Publications by authors named "Michael Papanikolas"
Article Synopsis
- Free tissue transfer has revolutionized head and neck surgery, allowing for effective reconstruction of large defects while enhancing function and appearance, with a study analyzing trends from 2006 to 2022.* -
- The research involved over 1,000 free flap reconstructions, examining factors like flap selection, length of hospital stay, and the use of virtual surgical planning (VSP), noting an increase in complexity and a rise in the use of certain flaps like the fibula.* -
- Despite similarities in outcomes between single and multi-team approaches, the study highlights the advantages of collaborative methods, especially as patient caseloads and complexities grow, leading to improved long-term results.*
Background: The Michelassi stricturoplasty has demonstrated efficacy for Crohn's disease in European and American series but has not had uptake in Australia. We report the short-term results of side-to-side isoperistaltic stricturoplasty (SSIS) in an Australian Practice.
Methods: Between March 2015 and October 2021 SSIS procedures were performed on Crohn's patients with long segment Crohn's strictures associated with obstructive symptoms, despite best medical therapy.
Background: Anterolateral thigh (ALT) and Radial forearm free flaps (RFFF) are historically the most common methods of oral reconstruction. The Superficial circumflex iliac artery perforator flap (SCIP) is an alternative providing a donor site that can be readily closed primarily with improved cosmesis in younger patients, due to its concealability.
Methods: We reviewed 135 patients who received ALT, RFFF or SCIP flaps for oral reconstruction in our institution.
Article Synopsis
- Frailty is a significant predictor of poor outcomes and higher mortality rates in patients undergoing vascular surgery, particularly during the resource-limited COVID-19 pandemic.
- In a study involving 917 patients, 22.1% were identified as frail, with no significant difference in mortality rates between frail and non-frail patients over 30 days and 6 months; however, frail patients experienced longer hospital stays and more complications.
- The study emphasizes the need for targeted care interventions for frail individuals to prevent adverse outcomes, particularly during healthcare challenges like pandemics.
Penetrating abdominal trauma is an uncommon cause of presentation to emergency departments in Australia and is frequently associated with the clinical need for emergent operative intervention. Advances in imaging modalities, improved laparoscopic techniques and structured approaches to resuscitation in trauma have now allowed potential minimally invasive management of such injuries, avoiding laparotomy and therefore defining peritoneal breach; the major determinant of intra-abdominal organ injury in this setting is critical. We present the case of a self-inflicted stab injury to the suprapubic region in an otherwise healthy man and describe the combination of imaging and operative modalities used to define peritoneal breach in this case which successfully reduced the patient's morbidity by avoiding non-therapeutic laparotomy.
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