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Reconstruction of complex wounds in the trunk and pelvis (part 1)

1 August 2017 | | PMFA - General Plastic Surgery
This is the first part of a two-part article looking at the challenges of reconstruction of complex defects in the torso. The articles are based on a presentation given at the World Union of Wound Healing Societies held in Yokohama...

Online connections in a post-COVID world

2 August 2022 | | PMFA - Aesthetic Medicine
Looking back at the pandemic, it has brought us unexpected friendships. The lack of direct interpersonal communication, meetings, parties and hugs increased the role of digital sources of contact which used to play a less important role in our lives....

2nd Liverpool Nasolacrimal and Orbital Dissection Course

8 September 2025 -9 September 2025
This course is aimed at Otorhinolaryngology (ENT) and Ophthalmology higher surgical trainees (ST5-ST8), senior fellows and consultants looking to improve their understanding and surgical skills in joint ENT/ophthalmology nasolacrimal and orbital surgeries. The aim of this course is to provide...

Perceptions and deceptions: a personal blog by the editor 5 September 2016

5 September 2016 |
The junior doctors are without doubt the very backbone of the NHS. They span from the newly graduated medical students to the most senior postgraduate trainees who are about to embark on a definitive post as a hospital consultant or...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

How I Do It - Combination treatment after nose trauma

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...

The New Doctors Contract NHS England – a brief summary

22 November 2016
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%...

Vascular complications part 2: management

7 December 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...

Suspension thread lift combination treatments

5 February 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery
A true facelift can only be achieved through surgical means, at least for now, and given advances in techniques and anaesthesia, this has become far safer. Not everyone, however, requires a facelift. Non-surgical modalities such as thread lifts with or...

The principle of construction in teaching complex anatomy

3 October 2025 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery
The construction sequence in head and neck anatomy. The human body is anatomically complex, and this makes the teaching of human anatomy, at the outset, a tricky exercise. Add to this the fact that there are areas where the density...

Staying in touch

19 September 2014 |
Although I am retired, I still receive the British Medical Journal every week and feel slightly guilty if I do not at least tear off the plastic cover before I throw it into the recycle bin... By taking off the...