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How I Do It - Wound closure
Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...The efficacy of polynucleotide injections in aesthetic medicine: a review
Polynucleotide (PN) injections have gained significant attention in aesthetic medicine due to their beneficial effects on the skin, hair, and other tissues. This review explores the current evidence supporting the use of PN injections for various aesthetic concerns. Introduction Aesthetic...PhilArt next for 35-year-old knee scar
In our dynamic field, staying ahead means embracing innovation, and understanding the evolving preferences of both practitioners and patients; recognising the trends that shape our industry. The biostimulator injections’ market has rapidly risen to prominence, ranking among the top three...The three stages of breast reconstruction
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...
Fat grafting as therapy for Raynaud’s
The authors have adapted the technique of lipo-filling, previously described for rejuvenation of the hand, to achieve symptom reduction in patients with primary and secondary Raynaud’s that had previously failed to respond to medical treatments. The majority of the subjects...
Platysma muscle use for oral sphincter substitution or countering excessive pull of a free muscle, following facial palsy
The use of the platysma muscle as a pedicled ‘apron’ flap in order to minimise the overactivity of a free muscle transfer, used in the treatment of facial palsy, is described in admirable detail. The successful results are carefully assessed...
Selection of full thickness skin graft donor site influences extent of contraction
Full thickness skin grafts (FTSG) remain a standard reconstructive option in burns surgery, resulting in lesser secondary contracture and improved cosmesis compared to split skin grafts. Although the recipient site is known to influence contraction, the role of the donor...
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...
