Bruce G Peat

• Middlemore Hospital

The purpose of the study was to develop a system of risk stratification, based on clinical and histological factors that would aid prediction of metastasis from cutaneous squamous cell carcinoma (SCC) of the head and neck. The method used was a retrospective case control study comparing clinical and histological parameters of 78 patients who develo...

We present findings of anomalous musculotendinous anatomy in a patient having exploration of an acute volar wrist laceration. Surgical dissection demonstrated supernumerary flexor carpi radialis brevis and flexor carpi ulnaris brevis muscle bellies crossing the radiocarpal and ulnocarpal joints, in addition to injuries to several normal tendons and...

Purpose: This paper presents the first documented case of paediatric Dupuytren's Disease in Australasia and performs a clinical review of paediatric cases world-wide in children under ten years of age. Case Report: An eight year old boy was referred with a six month history of nodular mass in the right palm. On examination, there was a 7 mm mid-pal...

Concern engendered by a previous study that showed inadequate first aid for burn injuries was prevalent in the community led to a novel multi-media public health campaign ensued to address the issue. To determine whether this public health campaign influenced behaviour by altering first aid treatment for burn injuries (BFAT). DESIGN, SETTING AND PO...

Scientific evidence for advisable excision margins for nonmelanotic skin carcinoma is poorly documented. Recommended excision margins vary from 2 to 15 mm. A prospective study was performed on 150 skin lesions excised over a 9-month period in an outpatient facility at the authors' institution. Primary nonmelanotic skin lesions were clinically diagn...

To assess the adequacy of initial burns first aid treatment in the community and its subsequent impact on treatment outcome. Four-month prospective study of consecutive burn patients presenting to Middlemore Hospital. Patients were interviewed to determine initial burns first aid treatment (BFAT) and assessed as "adequate" or "inadequate", then com...

An open access copy of this article is available and complies with the copyright holder/publisher conditions. VoR - Version of Record Aim: To assess the adequacy of initial burns first aid treatment in the community and its subsequent impact on treatment outcome. Methods: Four-month prospective study of consecutive burn patients presenting to Middl...

The technique of laparoscopic formation of loop ileostomies has been previously described for use in a variety of conditions. We present this as an option for faecal diversion in severe burns involving the back and buttock region and describe its use in two cases. Faecal diversion allows for easier wound care and nursing. Intra-abdominal assessment...

The results of 132 consecutive endoscopically selected pharyngoplasties were assessed. Depending on the size and shape of the velopharyngeal defect on attempted closure, patients had been allocated to one of four pharyngoplasties: (1) a superiorly based pharyngeal flap combined with a V-Y pushback of the soft palate (Honig), (2) a modified Hynes ap...

One-hundred and eighty patients undergoing limb-salvage surgery for soft-tissue sarcoma from 1986 to 1991 were assessed retrospectively for risk factors associated with major wound-healing complications. Twenty-three of 137 patients (16 percent) treated with primary direct wound closure sustained complications. In univariate analysis, the cross-sec...

Massive pharyngocutaneous fistulae may be arbitrarily defined as those involving two-thirds or more of the circumference of the pharyngeal wall. Three such patients are presented, all after failed radiotherapy and surgery. The principles of management consist of salivary diversion, complete debridement, nutritional support, prophylactic antibiotics...

Forty-three patients underwent microvascular free flap reconstruction of severe acute compound tibial fractures between 1980 and 1987. Thirty-three patients with follow-up of one to three years were retrospectively reviewed. Time to bone union took an average of 37 weeks; 30% developed infection necessitating bone removal, and 2 patients required a...