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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...
Classification of contour deformities after massive weight loss, using the Pittsburgh Rating Scale
While the treatment of patients by skin reduction following massive weight loss is increasing, the conclusions of this study from the Netherlands finds that the Pittsburgh Rating Scale is not entirely suitable for this classification purpose and another system must...
The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release
Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...
Locked or unlocked
This is as systematic review and meta-analysis from the Netherlands, evaluating postoperative complications of mandibular fractures using locking and non-locking systems. It is suggested that postoperative complications of surgical treatment of mandibular fractures occur in 20-26% of patients, and it...
Botulinum Toxins in Clinical Aesthetic Practice
This comprehensive guide comes in two volumes. Volume one considers the clinical adaptations of the various toxins and how they can be used with other injectables such as dermal fillers, light and energy base devices. It explores the use of...Plastic surgery founding father Ivo Pitanguy on life, learning and legends – remembering a giant
World renowned Plastic Surgeon Ivo Pitanguy passed away on 6 August 2016 at the age of 93 just a day after carrying the Olympic torch for the Rio Games. Read on to learn about the life of this giant of...Part four: Aye, Aye. AI?
“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...Dr Tijion Esho has announced he is to be an Ambassador for Operation Smile UK
Dr Tijion Esho, TV presenter, cosmetic doctor and philanthropist has announced he is to be an Ambassador for Operation Smile UK today on National Selfie Day.
Gender Affirmation – Medical & Surgical Perspectives
This book is one of the few, well-written books aimed at clinicians and surgeons with an interest in the field of gender affirmation (reassignment). It is concise and comprehensive. The authors of the chapters are international leaders in their respective...
Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel
Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...
CAD/CAM assisted mandibular reconstruction free hand: is there a difference?
The gold standard for the reconstruction of the mandible is a free bony flap, the fibula is commonly used. The fibula is a straight bone and indeed all the other donor sites present various other considerations and difficulties, to allow...
