The Vascular Anomalies Revolution

Vascular anomalies is one of the longest running, truly multidisciplinary services at The Royal Children’s Hospital. In over thirty years that the clinic has been active there has been an explosion in our knowledge of the genetic causes of vascular lesions, which has led directly to new drug treatments.

Paediatric upper limb transplantation: A new frontier of surgery, immunology, and ethics

Hand transplantation is a technique to reconstruct absent and functionless upper limbs using cadaveric donor limbs.

In the 20 years since the world’s first hand transplant, the technique has developed into a reliable and valuable option for carefully selected adult amputees. The downside is the need for immunosuppression with its inherent risks (metabolic, infective, neoplastic, and renal impairment) for the duration of the transplant.