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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...

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...

AMWC 2023

AMWC is one of the world’s leading aesthetic and anti-ageing medicine congresses, welcoming 14,000 participants and 300 prominent speakers from over 120 countries. Held under the supervision of the Aesthetic Multispecialty Society (AMS), the advanced and highly interactive programme covers...

ASLMS 2024

The American Society for Laser Medicine and Surgery (ASLMS) Annual Conference is a premier international meeting in medical laser and energy-based applications. Each year, attendees convene to exchange research, education, and ideas that promote high standards of clinical care. In...

The Scottish Aesthetic Conference 2025

This exciting conference, now in its third year, is the ‘must attend’ event for all medical aesthetic professionals and those thinking about getting started in this area. The conference will feature a fantastic line up of keynote speakers with clinical...

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...

Optimising Aesthetic Toxin Results

This is an excellent book for people who are more advanced in their aesthetic practice and looking to optimise their toxin results. The book covers introduction to botulinum toxin and its immunogenicity including neutralising antibodies. The book then discusses combination...

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....

Autologous vs. irradiated costal cartilage in rhinoplasty

The authors present the findings of a retrospective study included 63 patients had rhino-septoplasty using autologous costal cartilage (ACC) and 20 had rhino-septoplasty using irradiated homologous costal cartilage (IHCC) to compare the clinical results of major augmentation rhinoplasty using ACC...