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 'Brackley P'



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

Multi-nodal basin drainage in lower limb melanoma

Summary Lymph node status is an important factor that influences outcomes in melanoma. Whilst certain anatomical areas have multiple-nodal basin drainage, limb melanomas are thought to have more predictable lymphatic drainage patterns, with lower limb melanomas reliably draining to the corresponding ipsilateral inguinal lymph node basin with occasional popliteal drainage...

Published: 24/11/2023
Authors: Hague A, Platford B, Rehman S, Howes A, Brackley P

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Implementation of a telemedicine service to provide skin cancer care in a tertiary plastic surgery unit during COVID-19 – a comprehensive review

Background In response to the COVID-19 pandemic, our tertiary skin cancer service had to adapt rapidly to reduce hospital footfall. Consequently, all clinic appointments for skin cancer patients were converted to telephone consultations. This study aims to provide a comprehensive review of this new service. Methods This study consisted of..

Published: 23/04/2022
Authors: Jakeman M, Khaw R, Zack-Williams SDL, Brackley P

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Groin dissections in skin cancer: Effect of a change in prophylactic antibiotic protocol

Objectives To determine whether groin dissection surgical site infection (SSI) incidence changed with shorter post-operative antibiotic prophylaxis. Background Post-operative prophylaxis changed due to antimicrobial stewardship, from regular oral antibiotics until drain removal, to three intravenous doses. Both groups had a single intravenous dose at induction. Methods A prospective database of..

Published: 09/12/2020
Authors: Dargan D, Beck D, McConville S, Mortimer K, Brackley P

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Novel management of the under diagnosed and difficult to treat arteriosclerotic ulcer of Martorell

Abstract The aim of this case report is to raise awareness and report a novel treatment of an under diagnosed and difficult to treat form of lower limb ulceration, arteriosclerotic ulcer of Martorell. Arteriosclerotic ulcer of Martorell is an intensely painful anterolateral lower leg ulcer with necrosis, that occurs in..

Published: 20/09/2018
Authors: Brackley P

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The UK plastic surgery sentinel lymph node biopsy service

​ Abstract It has been well established that the incidence of melanoma in the UK continues to rise, and that earlier detection leads to overall improved survival. Amongst several prognostic features, primary tumour thickness and regional lymph node status are accepted as the most important.1 Since it was first introduced in 1990..

Published: 19/07/2016
Authors: Brackley P, Yao S

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Ulcerating metastatic inguinal lymphadenopathy

​ Sadri, A; Touil, L; Liew, SW; Brackley, P; Koshy, O. (2014).  Salvage of ulcerating metastatic inguinal lymphadenopathy using the inferior pedicled TRAM flap . Journal of Plastic, Reconstructive & Aesthetic Surgery. 67 (5), E138-9  

Published: 19/07/2016
Authors: Touil L, Liew S, Brackley P, Koshy O

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Stage 1B Cutaneous Melanoma

​ Question:  Sentinel Lymph Node Biopsy (SLNB) has been advocated as part of the diagnostic and prognostic process in the 2010 updated guidelines for management of cutaneous melanoma. However, there remains some discrepancy in practice across the UK regarding offering SLNB in patients with 1B melanoma (ulceration or mitotic rate ≥1/mm2). Methods: ..

Published: 19/07/2016
Authors: Yao S, Brackley P

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Primary Cutaneous Melanoma

​ Question:  Most current international guidelines for the management of primary cutaneous melanoma stage pT2 and above recommend excisional surgery with a minimum of 2 cm radial margins. However recent systematic reviews suggest that wider excision margins offer no better local disease control than narrow ones. The latest Cochrane review recommended a..

Published: 19/07/2016
Authors: Brackley P,

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Recurrent lentigo maligna melanoma

​ Abstract There are various types and combinations of coexisting cutaneous neoplasms which have been documented in the past but are uncommon. In this report we describe a case of basal cell carcinoma (BCC) colonised by recurrent lentigo maligna melanoma. A review of the literature has established the coexistence of lentigo..

Published: 19/07/2016
Authors: Ahmad F, Brackley P, Hassan Z

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St Helens Community Staff

Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

Mohs Surgeons

​   Tehrani H; Sofos S; McPhail J; Brackley P (2012)  A Novel Training Model for Mohs Surgeons . Dermatologic Surgery. Published online 6 Feb 2012   

Published: 19/07/2016
Authors: , Brackley P, Sofos S, Tehrani H

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