Bhaveshkumar Patel

• MBChB FRACS FACS CHIA
• Paediatric Surgeon at Queensland Health

Aim Evidence‐based guidelines do not recommend imaging in cryptorchidism, but anecdotally most referrals include an ultrasound report. We aimed to assess the frequency, utility and burden of imaging in children referred with presumptive disorders of testicular descent, and to assess trends over a 7‐year period before and after local and internation...

Background Paediatric donor site wounds are often complicated by dyspigmentation following a split-thickness skin graft. These easily identifiable scars can potentially never return to normal pigmentation. A Regenerative Epidermal Suspension (RES) has been shown to improve pigmentation in patients with vitiligo, and in adult patients following a bu...

Intro: Treating complex paediatric wounds is a challenge for many clinicians. Biodegradable Temporising Matrix (BTM) is a completely synthetic product that has shown promise in adults with acute burns, complex wounds, and reconstructive procedures. Currently, there is little documentation regarding the use of BTM in the paediatric population. Metho...

Background Topical local analgesic and anaesthetic agents have been used both pre- and immediately post-harvest on split-thickness skin graft (STSG) donor site wounds (DSW). There is no systematic review of their effectiveness in providing post-harvest analgesia, or of the possible toxic effects of systemic absorption. This study is designed to add...

Background Cryptorchidism is the most common referral to our paediatric surgical telehealth service. There is a paucity of literature on this condition in a telehealth context. We wished to determine the accuracy of telehealth in the diagnosis of cryptorchidism, and to examine for any predictors that may increase diagnostic confidence. Methods Ret...

Aim Children's burns care in Australasia is performed by paediatric surgeons and by plastic surgeons. The aim was to determine practices regarding the donor site wound (DSW), and to explore any differences by training scheme or nature of unit (paediatric vs. mixed). Methods Online survey of Australasian burns surgeons. Results Forty surgeons resp...

Extended Summary Introduction Recent literature has suggested caudal epidural blocks (CEB) may increase revision surgery rates following hypospadias repair. We sought to investigate this using a large, multi-surgeon series. Objective The primary objective of this study was to identify the impact of CEB or penile nerve blocks (PNB) on revision sur...

Background: Consumer-generated health data (CGHD) are any clinically relevant data collected by patients or their carers (consumers) that may improve health care outcomes. Like patient experience measures, these data reflect the consumer perspective and is part of a patient-centric agenda. The use of CGHD is believed to enhance diagnosis, patient...

Background Bulbourethral syringocele is an uncommon and under‐diagnosed condition most commonly seen in the paediatric population, although there is increasing recognition in adults. Due to the difficulty in diagnosis, we report our experience of urethral syringocele in a quaternary paediatric hospital, with differing presentations, diagnosis and t...

BACKGROUND Patient Generated Health Data (PGHD) is any clinically relevant data collected by patients or their carers (consumers) that may contribute to better health care outcomes. Patient generated health data, like patient reported outcome and patient experience measures, reflect the consumers perspective, promote patient centricity and can impr...

Background and objectives: 'Frosties' are deliberate cold skin burns caused by an aerosol device. The aim of this article was to examine our own cohort, and those previously published, to identify the key features of patients presenting with frosties and inform appropriate early clinical interventions. Method: We compared cases in our dataset th...

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effects of alginate dressings on donor site wound healing following split-thickness skin grafts.

Background European studies of paediatric foot burns report scalds as the leading cause. Mechanisms of injury are different in warmer climates. We sought to characterize the mechanisms and outcomes of isolated foot burns in our population. Methods Retrospective review of a prospectively collected database of all children aged 0–15 years presenting...

Over the last hundred years, idiopathic hypertrophic pyloric stenosis has undergone an evolution in treatment, with subsequent improvements in outcome. Initially, it was treated by physicians with antispasmodics and various alternative feeding and resuscitation modalities. The evolution of surgical approaches led to a revolution in outcome, from al...

Aim: Telehealth is a useful method of providing specialist consultation to a geographically diverse population. Canadian studies of telehealth for paediatric surgery demonstrate good accuracy, but have low numbers of cryptorchid patients in their cohorts. Our aim was to confirm Canadian studies for our cohort and to assess accuracy regarding crypt...

Purpose of Review The purpose of this study was to examine some recent developments in paediatric surgery, to both highlight them and to illustrate an underlying theme. Recent Findings Paediatric surgeons have a desire to minimise morbidity, recognising the potential fragility of the child surrounding the disease. Modern solutions continue to addr...

Aim: To characterise children presenting with hot beverage scalds versus scalds caused by starchy water. Methods: Retrospective survey of prospectively collected database of all children presenting over a two-year period. Results: There were 138 starch scalds and 262 hot beverage injuries. Children with hot beverage injuries were significantly...