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New guidance demands robust training and governance as robotic surgery rolls out across NHS hospitals

9 December 2025 | technology, clinical practice, NHS, surgery, education
The Royal College of Surgeons of England (RCS England) has issued new guidance urging NHS Trusts to strengthen training and tighten governance for surgeons performing robotic procedures, amid growing use of the technology in operating theatres. The recommendations come as...

Durjoy – the Hong Kong story

1 August 2014 | | PMFA - General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Non-invasive lip and perioral rejuvenation with 1550nm non-ablative fractional laser

26 March 2024 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Lips play a significant role in our facial aesthetics and are often considered a focal point of beauty and sensuality [1,2]. Over time, factors like ageing, sun exposure, and lifestyle choices can effect the appearance and condition of our lips....

Perceptions and Deceptions: a personal blog by the editor 5 October 2016

5 October 2016 |
And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...

Letter from Hong Kong (1 April 2020)

1 April 2020 |
By Professor Andrew Burd 1 April 2020. It is past midday so this is real. Just under three weeks ago, 9 March, I was invited to write a guest editorial for the Indian Journal of Plastic Surgery. I described the...

The flora of Culloden Field: Healing plants of a wounded land

2 June 2025 | | PMFA - General Plastic Surgery
The Battle of Culloden, fought on 16 April 1746, marked the end of the Jacobite uprising in Scotland. It was a devastating clash between the Jacobite forces led by Charles Edward Stuart (‘Bonnie Prince Charlie’) and the British army under...

Hair regeneration in menopausal and androgenetic alopecia patients using PTT-6® exosomal proteins

4 December 2025 | | PMFA - Aesthetic Medicine
Hair loss is a prevalent but under-recognised concern among menopausal women, often resulting in diminished self-esteem and psychological distress. Estimates suggest that over 50% of women will experience some degree of hair thinning or loss by the age of 50,...

We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | PMFA - General Plastic Surgery
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

Facing suffocation: young woman saved from critical neck growth that could have caused death

8 September 2025 | charity, Volunteering, surgical, Mercy Ships, Africa
A young woman whose sore throat became a life-threatening growth in her neck, leaving her struggling to breathe and facing suffocation, has had it removed for free by surgical volunteers from international charity Mercy Ships. “When we first met her,...

Part two: Aye, Aye. AI?

14 February 2025 | | AI, artificial intelligence, blog, personal, ChatGPT, DeepSeek
This is the second blog in this series looking at the current trends in AI. In the first, I reviewed a 'chat' with ChatGPT regarding the limitations of the program in editing work. This is actually a highly skilled human...

Virtual learning post lockdown

10 July 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The rapid onset and intensity of the COVID-19 pandemic has required some radical changes in most areas of our professional lives, including a chance to update traditional approaches to learning. Virtual learning is the use of remote video conferencing software,...

Medico-legal Forum (Botulinum/Laser)

1 April 2017 | PMFA - Aesthetic Medicine, PMFA - Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. In our February/March issue we featured a case that involved complications following...