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The medial gastrocnemius flap
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...How I Do It - Dorsal hand rejuvenation with dermal fillers: anatomical knowledge is essential
A youthful dorsal hand is characterised by a supple, smooth skin texture and contour, with minimal prominence of the dorsal veins. Over time, extrinsic (e.g. sun damage and smoking) and intrinsic (bone remodelling and soft tissue volume changes owing to...Jalupro BioRegen Summit
Brought to you by ACRE PharmarcyMercy Mission: all aboard with Mercy Ships off the coast of West Africa
Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...From female genital mutilation to female genital reconstruction
The demand for reconstruction of mutilated female genitalia is increasing in Europe due to the empowerment of immigrant and naturalised women from Africa. Their wish for reconstruction is more than a matter of surgery, as these women still have to...Global surgical crisis and Mercy Ships
History of Mercy Ships Mercy Ships began with Don and Deyon Stephens’ dream and an inspirational meeting with Mother Teresa. In 1978, their desire to create hospital ships that could deliver safe, free surgery to those around the world without...The impact of 21st century stressors and lifestyle factors on skin ageing
Skin appearance and health play a significant role in everyone’s life and confidence, particularly in today’s 21st century lifestyle and the associated stressors promoting skin ageing. The skin is a dynamic organ, showing apparent signs of ageing and damage, which...Prednisolone and/or acyclovir for Bell’s palsy
Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...The future of energy-based devices: do we have limits?
Victor Gabriel Clatici asks what is the final frontier in dermatology, plastic surgery and aesthetic medicine?Is there a role for retrobulbar hyaluronidase in hyaluronic acid vascular embolism related vision loss?
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. How should vascular occlusions be managed? The authors review the evidence on...CQC regulators and private hospitals need more common sense
There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....
