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 'Alfeky H'



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

Microsurgery and Vessel Caliber Mismatch

Introduction The evolution and progress of microsurgery has brought about numerous advances but some challenges still remain. Among these are discrepancies in the vessel size. A significant size discrepancy still equates to technical difficulty and high rate of flow turbulence possibly resulting in subsequent thrombosis. This article reviews the most..

Published: 11/09/2019
Authors: Mohammad M, Adjei B, George S, Alfeky H, Mostafa A, El-Gawad A

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Mini-delayed reverse flow sural artery flap: Maximising the reach and minimising the hospital stay

​Aim Microsurgical free tissue transfer is the gold standard for reconstruction of the lower leg defects. However it can be technically difficult or unavailable, hence local tissues can provide the solution. The distally based sural artery flap with or without delaying is one of the available options. Methods 14 patients with..

Published: 14/08/2018
Authors: Alfeky H

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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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Maximising the outcomes of proximal upper limb replantation

​Aim Proximal hand and forearm amputations are devastating injuries, the prediction of the success is always uncertain due to multi factorial risk factors including the mode of injury, level of amputation, presence of contamination and the extent of the damage to the neuro-vascular tree. General patient status and co-morbidities affect..

Published: 14/08/2018
Authors: Alfeky H

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Perforator based V-Y flaps: Versatility in upper lip reconstruction

​Aims The upper lip is a unique unit of the face which is formed of three subunits itself. Upper lip cancer is one of the commonest cancers plastic surgeon have to deal with. With the paucity of tissues in this anatomically special area, it is difficult some times to reconstruct..

Published: 07/08/2018
Authors: Alfeky H

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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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Book Review: New Concepts on Abdominoplasty and Further Applications

  Alfeky, H; George, S; Shokrollahi, K. (2018). Book Review: New Concepts on Abdominoplasty and Further Applications. Annals of Plastic Surgery. 80 (6), 595

Published: 05/06/2018
Authors: Alfeky H, George S, Shokrollahi K

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St Helens Community Staff

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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