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1178 results found

A new autologous flap option for breast reconstruction

The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...

The value of bariatric specific chart to initiate resuscitation

This is an interesting well written retrospective analysis of resuscitation in bariatric patients, but the study has two significant flaws. The first flaw is that parklands formula, with estimate from lund browder charts, is a guide and a best estimate...

The value of bariatric specific chart to initiate resuscitation of adult bariatric burns

This is an interesting well written retrospective analysis of resuscitation in bariatric patients, but the study has two significant flaws. The first flaw is that parkland’s formula, with estimate from lund browder charts is a guide and a best estimate...

Clinical histopathology of 250 parotidectomy patients

This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively. The sensitivity being slightly lower than the often quoted 80%. MRI and...

Smile Train Spread Smiles in Edinburgh

Smile Train, the world’s largest cleft charity, set up a billboard in the heart of Edinburgh to raise awareness about cleft as part of Cleft Awareness Month.

The surgical management of extensive balanitis xerotica obliterans

Balanitis xerotica obliterans (BXO) was initially described by Hallopeau in 1887 [1], when it was known as lichen sclerosis et atrophicus, the designation BXO, first being used by Stuhmer in 1928 [2]. It is a chronic, persistent and unrelenting inflammatory...

Making Decisions and Avoiding Complications in Skin Flaps

Whereas modern readings on reconstructive surgery impress by their high-quality graphic illustrations on heavy glossy paper next to lengthy discussions, this book has a remarkably unpretentious appearance. At first glance it becomes clear that the reader should not expect a...

Mohs Micrographic Surgery: From Layers to Reconstruction

This textbook is impressive. It combines the basics of Mohs micrographic surgery (MMS) from principles, set up and technique, through to a multitude of reconstructive choices for defects of the head and neck. This would be a useful textbook for...

In conversation with Steven Dayan

We were delighted to catch up with Steven Dayan, esteemed Plastic Surgeon and US Scientific Director of AMWC. Can you tell us a little bit about what led you into the field of plastic surgery and what have been the...

OPINION - Influencers affect us all: but are they as good as we think?

Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Cryolipolysis: a review of published clinical data

Definition: Cryolipolysis is derived from the greek language, describing ‘cold’ and ‘fat breakdown’. History The actual phenomenon of cold induced adipocyte necrosis was originally described by Epstein et al. in 1970 who had reported the presence of a “red indurated...