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ISBI practice guidelines for burn care

Practice guidelines (PGs) for burn care were first published in 2001 with multiple updates from the American Burn Association (ABA) on specific areas of burn care including resuscitation, electrical injury, pain management and venous thromboembolism prophylaxis. Significantly, previous guidelines have...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 8) – Propofol

Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.

How I Do It - Using the AURA 3D imaging system to bring a new shared visual language to the consultation process

Technology now allows us to go to a higher level of detail in evaluating the characteristics of patients. Up to now, the acquisition of patient images has been carried out with 2D cameras. Unlike 2D photographs, 3D imaging devices provide...

Exosomes: everything you always wanted to know and questions to ask your exosome provider

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. What are exosomes? Exosomes are just one subset of extracellular vesicles (EVs),...

Breast reduction in the older woman

Breast reduction (bilateral breast reduction or BBR) is an operation to reduce the size of the breasts, helping to improve the shape of the breasts and lifting the nipples to an appropriately higher position. Some women have difficulty with their...

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

The golden nose – reshaping the nose 100 years ago

Wolf Lűbbers (with the golden nose). Who with a crooked nose would not embrace the chance to go to bed in the evening wearing a surgical device and wake up the following morning with a straight one? And all this...

How I Do It - Reduction ­thyroplasty

Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

Follow-up interview with Mr Miles Berry Consultant Plastic and Aesthetic Surgeon

The editor’s clarification Andrew Burd: Miles, many thanks indeed for giving the interview that appeared in the first issue of PMFA News (see PMFA News 1(1):24). I read this with great interest as some very topical and sensitive issues were...

Avoiding pre-placed recti sutures in enucleation

This is a retrospective review of 40 patients who underwent enucleation using a non-conventional technique in which the recti muscles were detached from the sclera without pre-placing any sutures to secure the cut muscle ends. The surgery was only performed...

USA resident working patterns and on-call

As debate rages at home regarding the uneasy relationship between the restriction on trainees’ working hours, on-call patterns and the goals and outcomes of plastic surgery training programmes, it is interesting to read of similar concerns across the Atlantic. This...

Quantity for quality

Although facial paralysis is not uncommon, the number of patients who require free muscle transfer is much smaller. Besides that, the diversity of surgical and non-surgical interventions, the multitude of methods for perioperative assessment, and outcome measurements likewise lead to...