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Antibiotic resistance

1 June 2018 | | PMFA - Aesthetic Medicine
This is a poignant article on a prevalent issue of growing concern for prescribing professionals. The importance and serious implications of antibiotic failure are outlined as an important concept for the aesthetic practitioner to comprehend, supported by a detailed account...

Postoperative antibiotics after a free flap surgery – is one dose enough?

1 August 2017 | | PMFA - Maxillofacial Surgery
Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

Prophylactic postoperative antibiotics for enucleation or evisceration

1 December 2013 | | PMFA - Oculoplastic
The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...

Intravenous paracetamol in orbital surgery

1 August 2016 | | PMFA - Oculoplastic
This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | PMFA - General Plastic Surgery
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

The importance of skin preparation

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
With both aesthetic procedures and antibiotic resistance on the rise, good skin disinfection to reduce the risk of infection is more vital than ever. Anna Baker takes us through the evidence behind commonly used skin preparation formulations for aesthetic injectable...

How I Do It - Postoperative care following aesthetic breast surgery – augmentation, reduction / mastopexy and augmentation mastopexy

1 August 2019 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
The first aspect of postoperative care is to prevent or pre-empt potential problems; two main concerns are bleeding and infection. Towards the end of the procedure, I always undertake an antiseptic or saline washout before closing and check the blood...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

5 September 2023 | | PMFA - General Plastic Surgery
“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

Could a technology from the past change skin disinfection for the future?

1 August 2017 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...

How I Do It - Approaches to acne treatment: Nd:YAG laser

1 August 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

A practical guide to the most commonly used dressings in wound care

1 October 2018 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

1 December 2021 | | PMFA - Maxillofacial Surgery
Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...