Wednesday, 19 December 2012

Research Fellow: ‘Measuring outcomes after breast cancer surgery’

The Clinical Effectiveness Unit at the RCSEng is advertising a Research Fellowship for a project entitled ‘Measuring outcomes after breast cancer surgery’. 

It is sponsored by the Association of Breast Surgery, British Association of Plastic Reconstructive and Aesthetic Plastic Surgeons and The Royal College of Surgeons of England.

Informal enquiries regarding this post should be directed to Dr David Cromwell, Director, Clinical Effectiveness Unit (email: dcromwell@rcseng.ac.uk).

For more details and an application form, please write enclosing an A4 self-addressed envelope to: Personnel Department, 35/43 Lincoln’s Inn Fields, London WC2A 3PE, quoting Reference: 37/12

Closing date: 11 January 2013

Sunday, 9 December 2012

Plastic Surgery Journal for Trainees (PSJT)

The Plastic Surgery Journal for Trainees has just launched. Check it out here
"This quarterly journal aims to harness junior trainees' innovative ideas and to act as a platform into the publication process, which can often be challenging. Full access to all the articles will be published online. No subscription fee is required."

Sunday, 2 December 2012

Oncoplastic Breast Reconstruction UK

A copy of the brand new ABS / BAPRAS Oncoplastic Breast Reconstruction Guidelines for Best Practice dropped through the letter box yesterday.

The RCSEng offers a related course: Specialty Skills in Oncoplastic and Breast Reconstruction Surgery Level I.

Tuesday, 27 November 2012

Dr Joseph E. Murray

Dr Joseph E. Murray, plastic surgeon and Nobel laureate, sadly passed away yesterday. He was a pioneering surgeon scientist, who performed the first renal transplantation. His autobiography is well worth reading.

See the obituaries in the Telegraph and New York Times.




Saturday, 24 November 2012

Reconstructive Trauma Surgery Interface Fellowship

Last week BMJ careers had a course review of the reconstructive trauma surgery interface fellowship - read it here.

There are a number of different interface fellowships available for senior trainees. The Severn Deanery administers them and has a website with all the details here.

Friday, 23 November 2012

Archives of Plastic Surgery


The official journal of the Korean Society of Plastic and Reconstructive Surgeons has had a big year.

In 2012 it became the "Archives of Plastic Surgery", changed languages from Korean to English, and is now indexed in PubMed.

It is looking to join ten other plastics journals as a Science Citation Index Expanded (SCI[E]) journal. The current journals in the list are below (impact factor in brackets).

Plastic and Reconstructive Surgery (3.382)
Archives of Facial Plastic Surgery (1.646)
Journal of Plastic, Reconstructive and Aesthetic Surgery (1.494)
Clinics in Plastic Surgery (1.422)
Aesthetic Plastic Surgery (1.407)
Annals of Plastic Surgery (1.318)
Facial Plastic Surgery (0.963)
Ophthalmic Plastic and Reconstructive Surgery (0.691)
Canadian Journal of Plastic Surgery (0.179)
Journal of Plastic Surgery and Hand Surgery (0.017)

There are many other plastic surgery journals, check them out here.

Thursday, 22 November 2012

RSM: Separating siamese twins


The Plastic Surgery Section of the Royal Society of Medicine has a great evening coming up on Tuesday 11th December.

Mr Edward Kiely will be talking about his experience of separating conjoined twins. A taster is below.

Usual rules apply: pre-register here, registration from 1830, starts 1900.

Sunday, 11 November 2012

Royal Marsden Surgical Lecture Series

The Royal Marsden has a Surgical Lecture Series co-ordinated by Aadil Khan, a plastics trainee at the ICR. The programme for the rest of this academic year is below.

The talks start at 1800 at the Royal Marsden Hospital, Fulham Road. Open to surgeons.


Tuesday 4th December  
Mr Andrew Hayes, The Royal Marsden Hospital 
“Isolated limb perfusion for advanced limb malignancies: past successes and new strategies for the 21st century”

Tuesday 8th January
Mr Richard Shaw, Merseyside Regional Cancer Centre 
“Surgical research is the art of controlling your environment (…adapted from Hunter S Thompson)”

Tuesday 5th February  
Mr Reza Mirnezami, Imperial College, London
“Multi-axis metabolic phenotyping of colorectal cancer”

Tuesday 5th March  
Mr Kunal Shetty, Imperial College, London
“Neuroergonomics in minimally invasive surgery”

Tuesday 16th April
Mr Ramsey Cutress, University of Southampton 
Title TBC: Breast surgery

Tuesday 7th May  
Mr Enyi Ofo, King’s College, London
H&N cancer

Tuesday 4th June
Mr Paul Harris, The Royal Marsden Hospital
“Advanced microsurgical techniques in reconstructing oncological defects”

Tuesday 2nd June  
Mr Aadil Khan, ICR
“The radioprotection of composite tissue free flaps using ex vivo gene therapy”

Friday, 9 November 2012

UPRAS 2012

The 5th Annual Undergraduate Plastic, Reconstructive and Aesthetic Surgery Conference is on the weekend 1st/2nd December 2012.

The abstract submission is open and there are still tickets available here.

The programme has been updated from previous years and there is an optional Stryker Hand Fracture Course.

Wednesday, 7 November 2012

Wednesday, 31 October 2012

Plastic Surgery Research - who, what, where, when, how?

BAPRAS have just updated the research section on the website. There is new advice on academic training and when to do a higher degree.

There are also details on the various MSc courses available in the UK. Including the new course at UCL.


Tuesday, 30 October 2012

Hand fracture fixation

The AO Hand Fixation course in Leeds was excellent. There was a good balance between, lectures, group discussion and practical sessions. The later was the main focus and most enjoyable.

It was interesting to hear from other trainees that for some overseas hand fellowships the AO course was the only hand course that was recognised.

I choose the AO course because of a recommendation and the timing but there are others:

Leicester Hand Fracture Management Course 12th/13th November 2012. Contact Mrs Elaine James ej9@le.ac.uk. There are a few places left.

The Pulvertaft Hand Centre in Derby runs courses - the next will be in 2013.

There are a couple of Apps that are good for managing fractures:

AO Surgery Reference for managing hand fractures (and fractures of any bone in the body)

DePuySynthes for details of their kit and how to use it.

Medic-Courses Plastic Surgery

Medic-Courses have a "Core Skills in Plastic Surgery and Anatomy Refresher Course" on 18th December 2012. 

It will take place at Guy's Hospital Medical School and promises to cover essential skills in plastic surgery, key anatomy and practical skills. It is £200. 

Future courses will include a plastic surgery emergencies course and Botox training course.

If you are interested check out their website here or email plasticsurgeryskills@gmail.com.

Saturday, 27 October 2012

The Combined Management of Open Tibial Fractures

This is a bit late notice. The course is on Thursday 8th and Friday 9th November up in York at the Smith and Nephew Surgical Skills Centre.

It is an intensive hands on course based in the wet lab.

For registration and further information go to www.smithnephewace.com.

Sunday, 21 October 2012

3D printing

3D printing or additive manufacturing has finally reached a tipping point. The 3D Printshow London 2012 this weekend showcased what can be achieved.

The software is now user friendly e.g. Google SketchUp and the printers are 'cheap'.

3D printers for the home are around £1000; brands include formlabs, MakerBot, ultimaker and cb-printerReprapcentral has a 3D printer store.

3D printing has been used for medical purposes for sometime. For instance, creating models from CT scan data to plan operations and to print custom prostheses. As the technology becomes cheaper there will be many more applications.

Biological 3D printing is also making progress. Organovo is one company producing printed tissue. The video below demonstrates printing blood vessels using an off the shelf printer.





Monday, 8 October 2012

RSM Plastic Surgery Section 2012/13

Tomorrow is a joint RSM and Pan Thames training day on rhinoplasty. Below is the Plastic Surgery Section programme for the rest of the year.

9 October A master class in rhinoplasty surgery

1 - 2 December The 5th annual Undergraduate Plastic Reconstructive and Aesthetic Surgery (UPRAS) conference 2012

11 December Separating siamese twins

West Midland Craniofacial Fellowship

A 12 month craniofacial fellowship has been advertised in Birmingham. Closing date for applications is Monday 22nd October at Midnight. 

Contact Mr Hiroshi Nishikawa, Clinical Lead, Craniofacial Surgery Unit at the Birmingham Children's Hospital or email mmcteam@westmidlands.nhs.uk.

Application is via the online recruitment service here.

Sunday, 23 September 2012

e-LPRAS looking for new authors

The project is steaming ahead, Module 1 is almost complete.

Register here to start using the resource. The project relies on the keen authors to provide the content. Junior trainees can contribute as along as there is a consultant senior author.

A new list of topics has just been released. If you would like to contribute, contact elpras.project @ gmail.com.


Saturday, 8 September 2012

MHRA launch cosmetic surgery page

The Medicines and Healthcare products Regulatory Agency (MHRA) recently launched a new page exclusively to address medicines and devices related to cosmetic surgery.

There is also a separate breast implant page.

Saturday, 25 August 2012

Apps for plastic surgeons

I have added an apps page here. It has a selection of apps I find useful as a trainee plastic surgeon.

Top picks are below.

Papers for keeping a library of journal articles. This can sync across devices if the library is kept in Dropbox. Worth every penny.

NICE BNF is the official British National Formulary - you will never need to ferret around in recovery again to find a paper copy.

Medscape has a very large plastic surgery resource covering conditions and procedures.

Mersey Burns allows easy calculation of burn surface area. It was the first app to be approved by the MHRA and is CE marked.

Visible Body is a fantastic 3D anatomy programme. Good for pre-operative memory refreshing. . . .

Thursday, 16 August 2012

Plastic surgery research update

There have been some recent adverts for research related plastic surgery jobs and courses. The latest Bulletin of the RCSEng also had 'a plea to swim against the tide' in terms of improving support for surgeon-scientists.

The Healing Foundation and BAAPS are sponsoring a one year research fellowship in aesthetic surgery. The topic is adipose derived stem cells and fat grafting. Closing date: 05/09/2012. Check out the University of Manchester website for details.

UCL have advertised an MSc/PhD in Burns, Plastic and Reconstructive Surgery led by Prof. Butler and Prof. Seifalian. The projects will be focused on tissue engineering for reconstructive surgery. Contact a.seifalian@ucl.ac.uk for more details.

The Society of Academic and Research Surgery have sent out a call for abstracts for the 2013 meeting. It will be a joint meeting with the Section of Surgery of the Royal Society of Medicine and will be held at the Royal Society of Medicine, London on Wednesday 9th and Thursday 10th January 2013. To submit an abstract go to http://www.surginet.org.uk/abstracts.


Sunday, 22 July 2012

BMJ round-up

I have recently started receiving the paper copy of the BMJ after rejoining the BMA. Flicking through it I am often surprised by the number of plastic surgery related stories.

This week Tim Goodacre features as the lead for revision of the BAPRAS national code of practice for cosmetic surgeons. There is also a call for a compulsory register of breast implants. Both these initiatives are in repsonse to the recent PiP implant scandal.

A new, Wellcome funded, video has brought female genital cosmetic surgery to the fore. The surgery is on the rise but are women fully informed? Check out the award winning Centrefold animated documentary here.

International Microsurgery Simulation Society UPDATE

The inaugural meeting of the IMSS was a great success. It is now going to apply to become a registered charity to be based at the Blizard Institute, Barts and the London School of Medicine and Dentistry.


The next meeting with be hosted by Columbia University, NYC, USA on 4th May 2012. Dr Yelena Akelina will be the local organiser. A website is in development but the a correspondence email address is now active  microsurgerysimulationsoceity @ gmail.com.


Ali Ghanem will serve as the correspondence secretary and Professor Simon Myers is the Inaugural President.

Tuesday, 26 June 2012

International Microsurgery Simulation Society

The Inaugural Meeting of the International Microsurgery Simulation Society is this coming Saturday 30th June at Barts and the London School of Medicine in London.

The London Deanery has provided a bursary to make the meeting free for UK based plastic surgery trainees.

It is followed on Sunday by the 2nd Annual Meeting of the Hypertrophic and Keloid Scar Society.

Register for the meetings on the website of the Society for Education and Training in Plastic, Reconstructive and Aesthetic Surgery (SETPRAS).


Sunday, 24 June 2012

BP Portrait Award 2012

I try to get along to this exhibition each year. This year it is particularly good.

For me one of the best was "Today you were far away" a large self-portrait by Ian Cumberland (pictured).

BP Portrait Award 2012

Don't forget if you want to hone your artist skills, Luke Shepherd runs the Sculpture for Surgeons Course.

Saturday, 19 May 2012

Leonardo da Vinci: Anatomist

This exhibition recently opened at the Queen's Gallery, Buckingham Palace. It is an incredible collection of anatomical drawings acquired by Charles II in the late 17th century.

The drawings can be viewed online but it is well worth seeing them in the flesh. If the drawings had been formally published they would have cast a shadow over the work of Vesalius, which followed shortly afterwards.

The 500th anniversary of the birth of Vesalius will be celebrated in a couple of years time.


Sunday, 13 May 2012

RSM: How to optimise your CV for a consultant post in plastic surgery

On Tuesday the Plastic Surgery Section at the RSM held an evening on "How to optimise your CV for a consultant post". Barbara Jemec, this year's President, brought together three informative speakers and an unsurprisingly attentive audience of trainees.

First up was Eric Freedlander, Past-president of BAPRAS. He spoke on the BAPRAS workforce survey and the implications for trainees.

The talk was at best sobering and at times made for painful listening. Nonetheless Mr Freedlander provided a transparent and detailed assessment of the current situation and projected figures for the next few years. The reality is that there is little room at the top and this is unlikely to improve in the near future. 

Competition to gain entry to the specialty remains stiff. The ratio is 18 applicants for each post at ST3. At the other end there are large numbers of trainees gaining their CCT (projected 35 this year) but few retiring surgeons (4 in 2011). There are approximately 424 consultants in the UK with 40-55 age bracket containing the largest number.

Over the last ten years there has been significant expansion in consultant numbers but this has now come to an end. The current financial climate and rationing will probably lead to further reduction in workload.

Consultant numbers could be expanded a little if fewer consultant worked beyond a full time job and gave these hours to a new post. There might be an increase in part time working as the number of female trainees increases. However, there is no evidence of this with the current work force - female surgeons are working the same number of hours as their male colleagues.

Monday, 7 May 2012

MASH it up at Queen Mary's

The plastic surgery group at Barts and The London / Queen Mary's have launched their website.

It contains information about the Microsurgery Anastomosis Simulation Hub (MASH) and their courses.

These include an MSc in Burn Care, MSc in Aesthetic Surgery and a Diploma in Aesthetic Medicine. They are also home to a Keloid research group.

They are are organising two meetings in the near future, both in the G.E. Fogg Lecture Theatre at the Mile End Campus, QMUL:

  • Inaugural meeting of the International Microsurgery Simulation Society on 30/06/2012
  • 2nd Meeting of the Hypertrophic and Keloid Scar Society on 01/07/2012

Frankfurt Microsurgery Teaching Course

The Frankfurt Microsurgery Teaching Course is run twice a year and taught in English. 

It is five days long and costs approximately £1300.

The website has a PDF of the programme and lots of other information about the course as well as some positive feedback . . .

Wednesday, 2 May 2012

MSc in Plastic and Aesthetic Surgery Practice

Anglia Ruskin University has launched a new MSc in Plastic and Aesthetic Surgery Practice. The first course will start in September. It has had a luke warm response from the RCS and BAAPS.

There is already an MSc in Aesthetic Surgery at Barts and The London.

Saturday, 28 April 2012

West Midlands Plastic Surgery Meeting 2012

The annual West Midlands "National Plastic and Burns Surgery Scientific Meeting" is on Saturday 22nd September 2012.

The Douglas Murray Prize will be awarded to the best presentation of original research, audit, review article or technical innovation. There is also a Travelling Fellowship Award Sponsored by Mercian.

The closing deadline for abstracts (200 words) and the Travelling Fellowship is 20th August.

Cost: consultants £120; trainees £100

Email kim.matthews@uhb.nhs.uk with the abstract and for further details.

Thursday, 26 April 2012

AOTrauma: Hand and Wrist Fixation Courses

The Hand Fixation Course is October 22-24th and this is followed by the Wrist Fixation Course 25th - 26th, 2012. Both are being held in Leeds.

Hand course £599.00
Wrist course £499.00
Hand & Wrist courses combined £999.00
Course dinner (per course) £30.00

Course fees includes all course materials, lunches and light refreshments.

For further information and to register online go to: www.aotrauma.org/coursedirectory.aspx

AO Education
PO Box 328
Welwyn Garden City
Hertfordshire, UK
AL7 1YR

Tel: +44 (0) 1707 395212
Fax: +44 (0) 1707 391606
info.gb@ao-courses.com
www.aouk.org
www.aotrauma.org

Sunday, 22 April 2012

Yorkshire Microsurgery Workshop

This is a new microsurgery course organised by MY Plastic Surgery Course on May 31st - June 1st 2012.

It is aimed at trainees with little or no previous microsurgery experience or for more senior trainees as a refresher course.

The course costs £450 for the two days and includes a course dinner.

For more info checkout the website or contact Julia Thorpe 07850 220798 or julia.thorpe@myplasticsurgerycourse.org

Friday, 13 April 2012

Plastic Surgery at the RSM

Below are the forthcoming meetings of the Plastic Surgery Section. 

The meeting this coming Tuesday promises to be an interesting one with Professor Christophe Oberlin from the University of Denis Diderot talking on 'Brachial plexus injuries in Paris and Gaza'.

17 April Brachial plexus injuries in Paris and Gaza

8 May How to optimize your CV for a consultant post

12 June Presidential address: Plastic surgery, art and history

Tuesday, 3 April 2012

Wexham Park FRCS(Plast) Course

In more course news . . .

The one day Wexham Park Viva Course in Plastic Surgery is on 28th April 2012. 

"The recently updated Wexham Park Viva course now comprises key sub-speciality lectures in topics that commonly hinder exam success. Given by the invited specialist faculty, these lectures highlight the expected breadth and level of knowledge required in the viva exam. As before, the course provides a valuable opportunity to practice viva technique, receive feedback and improve performance amongst your peers."

The course is aimed at FRCS(Plast) and EBOPRAS exam candidates who should be widely read of the FRCS(Plast) and/or EBOPRAS syllabus.

It costs £125 for the day. Places will be allocated on a first come, first served basis. To apply please email: Maura.Stock@hwph-tr.nhs.uk for an application form. Confirmation of place will be made upon receipt of the course fee and completed application form. Preference will be given to those taking the exam soon.

The venue is the The John Lister Postgraduate Medical Centre, Wexham Park Hospital Wexham Street Berks SL2 4HL.

Advanced Skills in Hand and Wrist Surgery Course

This is a two-day course (15-16th May 2012) run by the RCSEng and supported by the BSSH. It is aimed at ST 4-8 trainees, hand fellows and junior consultants.

The course director is Mr Matthew James (St Thomas' Hospital) and costs £850.  It builds on the successful "Core Skills in Hand Surgery course" run at the RCSEng.

See the website for further details and to apply. It counts towards the BSSH Diploma in Hand Surgery.

Saturday, 3 March 2012

Dermoscopy for plastic surgeons

Dermoscopy is widely used by dermatologists but less so by plastic surgeons. Dermoscopes typically use a combination of magnification and polarised light to allow close inspection of skin lesions without interference from skin surface reflections.

In the UK there are a number of dermatoscopy courses. Dermoscopy UK organises a one day course for plastic surgeons. The next one is in Oxford on 9th November 2012.

Dermatoscopes come in all sorts of shapes and sizes, which are outlined here. There is even an attachment for the iPhone. The Handyscope looks great, but I'm not sure how well it works.



DermNet NZ is a large dermatology resource, which has dermoscopy quizzes with lots of pics. The International Dermoscopy Society has a large collection of dermoscopy training videos here. Eric Ehrsam also has a dermascopy blog presenting lots of cases to work through. I am yet to review any dermoscopy books.

Tuesday, 7 February 2012

Leicester Courses 2012

Leicester are continuing to run their successful programme of courses this year. Provisional dates are below, more information to follow.

Leicester Wrist Fracture Management Course 20-21st September 2012

Leicester Hand Fracture Management Course 12-13th November 2012

Elaine James is the course administrator. Contact her on ej9@le.ac.uk or 0116 2584702.

Image: The latest art commission by ‘Art on the Underground’ for the front cover of the Pocket Tube Map. Copyright London Underground 2011

Sunday, 5 February 2012

How to record consent for medical photography on an iPad2

The GMC has detailed guidance on consent for medical photography and other material.

Informed consent is required for most material and images must be stored securely. As a data controller you also need to be registered with the Information Commissioner.

Here is a nifty way of using the iPad2 to record consent for medical photography and keep it secure.

What you need:
- iPad2
- GoodReader App
- Consent form as a PDF
- A stylus is a recommended extra

1. Create a PDF of your consent form, such as the one here.
2. Open it in GoodReader (security protected and the files are encrypted).
3. Use the text box feature to record the patient details
4. Ask the patient to sign using the freehand function
5. Use the 'flatten copy' function to save a separate copy
6. Optional: rename the file with the patient's hospital number

Friday, 3 February 2012

Me in 3D




Get yourself down to the Science Museum to have your face scanned in 3D. A collaboration between Great Ormond Street Hospital, University College Hospital and the UCL Eastman Dental Hospital and Institute is attempting to create the largest database of 3D facial images in the world.

Me in 3D is the live science part of the "Who am I?" exhibition at the Science Museum. Their website has more information and check out the reviews:

BBC
Wired.com

Saturday, 21 January 2012

Reconstructive hand surgery in Nepal

Nola Lloyd reports on hand surgery in Nepal.

On the dusty planes of Nepal under the shadow of Mount Everest small communities of farmers struggle to survive off the land. They live precarious lives with basic living conditions, little education, and minimal healthcare. In addition to these hardships, an illness of biblical shame stalks the weak and vulnerable. This is leprosy, a disease that remains a huge global health issue.

Many in the developed world believe leprosy no longer exists. They equate the disease with historical film footage of shuffling, voiceless corpses shrouded in muslin, loosing digits as they move. It comes as a surprise that over 12 million people are affected, many of them children.

The bacillus, Mycobacterium leprae, causes leprosy. It multiplies slowly in the human host, often resulting in a prolonged incubation period of five years or more. The chronic granulating infection affects the skin, peripheral nerves and eyes.

Unlike polio, it causes both muscle paralysis and sensory loss. The combination of paralysis and insensate limbs means that recurrent trauma and infection lead to ulceration and erosion of hands and feet. Loss of sensation and paralysis of eyelids causes blindness. De-pigmented skin patches, deformed limbs and a collapsed nose and coarsened features leave onlookers in no doubt about the diagnosis.

Along with their functional consequences, these stigmata of disease cause considerable distress and prejudice. Families can go to great lengths to hide afflicted relatives from public view.

Leprosy is easily treatable
The treatment for leprosy has been freely available from the WHO for many years. Multidrug therapy renders a patient no longer infective within a month and continues for 6 to 12 months for full treatment. However, established sensory loss and paralysis cannot be reversed.

It is for these problems that physical therapy and surgery can help to restore form and function. For example, this might enable a farmer with a paralyzed hand to return to work or correct a child’s claw hand so that she can feed herself and marry in the future.

Tuesday, 17 January 2012

How to use Quick Response codes for plastic surgery

Quick Response (QR) codes are simple barcodes, which can be scanned by Smartphones. The QR code can encode a link to a document, contact details etc. They are a great way of disseminating information.

1. Create a document (e.g. department guidelines or patient information leaflet)

2. Save it as a PDF and store it in a shared folder online e.g. Dropbox

3. Copy the 'public link' for the file. This is the web address of the file (URL)

4. Paste the link into a website that creates QR codes e.g. SPARQCode

5. Print the QR code and stick it up so people can scan it with their Smartphone

6. Download a QR code scanner from the app store. Search for "QR code" and a number of them will appear. Examples include i-nigma and NeoReader.

Job done.

Tuesday, 10 January 2012

RSM programme for plastic surgery section 2012

All at the RSM apart from the Northwest Aesthetics Day, which is in Liverpool. At the RSM registration is at 6.30 pm and the proceedings start at 7pm.


21 February The legal, psychological and surgical aspects of gender reassignment

13 March Bone and soft tissue sarcomas and their reconstruction

30 March Northwest annual aesthetics day

17 April Brachial plexus injuries in Paris and Gaza

8 May How to optimize your CV for a consultant post

12 June Presidential address: Plastic surgery, art and history

Top of The TOCs January 2012

Happy New Year! Selected articles from JPRAS, PRS, Annals, European Journal, J Hand Surgery and others that caught my eye. . . .

Pomahac B et al. Three patients with full facial transplantation. N Eng J Med 2011. Online first. DOI: 10.1056/NEJMoa1111432. Data from these pioneering operations are now coming form the various teams. This paper outlines the details of the three performed at the Brigham and Women’s Hospital. There is a table with the week-by-week issues encountered. . . 

Kaoutzanis C at al. When should pelvic sentinel lymph nodes be harvested in patients with malignant melanoma? J Plast Reconstr Aesth Surg 2012; 65(1):85-90. doi:10.1016/j.bjps.2011.08.027.  One from St George's Hospital . . . .

Singhal D et al. The Brigham and Women's Hospital face transplant program: a look back. Plast Reconstr Surg 2012; 129(1):81e-88e. doi: 10.1097/PRS.0b013e31823621db Complements the article highlighted in last months TOTTPS.

Saint-Cyr, M et al. Simple approach to harvest of the anterolateral thigh flap. Plast Reconstr Surg 2012; 129(1):207-211. doi: 10.1097/PRS.0b013e318233ef4a

Eaves FF et al. ASAPS/ASPS position statement on stem cells and fat grafting. Plast Reconstr Surg 2012; 129(1):285-287. doi: 10.1097/PRS.0b013e3182362caf

Yagi S et al. A New Technique for Abdominal Closure in Obese Patients. Plast Reconstr Surg 2012; 129(1):213e-214e. doi: 10.1097/PRS.0b013e3182365e03

Nguyen A et al. Cosmetic medicine: facial resurfacing and injectables. Plast Reconstr Surg 2012; 129(1):142e-153e. doi: 10.1097/PRS.0b013e3182362c63. Related video content available online.

Monday, 9 January 2012

British Burns Association session at SARS

I have just returned from a couple of days at the Society of Academic and Research Surgeons (SARS) in Nottingham.

I had not been before. SARS is the main UK forum for surgical research and has been going just over 50 years. It is run out of the RCSEng. It is dominated by the general surgical sub-specialities; plastics, neurosurgery, ENT etc are poorly represented.

The BBA has recently become involved with two sessions of presentations and is allowed to put one abstract forward for the prestigious Patey Prize. The session was stimulating with a mixture of clinical and basic science presentations covering both burns and plastic surgery.

Apparently all of the submitted abstracts were accepted. The BBA is trying to grow this section - well worth submitting an abstract for the 2013. As an incentive there is a best presentation prize for each session!

Friday, 6 January 2012

The curious incident of the disappearing breast implant

This month the NEJM reports the bizarre case of a woman who reported that her “body swallowed one of the implants” during a Pilates stretching session. She had previously had a bilateral mastectomy and implant reconstruction.

It turns out that she had undergone a minimally invasive mitral-valve repair resulting in an unstable intercostal space in the region of the surgical access.

The implant was extricated from the chest and repositioned. . . .

Image Copyright NEJM 2012