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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 24) - Prescribing Habits

11 May 2022 |
How do doctors learn to prescribe/use drugs in a safe and effective manner? This is no simple question and when the issue of a prescribing habit being regarded as lethal it becomes highly relevant.

Life-transforming reconstructive surgery onboard floating hospital gives new hope to burn survivors in sub-Saharan Africa

18 October 2024 | reconstructive, surgery, charity, international, patient stories, Africa, paediatric, children
Gamai from Guinea was a one-year-old when she suffered a horrific burn accident. With no access to medical care, her family were forced to watch as her skin contracted around her arms and hands, leaving her unable to perform basic...

How I Do It - Laser-assisted submental liposuction

1 February 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The author shares a low risk, minimally invasive procedure that offers excellent aesthetic results. Liposuction of the submental and jowl regions is a low risk outpatient procedure that gives a profound aesthetic result. Since the late 1960s, the techniques have...

Basic principles of bioengineering and regeneration

2 May 2017 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The ability to create de novo tissue to replace that removed from patients during surgery is a relatively recent advance. However, this is a fast-moving field and one which surgeons must be aware of from practical, ethical and scientific viewpoints....

ISBI practice guidelines for burn care

1 February 2017 | | PMFA - General Plastic Surgery
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...

Autologous fat graft in scar treatment

11 February 2014 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
A retrospective study was performed of 694 patients with contracted and painful scars over a six year period. A total of 376 patients had burn scars, 54 patients had scars due to road trauma, 92 patients had scars from domestic...

Early treatment of scars with laser therapy

30 March 2022 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...

Part four: Aye, Aye. AI?

9 April 2025 | | AI, clinical guidelines, good practice, technology, artificial intelligence, oncology, melanoma, cosmetic, aesthetic surgery
“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...

A ventral solution to a perineal problem: a case report

15 December 2022 | | PMFA - General Plastic Surgery
The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

The three stages of breast reconstruction

1 October 2014 | | PMFA - Breast Surgery
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

7 February 2022 |
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

How I Do It - Buried integra in the management of temporal cavernous haemangioma

4 December 2025 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Cavernous haemangiomas are rare, often distressing, and visually conspicuous vascular abnormalities caused by a mass of aberrant tangles of thin walled, easily distended blood vessels. Fourteen percent will present in the head and neck regions and are histologically characterised by...