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The Re-humanising Revolution: Breaking the conspiracy of silence

Over the last few years, the mental and emotional wellbeing of those who work in medicine has come under scrutiny. The author introduces a new resource. Working in healthcare has always been stressful but never more so than today. In...

The three stages of breast reconstruction

Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...

Life after medicine

Our Editor, Andrew Burd, renowned burns surgeon, takes us on a fascinating journey from his early days as a medical student travelling in the USA through his search for scarless healing in the 1980s and finally to his current work...

A comparison of academic output of Welsh burns and plastic surgery trainees pre- and mid-COVID-19 pandemic: a cross-sectional study

The COVID-19 pandemic has affected the work of doctors worldwide, with surgical resources being diverted and non-emergency surgeries postponed. With surgical activity at 33.6% of expected levels in 2020, this sudden, vast decrease in surgical activity may have granted some...

COVID-19: a threat or a warning?

Soon the public health implications of COVID-19 will be clearer. In Hong Kong, life has changed so much these past six months. The riots, the protests, the arson, the anarchy. And now nature shows what she can do.

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

Reduction of postoperative bruising and swelling

This is a review of 27 patients undergoing periocular surgery who postoperatively applied hydrogel pads impregnated with Arnica montana and Ledum palustre (Ocumend, Cearna inc., Chicago). The pads were used continuously for the first two postoperative days, changing them every...

Infection and sepsis in burns: potential clinical predictors

In this retrospective study, the authors attempt to identify the most reliable predictors of early infection (within 10 days) in acute burns patients to try to reduce unnecessary antibiotic therapy. They recognise that infections and sepsis represent the leading cause...

Endoscope and concealed incisions for small benign tumours of the accessory parotid gland

While the most common conventional approaches for benign tumours of the parotid gland are the standard parotidectomy incision, a modified standard parotidectomy incision and a face lift incision, the authors have used a modified endoscopic approach with minimal concealed incisions...

Dermoscopy: an update and personal view

With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...

The challenge of reinterpreting past data through the lens of advances in skin biome research

Advances in technology have allowed scientists to expand their understanding of the complex interactions that occur between humans and the microbes that reside on and inside their bodies. However, these same advances present a challenge to scientists and clinicians to...

Building trust and the psychology of relationships

Award-winning business coach and author, Alan S Adams, shares his key insights into how to build and maintain trust, boost effective working relationships, and enhance business growth. “People buy from people they know, like and trust” – Bob Burg In...