The use of intravenous tPA for the treatment of severe frostbite

Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...

Nanocrystalline silver compared to alternative silver delivery systems in the management of burns

With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...

Effect of skin expansion on acellular dermis

Acellular dermis is widely used in prosthesis based breast reconstruction, however, there is a lack of data concerning its expandability and related skin changes. This experimental study in rats aimed to determine whether acellular dermis could be expanded and whether...

Non-surgical vs. surgical labiaplasty

The author suggests that unfavourable post-surgical complications and patient satisfaction are outcomes which are often unmet following more invasive procedures, demonstrated by an increase in demand into non-surgical procedures to correct labial hypertrophy, which is inconsistently defined by a limited...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....

TRALI following fresh frozen plasma resuscitation from burn shock

This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...

Autologous fat grafting does not improve burn scar appearance

Fat grafting procedure has had a surge in popularity in more recent times. This procedure has been used for many different treatments including management of scars, correction of contour deformities, breast augmentation and facial rejuvenation. However, prospective randomised studies of...

The effect of smoking status on burn inhalation injury mortality

It is well recognised that inhalational injury is a major predictor of mortality in burns patients. However, there have not been any studies looking at the effect smoking (and its effects on the lungs) in these patients. Therefore, this is...