Getready when you said "For 'smaller' wounds it will be much harder to convince a plastic surgeon to forego all that training (with respect to flaps etc) and just but a piece of BTM on it, especially when it means 2 operations instead of 1"
That is the whole reason why they would have to use BTM in my opinion, there are less operations with BTM, when they use a skin flap from the body, a lot of times it is where the flap was taken from that causes a great deal of problems and besides that the use of BTM is also less problematic, it heals faster hence the bedtime in hospital is much less.
I could see where if a Surgeon used a skin flap in preference to BTM and there were complications that led to something serious, I reckon there could be a case for litigation. JMHO.
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