research centers


Search results: Found 38

Listing 1 - 10 of 38 << page
of 4
>>
Sort by

Article
AUTO-SKIN TRANSPLANTATION IN DOGS
ألترقيع الذاتي للجلد في الكلاب

Loading...
Loading...
Abstract

This study was conducted using auto-skin transplantation for repairing of large skin loss of one front limb in dogs. The study was carried out on 8 clinical cases of dogs that brought to the Veterinary Teaching Hospital, College of Veterinary Medicine, University of Mosul, Mosul, Iraq; from October 2006 to September 2010. These animals underwent severe lacerated necrotic wounds especially at one front limb more than others. A protocol of general anesthesia was conducted by premedication with atropine sulphate, followed by a mixture of xylazine hydrochloride and ketamine hydrochloride. The large skin defect treated by creating a subcutaneous tunnel extended from the thoracic to the abdominal area at the lateral side of the trunk; therefore the naked area of affected limb covered by a new skin successfully from the subcutaneous tunnel. The result revealed that the all flaps healed without partial or total loss. The appearance, texture, and color of the flaps were similar to those of the donor site. The auto-skin transplantation by subcutaneous tunnel considers an effective and alternative method for the treatment of large skin defect of one front limb in dogs.

Keywords

Wounds --- Skin flap --- Dogs


Article
Determination of the layers of temporal fascia.

Author: Nawfal K.Yas نوفل ياس
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2011 Volume: 53 Issue: 1 Pages: 101-104
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract


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
The Distally Based Radial Forearm Flap in Reconstruction of Complex Defects of the Hand

Author: Osam Ahmed Ibraheem Al-Najjar
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2008 Volume: 7 Issue: 1 Pages: 47-53
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:The hand is exposed to various types of trauma, the majority of which involve multiple tissues whichneeds to be repaired in the most perfect way. The distally based radial forearm flap is one of thecommonly used flaps for reconstruction of hand defects.AIM OF THE STUDY:The aim is to test the applicability and the versatility of the distally based radial forearm flap incomplex soft tissue reconstruction of the hand.METHODS:Nine patients were treated using distally-based radial forearm flaps. There were seven males and twofemales, mean age was 21 year. Reconstructed sites involved the thumb, the first web, thepalm and dorsum of the hand. Neurofasciocutaneous flap was transferred in one case,adipofascial flap in one case, all the remaining flaps were fasciocutaneous island flaps.RESULTS:All the flaps survived completely. There were two donor sites complications, but no majorfunctional disturbances. No patient had symptoms of cold intolerance or other ischemic changes.CONCLUSION:Distally based radial forearm flap is very useful in hand reconstruction especially when no suitablelocal flaps can solve the problem and it can permit further surgical procedures to be done underneathwhen indicated.


Article
Surgical Treatment of Squamous Cell Carcinoma (SCC) of the Lip In Northern Iraq

Author: Saadallah M. Alzacko
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 2 Pages: 200-205
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Lip cancer develops in the vermilion border of the lip. The great majority of these malignancies are squamous cell carcinoma (SCC). The primary treatment of these lesions is surgical resection. The management of the resulting defect remains a significant reconstructive challenge.OBJECTIVE:To provide information about the experience of surgical treatment of patients with squamous cell carcinoma (SCC) of the lip admitted to the plastic surgery unit, Mosul teaching hospital, between Mar. 1998 - Feb. 2008.MATERIALS AND METHODS:Case-series study. Plastic surgery unit, Mosul teaching hospital, during the period from Mar. 1998 - Feb. 2008. Sixty six patients were included; they were 51 men and 15 women. The age ranged between 15-90 years.RESULTS:Of 66 patients with squamous cell carcinoma of the lip, there were 51 men (77.3%) and 15 women (22.7%) , ranging in age from 15 to 90 years (mean 60.7 years) with the peak incidence at 60-70 years. Ulcer was the main presenting complaint. Lower lip was the commonest site in 61 patients (92.4%). Cervical lymph node metastases were found in 13 patients (19.7%) at the time of first presentation. Reconstruction of lip after excision was done by primary suture in 31 patients, by Estlander flap in 9 patients and by McGregor flap in 10 patients.CONCLUSION:Early diagnosis is essential and contributes to successful reconstructive surgery. Lip reconstruction in the form of primary repair, Estlander flap and McGregor flap were performed depending on the size and site of tumor.


Article
Salvage of Extruded Cochlear Implant By Interposing Pericranial Flap

Authors: Ahmed Khalaf Jasim --- Tawfeeq Waleed Tawfeeq --- Hamed Mahmood Mohammed Alnakeeb
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: supplement Pages: 727-731
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: Cochlear implant has become a routine procedure for management of severe sensorineural hearing loss. Cochlear implant extrusion is one of the most devastating complication of this procedure. A double layer closure of pericranial flap and scalp rotational flap has being showed to decrease the rate of late implant extrusion.OBJECTIVE:The purpose of this study is to evaluate the use of the pericranial flap as second layer coverage after cochlear implant extrusion.PATIENTS AND METHODS:Eight patients with cochlear implant extrusion in Al-Shaheed Gazi Al-Hariri hospital were operated on by using two layer closure ; the pericranial flap as salvage layer used to cover the cochlear implant and scalp rotational flap as a routine coverage, with mean postoperative follow- up period of 6 months.RESULTS: Eight patients with late cochlear implant extrusion where operated on by using double layers closure, seven of them had no evidence of extrusion during the 6 months follow-up period. No complications were notice apart from one case who developed flap necrosis and the implant was removed later on, and another patient who had postoperative hematoma, which was surgically evacuated and the flap healed uneventfully. The results show that using pericranila flap as salvage second layer coverage in patients with cochlear implant extrusion had significant role in prevention of secondary cochlear implant extrusion. CONCLUSION: We concluded that the use of combination of pericranial flap as first layer with scalp rotational flap as secondary coverage of implant had superior result in prevention of secondary cochlear implant extrusion.


Article
Evaluation of the Outcomes of Rhomboidal Flap "Limberg Flap” Repair Procedure for Sacroccocygeal Pilonidal Sinus Disease in Baghdad Teaching Hospital

Author: Saad A.Sarsam , Sabah M.fatlawi , Ahmed M.Salih
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2019 Volume: 18 Issue: 1 Pages: 62-67
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Saccrococygeal Pilonidal sinus is a common surgical condition and its management is stilldebatable, as many surgical techniques were developed aiming to improve outcome, better patientsatisfaction, and most importantly to prevent recurrence. Rhomboidal flap procedure "limberg flap"is very safe and effective method for pilonidal sinus treatment due to its low complication ratespecially recurrence hence in this study we address the role of limberg flap procedure inmanagement of pilonidal sinus and how its complications are.OBJECTIVE:To analyze the outcome of "Limberg" Rhomboidal flap, in managing sacrococcygeal Pilonidalsinus as a novel, with a potentially less complication and recurrence rate surgical procedure.PATIENT AND METHOD:This is a prospective study on 44 patients suffered from sacroccocygeal pilonidal sinus, 36 patientswith primary disease and 8 patients had recurrent or previously managed pilonidal sinus collectedrandomly in the 5th floor surgical department in Baghdad teaching hospital from June 1st 2014 toDecember 10th 2015. All underwent rhomboidal flap procedure .there was no exclusion criteria,data collected included demographic distribution, primary or recurrent pilonidal sinus, woundcomplications, and recurrence. The minimum follow up period was 1 year after surgery.RESULTS:44 patients had undergone this procedure most of them were males (41 patients), and(3 patients) were females, youngest patient was a 16-year old and oldest one was 41-year old. Meanagewas26. 1years±5.6SD, 5 patients (11.4%) had a previous formal surgical repair of pilonidalsinus, 3 patients (6,8%) had a previous drainage of pilonidal abscess. The mean duration of thedisease is 10.9 months±6.9 SD.Our finding revealed that 3(6.8%) patients developed seroma ,2(4,5%)patients had wound infection that all responded to conservative treatment. Other suspectedcomplications including flap necrosis, wound dehiscence and hematoma were not reported with anyof our patients.CONCLUSION:Rhomboid flap is very safe and effective method for treatment of pilonidal sinus disease due to itslow complication rates especially recurrence of pilonidal disease, it also offers a good patientsatisfaction, although this procedure takes a longer operating time than the classical methods but itis easy to be learned and practiced with efficiency .


Article
The Effect of Flap Design on Wound Healing after Periapical Surgery: A Comparative Study.

Author: Mohammad S. Suleiman
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 1 Pages: 120-127
Publisher: Mosul University جامعة الموصل

Loading...
Loading...
Abstract

Aims: To assess the clinical effect of different flap design that used in periapical surgery and their
relation to untoward postoperative sequel. Materials and methods: Forty five patients were included
in the present study, they were divided randomly into three groups, each comprised of (15) patients. In
the first group, apicectomy was done using intrasulcular triangular (2–sided) flap. Whereas, in the
second group, a submarginal (Luebke–Ochsenbein) scalloped 2–sided flap was used. While in the third
group, a new experimental (straight mucogingival) 2–sided flap was tested. Postoperative healing was
evaluated clinically in regard to oedema, alteration of soft tissue colour, recession of marginal gingiva,
extent of scarring, and closure of the wound site. Assessment was done at 2, 7, 15 and 30 days
postoperative intervals. Results: Comparison among the three study groups was performed. Statistical
analysis revealed significant differences in the results of experimental flap over the other two types in
regard to oedema, colour and wound closure with the superiority of the former on the latter flaps. Both
experimental and Luebke–Ochsenbein flaps showed significant differences from intrasulcular incision
in their effect on gingival recession. In contrast, scarring was less evident in intrasulcular flap followed
by experimental flap while in Luebke–Ochsenbein incision, this complication was significant.
Conclusion: This study; however, revealed that the experimental flap allows for rapid and recession
free healing following periapical surgery. In addition, inflammatory changes persist for longer time in
the intrasulcular and submarginal (Luebke–Ochsenbein) incision than in experemintal incision. So it
was concluded that the new flap design could provide an alternative.


Article
Radiological Study of the Effect of Omental Pedicel Flap on Fracture Healing in Unfixed Ribs in Dogs
دراسة شعاعيه لتأثير طية الثرب في التأم الكسور في الأضلاع غير المثبتة في الكلاب

Author: O.A. Bader عمر عادل بدر
Journal: The Iraqi Journal of Veterinary Medicine المجلة الطبية البيطرية العراقية ISSN: 16095693 Year: 2011 Volume: 35 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

This study was conducted to evaluate the effects of omental flap on healing of unfixed fractured ribs in dogs. Sixteen adult local breed dogs were used, which they were divided into two equal groups (Control and Treated group). The experimental animals were pre-medicated with atropine sulfate 0.04 mg/kg BW intramuscularly, and after 10 minute anesthetized with a mixture of Ketamine hydrochloride (15 mg/kg BW)and Xylazine hydrochloride (5 mg/kg BW) intramuscularly. In control group, the rib was fractured by wire saw and left unfixed then the muscles and skin was closed routinely. While in treated group, the rib was fractured by wire saw and a flap of omentum was put around the fractured rib, then muscles and skin were closed. Animals were observed clinically for one week and radiologically every week for three months. The radiological findings revealed that the healing process was faster in the treated group compared with the control group. The fracture line began to disappear in the eight and at the fourth weeks in the control and treated group respectively. The callus formation was large in size in control group compared with small dense callus in treated group. The remodeling process began in the fourth week in the treated group while at the eighth week in control group. These results indicated that the omental flap play an important role for enhancing healing and help to stabilize unfixed fractured ribs.

تم إجراء هذه الدراسة لتقيم تأثير طيه الثرب في عملية الالتئام في الأضلاع المكسورة والغير مثبتة في الكلاب. استخدم 16 حيوان من الكلاب البالغة المحلية والتي قسمت إلى مجموعتين متساويتين (سيطرة و معاملة). تم تخدير حيوانات التجربة بأعطاء مادة الاتروبين سلفيت بجرعة 0.04 ملغم/كغم من وزن الجسم، وبعد 10 دقائق تم حقن مزيج من الكيتامين (15 ملغم/كغم من وزن الجسم) والزايلازين (5 ملغم/كفم من وزن الجسم) بالعضلة كمخدر عام. في مجموعة السيطرة تم عمل كسر في الضلع بواسطة السلك الناشر ثم ترك طرفي الضلع المكسور من دون تثبيت بعد ذلك تم غلق العضلات والجلد بالطريقة الروتينية. بينما في مجموعة المعاملة تم عمل كسر في الضلع بواسطة السلك الناشر بعدها وضعت طيه الثرب حول منطقة الكسر وغلقت العضلات والجلد. تم متابعة الحيوانات سريريا لمدة اسبوع وكذلك شعاعيا أسبوعيا ولمدة 3 أشهر متواصلة.أظهرت النتائج الشعاعية أن عملية الالتئام كانت أسرع في مجموعة المعاملة مقارنة مع مجموعة السيطرة. بدء خط الكسر بالاختفاء في الأسبوع الرابع في مجموعة المعاملة بينما استمرت مشاهدته حتى الأسبوع الثامن في مجموعة السيطرة. كذلك فان تكون الدشبذ كان اكبر في مجموعة السيطرة مقارنة مع دشبذ كثيف وصغير في مجموعة المعاملة. بدأت عملية الترميم في مجموعة المعاملة في الأسبوع الرابع بينما بدأت في الأسبوع الثامن لمجموعة السيطرة. أظهرت النتائج أن طيه الثرب لعبت دورا مهما في الإسراع من عملية الالتئام وكذلك ساعدت بتثبيت الأضلاع المكسورة الغير مثبتة.

Keywords

omental --- radiological --- flap --- rib --- dog.


Article
Random Abdominal Flaps for Reconstruction of Upper Limb War Injuries: A Good Option for a Bad Time

Author: Harith Abdul Jabbar Al Ani
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 2 Pages: 165-171
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND :Soft tissue war injuries of the upper limb are usually extensive and multiple . Plastic surgeons facethe challenge of reconstructing these injuries in patients who are multiply injured ,and in a time whenfacilities for free flap surgery are not available.OBJECTIVE:To demonstrate the efficacy of random abdominal flaps in reconstructing soft tissue defects of theupper limb.METHODS:From May 2003 to September 2005, 55 war injury patients with deep soft tissue loss in the upperlimb were managed by random abdominal flaps of different shapes and directions, 13 of them hadother soft tissue injuries affecting other areas in the body. The surgeries were done in busy generalhospitals during war where time, personnel and facilities are limited.RESULTS:In 53 patients, the flaps had completely survived without complications, 2 flaps developed partial tipnecrosis and healed later by secondary intention. Donor areas were covered by split thickness skingrafts in 52 cases, and directly closed in 3 cases. The largest flap dimension was 18 cm length and 15cm width. The main disadvantages of the flap are donor site scar, bulk of the flap, and the need for asecond stage for flap separation.CONCLUSION:Random abdominal flaps are easy, safe, versatile and operative time saving option for coverage ofupper limb injuries. It can be designed in any direction to cover different soft tissue defects. Theseflaps still continue to be an excellent alternative for free tissue transfers during war time.

Listing 1 - 10 of 38 << page
of 4
>>
Sort by
Narrow your search

Resource type

article (38)


Language

English (34)

Arabic and English (3)


Year
From To Submit

2019 (2)

2018 (1)

2017 (2)

2016 (3)

2015 (2)

More...