Shehab Jabir's research while affiliated with Welsh Centre for Burns and Plastic Surgery and other places

Publications (26)

Article
Background: Since the advent of microsurgical free tissue transfer in the 1960s, it has now become an indispensable part of limb salvage surgery. However, its application in children was initially met with concerns regarding vessel diameter, increased potential for vasospasm and its potential impact on normal growth and development. This resulted...
Article
Introduction: The mainstay of operative treatment in burns is split skin grafting with free tissue transfer being indicated in a minority of cases. However, free tissue transfer faces a number of challenges in the burns patient. These include; overall cardiovascular and respiratory stability of the patient, availability of suitable vessels for ana...
Article
Introduction Free tissue transfer is a rarely indicated procedure in burns. However, in well selected cases it may play a pivotal role in optimizing outcomes in both primary and secondary burn reconstruction. We undertook a systematic review, based on the PRISMA statement for systematic reviews, of all published literature relating to the use of fr...
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Full-text available
Aims. The introduction of laser Doppler (LD) techniques to assess burn depth has revolutionized the treatment of burns of indeterminate depth. This paper will systematically review studies related to these two techniques and trace their evolution. At the same time we hope to highlight current controversies and areas where further research is necess...
Article
“Art and science have their meeting point in method and this is especially true in plastic surgery”—John Stage Davis, MD [1].Sir,Since the initiation of medical practice, it has always been referred to as an art. This did not negate the fact that a degree of scientific rationality was always applied to this “art” even at its earliest stages [2, 3]....
Article
Sir,Antibiotics were hailed as miracle drugs since their introduction in the 1940s and have brought respite to many patients suffering with bacterial infections. Treatment of infections of the hand, although comprising primarily of surgical drainage and washout, is no exception, with empirical prescription of antibiotics playing an important adjuva...
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Introduction: Currently there is a multiplicity of postoperative mobility-based rehabilitation protocols following isolated digital nerve repair. The regime chosen appears to be dependent on the preference of the surgeon and unit rather than being evidence based. We aim to systematically review the current evidence to provide an insight toward for...
Article
Perianal Paget's disease (PPD) is part of the spectrum of pagetoid skin lesions occurring outside the region of the nipple/areolar complex that are collectively referred to as extramammary Paget's disease (EMPD). However, unlike Paget's disease of the breast, which in the vast majority of cases is invariably associated with an underlying ductal car...
Article
A circumferential full-thickness burn to the penis is a rarely encountered injury. However, when it does occur, it proves a management challenge to the plastic and burns surgeon in terms of reconstruction. This is due to the need of not only regaining adequate function of the organ, but also because of the need for a pleasing aesthetic outcome. Spl...
Article
Multiple glomuvenous malformations (GVMs) are a rare condition which usually present in children with only a handful of cases reported in the literature. It is usually congenital and has an autosomal dominant inheritance pattern. They may be distributed throughout the body in either a localised, segmental or disseminated pattern. Pain, which is a c...
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Introduction: The standard anatomical description of the extensor pollicis brevis tendon provided in textbooks of anatomy is at odds with that of published anatomical studies. It is crucial to the hand surgeon that he or she has a clear understanding of its anatomy, including its variations. The aim of this study was to provide a comprehensive rev...
Article
Sciatic nerve palsy following total hip replacement is a rare but serious complication. The neurological sequelae that follow range from pure sensory loss to combined motor and sensory loss involving most of the lower limb. The loss of nociceptive feedback predisposes patients to accidental damage to the lower limb. We present the case of a lady wi...
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Full-text available
Body contouring following massive weight loss is a rapidly expanding field in plastic surgery. However, healthcare payers are reluctant to fund such procedures, viewing them as purely cosmetic. This has resulted in a flurry of studies assessing quality of life (QoL) and patient satisfaction following body contouring surgery in this cohort of patien...
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Full-text available
Hot water bottles are commonly used to relieve pain and for warmth during the colder months of the year. However, they pose a risk of serious burn injuries. The aim of this study is to retrospectively review all burn injuries caused by hot water bottles presenting to our regional burns unit. Methods . Patients with burns injuries resulting from hot...
Article
Unlabelled: Introduction. The staphylococcal scalded skin syndrome is an acute exfoliation of the skin caused by exfoliative toxins A and B. Although Staphylococcus aureus is a common cause of burn wound infection, SSSS following burn wound infection is rare. Method. A retrospective review of all SSSS cases admitted to a regional burns service bet...

Citations

... Jabir et al. [57] conducted a systematic review of microvascular lower limb salvage techniques and reported a free flap failure rate of 5% across 23 studies. They also reported that 75% of free flap procedures were performed for GA Type IIIb injuries in contrast to 90% in adult lower limb trauma. ...
... Regardless of the wide and growing use of microsurgery, its application in primary burn reconstruction is not very common, as it faces a number of additional challenges in this setting. Burn patient cases are prone to developing metabolic imbalances and a systemic inflammatory response that may compromise the survival of free flap reconstruction as a means of preserving otherwise insurmountable deep burn injuries with exposed tendons, nerves, vessels, bone and/or joints after excision of the burn eschar [2]. Early removal of burned tissue and skin grafting remains the most effective procedure for most burn patients. ...
... Stavrou et al. only provided a narrative overview of the domains that could be impaired after burns [10,11]. ...
... LDF was widely used abroad because of the series of studies on the human cutaneous blood flow conducted in 1979-1984 by several research teams [12,13]. LDF was later employed to assess the surficial blood flow in the eyelids after reconstructive surgeries in order to predict the viability of skin flaps and grafts, assess the state of periorbital tissues, benign and malignant lesions, and dermatochalasis [14,15,16]. There were no foreign studies of the blood flow and, especially, lymph flow in the eyelids in conditions of a chronic blepharitis. ...
... The literature even reports a case of Frey's syndrome following microtia reconstruction in a HFM patient, due to this aberrant nerve anatomy. 29 Regarding retroauricular coverage of the constructed auricle, skin grafting is most commonly used; however, the presence of arterial anomalies can negatively affect its healing process. 14 Finally, regarding sizing of the constructed auricle, Park and Park 25 note that the vertical length should be made slightly smaller in severe HFM cases. ...
... The efficacy of MIV technique on reducing neuropathic pain due to traumatic neuromas (as a reduction in autotomy rate) has been recently demonstrated in rats [32], endorsing our results. We chose a dorsal splint for 3 weeks as post-op immobilization to protect sutures from excessive stretching; literature disproves long lasting immobilization, showing no significative difference on nerve regeneration between early mobilization (after 3-7 days from the MIV graft) comparing to a complete immobilization for 10 days [33]; the presence of a nerve injury with a subsequent tension-free suture should not impair a tendon mobilization protocol for a concomitant tendinous lesion [34]. ...
... Similarly, the percentage of complications that are recorded is quite high compared to the usual complication rates reported by services with a high volume of microsurgery, if certain principles and perioperative care are taken into account to try to optimize the patient's condition, as well as avoiding, as much as possible, performing surgery between days 5 and 21 after the burn, the chances of success can be increased considerably in terms of Microsurgery indications in burned patients may originate in the acute phase or in the period of treatment of sequelae. Immediate primary reconstruction is considered to be that performed in the first 5 days after the injury, early primary between days 5 and 21, intermediate primary between days 21 and 6 weeks, and from then on it is considered surgery for sequelae; In cases of sequelae, microsurgical flaps are used to release scarring bands that limit the mobility of large joints or to optimize soft tissue coverage of aesthetically or functionally compromised areas (hands, feet, neck, etc.) [5,6]. ...
... 8 Burn injuries resulted from many factors such as scalds (hot liquids), heat, radiation, open flame, electricity, and hot water. 9 Therefore, burns are the major source of diseases and mortality all over the world. Their frequency varies due to socioeconomic and cultural differences among people. ...
... The EMPD typically appears as a non-specific erythematous, pruritic, and scaly eroded plaque, with lichenification and ulcerations (10,11). It is often misdiagnosed as common cutaneous diseases, such as eczema, psoriasis, dermatitis, and lichen sclerosis (10,12,13), with delayed appropriate treatment as a result. ...
... Moreover, patients who underwent body contouring procedures after bariatric surgery had significantly better long-term weight loss than a matched cohort of patients [13]. Previous studies have also reported that the patients had a better quality of life [14,15]. Other previous studies found blood changes such as leptin, low-density lipoprotein (LDL), and triglyceride are also associated with abdominoplasty [16][17][18]. ...