Cosmetic tourism during the COVID-19 pandemic: Dealing with the aftermath.

Background: Despite government restrictions during the coronavirus (COVID-19) pandemic, cosmetic tourism continued to occur. The authors present the impact of cosmetic tourism on their plastic surgery unit.

Methods: Retrospective case note review of two cohorts was performed: COVID-19 (March 2020-April 2021) and a pre COVID-19 comparator (January 2019-February 2020).

The role of plastic surgery in major trauma in the United Kingdom and workforce recommendations.

Introduction: The 22 major trauma centres (MTCs) in England were appointed in 2012 to provide care to severely injured patients despite variation in existing infrastructure, resources, culture and skillset. Six MTCs remain unsupported by a co-located plastic surgery department. We describe the plastic surgical major trauma workload in England, the plastic surgical workforce and skillset available in each centre, and suggest what plastic surgical skills are required in an MTC.

Time to Initial Debridement and wound Excision (TIDE) in severe open tibial fractures and related clinical outcome: A multi-centre study.

Background: Recent national (NICE) guidelines in England recommend that initial debridement and wound excision of open tibial fractures take place within 12 h of the time of injury, a change from the previous target of 24 h. This study aims to assess the effect of timing of the initial debridement and wound excision on major infective complications, the impact of the new guidance, and the feasibility of adhering to the 12 h target within the infrastructure currently existing in four major trauma centres in England.

Methods: A retrospective review was performed of Gustilo-Anderson grade 3B open tibial fractures presenting acutely to four Major Trauma Centres (MTCs) in England with co-located plastic surgery services over a ten-month period.

Treatment of hand scalds in the paediatric age group: a novel Biobrane glove.

Unlabelled: This article describes a technique to create a novel Biobrane glove to treat superficial circumferential paediatrics hand scalds. It includes step by step instructions and illustrations to demonstrate the application of two sheets of Biobrane to cover the entire hand.

Conclusion: This method seems to be more cost-effective than the Biobrane glove distributed by Smith & Nephew.