Research Development

Staff Publications

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Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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All publications by 'Bell D'



Mersey and West Lancashire Teaching Hospitals NHS Trust – St Helens & Knowsley Staff

Wide-Awake Local Anesthesia No Tourniquet (WALANT) for Flexor Tendon Repairs...

Background The coronavirus disease 2019 (COVID-19) pandemic forced many changes. In our unit, there was a significant shift from traditional anesthesia (TA) which included general or regional anesthesia, to Wide-Awake Local Anesthesia No Tourniquet (WALANT) for the treatment of flexor tendon injuries. Zones I and II injuries have always been a..

Published: 15/03/2023
Authors: Bamal R, Bastouros E, Nolan G, Griffiths S, Bell D

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The Peroneus Brevis muscle flap for distal third tibia reconstruction in burns and trauma – a non-microsurgical and expeditious technique offering rapid wound healing of a complex wound.

Poster presentation for the BBA Annual Meeting, May 2022. Full conference programme available here: https://www.britishburnassociation.org/wp-content/uploads/2018/04/BBA-Bristol-4-6.5.22-Full-Programme-.pdf Introduction Reconstructive options for defects of the distal third of the tibia are often limited, challenging and cited as requiring free tissue transfer. Local options can be..

Published: 04/05/2022
Authors: Cappuyns L, Gurusinghe D, Bell D, Shokrollahi K

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99 Perfecting the Proforma – A Full-Cycle Audit on The Quality of Documentation of The Hand Trauma Proforma At the Regional Plastic Surgery Department

Aim We aimed to assess the quality of record-keeping of the departments hand trauma proforma, identify areas of improvement, and to implement and assess the quality of an updated proforma. Method Data from 101 parameters was collected for 20 patients undergoing surgery for an upper limb injury in November 2019. An updated proforma..

Published: 12/10/2021
Authors: Phillips B, Hosain M, Bell D

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1350 Wide-Awake Local Anaesthetic No Tourniquet (WALANT) Vs General/Regional Anaesthetic for Flexor Tendon Injuries: A Single-Centre, Retrospective Cohort Study

Aim Flexor tendon repairs are commonly performed under general/regional anaesthesia. Wide-awake local anaesthetic no tourniquet (WALANT) has potential advantages including the ability to test the repair intra-operatively; removal of the risks of general anaesthesia; no aerosol generation, thus reducing COVID-19 transmission risk. An ongoing systematic review identified no comparative..

Published: 12/10/2021
Authors: Greasley L, Nolan G, Bamal R, Bell D

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Improvement in hand trauma service at a regional plastics surgery unit in merseyside (BSSH Guidelines)

​Aim The 2007 British Society for Surgery of the Hand (BSSH) guideline contains the timeframe in which all hand trauma needs to be assessed and managed. Whiston Hospital is one of the regional plastic surgery units in the UK. An institutional audit performed in 2015 found the overall compliance with the guideline..

Published: 14/08/2018
Authors: Adjei B, Alfeky H, Bell D, Kelsey C, Nair M

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A Z-plasty training model

Aims The Z-Plasty is often a difficult concept for the trainee to design and execute. Our aim was to simulate a scar that needs either re-orientation or lengthening. Method The authors researched fabrics with different properties (strength, elasticity and anisotropy) along with mechanisms to simulate scar tension. A number of..

Published: 07/08/2018
Authors: Alfeky H, Bell D, Khan I,

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A full time regional ortho-plastic unit; initial results

​ Sargazi, N; El-Gawad, A; Narayan, B; Bell, D; Shanks, L; Nayagam, S; Graham K. (2015). A full time regional ortho-plastic unit; initial results​ . Journal of plastic, reconstructive & Aesthetic surgery: JPRAS. Published online 31st December

Published: 19/07/2016
Authors: Bell D, Graham K

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Utilising the MTP plantar fat

​   Touil, LL; Lindsay, KJ; Anderson, K; Bell, D. (2015).  Utilising the MTP plantar fat: A novel approach in Syme's amputation . Journal of Plastic, Reconstructive and Aesthetic Surgery. 68 (1), 126-129.

Published: 19/07/2016
Authors: Touil L, Bell D

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The Chicken Hand

​ Yao, SZJ; Iqbal, A; Bell, D. (2014).  The Chicken Hand: A training model for hand surgery . Journal of Plastic, Reconstructive and Aesthetic Surgery,. 67 (8), e214-16

Published: 19/07/2016
Authors: Yao S, Iqbal A, Bell D

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Tissue Glue

​ Teo, I; Lam, W; Bell, D. (2012).  Practical tips for using tissue glue . Journal of Wound Care. 21 (5), 234-235   

Published: 19/07/2016
Authors: Bell D

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St Helens Community Staff

Knowsley Community Staff

Halton Community Staff

North West Boroughs Community Health Staff

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