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 'Nolan G'



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

Phalangeal and Metacarpal Fractures in Children: A 10-Year Comparison of Factors Affecting Functional Outcomes in 313 Patients

Data It is widely believed that fractures in children have excellent clinical outcomes due to their capacity to remodel. There are, however, certain fractures that require careful management to avoid long-lasting functional impairment. Functional outcomes following hand fractures in children are poorly studied. Materials and Methods We performed a retrospective..

Published: 11/04/2023
Authors: Nolan G

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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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National audit of non-melanoma skin cancer excisions performed by plastic surgery in the UK

Introduction Keratinocyte or non-melanoma skin cancer (NMSC) is the most common malignancy worldwide, encompassing basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC). The mainstay of treatment for NMSC is excision. The likelihood of recurrence is directly related to achieving tumour-free margins. Just 1 per cent of BCCs recur where..

Published: 27/07/2022
Authors: Nolan G, Pritchard-Jones R

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Clinical Outcomes and Risk Stratification of Early-Stage Melanoma Micrometastases From an International Multicenter Study

Purpose Indications for offering adjuvant systemic therapy for patients with early-stage melanomas with low disease burden sentinel node (SN) micrometastases, namely, American Joint Committee on Cancer (AJCC; eighth edition) stage IIIA disease, are presently controversial. The current study sought to identify high-risk SN-positive AJCC stage IIIA patients who are more..

Published: 18/07/2022
Authors: Nolan G, Pritchard-Jones R

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Evaluation of the Indications for Sentinel Node Biopsy in Early-Stage Melanoma with the Advent of Adjuvant Systemic Therapy

Background Patients presenting with early-stage melanoma (AJCC pT1b-pT2a) reportedly have a relatively low risk of a positive SNB (~5–10%). Those patients are usually found to have low-volume metastatic disease after SNB, typically reclassified to AJCC stage IIIA, with an excellent prognosis of ~90% 5-year survival. Currently, adjuvant systemic therapy is..

Published: 13/05/2022
Authors: Nolan G, Pritchard-Jones R

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229 A Systematic Review Protocol Examining the Role of Immobilisation in Hand Infections

Aim Hand infections are common and varied, leading to long-term complications when managed poorly. Splinting of the hand in a position of safe immobilisation (POSI) is frequently used to avoid complications including pain and stiffness, however it is not a universally accepted technique because the effects of splinting in hand..

Published: 28/02/2022
Authors: Nolan G

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Management of Seymour Fractures in Children and Adolescents: A Systematic Review and Meta-Analysis

Purpose Seymour fractures are injuries with a potentially high risk of infection and osteomyelitis. The optimal management of this pediatric open fracture is unknown. We performed a systematic review and meta-analysis to summarize the best evidence for these fractures and determine their optional management based on primary clinical studies. Methods..

Published: 19/11/2021
Authors: Nolan G

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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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968 Delivering Human Factors and Non-Technical Skills Training Using Interactive Online Platforms in the COVID Era

Aim To evaluate the impact and effectiveness of an interactive online human factors (HF) and non-technical skills (NTS) course delivered to Core Surgical Trainees during the COVID-19 pandemic Method A 1-day HF and NTS course was conducted online, using the Zoom platform, to Core Surgical Trainees in the North West...

Published: 12/10/2021
Authors: Nolan G

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The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants

  Kiely, AL; Nolan, GS. (2021). The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants. Plastic and Reconstructive Surgery. 148 (1), 153-154

Published: 12/07/2021
Authors: Nolan G

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Comment on: COVID 19 and the race to publish: an ethical issue

Dear Editor We read Safieddine and Kassir’s letter1 on the ethics of pandemic publication with interest. They commend the role journal editors play in the academic response to the virus by expediently reviewing and disseminating an overwhelming number of submissions. ‘Corona’, from the Latin ‘crown’, was applied to a..

Published: 08/12/2020
Authors: Nolan G

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The effect of the COVID‐19 pandemic on skin cancer surgery in the United Kingdom: a national, multi‐centre, prospective cohort study and survey of Plastic Surgeons

Editor The COVID‐19 pandemic has negatively affected all skin cancer treatment. A national audit of skin cancer excisions by Plastic Surgeons was adapted to establish what effect the pandemic had on the provision and delivery of skin cancer treatment in the United Kingdom. Throughout ‘lockdown’ (March 16th – June 14th 2020) a..

Published: 01/11/2020
Authors: Nolan G, Pritchard-Jones R

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Incomplete surgical excision of keratinocyte skin cancers: a systematic review and meta-analysis

Background Keratinocyte or nonmelanoma skin cancer (NMSC) is the commonest malignancy worldwide. The usual treatment is surgical excision. Current guidelines underestimate incomplete excision rates. Objectives We aimed to determine the risk of incomplete excision of NMSCs through a systematic review and meta‐analysis of primary clinical studies. Methods A PRISMA‐..

Published: 01/10/2020
Authors: Nolan G

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Skin cancer surgery during the COVID-19 pandemic: A national, multicentre, prospective cohort study and survey of plastic surgeons

Abstract Skin cancer is the most common malignancy worldwide. The COVID‐19 pandemic has caused an unprecedented reorganization of healthcare services. This study established what effect the pandemic has had on the provision of skin cancer surgery by plastic surgeons in the U.K., one of the worst affected countries globally...

Published: 01/09/2020
Authors: Nolan G, Pritchard-Jones R

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PLASTA National Webinar Series: A developing model for remote surgical education

Dear Sir, We enjoyed the recent publication on the growth of high-quality webinar-based teaching from the Plastic Surgery Trainees Association (PLASTA) and would like to offer some reflections. We agree webinars have many advantages in terms of cost, accessibility, convenience as well as the ability to place experts in niche..

Published: 27/08/2020
Authors: Nolan G

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Global incidence of incomplete surgical excision in adult patients with non-melanoma skin cancer

Abstract Background Non-melanoma skin cancer, which includes basal cell carcinoma and cutaneous squamous cell carcinoma, is the commonest malignancy worldwide. The mainstay of treatment is surgical excision. Despite this being an exceptionally common procedure, it is not known what the accepted standard is for incomplete excision. Multiple single-centre, regional and..

Published: 17/04/2020
Authors: Nolan G

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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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