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Letter from Hong Kong (1 April 2020)
By Professor Andrew Burd 1 April 2020. It is past midday so this is real. Just under three weeks ago, 9 March, I was invited to write a guest editorial for the Indian Journal of Plastic Surgery. I described the...Reconstruction of complex wounds in the trunk and pelvis (part 1)
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...Revolutionising paediatric burn scar management: Unleashing the potential of stromal vascular fraction
Burn injuries often result in challenging scars that impact the aesthetic appearance and also pose functional and psychological concerns for the affected individuals. Traditional approaches to treating burn scars have primarily relied on skin grafts, requiring donor sites and often...Form and function
I am currently working as a locum Senior Consultant in Burns Care in Al Wakra Hospital in Qatar. Qatar is 10 times the size of Hong Kong and has an indigenous population of a few hundred thousand but an expatriate...BAPRAS Congress 2024: International
The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) is set to host its largest annual conference, the BAPRAS Congress 2024: International, at ICC Wales on 4–6 December 2024. For this year's Congress, which is subtitled 'International', BAPRAS is...
The use of intravenous tPA for the treatment of severe frostbite
Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...
A new free flap for the head and neck
Whilst the radial forearm free flap (RFFF) is well known and tested, this group of surgeons from Sunderland, UK, discuss their experience with a comparable flap. They advocate the medial sural artery perforator flap (MSAPF), with a long pedicle if...
Post auricular advancement flap for partial helix defect repair
Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna with its subunits presents a difficult reconstructive challenge as successful reconstruction requires both similar tissue cover and a supporting framework. Partial...Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide
“…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...2nd Chance: reconstructive surgery for life reconstruction
Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...CO₂ laser treatment for burn scars
Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...
