Clinical Surgery

Wee Leon Lam

PubMed

Mr Wee Lam (MB ChB, M Phil, FRCS (Plast), Dip Hand Surg (UK), Dip Hand Surg (FESSH))

Consultant Plastic and Hand Surgeon & Honorary Clinical Senior Lecturer, University of Edinburgh

  • Royal Hospital for Sick Children, Edinburgh
  • St Johns Hospital, Livingston

Qualifications

  • MB ChB (University of Edinburgh, 1997)
  • MRCS Edinburgh (2001)
  • Master of Philosophy (2004)
  • Intercollegiate Specialty Examination (Plastic Surgery, 2009)
  • Diploma in Hand Surgery (UK, 2012)
  • European Diploma in Hand Surgery (2016)

 

Membership and Posts

  • Chairman, British Foundation of International Reconstructive Surgery and Training
  • Specialty Surgical Board in Plastic Surgery, Royal College of Surgeons of Edinburgh
  • Committee, British Society of Surgery for the Hand Overseas Committee
  • Editorial Board, Journal of Hand Surgery (European)

 

Awards and Prizes

  • Pulvertaft Essay Prize, British Society of Surgery for the Hand, 2016

  • Sonic Hedghog Prize for Best Paper, World Congenital Hand Symposium, Rotterdam, 2015

  • British Society of Surgery for the Hand Research Grant, 2015

  • American Society for Surgery of the Hand Travelling Fellowship, 2011

  • Journal of Hand Surgery Prize for Best Paper BSSH, 2004

 

Research Interests

  • Developmental Biology of the Hand and Upper Limb using the Chicken Limb Model (in conjunction with Dr Megan Davey at the Roslin Institute)
  • Patient-Reported Outcome Measures: Validation and Design, especially in the Paediatric Population with Congenital Hand Anomalies
  • The Use of 3D printing Technology for Design of intelligent hand prostheses for paediatric and adult populations (in conjunction with Dr Adam Stokes at the Department of Engineering, University of Edinburgh)
  • The Use of 3D printing technology to design scanned cadaveric models for teaching

 

Past Projects

  • Master of Philosophy (M Phil), 2002-2004: Plastic and Burns Research Fellow, University of Bradford “Pentoxifylline inhibits the In-Vitro Contractility of Dupuytren’s Disease Fibroblasts”. Winner of Journal of Hand Surgery’ Prize, Best Paper 2004: Editorial Board, Journal of Hand Surgery (European Vol), 2013-2016
  • Medical Student Special Study Module, 1997: Princess Margaret Rose Hospital, Edinburgh “Long term Outcome of Centralisation and Pollicisation of the Radial Club Hand”
  • Microsurgical Fellowship, Taiwan and Mayo Clinic, USA, 2009-2011 Reducing the Extensor Lag in Free Vascularised Joint Transfer: “Comparative Anatomy Between The Second Toe And Finger PIP Joint”
  • Peripheral Nerve Fellowship, Taiwan, 2009-2011: “Enhancing Nerve Regeneration with the Use of a Vascularised Stem-Cell PLA/PLLA Nerve Conduit”

 

University of Edinburgh Supervised Projects

  • Msc Anatomy Project, 2013: Highly Selective Neurectomy In The Treatment Of Spastic Cerebral Palsy: An Anatomical Mapping Of The Median And Ulnar Nerves.
  • MSc Anatomy Project, 2014: Blood Supply of the Free Metatarsophalangeal joint
  • Special Study Module Project, 2013: Patient Reported Outcomes Following Wide Awake Hand Surgery Technique For Carpal Tunnel Decompressions: A Comparative Study Between The WAHS And Conventional Techniques
  • Special Study Module Project, 2013: Design And Validation Of A Patient Reported Outcome Measure For Congenital Trigger Thumb
  • Special Study Module Project, 2015: The Use of Fat Transfer to Improve Comfort Score in Amputation Stumps
  • Special Study Module Project, 2014: Analysis Of Parental Concerns In Children Born With Congenital Hand Anomalies: A Strategy For Building Resilience
  • Special Study Module Project, 2014: Designing A Curriculum For Hand Surgery Training In Cambodia And Other Developing Countries

 

Publications

Book Chapters

  1. Lam W, Wei FC (2011) Toe to Hand Transplantation. Clinics in Plastic Surgery. Vol. 38 (4): 551-559.
  2. Loh W, Lam W: Dupuytren’s Disease. In: Mercer’s Orthopedic Surgery. 10th Ed. Eds: Sivanathan, Sherry. Oxford. 1324-1332.
  3. Wei FC, Lam W: Thumb and Finger Reconstruction: Microsurgical Techniques. In: Plastic Surgery. Ed: Neligan P. Elsevier. 295-310.
  4. Lam W, Wei FC: Thumb Reconstruction. Grabb and Smith’s Plastic Surgery 7th Edition. Eds: Thorne C et al. Lippincott. In-Press 2012.
  5. Lin Y, Lam W, Wei FC: Management of Bony Defects with the Free Vascularized Fibula Graft. In: Reconstructive Surgery of the Lower Limb. Eds: Pu L, Levine J, Wei FC. QMP. In -Press 2012.
  6. Lam W. Smith G. Transverse and Longitudinal Deficiencies. Deformities of the Hand and Wrist. Eds: Fleming and Trail. Vol 4:71-95
  7. Lam W. Wei FC. Toe to Finger Reconstruction. Operative Microsurgery. Eds: Jones and Boyd. Eds: Boyd and Jones. McGraw-Hill Education. 845-856
  8. Lam W. Embryology of the Upper Limb and Hand. Oxford Textbook of Plastic Surgery. Eds: Kay, Wilks and McCoombe. In Press 2015.

 

Invited Reviews:

  1. Lam W, Bell D, Higgins J, Lin Y, Wei FC (2013). The Microanatomy, Physiology And Clinical Application Of Arterialised Venous Flaps For The Reconstruction Of Difficult Digital Defects. Journal of Hand Surgery (European Vol.) 38(4):352-65.

 

Peer Review Publications:

  1. Stewart CJ, Yusoff SKM, Widdowson D, Lam WL (2016). Microsurgical Skill Acquisition In A One-day Introductory Course With Performance Evaluation Using Software Assisted Scoring System. JPRAS. In Press.
  2. Nott J, Goldie S, Lam WL. (2016). Blood Supply To The Second Metatarsophalangeal Joint—Anatomical Injection Study And Clinical Correlation For Free
  3. Vascularised Joint Transfer. Eur Jourl Plastic Surg. In Press.
  4. Lam WL, Chuang D (2015). Management of Infraclavicular brachial plexus injuries. Journal of Hand Surgery (Eu). 40(6): 573-582.
  5. Waughlock N, Hsu CC, Lam WL, Lin Y, Wei FC (2013). Improving The Extensor Lag And Range Of Motion Following Free Vascularized Joint Transfer To The Proximal Interphalangeal Joint: Part 1. An Observational And Cadaveric Study. Plastic And Reconstruct Surg. 132(2): 263-70.
  6. Lam WL, Waughlock N, Hsu CC, Lin Y, Wei FC (2013). Improving The Extensor Lag And Range Of Motion Following Free Vascularized Joint Transfer To The Proximal Interphalangeal Joint: Part 2.: A Clinical Series. Plastic And Reconstruct Surg. 132(2): 271-80.
  7. Teo I, Lam W L, Muthaayya P, Steele K, Alexander S, Miller G (2013). Patient’s Perspective of Wide Awake Hand Surgery – 100 Consecutive Cases. J Hand Surg. 38(9): 992-999.
  8. Alexander S, Lam W L, Teo I, Miller G (2012). Fracture Fixation through Flaps. Journal of Plastic, Reconstructive and Aesthetic Surgery, 65(6): 166.
  9. Huang JJ, Wu CW, Lam WL, Nguyen D, Cheng MH. Anatomical Basis and Clinical Application of the Ulnar Forearm Free Flap in Head and Neck Reconstruction. Laryngoscope. 122(12):2670-6.
  10. Teo I, Rao K, Lam WL, Caufield R. Chemistry Experiments With Elemental Metals – Fuel For The Minds, Formula For Disaster? Burns. 38(4): 614-615.
  11. Engel H, Huang J, Lam W L et al. (2013) Subcutaneous Tissue Expansion and Subsequent Expansion in Asian Patients: Safety and Outcome. Annals of Plastic Surgery 70(2): 135-43
  12. Lu T, Lam W L, Chen P. (2012) Achieving Nasal Symmetry in Incomplete Cleft Lip Deformities – A Comparison of Three Methods. Journal of Plastic, Reconstructive and Aesthetic Surgery, 65(4): 456-63.
  13. Tsai J, Liao H, Lam W et al. (2011) A safe and efficient method for intra-operative digital photography using a waterproof case. Journal of Plastic, Reconstructive & Aesthetic Surgery. 64(10): 253-258
  14. Huang, J, Wu C, Lam W L et al. (2011) Simultaneous Contralateral Breast Reduction/Mastopexy With Unilateral Breast Reconstruction Using Free Abdominal Flaps. Annals of Plastic Surgery. 67(4): 336-342.
  15. Lam W L, Sharpe D et al. (2010) The Use of Histology as a Predictor of the Severity in Dupuytren’s Disease: Re-visiting Luck’s Classification. Journal of Hand Surgery (European Vol.) 35(4):312-7.
  16. Holger E, Huang J, Lin C, Lam W L et al. (2010). A Strategic Approach to Tongue Reconstruction  to Achieve Improved Functional and Aesthetic Outcome. Plastic and Reconstructive Surgery 126(6):1967.
  17. Lam W L, Hardwicke J, Laitung G (2009). Squamous Cell Carcinoma in an elderly patient with uncorrected syndactyly. Scandinavian Journal of Plastic Surgery. 1651-2073.
  18. Hardwicke J, Lam W L, Paterson P (2007) “What’s in a Name?” - The Public Perception of Plastic Surgery. Journal of Plastic and Reconstructive Surgery 60: 955-956. 
  19. Jagadesan J, Lam W L, Srinivasan J (2007). The Use of Nicotine patch in free flap surgery. Plastic and Reconstructive Surgery 119(1):437-8.
  20. Rawlins J, Lam W L, Karoo R, Naylor I, Sharpe D. (2006). Pentoxifylline inhibits mature burn scar fibroblasts in culture. Burns. 32: 42-45.
  21. Lam W L, Garrido A, Stanley P (2005). The Use Of Vacuum Assisted Closure For A Difficult Case Of Osteomyelitis. Journal Of Bone And Joint Surgery (American). 87: 622-24.
  22. Patel K, Lam W L. (2005). Success in the Research Fellow Interview. 331: 70-71.
  23. Shariff Z, Lam W L, Lambert G (2005). A diagnostic tool for the detection of anastomotic leaks. The Surgeon 3(4): 300.
  24. Hardwicke J, Lam W L, Dalal M (2005). Psoralen and partial thickness burns. British Medical Journal 331:786.
  25. Hardwicke J, Lam W L, Price R (2005). A New way of monitoring free flaps (2005). Annals of Plastic Surgery 55(6): 697. 
  26. Loh W, Lam W L, Soames R, Stanley J K (2004). “Radial Tunnel Syndrome- The Rule Of Nine Test. Journal Of Orthopaedic Surgery (Asia-Pacific Orthopaedic Association) 12(1): 148-151.
  27. Rawlins J, Karoo R, Lam W L, Naylor I, Sharpe D (2004). Quantitative Analysis of Collagen Types In Mature Burn Types – A Novel Approach Using Histology And Digital Image Analysis. Journal Of Burn Care And Rehabilitation., 25(2): 124.
  28. Karoo R, Rawlins J, Lam W L, Naylor I, Sharpe D (2004). The Potential Role of Follicular Cells In A Skin Substitute - An In Vitro Comparison Of Motility Between The Hair Follicular Dermal Sheath And Dermal Fibroblasts. Journal Of Burn Care And Rehabilitation: 25(2): 162.
  29. Garrido A, Lam W L, Stanley P (2004). “Fibroma Of Tendon Sheath”. Scandinavian Journal Of Plastic And Reconstructive Surgery. Fibroma Of The Tendon Sheath – An Unusual Presentation Of Carpal Tunnel Syndrome. 38(5): 314-316.
  30. Lam W L, Rawlins J M, Karoo R, Naylor I L, Sharpe D T (2003). A Quantitative Analysis Of Collagen Types And Their Distribution In Palmar Fibromatosis. Wound Repair And Regeneration 11(5): 52.
  31. Rawlins J M, Lam W L, Sharpe D T (2003). Human Scars – A Comparative Histological Analysis Of Collagen Deposition In Scars. Wound Repair And Regeneration 11(5): 41.
  32. Karoo R, Rawlins J, Lam W L, Sharpe D T (2003).  Human Hair Follicle Dermal Sheath Cell: An In-Vitro Measure Of Motility And Its Potential Role In A Skin Substitute. Wound Repair And Regeneration; 11(5): 14
  33. Syed A, Lam W L, M. Agarwal, Boome R (2003). Stabilization Of The Ulna Stump After Darrach's Procedure At The Wrist. International Journal Of Orthopaedics; 27(4): 235 – 239.
  34.  Lam W L, Garrido A, Vandermeulen J, Fagan M, Stanley P (2003). “Choice Of Needle In Tendon Repair: A Bio-Mechanical Study Comparing Round-Bodied Versus Cutting Needles On The Outcome Of Tensile Strength.” Journal of Hand Surgery (European Vol.) 28B: 5: 475-477.
  35. Lam W L, Fitzgerald A M, Hooper G (2000). “Volar Metacarpophalangeal Joint Dislocation”. Journal of Accident And Emergency Medicine, 17: 226-228.
  36. Lamb D W, Scott H, Lam W L, Gillespie W J, Hooper G (1997). “Operative Correction Of The Radial Club Hand: A Long-Term Follow-Up Of Centralization Of The Hand On The Ulna.” Journal Of Hand Surgery (European Vol.) 22B(4): 533-536

 

MODERATOR, PANEL AND INVITED LECTURES

Moderator:

  1. Chairman, Scientific Session: “Overseas Education and Training” BAPRAS Winter Meeting 2016
  2. Chairman, Scientific Session: “Basic Science – Nerve” ESPRAS, Edinburgh 2014
  3. Faculty, Upper Limb Dissection ESPRAS, Edinburgh 2014
  4. Chairman, Scientific Session: “Microsurgery”European Symposium of Paeditraic Hand Surgery, London, 2014
  5. Panelist, “How do I get the best out of this flap – The Venous Flap” International Federation of Societies of Surgery for the Hand, New Delhi, India, 2013
  6. Chairman, Scientific Session: “Extremities” American Society of Reconstructive Microsurgery, Naples, Florida, USA, 2013

 

Invited Lectures and Presentations:

  1. British Foundation of International Reconstructive Surgery and Training Updates BAPRAS Meetings 2016-2018
  2. Embryology of the Upper Limb and Sonic Hedghog Signalling BSSH Instructional Course, Manchester, 2016
  3. Evidence-Based Surgery: Congenital Trigger Thumb BSSH Spring Meeting, London, 2016
  4. Cerebral Palsy Symposium: Overview, Aetiology and Treatment      BSSH Spring Meeting, London, 2016
  5. Free Vascularised Joint Transfers to the Hand” Canniesburn Flap Course, Glasgow, Ongoing
  6. Setting up my Paedatric Hand Practice National University Hospital, Singapore, September, 2015
  7. Surgery to Improve Mobility in Upper Limb Spasticity Scottish Society for Rehabilitation Medicine, Edinburgh, 2014
  8. Developing A Hand Surgery Curriculum In Cambodia European Societies for Plastic, Reconstructive and Aesthetic Surgery (ESPRAS), Edinburgh, (NGO workshop) 2014
  9. Microsurgical Reconstruction of the Hand Department of Hand and Reconstructive Microsurgery, Tampere, Finland, 2013
  10. Flexor Tendon Repair And Infections Edinburgh Trauma Symposium and Instructional Course, August 2012-2014
  11. Refinements in Free Vascularised Joint Transfers to the Proximal Interphalangeal Joint Bunnell Travelling Fellows’ Luncheon Meeting, Las Vegas, USA, Sept 2011
  12. Microsurgical Reconstruction of the Upper Extremity: Old Solutions, New Paradigms Mayo Clinic, Rochester, USA, Sept 2011
  13. Microsurgical Upper Limb Reconstruction: Refinements and New Developments Curtis National Hand Center, Baltimore, USA, Sept 2011
  14. The Role of the Future Micro-Hand Surgeon: A Personal Perspective Department of Hand Surgery, Singapore General Hospital, Singapore, 2010
  15. Pentoxifylline as a Possible Non-Surgical Treatment of Dupuytren’s Disease Department of Hand Surgery, Singapore General Hospital, Singapore, 2004

 

International Podium Presentations:

  1. Lam W L, Davey M. An Insight into the Embryogenesis of Preaxial Polydactyly and Radial Aplaisa. World Congenital Hand Symposium, Rotterdam, 2015 (Best Paper)
  2. Justine AKA, Lam W L. Highly Selective Neurectomy for Spastic Cerebral Palsy: Anatomical Mapping of the Median and Ulnar Nerves. European Symposium of Paediatric Hand Surgery. London, 2014
  3. Johnson E, Lam W L, Davey, M. Insights into the Pathogenesis of Pre-Axial Polydactyly Using Enhanced Sonic Hedghog Gene Mutations. European Symposium of Paediatric Hand Surgery. London, 2014
  4. Lam W L, Lu T C, Wei F C. Accumulated Experience with the Use of Microsurgical Free Tissue Transfer in the Treatment of Oral Submucous Fibrosis. International Plastic, Reconstructive and Aesthetic Surgeons, Vancouver, 2011
  5. Lam W L, Chuang DCC. Nerve Transfers versus Nerve Grafting for Shoulder Reconstruction in Adult Plexus Injuries. American Society of Peripheral Nerve, Cancun, Mexico, 2011
  6. Lam W L, Cheng M H. The Ulnar Forearm Chimeric Flap for Reconstruction of Buccal Mucosal in Oral Submucous Fibrosis. American Society For Reconstructive Microsurgery, Cancun, Mexico, 2011
  7. Lam W L, Engel H, Cheng MH.  The Osteo-myocutaneous Peroneal Artery Combined Flap: A Chimeric Application of the Free Fibula Flap in Reconstruction of Composite Mandibular and Maxillary Defects. European Union of Reconstructive, Aesthetic and Plastic Surgeons, Manchester, 2010.
  8. Lam W L, Engel H, Cheng MH. Clinical Applications of  the Free Ulnar Forearm Flap European Union of Reconstructive, Aesthetic and Plastic Surgeons, Manchester, 2010
  9. Lam W L, Sharpe D. The Use of Pentoxifylline To Modify Disease Progression in Dupuytren’s Disease..9TH International Federation of Societies for Surgery of the Hand, Budapest, Hungary, 2004
  10. Lam W L, Rawlins J, Karoo R, Naylor I, Sharpe D. Herovici’s Staining For Collagen Analysis In Dupuytren’s Disease: Re-Visiting Luck’s Histological Classification. Combined American And British Societies For Surgery Of The Hand, Cambridge, 2003
  11. Lam W L, Sharpe D T. A Quantitative Analysis Of Collagen Types And Their Distribution In Palmar Fibromatosis (Dupuytren’s Disease) Using Computer Analysis And The Herovici’s Staining Method. European Tissue Repair Society, Amsterdam, The Netheriands, 2003
  12. Lam W L, Karoo R, Rawlins J, B Chew, A Smith, S Britland, I Naylor, D Sharpe. The Effects of Pentoxifylline on the contractility and alpha-smooth-muscle-expression of Dupuytren’s disease fibroblasts. World Union of Wound Healing Societies, Paris, 2004

 

National Podium Presentations:

  1. Oh J, Davey M, Lam W L. An Insight into the Embryogenesis of the Radius. BSSH Autumn 2016
  2. Bhopal R, Gollogly J, Lam W L, Vaikunthan R. Hand Therapy in Cambodia. BSSH Autumn 2016.
  3. Yong Li, Gaston M, Lam W L. Selective Peripheral Neurectomy – A Systematic Review. BSSH Autumn 2015
  4. Anderson M, Davey M, Lam W L. Comparison of the OMT and IFSSH Classification for Congenital Hand Differences. BSSH Autumn 2015.
  5. Lam W L, Davey M. An Insight into the Embryogenesis of Preaxial Polydactyly and Radial Aplasia. BSSH Autumn 2015.
  6. Lam W L, Waughlock N, Lin Y T, Wei F C. The shunt-restricted technique for improved survival and reliability of venous flaps in reconstruction of digital defects. British Society For Surgery Of The Hand, London, 2011
  7. Lam W L, Waughlock N, Lin Y T, Wei F C. Refinements in the Use of Venous Flaps for Digital Reconstrucion. British Association Of Plastic, Reconstructive and Aesthetic Surgeons, Oxford, 2011
  8. Lam W L, Waughlock N, Lin Y T, Wei F C. An Anatomical Approach to Reducing the Extensor Lag In Free Vascularized Joint Transfers for the Proximal Interphalangeal Joint. British Society For Surgery Of The Hand, Manchester, 2011
  9. Lam W L, Lu T C, Chuang DCC. Infraclavicular Brachial Plexus Injuries: Experience of 90 Cases in a Single Centre. British Society For Surgery Of The Hand, London, 2010
  10. Lam W L, Chuang D C. Nerve Transfers versus nerve Grafts for Shoulder Reconstruction in Traumatic Brachial Plexus Injuries. British Society For Surgery Of The Hand, London, 2010
  11.  Lam W L, Ross G. The Use of a Novel Gluteal Flap for Perineal Reconstruction. British Association Of Plastic, Reconstructive and Aesthetic Surgeons, London, 2008
  12. Lam W L, Lambe G, O’Dwyer S, Wilson M, Murphy J, Ross G. Reconstruction of the Perineum: The Manchester Experience. British Association Of Plastic, Reconstructive and Aesthetic Surgeons, London, 2008 
  13. Lam W L, Niggan S, Pritchard S, McGrouther D, Bayat A. Extralesional vs Intralesional Excisions of Keloids: Is the Peripheral Margin the Active Zone? British Association Of Plastic, Reconstructive and Aesthetic Surgeons, Deauville, France, 2007
  14.  Lam W L, Sharpe D T. The Effects Of Pentoxifylline On The Contractility And Alpha-Smooth Muscle Actin Expression Of Dupuytren’s Disease Fibroblasts. British Association Of Plastic Surgeons, Dublin, Ireland, 2004 
  15. Lam W L, Sharpe  D. Pentoxifylline Inhibits Contraction Of Dupuytren’s Disease Fibroblasts In A Collagen Gel Lattice Model. British Society For Surgery Of The Hand, Belfast, 2004 (Winner of Journal of Hand Surgery Prize for Best Paper)
  16. Lam W L, Rawlins J M, Karoo R, Fitzgerald A, Naylor I, Sharpe D. Histology: A Lost Art Or Still A Relevant Tool In Research? British Association Of Clinical Anatomists (BACA) King’s College, London, 2003
  17. Lam W L, Sharpe D. Re-Visiting Luck’s Histological Classification: A Quantitative Analysis Of Collagen Types In Dupuytren’s Disease. British Association Of Plastic Surgeons, Newport, Wales, 2003
  18. Lam W L, Garrido A, Vandermeulen J, Fagan M, Stanley P. “Choice Of Needle In Tendon Repair: A Bio-Mechanical Study Comparing Round-Bodied Versus Cutting Needles On The Outcome Of Tensile Strength.” British Society For Surgery of the Hand, Edinburgh, 2002
  19. Lam W L, Loh W, Soames R, Stanley J K. “A New Clinical Test For The Radial Tunnel Syndrome – Cadavderic Study”. British Association Of Clinical Anatomists, Leeds, 1999