Sean M Carroll

Sean M Carroll
St. Vincents University Hospital | St. Vincents · Department of Plastic & Reconstructive Surgery

MB BCh MD FRCSI FRCSI (Plastic )

About

72
Publications
11,890
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
966
Citations
Citations since 2017
5 Research Items
394 Citations
20172018201920202021202220230204060
20172018201920202021202220230204060
20172018201920202021202220230204060
20172018201920202021202220230204060
Introduction
Sean Is a Plastic Surgeon at SVUH in Dublin. He trained in Ireland, the UK , the USA and Canada. He trained with Kleinert Kutz in Louisville and now has a busy practise with an emphasis on hand surgery. Sean runs the Irish Microsurgical training course at the RCSI now in its tenth year.
Additional affiliations
June 2013 - present
Royal College of Surgeons in Ireland
Position
  • Program Director ,Plastic Surgical Training, Ireland
January 2007 - present
RCSI
Position
  • Director of Microvascular Training Programme
January 2000 - present
St. Vincents University Hospital
Position
  • Plastic Surgeon

Publications

Publications (72)
Article
Full-text available
Levels of evidence (LOE) aid in the critical appraisal of evidence by ranking studies based on limitation of its design. Analyzing LOE provides insight into application of evidence-based medicine. The aim of this study is to determine if the quality of evidence in plastic surgery research has improved over the past 10 years. Systematic review of re...
Article
Full-text available
Background:. The first carpometacarpal joint (CMCJ) in the hand is a commonly affected joint by osteoarthritis. It causes significant thumb base pain, limiting functional capacity. Microfracturing and application of autologous stem cells has been performed on large joints such as the knee but has never been evaluated for use in the smaller joints i...
Article
Aesthetic surgery is a rapidly evolving sub-specialty, both technologically and conceptually. It is therefore critical that plastic surgery training coincides with this rapid evolution. Recent fiscal limitations in public health provision and trainee working-time legislation may impact the delivery of high quality aesthetic surgery training. There...
Article
Background: The application of evidence-based medicine (EBM) to the practice of hand surgery has been limited. Production of high-quality research is an integral component of EBM. With considerable improvements in the quality evidence in both orthopedic and plastic and reconstructive surgery, it is imperative that hand surgery research emulates th...
Article
Full-text available
The plastic surgery literature is vast, consisting of a plethora of diverse articles written by a myriad of illustrious authors. Despite this considerable archive of published material, it remains nebulous as to which precise papers have had the greatest impact on our specialty. The aim of this study was to identify the most cited papers in the pla...
Article
The literature on Dupuytren’s contracture is vast yet little information is known as to which papers have been the most influential. The purpose of this study was to identify the 50 most cited papers on Dupuytren’s contracture and perform a citation analysis. Utilizing the Web of Science™, 23 surgical, medical, plastic and hand surgery journals wer...
Article
Full-text available
Background: There has been substantial rise in the volume of published works on fat transfer in the medical literature in the past 25 years, and this is indicative of its growing popularity. However, many unanswered questions remain, and there is no consensus as to the optimum technique. Consequently, the scientific and clinical research on fat gra...
Article
Breast implants are high-risk devices that have been at the epicenter of much debate and controversy. In light of the Poly Implant Prothèse crisis, data registries among 11 national societies around the world are cooperatively calling for the urgent need to establish robust national clinical quality registries based on international best practice w...
Article
Authorship is the currency of academic surgeons [1]. Research publications are the principal metric of academic success, which in turn are linked with scholarly achievement and academic prestige. Reported is a dramatic expansion of authorship in biomedical and medical research [2]. We performed an observational analysis on authorship trends in the...
Chapter
Pressure sores, more recently known as pressure injuries or pressure ulcers, are best defined as soft-tissue injuries resulting from unrelieved pressure over a bony prominence. Pressure ulcers (PUs) are a significant source of morbidity in spinal injury patients and are accountable for prolonged hospital stays and rehospitalisation [1-4]. Increasin...
Article
Full-text available
A large proportion of the plastic surgery literature is dedicated to the breast. It is one of the most common topics in our specialty, yet it is unclear which articles have been the most influential. The purpose of this study was to identify the top 100 most-cited articles on breast in the plastic surgery literature and examine the characteristics...
Conference Paper
Introduction: Barbed suture devices have a widespread application in plastic surgery. The unidirectional nature of the barbs facilitates a strong grip on tissues and reduces the need to constantly tension the suture manually. We hypothesized that a barbed suture tie-over suture to secure skin grafts would be quicker to perform than traditional tie-...
Article
Full-text available
INTRODUCTION: Over the past 50 years, there has been a significant increase in published articles in the medical literature. The aesthetic surgery literature is vast, consisting of a plethora of diverse articles written by a myriad of illustrious authors. Despite this considerable archive of published material, it remains nebulous as to which preci...
Article
Full-text available
Background: Barbed suture technology has shown promise in flexor tendon repairs, as there is an even distribution of load and the need for a knot is eliminated. We propose that a quick and simple, novel, barbed technique without any exposed barbs on the tendon surface has comparable strength and a smaller cross-sectional area at the repair site tha...
Article
Abstract Background: Barbed suture technology has shown promise in flexor tendon repairs as there is an even distribution of load and the need for a knot is eliminated. We propose that a quick and simple, novel, barbed technique without any exposed barbs on the tendon surface, has comparable strength and a smaller cross-sectional area at the repa...
Article
Full-text available
Background Proximal interphalangeal joint (PIPJ) dislocations represent a significant proportion of hand clinic visits and typically require frequent follow-ups for clinical assessment, orthotic adjustments, and physiotherapy. There are a large number of treatment options available for PIPJ dislocations, yet no prospective or controlled studies hav...
Article
Introduction: Barbed suture devices have a widespread application in plastic surgery. The unidirectional nature of the barbs facilitates a strong grip on tissues and reduces the need to constantly tension the suture manually. We hypothesized that a barbed suture tie-over suture to secure skin grafts would be quicker to perform than traditional tie...
Article
A candidates innate ability has been used in the assessment of applicants for technology based skills from fighter pilot to production line workers. This is considered vital in identifying attributes, which would predict good performance in these careers. Surgical trainee selection should be no different. Training a doctor to expertise in plastic s...
Data
Full-text available
The 50 most-cited microsurgery articles in plastic surgery Supplemental data can be found at: http://e-aps.org/src/sm/aps-41-153-s001.pdf
Article
Full-text available
The number of citations that a published article has received reflects the importance of the paper in the particular area of practice. In microsurgery, thus far, which journal articles are cited most frequently is unknown. The purpose of this study was to identify and analyze the characteristics of the top 50 papers in the field of microsurgery in...
Article
Changing work practices make it imperative that surgery selects candidates for training who demonstrate the spectrum of abilities that best facilitate learning and development of attributes that, by the end of their training, approximate the characteristics of a consultant surgeon. The aim of our study was to determine the relative merits of compon...
Article
Full-text available
Abstract The number of citations that a published article has received reflects the importance that paper has on that area of practice. In hand surgery, it is unknown which journal articles are cited most frequently. The purpose of this study was to identify and analyze the characteristics of the top 100 papers in the field of hand surgery. The 100...
Article
We compared the tensile strength of a novel knotless barbed suture method with a traditional four-strand Adelaide technique for flexor tendon repairs. Forty fresh porcine flexor tendons were transected and randomly assigned to one of the repair groups before repair. Biomechanical testing demonstrated that the tensile strengths between both tendon g...
Article
We compared the tensile strength of a novel knotless barbed suture method with a traditional four-strand Adelaide technique for flexor tendon repairs. Forty fresh porcine flexor tendons were transected and randomly assigned to one of the repair groups before repair. Biomechanical testing demonstrated that the tensile strengths between both tendon g...
Article
Unlabelled: The recent observation of anaplastic large cell lymphoma (ALCL) in association with breast implants has initiated a large amount of literature recently, particularly in light of the issues with Poly Implant Prosthese implants. There are now approximately 35-50 reports of this lymphoma associated with breast implants. One of the present...
Article
Background: Proficient microsurgical skills are considered essential in plastic and reconstructive surgery. Specialized courses offer trainees opportunity to improve their technical skills. Trainee aptitude may play an important role in the ability of a trainee to acquire proficient skills as individuals have differing fundamental abilities. We de...
Article
The surgical management of pressure ulcers traditionally involved staged procedures, with initial debridement of necrotic or infected material followed by reconstruction at a later date when the wound was deemed viable and free of gross infection. However, over the past decade, it has been suggested that a single-stage procedure, combining initial...
Article
Full-text available
The objective of this study was to develop and validate a transparent, fair and objective assessment programme for the selection of surgical trainees into higher surgical training (HST) in plastic surgery in the Republic of Ireland. Thirty-four individuals applied for HST in plastic surgery at the Royal College of Surgeons in Ireland (RCSI) in the...
Article
In cardiomyoplasty, the latissimus dorsi muscle is lifted on its primary neurovascular pedicle and wrapped around a failing heart. After 2 weeks, it is trained for 6 weeks using chronic electrical stimulation, which transforms the latissimus dorsi muscle into a fatigue-resistant muscle that can contract in synchrony with the beating heart without t...
Article
: In cardiomyoplasty, the latissimus dorsi muscle is lifted on its primary neurovascular pedicle and wrapped around a failing heart. After 2 weeks, it is trained for 6 weeks using" chronic electrical stimulation, which transforms the latissimus dorsi muscle into a fatigue-resistant muscle that can contract in synchrony with the beating heart withou...
Article
The reverse-flow radial forearm flap provides excellent coverage for distal upper-limb defects. It is simply raised and does not require microsurgical skills. However, since its vascular pedicle is reversed, its venous outflow can be significantly diminished because of the venous valves. The authors present the case of a 16-year-old patient with a...
Article
Ischemia of the distal latissimus dorsi muscle flap occurs when the entire muscle is acutely elevated. Although this level of ischemia may not be critical if the muscle is to be used as a conventional muscle flap, the ischemia causes decreased distal muscle function if it is used for dynamic muscle flap transfer. This experiment was designed to det...
Article
Vascular delay is a surgical procedure that renders a flap partially ischaemic several days prior to its transfer in order to increase its viability after its transfer. Though much debate exists regarding the actual mechanism of vascular delay, most theories agree that changes in the microcirculation play a key role. In this paper, we describe four...
Article
Investigations into the changes that occur in microvasculature following the surgical procedure called delay have brought about the need for a computer system capable of quantifying the morphological features of a full microvascular network in terms of average vessel length, diameter, and tortuosity. Both the formulaic conventions that have been de...
Article
Distal muscle flap ischemia and necrosis is a recognized complication of acute elevation of large skeletal muscle flaps. The aim of this study was to investigate whether the angiogenic properties of platelet derived growth factor (PDGF) could be used to augment skeletal muscle flap survival through the induction of new blood vessel formation before...
Article
Chronic heart failure continues to be a major cause of morbidity and mortality. Cardiomyoplasty (CMP) a surgical treatment for heart failure, has several potential advantages: skeletal muscle requires no external power source; each patient serves as his/her own "donor"; rejection is not a problem and immunosuppression is not necessary. This promisi...
Article
Dynamic myoplasty is a relatively new use for muscle flaps and has led us to revisit the mechanisms of vascular delay as a means of optimizing blood supply to muscle flaps. Despite the well-documented effectiveness of vascular delay in skin flaps, vascular delay in muscle flaps has not been widely reported. Regardless of the many mechanisms postula...
Article
Ischemic preconditioning of the myocardium with repeated brief periods of ischemia and reperfusion prior to prolonged ischemia significantly reduces subsequent myocardial infarction. Following ischemic preconditioning, two "windows of opportunity" (early and late) exist, during which time prolonged ischemia can occur with reduced infarction size. T...
Article
Ischemia of the distal portion of the latissimus dorsi muscle occurs in muscle transfer for cardiomyoplasty and reduces distal muscle contractility and thus the mechanical effectiveness of cardiomyoplasty. We hypothesized that muscle function would be improved by a vascular delay procedure that increases distal muscle perfusion of the latissimus do...
Article
Cardiomyoplasty (CMP) uses the latissimus dorsi muscle (LDM) to assist the heart in cases of cardiac failure. Distal ischemia and necrosis of the LDM is a recognized complication of CMP that can reduce distal muscle function and the mechanical effectiveness of CMP. Canine (n = 9) LDMs were subjected to a 10-day period of vascular delay followed by...
Article
An aetiological review of 332 patients with facial fractures seen in a 1 year period (1993) was carried out and compared to a similar study of 266 patients, performed in this unit in 1975. Males predominated in both years. Two thirds of fractures occurred in the second and third decades. Road traffic accident (RTA) related facial fractures decrease...
Article
Full-text available
In a 1 year period (1993) 332 facial fractures were treated in Cork Regional Hospital. Of these 110 (33%) were sports related. Males accounted for 94.5% of patients and 77% of patients were aged below 30 years. Nasal fractures were the most common fractures seen (56%). Almost half (49%) of sports related facial fractures occurred while playing Gael...
Article
A one year, retrospective, epidemiological study of all facial fractures, sustained whilst playing the GAA sports of football and hurling, treated in the Cork Regional Hospital was undertaken. The results have been analysed and compared to a similar study performed in this unit in 1975. Of 332 patients treated for facial fractures, 110 (33%) were i...
Article
A retrospective multifactorial epidemiological study of all patients admitted to the Burns Unit, St James's Hospital, Dublin during a 3-year period from January 1988 to December 1990 was undertaken. One hundred and twenty patients were admitted. All patients were aged over 14 years. The mean patient age was 48.2 years. Males accounted for 56 per ce...

Network

Cited By

Projects

Projects (3)
Project
ICOBRA aims to support initiation and professionalisation of breast implant registries. It develops standards and guidelines to improve quality of care for patients. In 2011, ICOBRA was founded by the Australasion foundation for plastic surgery. Today, we over 15 countries and partners for governments, notified bodies and other stakeholders in setting standards and minimal requirements for success. This way, quality in care in breast implant surgery can be improved quickly and objectively.
Archived project