patient had presented to his general practitioner at the time and had been reassured that this …

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Post-operative care of VRAM flaps for perineal reconstruction: Results of a UK practice survey and literature review

James Warbrick‐Smith, Peter Drew

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Starting a sentinel node service for melanoma: Is there a role for predictive nomograms?

Jonathan Cubitt, James Warbrick‐Smith, Sarah Hemington‐Gorse

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Re: Novel oral anticoagulants in plastic surgery

James Warbrick‐Smith, D. Urriza Rodriguez, Sameer Gujral, J Smith

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Poor urinary output

Hugo Farne, Edward Norris-Cervetto, James Warbrick‐Smith

You should ask the nurse: • What the trend is in urine output—has it been gradually decreasing, or suddenly stopped? If the latter, have they checked if the urinary catheter is blocked by flushing it? This is a rapidly reversible cause of …