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Register a new userThe role of free flaps in Scalp reconstruction Experiences From AL Mouassal University Hospital
دور الشرائح الحرة في ترميم الفروة "خبرة من مشفى المواساة الجامعي"
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Damascus University ورقة بحثية
Publication date
2009
fields
Medicine
and research's language is
العربية
Authors
أنور الحسنية( باحث )
Created by
Shamra Editor
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لم تأخذ الجراحة المجهرية دورها في الجراحة الترميمة في بلدنا رغم انتشارها الواسع و قدمها النسبي في العالم، و هي تعتمد على نقل أنسجة ترميم "كالجلد و العضلات و العظام و الأعصاب، مع أوعيتها المغذية و إعادة مفاغرتها في المكان المستقبل. و يعد الضياع المادي الواسع في الفروة تحدياً كبيراً لجراح الترميم، و تعد الجراحة المجهرية من أهم طرائق المعالجة. هدف البحث: دراسة أهمية استعمال الشرائح الحرة في ترميم الضياعات المادية الواسعة في الفروة في مرضى مشفى المواساة الجامعي.
The micro surgery did not take its role correctly in our country in spite of it being well known and widespread throughout the world for a relatively long time. The micro surgery is an essential part in the reconstruction of tissue of skin, muscles, bones and nerves with its blood vessels where it could re-connect (anastomos) in the right place. The wide loss of full thickness tissue in the scalp is considered as a serious challenge for the reconstructive surgeon and the micro surgery is considered one of the most important methods of reconstruction of such defects. Objective: To study the importance of the use of free flaps in the reconstruction of the wide defects and loss of tissue in the scalp in Al Mouassat Hospital patients.
References used
(ABBES. M and all: Apropos de 102 reparation de P.D.S du cuir chevelu. Annales de chirurgie plastique 1986-vol. xxx1-n4 (p348-350
(David TOLHURST and all: The surgical anatomy of the scalp. Plast. Reconst. Surg, 1991 vol 87 n4. (p603-612
Hussussian chr and all: Micro surgical scalp reconstruction in the patient with cancer. Plast. Recoust. Surg. 2002-N5-May- 1828-1834
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يقوم هذا البحث باجراء دراسة وبائية للأنماطو تحت الأنماط النسيجية للمفومالاهودجكن المشاهدة في مشفى مركزي تعليمي هو مشفى المواساة و ذلك في العقد اللمفاوية و في الأعضاء خارج العقد اللمفاوية بشكل بدئي أو توضعات ثانوية و معرفة نسبها و توزعها في كل الأعمار
و القاء الضوء على أهمية و دور التلوينات المناعية النسيجية الكيميائية في وضع تشخيص نهائي و ذلك وفقا لتصنيف عام 2008.
The rupture of infrarenal abdominal aortic aneurysm is considered a life
threatening serious complication with a mortality rate over 50 %.
The author reviewed in this study 14 patients ( 10 Males/ 4 Females)
presented to Al Mowassat Hospital over
a period of two years 2000-2001
with mean age of 65 years. The diagnosis was confirmed by abdominal
Echography and abdominal contrast Ct-scan in 10 patient while 4
patients had abdominal Echography only preoperatively , a confined
retroperitoneal rupture was confirmed in all patients .
The overall mortality was 42,8% (6 patients) : 4 patients had
intra operative death because of hemodynamic instability at presentation
,one patient died 2 days later because of acute myocardial infarction, one
patient died l week later because of the complication of acute renal failure
The author concludes that early diagnosis and rapid surgical approach
proceeding associated with a good postoperative care can reduce the
mortality of ruptured infrarenal abdominal aortic aneurysms.
This article aims to assess the application of skull- base approaches and
their results in the management of different skull-base pathology in Al-
Muwasat university hospital in Damascus.
Different approaches to the skull base (Supraorbital, Crani
oOrbito-
Zygomatic, Extended middle fossa, Petrosal and Transcondylar) were used
according to the pathology and site of the lesion.
The purpose of the study was to assess the role of the head nurses in managing the performance of the nursing staff at Tishreen University Hospital from the point of view of the nursing staff and the head nurses. The sample that have been used was av
ailable of the head nurses and the simple randomness of the nursing staff and was composed of 55.5% of head nurses and their number was (30) head nurses And 50% of the nursing staff participating in the Tishreen University Hospital during the application of the research and their number was (300) nurse. An improved tool for gathering information was used based on recent research literatures, and data were collected and analyzed using SPSS version 20. The most important results: The assessment of the role of head nurses in managing staff performance at Tishreen University Hospital in general was in a good level.
coma and patients in the medical and surgical intensive care units, in addition
to trauma and burns patients. These problems are difficult to treat.
This medical problem leads to the deterioration of patients' medical condition and increases the su
ffering
of patients and families. It will lead to continuous draining of their financial and moral resources.
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