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ROM Flaps
 ROM Flap Cases

This page is for doctors who have attended Dr Anthony Dixon's Skin Cancer or Advanced Skin Cancer Workshops in 2004-2006. To participate in the current research please enter the details of your ROM Flap cases below.

Mandatory fields are depicted with an '*' beside the field name. These must be completed before the form can be submitted.
"Sun damages skin"


Location
Please indicate which area on the body you performed the ROM Flap.
 
Site on body*
If you have selected 'below the knee', please specify the region:
Elsewhere (Please specify)
   
Complications  
Please tick if the following complications occured.
   
Infections

(If yes, please detail)

 

Antibiotics Given
Prophylactic antibiotics given

(If yes, please detail)

 
We recommend that if antibiotics are given, it be Dicloxacillin 2 gm around one hour orally pre op. [Download Infection Abstract Here]
Skin Necrosis
Wound Dehiscence

Other (Please specify)

 
   
Diagnosis  
Please complete the following mandatory case history information.
   
Age*
Sex*
Size of lesion* (mm)
Defect size in average diameter* (mm)
Number of lobes each side of the primary defect*
   
Aspects of History  
Please tick if any of the following apply.
   
Person has previously had ROM elsewhere
Warfarin
Diabetes
Aspirin
Skin inflamed at all prior to surgery
PVD
Ankle oedema
   
The following information is not compulsory, however it assists the analysis of data received.
Please enter your town location:
Please enter your last name:

 
 

 

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