Treatment of severe hidradenitis suppurativa of the axilla: Thoracodorsal artery perforator (TDAP) flap versus split skin graft

Methods: We examined all scheduled plastic surgery lists between March and May 2013, using the Galaxy recording system.We found 375 lists with sufficient information for analysis.Results: 81% of lists were delayed, the average delay was 21 minutes, theatre and surgeon categories were the most common reasons for delay, patient and 'other' reasons were associated with the longest delays, there was variation between different theatres and wards.Conclusions: Literature and experience suggest 4 potential interventions.Firstly, engagement of a coordinator has greatly reduced delay in hand surgery.This audit justifies such a role for plastic surgery.Secondly, the development and deployment of novel IT technologies.Thirdly, new methods of information dissemination; peer-to-peer teaching, or posters outlining the full patient pathway.Finally, emulating initiatives from industry; aviation or formula one racing.