research centers


Search results: Found 9

Listing 1 - 9 of 9
Sort by

Article
Fat grafting technique for facial rejuvenation: Our experience in Erbil
تقنية تطعيم الدهون لتجديد الوجه: تجربتنا في أربيل

Author: Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2017 Volume: 21 Issue: 3 Pages: 1809 -1817
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: There is no universal agreement on how one should harvest, process, or inject fat. The objectives of this study were to evaluate our integrated fat grafting technique, reporting our long term result in 189 patients who underwent autologous fat graft for facial rejuvenation.Methods: The lower abdomen or thigh was chosen as the donor site for fat graft harvesting under low pressure with 10 cc syringe, processed with low speed centrifugation, and then injected into the face using blunt tip 1 mm cannula in multiple points, using multiple passes, into multiple tissue planes. A total of 189 patients were injected with the above technique for facial rejuvenation. The results were evaluated clinically and photographically and followed for up to five years. Data were analyzed using the statistical package for the social sciences. Results: Fat absorption leading to volume loss was the commonest minor complication reported in 51 cases (27%). No major complications were reported in this series. About 70% of the patients in this series were highly satisfied after first fat grafting. The main cause of dissatisfaction was the volume loss due to fat absorption which necessitated secondary fat grafting.Conclusion: Our fat grafting technique emphasizes maintaining the viability of transferred fat grafts during their harvest, purification and placement with a good long-term result.


Article
Postburn head and neck reconstruction using tissue expanders
إعادة بناء الرأس والرقبة بعد الحرق باستخدام موسعات الأنسجة

Author: Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2014 Volume: 18 Issue: 3 Pages: 786-792
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: Tissue expanders are useful adjuvant in reconstruction after burn. The technique provides tissue of similar texture and color to the defect to be covered and has the added advantage of minimal donor site morbidity. The study aimed to assess the outcome and complications of using tissue expansion for head and neck postburn reconstruction. Methods: Thirty patients with head and neck burn scar, treated with thirty eight tissue expanders, were included in this prospective study at the Plastic Surgery Department in Rizgari Teaching Hospital in Erbil from April 2009 to November 2012, with the mean age of 14 years. Statistical package for social sciences (SPSS version 18) was used for data entry and analysis.Results: The commonest use of tissue expander was for treating postburn scar alopecia (18 patients, 60%), followed by postburn cheek scar (six patients 20%). The scar size ranged from 4x10cm to 16x24cm. Complete burn scar excision was possible in 80% of cases with single or multiple sessions of expansion. Early exposure of the expander followed by infection occurred in three cases (10%), which led to interruption of the expansion and expander removal. Satisfactory results were achieved after reconstruction in 90% of cases.Conclusion: Tissue expansion, if carefully planned and conducted, is one of the treatments of choice for post-burn reconstruction of the head and neck, allowing an expanded flap suitable for versatile coverage.


Article
The outcome of Flexor Tendon Repair based on the number of core suture, mechanism and zone of injury in Erbil
حصيلة تصليح الاوتار المثنية المعتمدة على عدد الخيوط الأساسية والآلية ومنطقة الإصابة في أربيل

Authors: Jalal Hamasalih Fattah --- Shams Ramadhan Hamzah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 1 Pages: 1-7
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: Principles of surgical treatment of flexor tendon injuries include early primary repair with a strong core stitch combined with an epitendinous suture. This study aimed to evaluate the outcomes of primary flexor tendon repair according to the mechanism, zone of injury and number of core sutures.Methods: This study was conducted in Erbil from May 2013 till March 2015. Injured flexor tendons were repaired for 121 patients. The patients were followed up for six months. We used the Strickland scoring system to evaluate the results.Results: Sharp tools represented the main cause of trauma 68.6%, excellent results were found in 51.8% of cases with a sharp injury. The worst results were obtained in zone II with 44.7% fair to a poor result. Excellent results found in 43.4% with four strand core sutures while 24.4% in two strand core sutures (P ˂0.01).Conclusion: Four strand core sutures have the better result with a low rate of tendon rupture than two strand core sutures. Sharp injuries had better results than crush injuries. The zone with worst results was zone II.


Article
Prospective comparison of primary wound closure with tissue- adhesive versus suture materials
مقارنة مستقبلية لإغلاق الجرح الأساسي بالمواد اللاصقة مقابل الخيط

Authors: Jalal Hamasalih Fattah --- Rasim Yousif Marbin
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 1 Pages: 859-865
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and Objectives: Nowadays the final outcome of wound closure using tissue adhesives and suture material is making a real competition for better results. Cosmetic outcome is regarded as the first demand for the patients. The aim of this study was to make a comparison between the two closure methods in terms of cosmetic outcome, complication and patients’ satisfaction. Method: A prospective comparative study was conducted at Rizgary Teaching Hospital and West Erbil Emergency Hospital in Erbil city from March 2012 to March 2013. A total of 105 patients were included in the study. The method of closure was selected alternatively between tissue adhesive (octylcyanoacrylate) and suture material. Analysis for cosmetic outcome, complications and patients’ satisfaction were done using the statistical package for the social sciences (version 19). Results: The complications were 25% (13 patients) in the tissue adhesive group and 18% (9 patients) in the sutured group. Of the 44 patients in the tissue adhesive group, 86.4% (38 patients) were satisfied; while of the 61 patients in the sutured group, 88% (54 patients) were satisfied with the end result. Excellent cosmetic outcome achieved in 77.3% in the tissue adhesive group and 80.3% in the sutured group. Conclusion: Tissue adhesive (octylcyanoacrylate) is effective and reliable in primary skin closure, yielding similar cosmetic results to standard suturing method. Tissue adhesive is faster and offers several practical advantages over suture repair.


Article
Evaluation of cleft lip and palate management in Erbil
تقييم معالجة الشفة والحنك المشقوق في أربيل

Authors: Humam Sharif Ali --- Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 1 Pages: 866-873
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and Objectives: Cleft lip and palate are congenital deformities that affect the primary and secondary palates during embryogenesis. The objectives of this study was to record the pattern of presentation of cleft lip and palate in Erbil, the types of surgical procedures, the outcome and complications, hence making recommendations to ensure improved care. Methods: This is a prospective study conducted in Erbil city, in the Department of Plastic Surgery at Rezgary Teaching Hospital and Rapareen Pediatric Hospital from March 2009 to May 2013. A total of 164 patients with cleft lip/palate were included in this study. Statistical package for the social sciences (version 18) was used for data entry and analysis. Results: The age ranged from birth to 24 years. The ratio of male to female was 1.4: 1. The combined cleft lip and palate was the commonest type (87 cases, 53%). The commonest risk factor was poor family (105 cases, 64%), followed by consanguinity (97 cases, 59%). The commonest procedure for cleft lip repair was Millard (67 cases) and that for cleft palate repair was Furlow palatoplasty (57 cases). The commonest complication of cleft lip repair was wide scar (9 cases, 7.5%) mostly below one year of age. Ninety-one percent of the parents were satisfied with the children’s appearance of the lip and 86% of parents were satisfied with palatoplasty result. Conclusion: The high degree of association of consanguinity with the cleft lip and palate emphasizes the importance of education about discouraging consanguineous marriage. Millard repair is still the commonest procedure for cleft lip repair.


Article
Management of fingertip injury in Erbil, an evaluation study
معالجة إصابة الإصبع في أربيل ، دراسة تقييمية

Authors: Rasul Hamed Awla --- Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 3 Pages: 518-525
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: Fingertip injuries are common. Out of the various available reconstructive options, one needs to select an option which achieves a painless fingertip with durable and sensate skin cover. The objective of this study was to find out the characteristics of patients, and to describe the methods of management and the proportions of complications.Methods: A prospective study of 130 cases of fingertip injuries of patients managed from March 2009 to March 2011. The data were collected through using a questionnaire. Standardized photographs and radiographs were taken. Various reconstructive options were considered for the fingertip injuries .Statistical package for social sciences (SPSS version 17) was used for data entry and analysis.Results: Crush injury (76 cases) was found to be the commonest mechanism of fingertip injury. Various reconstructive options were considered based on the preoperative evaluation. Ninety percent of reconstructions healed uneventfully. Few minor complications occurred which responded to conservative management.Conclusion: A proper evaluation of fingertip defects is necessary to choose the best possible reconstructive option to achieve best result.


Article
Evaluation of hemangioma management in Erbil city
تقييم علاج ورم وعائي في مدينة أربيل

Authors: Wesam Amjad Kaka --- Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2014 Volume: 18 Issue: 3 Pages: 825-832
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: The term hemangioma refers to the common tumor of infancy that exhibits rapid postnatal growth and slow regression during childhood. Hemangioma has a perinatal incidence of 1%-3% and affecting 10% of infants by one year of age. The aim of this study was to evaluate treatment outcomes following various managements of hemangiomas.Methods: One hundred four patients were included in this prospective study. Based on clinical management, each patient was assigned to different treatment groups: steroid, surgical, and combined therapy. Treatment outcomes were evaluated based on improvement in size and color, by a blinded panel of three raters including two doctors and one patient or patient’s parents. Finally, comparison of outcomes between groups was analyzed statistically. A p value ≤ 0.05 was considered statistically significant. Results: The results revealed that there was reduction in size and improvement in color following intervention in each group. Comparison of treatment outcomes between treatment groups revealed statistically significant difference among the groups regarding improvement in color (P <0.01) and reduction in size of hemangioma (P <0.01), and surgical treatment was better (among 31 patients, 17 got moderate improvement and 11 excellent improvement) compared with steroid therapy (among 36 patients, 19 got moderate improvement, and 3 excellent improvement).Conclusion: A favorable outcome can be achieved following appropriate intervention during all stages of development of hemangiomas.


Article
Outcome of Snodgrass urethroplasty by modifying tubularization and dartos layer in Erbil
نتائج جراحة الإحليل البولية Snodgrass عن طريق تعديل طبقة الأنابيب والبلات في أربيل

Authors: Nihad Pauls Al-Ibraheem --- Hawkar Abdulla Kakahmed --- Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2017 Volume: 21 Issue: 2 Pages: 1715-1721
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: Snodgrass first described the tubularized, incised plate (TIP) urethroplasty for distal hypospadias repair in 1994. This study aimed to find out whether there is any difference in the fistula rate with single versus double layer tubularization, and the use of ventral versus dorsal dartos layer.Methods: Between May 2009 and July 2014, tubularized incised plate urethroplasty was performed for correction of hypospadias in Erbil for 112 patients with age ranging from 1-32 years. Five patients were excluded from the study because of lack of adequate follow up. Data were analyzed using the statistical package for the social sciences.Results: Urethral fistula occurred in seven cases (6.5%).The use of an additional reinforcing second layer for the tubularization had a significant effect on decreasing the fistula formation (P = 0.05). The fistula rate was slightly lower with dorsal dartos flap (5.4%) than ventral dartos flap (7.8%).Conclusion: The urethral plate, when dissected, should be thick enough to allow for tubularizationin two layers. Both dorsal and ventral dartos flaps are effective in preventing urethral fistula.

Keywords

Hypospadias --- Dartos flap --- Fistula


Article
Incidence of facial soft tissue injuries among patients attending surgical casualty reception in Rojh-halat emergency hospital
حدوث إصابات في الأنسجة الرخوة في الوجه بين المرضى الذين يراجعون استقبال الحالات الجراحية في مستشفى الطوارئ روزهلات

Authors: Omed I. Shihab --- jalal Hamasalih Fattah --- Rasool Hamed Awlla
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 1 Pages: 300-304
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: Facial soft-tissue injuries are the most common injuries presenting to surgical causality reception. The present study aimed to provide a preliminary data base about the distribution, type, pattern and etiology of facial soft tissue injuries. Methods: In a prospective clinical study all patients with facial injury were enrolled in this study, over a ten months period (from 1st October 2010- 1st July 2011), who attended Surgical Casualty Reception in Rojh-halat Emergency Hospital. A questionnaire was used to collect patients’ database and relevant information. The wound configuration was divided as laceration, abrasion and contusion as well as the site of facial soft tissue injuries were recorded using the modified MCFONTZL system. Results: A total of 168 patients with facial soft tissue injuries were received and managed at Surgical Casualty Reception in Rojh-halat Emergency Hospital. The age of the patients were ranged from 1-80 years old. Most of the patients were within the age range of 1-10. Male patients constitute 62.5% of the cases. The most common etiology of facial soft tissue injury was falls. Regarding type of the injury, laceration was the most common type. The lips and chin region were mostly involved. Conclusion: Fall is the most common cause of facial injury. Lower third of the face is mostly involved. road traffic legislations have a role in decreasing road traffic accidents.

Keywords

face --- soft tissue --- injury

Listing 1 - 9 of 9
Sort by
Narrow your search

Resource type

article (9)


Language

English (9)


Year
From To Submit

2018 (1)

2017 (2)

2015 (2)

2014 (2)

2013 (2)