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Raised serum lactate as a marker in the diagnosis of necrotising fasciitis

1 April 2014 | | General Plastic Surgery | Cellulitis, Hospital gangrene, Necrotizing fasciitis, Serum lactate
A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...

Lymphedema – Complete Medical and Surgical Review

1 August 2016 | | General Plastic Surgery
This single 600-page volume is one of relatively few books that draws together all of the current knowledge and understanding of lymphoedema, its pathogenesis, investigation, staging and management. The book’s authors are well known for their expertise in the field...

Periocular sweat gland carcinomas

1 August 2017 | | Cancer, Orbit, Oculoplastics, Surgery, Radiotherapy
This is an interesting review of a rare group of tumours which together comprise the adnexal sweat gland carcinomas. Although there are only 22 patients, this is the largest cohort ever published. The authors summarise the clinical presentation, stage, management...

A review of orbital plasmacytomas

1 July 2018 | | Oculoplastics
This is a multicentre review of 30 patients with orbital plasmacytomas. There were equal numbers of males and females, and the average age at diagnosis was 57 years. All patients were either already diagnosed with systemic multiple myeloma or it...

How I Do It - Surgical approach to facial palsy – lengthening the temporalis myoplasty

1 June 2015 | | Facial Plastic Surgery
In cases of long-established facial palsy, one of the main problems faced by patients is the inability to smile. In this situation, consideration should be given to facial reanimation (smile) surgery. In most cases of chronic facial palsy new muscles...

Perceptions and deceptions: a personal blog by the editor 8 December 2016

8 December 2016 |
A Death in Hong Kong An evolving essay and insight into medicine and the law in contemporary Hong Kong (part two). The death of a young person. A fit and healthy person. A person for whom adult life has only...

How I Do It - The non-surgical rhinoplasty

26 March 2024 | | Aesthetic Medicine, Rhinoplasty, Facial Plastic Surgery
Non-surgical rhinoplasty, also known as a ‘liquid nose job’ or ‘filler rhinoplasty’, is a minimally invasive cosmetic procedure that reshapes the nose using dermal fillers instead of traditional surgical techniques. It offers advantages such as minimal downtime and no incisions,...

How I Do It - Breast augmentation: choosing the ideal implant size

1 June 2017 | | Breast Surgery
Fernando Amato discusses the value of using 3D simulated imaging to help patients make the right decision about their implant size. Breast augmentation with implants is one of the most widespread plastic surgeries. However, clinicians still have some difficulties and...

Medico-legal Forum (Botulinum/Laser)

1 April 2017 | Aesthetic Medicine, Dermatology
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. In our February/March issue we featured a case that involved complications following...

Laser and light-based treatments for pigmented lesions

1 December 2017 | | Aesthetic Medicine, Dermatology
The authors detail the types of lasers and light-based devices that can be used in the treatment of epidermal and dermal pigmentations. Skin colour differences have, for centuries, been associated with the economic, political and social status of a person;...

Using erythema-directed digital photography in patients with rosacea

1 August 2019 | | Aesthetic Medicine, Dermatology, Imaging
The authors, from the University of Catania in Italy, discuss the promise that erythema-directed digital photography is showing in the clinical evaluation and targeted treatment of rosacea. Rosacea is a common chronic inflammatory facial condition that can lead to significant...

Lipoedema awareness – the current state of play

5 September 2023 | | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...