Birth Chest Anomaly
after correction by muscle transfer
poland syndrome with left chest underdevelopment
Video demonstration
Birth Hand Anomaly
child born with no gap between thumb and index finger and no muscle muscle to allow thumb to oppose fingers, preventing use of thumb
surgery to create gap using a local skin flap
muscle transfer procedure to power thumb opposition
immediate post-operative result prior to application of dressings
Reconstruction of Large Defects
late result showing fully healed tissues – a second stage can now be planned for restoration of hair-bearing skin
large infected cavity following spinal surgery
skin-muscle flap harvested from local healthy tissues and transferred into the defect
Skin Cancer
late result
surgical plan for removal and reconstruction with a local skin flap
large upper lip skin cancer of a type that can be cured by complete removal
immediate post-operative result
Skin Masses
Nerve Microsurgery
skin mass before removal
after removal
large tumours growing in an important nerve of the arm
close-up prior to complete removal by microsurgical separation from the nerve
Tissue Expansion
late result showing fully healed tissues – a second stage can now be planned for restoration of hair-bearing skin
tissue expansion is achieved by inserting a balloon under the skin which is gradually inflated over several weeks in clinic as in the case of this child with a large and potentially dangerous mole covering a large part of the abdomen. expander in place showing amount of expanded skin available.
at operation the large mole is almost completely removed, the expander removed and the extra skin used to close the defect
Trauma Limb Amputation
several months later demonstrating function
restoration of circulation with microsurgery
immediately post-operatively
farming injury with complete amputation of hand
electrical stimulation of nerve to elbow showing bending when stimulated beyond injury level
Brachial Plexus Injury
2 years post-repair showing good elbow function but note persisting shoulder restriction
birth injury with partial paralysis of left arm
damaged nerves explored in the neck
electrical stimulation of nerve to elbow showing bending when stimulated beyond injury level