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  1. Article ; Online: Medical Student Government Breaks COVID-19 Communication Barrier Between U.K. Students and Administrators.

    Whiteman, Elena / Dawo, Sallu

    Academic medicine : journal of the Association of American Medical Colleges

    2021  Volume 96, Issue 9, Page(s) e25

    MeSH term(s) COVID-19 ; Communication Barriers ; Government ; Humans ; SARS-CoV-2 ; Students, Medical
    Language English
    Publishing date 2021-06-09
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000004195
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reconstruction of head and neck oncological soft tissue defects post-resection using robotic surgery: a systematic review of the current literature.

    Rehman, Umar / Whiteman, Elena / Sarwar, Mohammad Sohaib / Brennan, Peter A

    The British journal of oral & maxillofacial surgery

    2023  Volume 61, Issue 8, Page(s) 514–521

    Abstract: Head and neck cancer (HNC) resection often leaves soft tissue defects and exposure of vital structures. In recent years, there has been an increase in the use of robotic surgery for HNC resections. This allows for achieving smaller defects by using a ... ...

    Abstract Head and neck cancer (HNC) resection often leaves soft tissue defects and exposure of vital structures. In recent years, there has been an increase in the use of robotic surgery for HNC resections. This allows for achieving smaller defects by using a tissue-sparing approach. However, this poses a challenge for reconstruction with less space available to perform microsurgery. We reviewed the efficacy of robotic surgery in the reconstruction of HNC defects by assessing the impact on flap success and complication rates. A literature search was conducted on Pubmed, Prospero, Dynamed, DARE, EMBASE, and COCHRANE databases. A total of 14 articles fulfilled the inclusion criteria with 96 patients aged mean (range) 60.7 (29-87) years, undergoing robotic reconstruction. The radial forearm flap was the most commonly used flap for robot-assisted reconstruction (n = 47). Robotic graft inset was performed in 94 cases and robotic assisted microvascular anastomoses for 25 vessels. One hundred per cent of flaps survived with a total of 25 (26.0%) complications (wound healing (n = 7), fistula formation (n = 2), haematoma (n = 4), dehiscence (n = 10), and wound infection (n = 2). Seven (12.2%) patients required additional surgery for managing complications and revision of the flap. Fewer complications were seen in patients undergoing robotic-assisted microvascular anastomoses compared with open anastomoses (4.0% versus 34.2%, p < 0.05). Robot-assisted reconstruction in HNC defects demonstrates 100% success rate with minor associated complications. Our results also support feasibility in both flap inset and microvascular anastomoses. Our results also demonstrate feasibility in both flap inset and microvascular anastomoses. Significantly fewer complications were seen with robotic-assisted microvascular anastomoses compared with open anastomoses.
    MeSH term(s) Humans ; Aged ; Robotic Surgical Procedures/adverse effects ; Surgical Flaps/blood supply ; Plastic Surgery Procedures ; Head and Neck Neoplasms/surgery ; Microsurgery/methods ; Free Tissue Flaps/blood supply ; Retrospective Studies
    Language English
    Publishing date 2023-08-05
    Publishing country Scotland
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2023.07.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: In Response to "Persistent Impostor Phenomenon Is Associated With Distress in Medical Students".

    Whiteman, Elena / Brandstatter, Emma / Cleere, Rosie / Ellard, Olivia Betty

    Family medicine

    2021  Volume 53, Issue 8, Page(s) 734–735

    MeSH term(s) Humans ; Self Concept ; Students, Medical ; Surveys and Questionnaires
    Language English
    Publishing date 2021-09-29
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 639374-3
    ISSN 1938-3800 ; 0742-3225
    ISSN (online) 1938-3800
    ISSN 0742-3225
    DOI 10.22454/FamMed.2021.566790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Medical students' opinion on tips for telemedicine teaching.

    Ellard, Olivia Betty / Whiteman, Elena / Brandstatter, Emma / Cleere, Rosie

    Medical teacher

    2021  Volume 44, Issue 2, Page(s) 218–219

    MeSH term(s) Education, Medical, Undergraduate ; Humans ; Students, Medical ; Telemedicine
    Language English
    Publishing date 2021-05-13
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2021.1923683
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Identifying variation in the cost of abdominally based breast reconstruction in the UK.

    Kwasnicki, Richard M / Irukulla, Meghna / Che Bakri, Nur Amalina / Whiteman, Elena / Gardiner, Matthew / Dunne, Jonathan / Henry, Francis P / Gokani, Vimal / Hunter, Judith E / Williams, Georgina / Wood, Simon H

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2023  Volume 88, Page(s) 466–472

    Abstract: Aims: To understand variation in the cost of autologous breast reconstruction in the UK, including identifying key areas of cost variability, differences between and within units and the impact of enhanced recovery protocols (ERAS).: Methods: A micro- ...

    Abstract Aims: To understand variation in the cost of autologous breast reconstruction in the UK, including identifying key areas of cost variability, differences between and within units and the impact of enhanced recovery protocols (ERAS).
    Methods: A micro-costing study was designed based on the responses to a national survey of clinical preferences completed by the majority of plastic surgeons and anaesthetists involved in the UK. Detailed costs were estimated from macro elements such as ward and theatre running costs, down to that of surgical meshes, anaesthetic drugs and flap monitoring devices.
    Results: The largest variation in cost arose from postoperative location and length of stay, preoperative imaging and flap monitoring strategies. Plastic surgeon costs varied from £1282 to £3141, whereas anaesthetic costs were between £32 and £151 (not including salary). Estimated cost variation within units was up to £893 per case. Units with ERAS had significantly lower total costs than those without (p < 0.05).
    Conclusion: This study reveals significant cost variation in breast reconstruction in the UK based on clinician preferences. Many areas of practice driving this variation lack strong evidence of any clinical advantage. The total cost of a deep inferior epigastric perforator in the majority, if not all units, likely surpasses the national tariff for reimbursement, particularly when considering additional resource demand for immediate and bilateral breast reconstruction, as well as future symmetrisation procedures. Whilst units should look to streamline costs through ERAS, there should also be a realistic tariff that promotes excellent care.
    MeSH term(s) Humans ; Female ; Mammaplasty/methods ; Surgical Flaps/surgery ; United Kingdom ; Perforator Flap/surgery ; Breast Neoplasms/surgery ; Epigastric Arteries/surgery ; Retrospective Studies
    Language English
    Publishing date 2023-11-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2023.11.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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