ANNUAL REVIEW master Final3a - St Vincent's University Hospital
ANNUAL REVIEW master Final3a - St Vincent's University Hospital ANNUAL REVIEW master Final3a - St Vincent's University Hospital
St. Vincent’s Healthcare Group Limited - Annual Review 2007 Department - Surgery Department of Plastic Surgery Staff Consultants Mr Tom O’Reilly Mr Sean M Carroll Ms Margaret O’Donnell Dr Catriona Lawlor Registrars Ms E Fitzgerald Ms T Laing Mr P O’Sullivan Occupational Therapist Hand Therapist Unit Secretary Aine O’Reilly Catherine Cradock Alison Kelly Service Development and Activities The Department of Plastic Surgery provides a general plastic surgery service within the St. Vincent’s Healthcare Group for the southeast of the country. We provide specialised services in breast reconstruction, hand surgery, skin cancer, pressure sore surgery and head and neck reconstruction. St Agnes' ward remains the nominal Plastic Surgery ward but unfortunately due to the pressure of emergency work we see little increase in the numbers of patients being admitted for elective procedures on to our ward. We never the less acknowledge the dedication and hard work of the highly competent ward staff. Out patient clinical activity increased further this year. We recognise the expertise and continued positive attitude of the OPD nurses. The hand surgery clinic has now become too busy and we need more occupational and hand therapy hours to cover the increase in patients seen. There has been a significant increase in waiting lists for skin cancers due to our inability to admit patients but a new Friday morning list run in St Michael’s Hospital by Ms O’Donnell has helped this immensely. An additional Wednesday afternoon list has been added and run by our Registrars and this has also helped. A new booking system for Minor Op Theatre has made the allocation of operating slots more efficient and was introduced by Ms E Fitzgerald. Unfortunately due to this high level of activity, sometimes clinical procedures have to be postponed at short notice due to inevitable unforeseen circumstances. Mr O’Reilly continues to provide a general plastic surgery service with a special commitment to skin cancer surgery as well as participating in the paediatric plastic surgery service in Crumlin Children’s Hospital. Return to Contents 238
Department - Plastic Surgery Dr Lawlor and Ms O’Donnell continue to provide a busy breast reconstruction service and it continues to expand with over one hundred and twenty reconstructions being performed during the year. We have a close working relationship with the Surgical Professorial Unit from where a significant number of patients are referred. We also provide a reconstructive service to Breast Check and many patients now undergo breast reconstruction at the time of their mastectomy. The majority of patients, however, are reconstructed sometime after their surgery. The service is complimented by the participation of the Breast Care Nurses and encompasses a Micro-pigmentation (Tattooing) Clinic to complete Nipple-Areolar reconstruction. A plastic surgical service continues to be provided for the National Rehabilitation Hospital (NRH) by Mr Carroll. An outpatients and ward round at NRH is provided on alternative weeks. Agreement was reached during the year that 2 protected beds were to be made available for pressure sore reconstruction in the NRH and this has been an invaluable asset over the last year. The numbers of complex micro-vascular reconstructions performed over the last year has increased significantly over previous years. We have been delighted to perform these and have been gratified by the excellent results obtained but feel that in the medium term the unit cannot continue to expand without the addition of a permanent fourth consultant. Return to Contents 239
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Department - Plastic Surgery<br />
Dr Lawlor and Ms O’Donnell continue to provide a busy breast reconstruction service and it continues to<br />
expand with over one hundred and twenty reconstructions being performed during the year. We have a close<br />
working relationship with the Surgical Professorial Unit from where a significant number of patients are<br />
referred. We also provide a reconstructive service to Breast Check and many patients now undergo breast<br />
reconstruction at the time of their mastectomy. The majority of patients, however, are reconstructed<br />
sometime after their surgery. The service is complimented by the participation of the Breast Care Nurses and<br />
encompasses a Micro-pigmentation (Tattooing) Clinic to complete Nipple-Areolar reconstruction.<br />
A plastic surgical service continues to be provided for the National Rehabilitation <strong>Hospital</strong> (NRH) by Mr<br />
Carroll. An outpatients and ward round at NRH is provided on alternative weeks. Agreement was reached<br />
during the year that 2 protected beds were to be made available for pressure sore reconstruction in the NRH<br />
and this has been an invaluable asset over the last year.<br />
The numbers of complex micro-vascular reconstructions performed over the last year has increased<br />
significantly over previous years. We have been delighted to perform these and have been gratified by the<br />
excellent results obtained but feel that in the medium term the unit cannot continue to expand without the<br />
addition of a permanent fourth consultant.<br />
Return to Contents<br />
239
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