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Letter from Hong Kong (6 January 2022)
So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.Report: BAPRAS 2023
A report from PMFA's first ever, very festive BAPRAS Congress, which ran recently from Wednesday 29 November to Friday 1 December in the Hilton Newcastle Gateshead hotel.Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)
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 17) – A mystery
There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?Clones and tigers
Shortly after I qualified MB, ChB in 1963, I had a position in the pathology department of the Glasgow Royal Infirmary. I was surprised to discover there that there was a word that I didn't know – ‘clone’. I did...
Atlas of Reconstructive Surgery: a Case-Based Approach
"It is the type of book that I used to love when I was at registrar level in plastic surgery. That is to say long on enthusiasm and short on experience. The goal was to gain experience vicariously through other people’s experience and this is exactly what Lee Pu has given us here."
A useful regional flap for head and neck reconstruction
This article explains the experience of the head and neck department of the Massachusetts Eye and Ear Infirmary with a seldom used regional flap, the supraclavicular artery (SCA) fasciocutaneous flap. This versatile flap is based on the supraclavicular artery, a...Clitoral reconstructive surgery after female genital cutting
Female genital mutilation / cutting (FGM/C), aka female circumcision, is defined by the World Health Organization (WHO) as “All procedures that involve partial or total removal of the external female genitalia for non-medical reasons” [1]. Practised in Africa and other...
Complications in tissue expansion
This study aims to identify possible risk factors for complications in tissue expansion in all anatomical regions except the breast. The overall complication rate of tissue expansion is up to 48%. Over the 10-year study period, 34 patients had placement...
TRALI following fresh frozen plasma resuscitation from burn shock
This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...
Purse string closure after excision of paediatric facial lesions
Circular excision and purse-string closure has been described for infantile haemangiomas as an alternative to lenticular excision. Records of 77 consecutive paediatric patients with facial skin lesions treated with circular excision and purse-string closure from 2007-2014 were reviewed. Lesions excised...
