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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

31 May 2021 |
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

24 May 2022 |
Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

‘Rhinofiller’: non-surgical correction of the nose

1 April 2018 | | Facial Plastic Surgery, Rhinoplasty, CPD - The PMFA Journal
Dr Agolli from Italy advocates the use of filler to quickly and easily achieve a non-surgical rhinoplasty without downtime for the patient. Cultural basis It is believed that Dante Alighieri was not a handsome man, probably because of his appearance,...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 18) - The judge fails at maths

14 March 2022 |
I was troubled by the Judge's response and wondered what a mathematician would have thought of it. So, the following emails ensued:

CO2 laser treatment of rhinophyma

7 December 2020 | | Aesthetic Medicine, Dermatology, Facial Plastic Surgery, CPD - The PMFA Journal, ONLINE EXCLUSIVE ARTICLES
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. The authors describe their technique and experience of treating rhinophymas with a...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

24 March 2022 |
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

How I Do It - Body contouring surgery using the body-jet

1 December 2014 | | Aesthetic Medicine, General Plastic Surgery
When the body-jet was first demonstrated to me in 2005, it was as a means to remove fat. It is now an integral part of my body contouring practice, and removing fat is only half the story. My own view...

Acid Survivors Trust International

1 August 2014 | | Facial Plastic Surgery, Aesthetic Medicine, Dermatology
The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

9 October 2017 | | General Plastic Surgery
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

Immediate versus delayed post mastectomy breast reconstruction

1 April 2019 | | Breast Surgery, General Plastic Surgery
The authors review and analyse the current literature comparing the psychosocial outcomes of immediate versus delayed post mastectomy breast reconstruction. Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine. Mastectomy may...

Transcutaneous scarless buttock lift via the Serdev Suture<sup>®</sup> Technique

1 February 2015 | | General Plastic Surgery
The Serdev Suture® buttock lift presents a scarless surgical procedure for the treatment of the flaccid, flat and ‘unhappy buttock’ form by a closed approach without any requirement for incision and excision scars. The outcome is a visual change in...

Submandibular haematoma with airway obstruction following a warfarin overdose

1 June 2017 | | Maxillofacial Surgery
Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...