Breast reconstruction rate and profile in a Singapore patient population: a National University Hospital experience.

Introduction: Breast reconstruction is an integral part of breast cancer management with the aim of restoring a breast to its natural form. There is increasing awareness among women that it is a safe procedure and its benefits extend beyond aesthetics. Our aim was to establish the rate of breast reconstruction and provide an overview of the patients who underwent breast reconstruction at National University Hospital (NUH), Singapore.

Defining the Optimal Segment for Neurotization-Axonal Mapping of Masseter Nerve for Facial Reanimation.

Background: Recently, there has been renewed interest in using the motor nerve to the masseter for facial reanimation. This article aims to identify the ideal segment of the masseter nerve for facial reanimation by mapping its anatomy and studying the axonal count in its branches.

Methods: Fifteen fresh cadaveric heads with 30 masseter nerves were dissected under the microscope.

A Protocol to Reduce Interobserver Variability in the Computed Tomography Measurement of Orbital Floor Fractures.

Orbital fracture detection and size determination from computed tomography (CT) scans affect the decision to operate, the type of surgical implant used, and postoperative outcomes. However, the lack of standardization of radiological signs often leads to the false-positive detection of orbital fractures, while nonstandardized landmarks lead to inaccurate defect measurements. We aim to design a novel protocol for CT measurement of orbital floor fractures and evaluate the interobserver variability on CT scan images.

Four limb amputations due to peripheral gangrene from inotrope use - Case report and review of the literature.

Introduction: We present a rare case of 4 limb amputations due to peripheral gangrene which resulted from the use of inotropes for septic shock.

Presentation Of Case: A 72-year-old woman with no past medical history presented with fever and pain in bilateral big toes. She was diagnosed with Streptococcal pneumoniae septicaemia and was started on broad spectrum antibiotics, dopamine and noradrenaline in the medical intensive care unit.

Creation of consistent burn wounds: a rat model.

Background: Burn infliction techniques are poorly described in rat models. An accurate study can only be achieved with wounds that are uniform in size and depth. We describe a simple reproducible method for creating consistent burn wounds in rats.

Ultrashort peptide nanofibrous hydrogels for the acceleration of healing of burn wounds.

There is an unmet clinical need for wound dressings to treat partial thickness burns that damage the epidermis and dermis. An ideal dressing needs to prevent infection, maintain skin hydration to facilitate debridement of the necrotic tissue, and provide cues to enhance tissue regeneration. We developed a class of 'smart' peptide hydrogels, which fulfill these criteria.

Sentinel Lymph Node Biopsy Should Be Included with the Initial Surgery for High-Risk Ductal Carcinoma-In-Situ.

Background. A proportion of those diagnosed preoperatively with ductal carcinoma-in-situ (DCIS) will be histologically upgraded to invasive carcinoma. Repeat surgery for sentinel lymph node (SLN) biopsy will be required if it had not been included with the initial surgery.