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Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics

This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...

Hormones, ageing and skinspan

Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...

The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic

During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...

Adherence in Dermatology

Dermatology is a medical specialty in which successful patient outcomes are often dependent on strict adherence to treatment protocols. This may be difficult for some patients to achieve. Adherence in Dermatology by Scott A Davis addresses the issue of patient...

Optimal placement of brachioplastic scars

The authors present the findings of a survey evaluating four different types of brachioplasty scars. Scars examined were either medial, placed in the bicipital groove (both straight and sinusoidal) or posterior, placed in the brachial sulcus (both straight and sinusoidal)....

Letter from Hong Kong (2 July 2020)

There is an expression about “living through history”. I am not quite sure what it means but I have the inclination that it conveys a sense of being there, of being alive, when the world changes. Dramatically, irrevocably. We have a before, and we have an after, and we are now in the period of transition.

Facial Plastic and Reconstructive Surgery: Clinical Reference Guide

Plastic surgery and otolarynology are an example of two surgical specialties which intersect, allowing for clinical and research collaboration. Facial Plastic and Reconstructive Surgery: Clinical Reference Guide gives reference to a number of different principles which have been combined in...

Factors affecting the success of canalicular repairs

This is a 10-year retrospective review of 137 canalicular laceration repairs, looking for factors which affected the outcome. A successful outcome was defined as no epiphora at three months or more after removal of the stent. Overall the success rate...

Case-based illustration and discussion of surgical modalities to manage traumatic hand defects

The authors present four clinical cases of soft tissue defects affecting the hand and discuss various surgical management options available. These cases include a dorsal hand wound, thumb pulp defect, first webspace defect and a volar finger defect. For each...

Medical illnesses and their affects on anaesthesia for oral surgery

This is a comprehensive article, which provides a good summary of the common co-morbidities affecting patients presenting for oral surgery. It focuses on their management issues as well as precautions required when administering anaesthesia. For each illness listed the authors...

Periocular burns: a literature review of classification, management protocols and outcomes of treatment

The author provides a review of the current literature regarding the principles of classification, management protocols of acute ocular and periocular burns and the role of the burn and oculoplastic surgeon involved in their care. More than two-thirds of facial...

Serology testing in periocular inflammatory disease

This is a review article of serological tests in thyroid eye disease, IgG4-related disease and myasthenia gravis. The authors provide an overview of the current serology with a brief description of how they relate to the pathogenesis of each condition....