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Vascular complications part 2: management

- VIDEO CONTENT AT BOTTOM OF ARTICLE - Vascular complications from the use of soft tissue fillers can be devastating. In the second of a two-part series (click here for Part 1), the authors discuss how to manage these adverse...

Why I don’t trust the BMA – and why it matters – 24 January 2017

Editors Note: This is a guest blog from Ankush Dhariwal. It is a personal opinion and posting it on the PMFA News website is not an endorsement of the opinions. However, for those working in the NHS, and in the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

How I Do It - Combination treatment after nose trauma

At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...

Suspension thread lift combination treatments

A true facelift can only be achieved through surgical means, at least for now, and given advances in techniques and anaesthesia, this has become far safer. Not everyone, however, requires a facelift. Non-surgical modalities such as thread lifts with or...

Could a left-sided facial perceptual bias affect satisfaction with oculoplastic procedures?

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. Facial symmetry is usually a priority for both patient and clinician when...

Staying in touch

Although I am retired, I still receive the British Medical Journal every week and feel slightly guilty if I do not at least tear off the plastic cover before I throw it into the recycle bin... By taking off the...

Lymphedema – Complete Medical and Surgical Review

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...

Is it possible to fix condylar neck fractures with one plate?

Fractures of the condylar neck are fairly common and account for over 25% of all mandible fractures. Over the years a number of modalities have been used to fix these fractures. Direct reduction is complicated by the overlying proximity of...

Reconstruction with scapular tip

Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, including an obturator or surgical reconstruction with a free...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....