Research & Publications
Negative-pressure wound therapy: a snapshot of the evidence
Topical negative pressure (TNP) is a mode of therapy used to encourage wound healing. It can be used as a primary treatment for chronic/complex wounds or as an adjunct to surgery.
Cosmetic surgery in the NHS: Applying local and national guidelines
There is no worldwide consensus, as to how healthcare should be funded, in a modern society. Limited resources in the UK, have led to restrictions on cosmetic surgery in the NHS. Guidelines governing access to cosmetic surgery have been formulated.
Topical negative pressure therapy
The use of topical negative pressure (TNP) dressings with dermal regeneration template (DRT), Integra, has improved outcomes and simplified aftercare. Previous clinical studies have suggested accelerated vascularisation; with a reduction in the duration of the 1st stage after the application of Integra, from 2 to 4 weeks to as little as 4 days, but with no histological evidence.
Achieving 18-Week Waiting Times in Elective Hand Surgery
The Department of Health proposed an 18-week referral-totreatment time (RTT) as a measure of high quality healthcare, to be achieved by December 2008. In 2007, referrals for elective hand surgery, to the Plastic Surgery Hand Service, were either direct or indirect.
Trapeziectomy with a capsular interposition flap
Rai J, Mendonca DA, Breuning E. The role of the capsular interpositional flap in Trapeziectomy Annals of the Royal College Surgeons England 2009; 91 (4); 345-6.
Is There a Relationship Between the Severity of Metopic Synostosis and Speech and Language Impairments?
The occurrence of cognitive impairment and behavioral problems in patients with metopic synostosis has been described. The relationship between the severity of metopic synostosis and the incidence of speech and language delays has not been established.
Management of a neglected giant squamous cell carcinoma of the scalp
Rai J, Mendonca DA. Neglected Squamous cell carcinoma in an elderly male patient Quality Journal of Medicine 2009; 102;(1); 67.
Avoiding occlusal derangement in facial fractures: An evidence based approach
Facial fractures with occlusal derangement describe any fracture which directly or indirectly affects the occlusal relationship. Such fractures include dento-alveolar fractures in the maxilla and mandible, midface fractures - Le fort I, II, III and mandible fractures of the symphysis, parasymphysis, body, angle, and condyle.
Venous malformations of the limbs: the Birmingham experience, comparisons and classification in children
The management of vascular anomalies in upper and lower limbs is complex. The current practice at Birmingham Children's Hospital is based on a multidisciplinary approach, involving plastic surgeons, interventional radiologists, vascular surgeons, dermatologists and laser specialists.