Articles

Chronic primary pain: what is it and what are the medicolegal challenges?

Primary pain is defined as pain that occurs in the absence of, or is disproportionate to, any clearly defined injury or underlying condition. It is deemed chronic when it persists for three months or more.…
Categories : Articles, Pain
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Medicolegal Issues Surrounding the Correction of Congenital Abnormalities

In around 2–3% of pregnancies, the resulting infant is born with a congenital abnormality. The impact of these can be significant: worldwide, over 400,000 children, from new-borns to 5 years of age, die annually due…
Categories : Articles, Plastic Surgery
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A Medicolegal Perspective on the Choice of Bone Graft Material for Dental Implants

Dental implants are now commonly used in patients with missing teeth, giving both functional and aesthetic improvements. However, loss of one or more teeth can lead to resorption of the alveolar ridge, particularly when the…
Categories : Articles, Oral and Maxillofacial Surgery
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Webinar: Complications arising from pelvic mesh surgery and the medicolegal challenges

Dr Ivan Ramos-Galvez, Consultant in Pain Medicine and highly experienced expert witness, will be hosting a webinar about complications arising from pelvic mesh surgery on Thursday 23rd May at 10-11am. Join Dr Ramos-Galvez for an…
Categories : Articles, Pain
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A medicolegal perspective on the treatment of varicose veins

Varicose veins are superficial blood vessels, most commonly in the lower extremities, that have become abnormally enlarged and convoluted, normally as a result of defective valves, which allow blood to flow in the reverse direction. They…
Categories : Articles, Vascular Surgery
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The Medicolegal Challenges of Chronic Post-Surgical Pain

Surgical intervention may be required in the treatment of many illnesses and injuries. While many patients recover completely and consider surgery extremely beneficial, a significant proportion go on to develop chronic post-surgical pain (CPSP) (1-5). Chronic…
Categories : Articles, Pain
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The Medicolegal Implications of Advance Directives in Intensive Care

An advance directive, or living will, is a statement of instructions regarding future treatment options, including the right to refuse treatment, in the case of incapacitating illness which renders the patient unable to make decisions.…
Categories : Articles, Intensive care
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The Medicolegal Challenges of Coronary Artery Bypass Grafts

Although percutaneous coronary intervention (PCI) is viewed as a less invasive treatment, coronary artery bypass grafting (CABG) is now accepted as a highly effective solution to obstructive disease of the coronary arteries in certain patients.…
Categories : Articles, Cardiac Surgery
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Outcomes after Foot and Ankle Injuries and their Medicolegal Implications

Ankle injuries are extremely frequent: sprains account for around 5% of all Emergency Department visits in the UK each year, while ankle fractures are one of the commonest fractures to require surgical intervention. Complications arising…
Categories : Articles, Trauma and orthopaedics
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Pain and malingering from a medicolegal perspective

There are several definitions of malingering, but in essence, it is the deliberate and fraudulent feigning or exaggeration of the symptoms of illness or injury for an external benefit. In this last respect, it differs…
Categories : Articles, Pain
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