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Controlling intraoperative haemorrhage during burn surgery

5 June 2017 | | PMFA - General Plastic Surgery
This study aims to compare the efficacy of NuStat, a new haemostatic agent based on bamboo cellulose that proposes to activate the clotting cascade, against more traditional methods of haemostasis during burn surgery. The authors argue the requirement for further...

Use of spacers for mandibular defects after resection of mandible preceding definitive osseous reconstruction

1 October 2013 | | PMFA - Maxillofacial Surgery
The authors propose the use of rigid polyethylene and silicon spacers in mandibular defects as an interim measure before definitive osseous reconstruction after mandibular resections for locally aggressive benign disease. The authors point out that the current intermediate reconstruction systems...

A ventral solution to a perineal problem: a case report

15 December 2022 | | ONLINE EXCLUSIVE ARTICLES, PMFA - General Plastic Surgery
The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

The importance of teamwork and leadership in the management of patients in burns centres

1 June 2019 | | PMFA - General Plastic Surgery
The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

Perceptions and deceptions: a personal blog by the editor 21 November 2016

21 November 2016 |
The new international word of the year for 2016 is ‘post-truth’. The term refers to the practice of appealing to emotion and personal beliefs rather than objective and verifiable truth when attempting to influence public opinion. Apparently, the usage of...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient

7 February 2022 |
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.

Prednisolone and/or acyclovir for Bell’s palsy

1 June 2022 |
Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...

‘Split’ earlobe repair

31 March 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery
Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

Breast augmentation from a patient perspective

21 June 2022 | | ONLINE EXCLUSIVE ARTICLES, PMFA - Breast Surgery, PMFA - General Plastic Surgery
When I was 17 and saw Pamela Anderson on Baywatch I knew I wanted to have breast implants. A plastic surgeon had an office nearby so I went to find out more. The woman who spoke with me was lovely,...

Profile of a tertiary referral oculoplastics service in the UK

23 March 2021 | | ONLINE EXCLUSIVE ARTICLES, PMFA - Oculoplastic
The provision of safe and effective ophthalmic care to large patient populations has always been challenging. Severe restrictions of outpatient clinical activity due to the COVID-19 crisis has compounded this problem, with 26,800 appointments cancelled in our unit in the...

Facial veins – diagnosis and treatment options

1 December 2018 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

3D photography in facial rejuvenation

1 August 2017 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
The term ageing is widely used to denote a series of changes that are clinically observed over time. Throughout the ageing process, the cell renewal capacity becomes slower. The fibroblast, which is the main cell of the dermis, undergoes a...