Sarcoma

Sarcoma treatment – Mr Morritt

Mr Morritt is a core member of the Sheffield Regional Sarcoma Unit Multidisciplinary team and is the Plastic Surgery Lead for the Sarcoma service.  He regularly treats patients with all forms of soft tissue sarcoma (excluding retroperitoneal sarcomas). Sarcoma can affect any part of the body and Mr Morritt’s personal expertise extends to treating patient’s with sarcoma in the upper and lower limbs, trunk and head & neck. Mr Morritt offers a full diagnostic, sarcoma excision and reconstruction service.

 

Reconstructive options following Sarcoma excision

The majority of sarcomas can be removed without the need for complex reconstructive surgery. Aggressive (fast growing cancers) often require more extensive surgery and in some cases this may necessitate reconstructive surgery. Mr Morritt offers the full spectrum of plastic surgery reconstructive options following sarcoma excision including the following:

 

Split thickness skin grafting

A thin piece of skin (tissue paper thickness) is used to cover the wound following surgical removal of the sarcoma. This kind of skin graft is taken most frequently from the thigh leaving a raw wound much like a graze which takes two weeks to heal.

 

Full thickness skin grafting

This kind of skin graft is thicker than a split skin graft and therefore more robust. Full thickness skin grafts are also more stretchy than split skin grafts and therefore useful for covering wounds over joints etc. Another benefit of full thickness skin grafts is that they tend to look much more similar to normal skin than split skin grafts and are therefore the preferred choice for covering defects on the face.

 

Dermal substitutes e.g. Matriderm ®, Integra ®

Combining dermal substitutes with split skin graft makes the reconstructed skin more supple and robust and improves the cosmetic outcome.

 

Local flaps

 

Pedicled flaps

 

Functional muscle transfer (Pedicled or Free flap)

 

Perforator flap reconstruction

 

Free tissue transfer (Free flap surgery; microsurgery)

This is where tissue from one area is transferred to another area to rebuild it. The surgery is complex and involves reestablishing the blood supply to the transferred tissue using microsurgical techniques. It

 

Sarcoma referrals to Mr Morritt

The vast majority of Mr Morritt’s patients come from South Yorkshire, Derbyshire, Lincolnshire or Nottinghamshire. Research and experience have shown that the best outcomes for sarcoma treatment require a multidisciplinary approach. This allows each patient’s treatment to be customised according to the recommendations of experts in radiology, pathology, surgery and oncology. Mr Morritt therefore treats all of his patients with sarcoma in the NHS through the Sheffield Specialist Sarcoma Service.

 

NHS Secretary (Julia Guest)

telephone: 0114 226 8640

email: julia.guest@sth.nhs.uk

 

Private

email: info@andrewmorritt.co.uk

 

 

Links to sarcoma websites

Read more about sarcoma: Information guide (BAPRAS)

Read about: Improving outcomes for patients with sarcoma 2006 (NICE)