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Free Latismus Dorsi Muscle Flap with a Flow-Through Technique for Lower Limb Salvage
Wael M. Ayad,Abdelnaser Hamdi Mohammed,Hany M. Ismail,Mohamed Osama Ouf,Amr M. Elbatawy 대한수부외과학회 2019 대한수부외과학회지 Vol.24 No.2
Purpose: The lower limb injuries still one of the devastating problems in surgical practice. Complex defects may affect one major vessel that supplies the distal portion of the leg and foot. The use of the flow-through technique is a very useful tool for sure vascularization of the flap and revascularization of the distal limb at the same time. The aim of this study was to evaluate the advantages of the use of the flow-through technique for lower limb reconstruction.Methods: This retrospective study was including 15 patients complaining of post-traumatic leg and/or foot defects. Free latissimus muscle transfer with the flow-through technique was done for lower limb reconstruction. The subscapular ar-tery was anastomosed to the proximal segment of the limb vessel and the circumflex scapular artery anastomosed to the distal segment of the limb vessel. Follow-up was for six months.Results: Patients were followed for 6 months. All flaps were survived and there were no anastomotic complications.Conclusion: The use of the flow-through technique is a very useful tool for vascularization of the flap and revasculariza-tion of the distal limb at the same time.
Reasons for operation cancellations at a teaching hospital
Mahmoud Abu Abeeleh,Tareq M. Tareef,Amjad Bani Hani,Nader Albsoul,Omar Q. Samarah,M. S. ElMohtaseb,Musa Alshehabat,Zuhair Bani Ismail,Omar Alnoubani,Salameh S. Obeidat,Sami Abu Halawa 대한외과학회 2017 Annals of Surgical Treatment and Research(ASRT) Vol.93 No.2
Purpose: To report rates of and reasons for operation cancellation, and to prioritize areas of improvement. Methods: Retrospective data were extracted from the monthly reports of cancelled listed operations. Data on 14 theatres were collected by the office of quality assurance at Jordan University Hospital from August 2012 to April 2016. Rates and reasons for operation cancellation were investigated. A Pareto chart was constructed to identify the reasons of highest priority. Results: During the period of study, 6,431 cases (9.31%) were cancelled out of 69,066 listed cases. Patient no-shows accounted for 62.52% of cancellations. A Pareto analysis showed that around 80% of the known reasons for cancellation after admission were due to a lack of surgical theatre time (30%), incomplete preoperative assessment (21%), upper respiratory tract infection (19%), and high blood pressure (13%). Conclusion: This study identified the most common reasons for operation cancellation at a teaching hospital. Potential avoidable root causes and recommended interventions were suggested accordingly. Future research, available resources, hospital policies, and strategic measures directed to tackle these reasons should take priority.