Senior Breast Reconstruction

We have 2-3 all day breast reconstruction lists every week, of which upto 2 are DIEP lists. Our service benefits from having our own full-time breast reconstruction nurse. The fellow will have access to weekly oncology breast MDT and bimonthly oncoplastic MDT. new and follow-up breast clinics, operating lists (both supervisor scrubbed and supervisor unscrubbed), as well as opportunity to help with service development.

Newest developments include acquisition of an ICG machine and recent purchase of a 3d Kinevo Microscope. We are a recognised TIG Centre alongside Doncaster and Bassetlaw Trust. Our current Breast TIG fellow can be contacted for further information. We have a high-fidelity simulation hub with a Zeiss microscope and microsurgery instruments.

We encourage our trainees to practice independently and also provide 1:1 consultant microsurgery teaching sessions. An Introduction to the Specialty The department of Burns and Plastic Surgery at Pinderfields Hospital, Wakefield, provides a wide range of elective and 24-hour emergency services to a population of approximately 500,000, drawn from Wakefield, Dewsbury, Pontefract and surrounding areas. The Plastic surgery department, regional burns centre for adults and paediatric burns unit are situated on the Pinderfields site with outpatient and day-case services at Pontefract General Hospital and Dewsbury District Hospital. We also have dedicated hand therapy services at all three hospital sites and plastic surgery dressings clinic at Pinderfields Hospital.

Our adult burns, general plastic surgery ward, hand therapy unit and plastic surgery dressings clinic are all co-located on the same floor. Currently we have a team of 14 full-time consultants and 1 part-time consultant. Our junior staff include: 3 FY2, 1 CT, 6 trust grade CTs, 5 NTN, 2 clinical academic research fellows, 2 trust grade registrars and one TIG oncoplastic breast fellow. Over the last few years, we have trained post CCT hand, burns and breast fellows.

We also have dedicated extended role hand therapists, breast and dermatology nurse specialists. Our particular spheres of interest include hand surgery, breast reconstruction, skin cancer, paediatric plastic surgery, perineal reconstruction and acute and reconstructive surgery for burns. We treat all the elective and acute hand pathology in Mid-Yorkshire, and probably have the largest hand fracture practice of any Plastic Surgery unit in the country. We have approximately 10 dedicated weekly consultant delivered hand trauma lists providing an excellent opportunity for trainees to receive the highest quality of clinic-based and operative hand surgery training.

We have managed to continue to deliver several weekly elective hand surgery lists, which we hope to increase in the coming months. We hold a hand surgery MDT every six weeks, which is attended by all therapy staff, hand consultants and trainees. We have 4 breast reconstructive surgeons who work closely with the breast care team. They provide a full range of reconstructive options to our patients including implant based reconstructions with or without ADM / Latissimus Dorsi flaps and free tissue reconstruction.

We also provide a range of other breast procedures including treatment for gynaecomastia, breast reduction, mastopexy, capsulotomies, nipple reconstruction and post burns breast reconstruction. We have up to 4 consultant led breast clinics per week. We also provide an outpatient nipple tattoo service. We actively participate in a Breast and oncoplastics breast MDT.

Our burns service serves a population of approximately 5 million people across Yorkshire, Humber and North Lincolnshire. Our service is accessed by 19 emergency departments, in an area of around 3,000 square miles. We treat over 180 adult and 200 paediatric in-patients burns injuries every year. In addition, we provide out-patient and outreach services to over 1000 patients annually.

We have a team of burns specialist staff including surgeons, anaesthetists, microbiologists, dieticians, adult and paediatric psychologists, outreach sisters, play, occupational and physiotherapists. Our MDT scar clinics take place at Pinderfields Hospital, St Lukes Hospital in Bradford and Goole Hospital. We are now the only plastic surgery department in the region to provide burns centre care for adults. We are also responsible for providing our regional NTN specialist registrars with the required level of burns experience and training.

Members of our department, including doctors and allied staff presented over 35 posters and oral presentations at the 2019 BBA and a similar number at the ISBI 2021 meeting. We won the best poster and oral presentation awards for 2019. We are passionate about teaching and training. We have a weekly departmental teaching programme consisting of in-house presentations and invited external speakers.

We have Burns MDT meetings every Monday morning and a teaching ward round and burns MDT every Friday mo