This is a paper which describes an innovative approach for skin sparing mastectomy. This incision tends to distract the eye and be less noticeable. Additionally it allows excellent access to the axilla for lymph node sampling and reduces the excessive retraction on the skin flaps.
HMRI Searcher Newsletter Autumn 2014.
The latest health and medical research news from the Hunter Medical Research Institute (HMRI).
Featured research includes ovarian cancer, stroke, organ failure, smoking cessation, melanoma, leukaemia and breast cancer, as well as the latest fundraising and event updates.
This is a paper which describes an innovative approach for skin sparing mastectomy. This incision tends to distract the eye and be less noticeable. Additionally it allows excellent access to the axilla for lymph node sampling and reduces the excessive retraction on the skin flaps.
HMRI Searcher Newsletter Autumn 2014.
The latest health and medical research news from the Hunter Medical Research Institute (HMRI).
Featured research includes ovarian cancer, stroke, organ failure, smoking cessation, melanoma, leukaemia and breast cancer, as well as the latest fundraising and event updates.
The temporal branch of the facial nerve is a commonly injured nerve during facial trauma due to its superficial course over the zygomatic arch, and is a commonly damaged nerve during facial surgery.1 We report a case of trauma to the left temporal fossa, and subsequent unilateral forehead paralysis. Early exploration revealed external suture compression as the origin of his paralysis. Removal of the suture led to complete resolution of the neurological deficit. The differential diagnosis did not include the possibility of the compression of the nerve by a suture, however the decision for early exploration led to a full recovery.
We report a case of acquired anterior thoracic lung herniation in a 63-year-old female. This painful herniation developed four years after uncomplicated video-assisted thoracic surgery for lung cancer resection and adjuvant radiation for concomitant breast cancer. The herniation site was remote from all prior incisions, and demonstrated intercostal muscle denervation and radiation fibrosis. The 8 cm x 10 cm chest wall defect was reconstructed with inlay PROCEED mesh and reinforced with a pedicled latissimus dorsi flap. Five months postoperatively the patient had complete resolution of symptoms, no evidence of herniation, and a stable wound.
The temporal branch of the facial nerve is a commonly injured nerve during facial trauma due to its superficial course over the zygomatic arch, and is a commonly damaged nerve during facial surgery.1 We report a case of trauma to the left temporal fossa, and subsequent unilateral forehead paralysis. Early exploration revealed external suture compression as the origin of his paralysis. Removal of the suture led to complete resolution of the neurological deficit. The differential diagnosis did not include the possibility of the compression of the nerve by a suture, however the decision for early exploration led to a full recovery.
We report a case of acquired anterior thoracic lung herniation in a 63-year-old female. This painful herniation developed four years after uncomplicated video-assisted thoracic surgery for lung cancer resection and adjuvant radiation for concomitant breast cancer. The herniation site was remote from all prior incisions, and demonstrated intercostal muscle denervation and radiation fibrosis. The 8 cm x 10 cm chest wall defect was reconstructed with inlay PROCEED mesh and reinforced with a pedicled latissimus dorsi flap. Five months postoperatively the patient had complete resolution of symptoms, no evidence of herniation, and a stable wound.
This is initial data from the Figure 8 FlatWire Sternal Closure System. FlatWire is a simple, strong, and cost effective replacement for traditional steel wire for sternal cerclage.
This is a CME article that appears in Plastic and Reconstructive Surgery, the gold standard of publications within the field. Reconstructing the eyelid can be difficult and complicated. This article discusses the various approaches to defects caused by cancer.
This is a pilot study which examines the use of the fistbump instead of a traditional handshake in the hospital setting. In the hospital we use automatic doors, automatic sinks, and alcohol based hand sanitizer. However the rise of antibiotic resistant bacteria continues to increase. We propose ceasing handshaking within the hospital and opting instead for the fun fistbump will reduce the transmission of bacteria.
This is a paper that Dr. W. Thomas McClellan co-authored on the anatomy and reconstruction of the inframammary fold. This critical structure is often injured during breast augmentation and understanding of the anatomy is crucial to a good outcome in breast augmentation.
This is a powerpoint presentaiton given by W. Thomas McClellan, MD FACS, a Board Certified Plastic Surgeon who specializes in breast augmentation. This presentation is unique and critical because it gives patients detailed information about what is important regarding breast augmentation. For example: How to choose a surgeon, what is important in the operating room, postoperative care, how to pick a size, type of breast implant.
This is the bench top data on Figure 8 Surgical's Sternal closure system. When compared to standard surgical wire the Figure 8 system shows superior strength while reducing cut-through. Its ease of use and cost effectiveness should make it the new gold standard in Sternal Closure.
This is description of a novel forehead reconstructive technique to address large central and lateral defects. It was presentated at the WVU HSC research day 2012.
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Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
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๐๐ ๐๐จ๐ฆ๐ฌ (๐๐ ๐๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
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The key differences between the MDR and IVDR in the EUAllensmith572606
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In the European Union (EU), two significant regulations have been introduced to enhance the safety and effectiveness of medical devices โ the In Vitro Diagnostic Regulation (IVDR) and the Medical Device Regulation (MDR).
https://mavenprofserv.com/comparison-and-highlighting-of-the-key-differences-between-the-mdr-and-ivdr-in-the-eu/
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
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To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Implicitly or explicitly all competing businesses employ a strategy to select a mix
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2. โIโve heard
โnoโ a
hundred
times, and
that only
serves to
strengthen
my resolve
to succeed.
Itโs the West
Virginian in
me, I guess.โ
A Cut
Above
By Amy
Arnett
An Introduction
to Innovator
Tom McClellan
Plastic surgery is a field that is oftentimes
defined by the pursuit of perfectionโfacelifts,
breast augmentation and tummy tucksโbut it is
actually a highly diversified and complex field that serves to
improve quality of life and solve complicated health problems.
โPlastic surgery as a specialty is so much more than itโs
portrayed on reality TV,โ says Dr. Tom McClellan. โThere is a
great amount of freedom for creativity in order to solve complex,
three-dimensional problems. It requires attention to detail, a bit
of OCD and the ability to think outside the box.โ McClellan
is a plastic and reconstructive surgeon in Morgantown, WV,
as well as a serial entrepreneur within the health care industry.
An avid inventor at heart, McClellan holds four U.S. patents
for medical devices with approximately 15 more pending with
the U.S. Patent Office. Two of his devices have been actively
used on patients to improve breast cancer reconstruction and
chest repair following open heart surgery.
McClellan founded Figure 8 Surgical, with funding from
famed Stanford heart surgeon Tom Fogarty and a few West
Virginia investors, to design and build the FlatWire sternal
closure system. The device increases the stability and strength
of the breast bone and reduces bone pain following open heart
surgery. FlatWire is FDA-cleared and currently in a multicenter
clinical trial across the country. Distribution agreements with
companies in Japan, South Africa and India will soon take the
FlatWire device global.
The FlatWire sternal
closure system.
www.wvexecutive.com
winter 2014
49
3. Missions in
Medicine
In preparation for each trip, Fogarty sets the dates and
locations and begins working with hospitals, pharmaceutical
companies and fundraisers in order to get the money and
supplies required to perform surgery. โWe can do surgery
in any place,โ says Fogarty. โIn terms of patient safety,
we do the exact same things as we do here. We bring
all of our monitoring supplies and equipment.โ Being
able to perform procedures safely and using advanced
equipment provides the communities with outstanding
care to which they would otherwise not have access.
Fogarty himself has been on trips that range from nine
days to a year, but most trips are for more brief periods
of time. With a busy practice and a family, McClellan
finds it hard to leave for longer than a week or two. โIโm
in private practice, and I have a wife and two kids. Itโs
hard to get away, but itโs something I plan to do more of
in the future,โ says McClellan.
Like many medical professionals, Dr. Tom McClellan
entered the medical field in order to help others, and his
work in doing so doesnโt stop with his practice at home.
He has been on two trips abroad with groups who perform
surgeries on patients in developing countries. The majority
of surgeries performed on these trips are for congenital
deformities in children. โWe only do reconstructive surgery,
and we see a lot of hand deformities, cleft lip and palette
and burns,โ says McClellan. โThese cases would be dealt
with here at a much younger age, but they just donโt have
the same surgical opportunities.โ
McClellanโs first trip was to Pignon, Haiti, followed by one
to Tacna, Peru. โI absolutely loved it, and it was a lot of
fun,โ he says. โItโs the purity of medicine, which I love.
I wish I could go on more of these trips.โ He explains
that working abroad is an adventure. A typical workday
consists of performing surgery from 6 a.m. to 8 p.m.,
resulting in about 70 surgeries per week.
The trips are coordinated by Dr. David Fogarty, a
plastic surgeon and longtime friend of McClellanโs who
is also based in Morgantown and who founded the
organization Interplast. Fogarty works with surgeons,
nurses, anesthesiologists and pediatricians from across
the globe to assemble teams for these surgical trips that
provide locals with access to quality surgery for free. โMy
last trip was my 101st trip,โ says Fogarty. โThis has been
an integral part of my career.โ
50
west virginia executive
Having met when McClellan was a resident in Morgantown,
the two surgeons have become close friends and speak
highly of each other. โDr. McClellan is an accomplished
surgeon and very good at what he does. Heโs a team
player and fits right in,โ says Fogarty. โHe understands
what weโre doing and why weโre doing it.โ
Working for others and meeting new people is an important
part of the process for trips like this to be successful. The
relationships that are created and strengthened by traveling
on service trips are some of the most rewarding, according
to McClellan. โYou have a lot of fun with the team you
go with, and you feel like youโre making a big difference
in the lives of the people there, who are wonderful,โ he
says. โYou get to see the richness of the people and how
they want their children to have the best, just like we do.
Theyโll sacrifice like we will. Coming back, I realized we
are fortunate people. My trip to Peru was one of the best
things Iโve ever done in my life.โ
4. Another patent now being manufactured is the AlloX2, a
tissue expander for women undergoing breast reconstruction.
This device helps reduce many of the common complications
associated with breast cancer surgery. McClellan has two other
funded medical device companies in queue: StealthSuture, a
knotless suture for repairing tissue during surgery, and AcuArc,
a non-operative way to cosmetically improve lower eyelid
bulging and darkness.
All in the Family
Growing up in a family of doctors, McClellanโs future in the
medical field was set from an early age. โMy great-grandfather,
my grandfather and my dad were all doctors, and my sister is
a doctor as well. I have wanted to be a surgeon for as long as
I can remember,โ says McClellan. โI have a picture of myself
when I was 5 with a surgical mask on, and I would go on rounds
at the hospital with my father and play at the nursesโ station. I
would pretend to wear his pager, which is funny because now,
I wish I could get rid of mine because it goes off so much.โ
He thinks the fifth generation McClellan doctor will likely be
his 14-year-old niece rather than one of his two sons, who are 7
and 10. โIโll be making a video of a surgical procedure for my
YouTube channel, and my kids will see it. Iโll ask them if they
want to be doctors,โ he says. โThey always say no. They want
to work with computers and robots. But given the success of
Instagram and Tesla, I am supportive of that choice.โ
Beyond shaping his career in medicine, McClellanโs family
was responsible for his strong work ethic and independence.
โMy mom and grandmother were supportive of thinking differently,โ says McClellan. โIt was like a badge of honor to be
creative and industrious and to build things. Thatโs how I was
raised.โ Today, through his wife and two kids, he has found
even more support. Developing new devices and getting them
onto the market has taken him to meetings and pitches all over
the country, oftentimes on his own dime. โMy wife is very supportive,โ he says. โShe says, โGive it a go,โ instead of โWhy donโt
you focus on your real job?โ Itโs OK to dream and reach, and
to have that is amazing.โ
The Patents and Project Process
Innovation is at the heart of plastic surgery. In an industry
where procedures face complications, patientsโ lives are improved
by problem-solving and constant evolution. McClellan has personally succeeded in helping to reduce some of these difficulties
by creating new devices. How does he do it? The process of
invention is much like one would expect, but the most important
element is motivation.
โI think about my ideas continually,โ says McClellan. โIt
might take a year of thinking about something, reducing it to
its simplest form. Then I start by drawing sketches in one of my
50 lab notebooks.โ From there, he researches his ideas to see
why a product or procedure might not already be in use. โIf I
find an idea that has already been invented, I try to figure out
why it didnโt see the light of day. Understanding their failure
is tremendously valuable.โ
Once his idea has been researched, McClellan presents
it to his team of engineers and business partners, who give
honest feedback. If they are on board, he begins the process
of finding a way to design, manufacture, produce and protect
his invention. โThatโs where the fun and work starts: flying all
over the country for meetings, pitches, small wins, losses and
frustrations. I love it,โ he says.
Back to His Roots
Originally from Charleston, McClellan has lived all over
the U.S., but he moved back to West Virginia because of his
love for the state and its people. โItโs like the mountains get in
your blood,โ he says. โThe people here are salt-of-the-earth,
hard workers and appreciative; theyโre people you want to
take care of.โ When an opportunity to join a private practice
in Morgantown came up, he was thrilled.
McClellan also credits his upraising for his tenacious personality.
โWhen you want to innovate, you have to be fearless. People may
laugh at me. I may fail terribly, but Iโve got to try it,โ he says. To get
his first company funded, he flew back and forth to Palo Alto, CA
23 times in six months, usually staying less than 24 hours per trip.
โIโve heard โnoโ a hundred times, and that only serves to strengthen my resolve to succeed. Itโs the West Virginian in me, I guess.โ
Development in the Mountain State comes with its struggles,
which McClellan believes should be addressed. For instance, he
sees a real lack of start-up infrastructure, from venture and angel
funding to finding other like-minded innovators and engineers
with whom to collaborate. The potential resources here are
great, though, and he believes West Virginia should look to its
universities and young people for innovation.
โI am involved with biomedical and software innovation
at West Virginia University (WVU), and I have noticed that
there are numerous obstructions to getting inventions past
the university level and into use. If we could streamline and
support that process, WVU could be very successful.โ He uses
The University of Utah as an example. โThey had more than
20 spinoff companies last year and more than $200 million in
venture capital funding enter Salt Lake City.โ
At the end of the day, McClellan admits his biggest challenge is
not having enough time to do everything he wants. Thereโs no lack
of motivation, only a lack of room on the clock. His philosophy
is to keep pushing forward and working through his next project.
โI donโt look at these things as success. Itโs my job; thatโs
what I intended to do,โ he says. โMy kids are my best inventions, and I didnโt even have to patent them. Raising kids and
doing the best I can at thatโthatโs really success. ๏ฎ
Photography by Tracy Toler, Dr. David Fogarty,
Dr. Tom McClellan and Interplast WV
www.wvexecutive.com
winter 2014
51