Following completion of his Microvascular reconstruction fellowship at the number one cancer institute in the USA (MD Anderson, Houston, Tx) Mr Ghali is keen to continue working and developing his interest in complex oncological reconstruction. The fellowship introduced him to a multidisciplinary approach to cancer patients and allowed him to work closely with other surgical disciplines. His current practice involves microvascular breast reconstruction, and microvascular lower limb reconstruction following sarcoma excisions and trauma cases. He is also keen to develop the abdominal wall reconstruction (AWR) service and have carried out a number of joint cases with the general surgeons. The doctor is also supervising an MSc project into the use of new biomaterials incorporating nanotechnology for AWR. In terms of complex oncological non-microvascular reconstructions, he has also carried out a number of pelvic/perineal/vaginal reconstructions following tumour excision by oncological surgeons.
He is the lead clinician in charge of the laser service and liaises closely with the laser nurse practitioner to coordinate treatment starts, assess treatment progression and review patients following final laser therapy sessions and also to coordinate quarterly GA laser sessions. On-call commitments include general plastic surgery emergencies as well as hand trauma.
One of Mr Ghali's aims is to develop surgical lymphoedema management at the Royal free hospital with the introduction of microvascular lymphaticovenous bypass procedures to complement the vascular service and breast reconstruction service.
He is currently on the teaching faculty of the UCL MSc Plastic Surgery program based at the Royal Free and is responsible for organizing and delivering Panthames teaching to Plastic Surgery trainees. He is also involved in weekly Journal club and teaching of trainees at the Royal Free hospital.
He is also supervising a PhD student who is a Fulbright fellow seconded to Stanford University and carrying out a project involving the application of gene therapy delivery techniques to microvascular free flaps which was the basis of my MD thesis. He has also supervised a number of MSc research students on their projects as well as publication of book chapters and peer reviewed journals for publication. He is also a reviewer for the Journal of Plastic Reconstructive and Aesthetic Surgery.