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In Conversation with Professor Jian Farhadi
We were delighted to speak with Professor Jian Farhadi, Consultant Plastic Surgeon and past Director Department of Plastic & Reconstructive Surgery at Guy’s and St. Thomas’ Hospital in London. He is a specialist in reconstructive and aesthetic breast surgery and...The New Doctors Contract NHS England – a brief summary
This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...Clitoral reconstructive surgery after female genital cutting
Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 27) - Time To Sum Up (cont.)
I have made a breakthrough. I have now determined the voice of the book. The target audience will be students of The Law and of Medicine.
Plastic Surgery Volume 6: Hand and Upper Extremity
This is the last of this six-volume textbook, which provides an almost comprehensive coverage of the entire spectrum of hand and upper limb conditions. This remains a formidable task, as evidenced by other more extensive hand surgery textbooks that are...How I Do It - A non-invasive approach to facial and neck rejuvenation
The HoneyCombTM lift is a non-invasive solution for tightening and rejuvenating the face and neck using Fotona’s advanced SMOOTH® technology. By delivering precise thermal stimulation through HC6 optics and the T-Runner® scanner, this innovative procedure addresses skin laxity, fine lines,...
Dental implant rehabilitation in fibula free flaps
The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...
Multiple free flaps for head and neck cancer
Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However, despite this,...
Raised serum lactate as a marker in the diagnosis of necrotising fasciitis
A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...An update on BIA-ALCL
The author discusses the concerns and new restrictions on breast implants due to cases of breast implant associated-anaplastic large cell lymphoma – should we be worried? Breast implants, first introduced in the 1960s, have continued to evolve, having survived a...
How long should you wait for your adrenaline to work?
The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...
