AhmedM Al-Barah

Menoufia University

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SolimanA El-Shakhs

Menoufia University

Tarek Kishk

Menoufia University

AymanA Shmilla

Damanhour University

AbdelmoniemF Mohamed

Menoufia University

Mohamed Megahed

Mansoura University

MahmoudA Elkhateb

Shebin Teaching Hospital

YM El-Sheikh

Menoufia University

Fouad Mohammed Ghareeb

Menoufia University

AbdulmoneimF Omran

Menoufia University

WB El-Khouly

Menoufia University

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Menoufia University

EIA University

Shebin Teaching Hospital

Damanhour University

Mansoura University

Research Institute of Ophthalmology

Damietta University

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Current trends of abdominoplasty

Menoufia Medical Journal (2015)

AbdulmoneimF Omran TarekF Kishk AhmedM Al-Barah YM El-Sheikh WB El-Khouly

ObjectivesThe aim of this study was to compare between traditional abdominoplasty and current techniques of abdominoplasty, follow complications associated with the new techniques of abdominoplasty, etiology and management, and minimize the amount of invasive surgery while maximizing the esthetic surgical results and patient benefits.Patients and methodsA total of 49 patients (26 women and 23 men) between 20 and 60 years of age were studied in the period from October 2010 to October 2014 at the Plastic Surgery Department, Menofia University Hospitals. The patients were divided into three groups to compare between traditional abdominoplasty, lipoabdominoplasty with limited dissection superior to the umbilicus and lipoabdominoplasty with limited dissection superior to the umbilicus, preservation of scarpas fascia, and lowering incision line.ResultsA total of 49 patients (26 women and 23 men) between 20 and 60 years of age were included in this study. The study was carried out on the basis of inclusion and exclusion criteria, and the choice of participants for each group was carried out randomly. There was a statistically significant difference between different groups in age, blood transfusion, and occurrence of complications (P < 0.05).ConclusionWe recommend following the new technique of abdominoplasty, which includes lipoabdominoplasty, limited dissection superior to the umbilicus with preservation of scarp's fascia; it was found that fewer complications developed with the use of our new technique for lipoabdominoplasty compared with the use of the traditional technique, and there were greater patient benefits than observed previously.

Abdominoplasty

Etiology

10.4103/1110-2098.173602

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Pre-expanded Extended Island Parascapular Flap for Reconstruction of Post-burn Neck Contracture.

PubMed (2010)

AhmedM Al-Barah Tarek Kishk Mohamed Megahed Dalia Mofreh Elsakka Fouad Mohammed Ghareeb

Background. Since it was described by Nassif et al. in 1982, the parascapular flap has been used as a pedicled or island flap for axillary contractures and as a free flap for neck reconstruction. To the best of our knowledge, there are no reports in English describing its use as an island flap for neck reconstruction. Methods. Nine patients with severe post-burn neck contracture scars were reconstructed with pre-expanded extended island parascapular flaps. Results. All flaps survived completely, providing thin skin coverage of the neck defect with satisfactory natural appearance. The size of the flaps ranged from 32 to 44 cm in length and 11 to 16 cm in width (mean: length 38.2; width, 14.2 cm). No debulking was done but secondary revisions such as Z-plasty and scar revision were performed for all flaps. The donor site was closed primarily in all patients but delayed wound healing was recorded in two. Widening and hypertrophic scar changes developed at the donor site of seven patients. Conclusions. The utilization of pre-expanded extended island parascapular flap is an effective way for reconstruction of post-burn neck contracture. It provides a large good-quality skin flap that can cover all the aesthetic units of the neck without any microvascular anastomosis. However, the protracted time required for the procedure and the requirement of two operations, plus the repeated follow-up visits, may constitute major disadvantages.

Muscle contracture

Debulking

Perforator flaps

Hypertrophic scars

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Oncoplastic breast-conserving surgery

Menoufia Medical Journal (2015)

MahmoudA Elkhateb AymanA Shmilla SolimanA El-Shakhs AhmedM Al-Barah AbdelmoniemF Mohamed

ObjectiveTo assess different techniques of oncoplastic breast-conserving surgery, according to breast shape, protrusion, size, and symmetry.BackgroundOncoplastic surgery has emerged as a new approach to allow wide excision for breast-conserving surgery without compromising the natural shape of the breast. It is based on integration of plastic surgery techniques for immediate breast reshaping after wide excision for breast cancer.Patients and methodsThis prospective study was carried out on 35 patients; all patients had breast tumor and were being managed at Menoufia University Hospitals by different modalities of oncoplastic breast surgery during the period from April 2012 to December 2013. The appropriate oncoplastic technique was selected for every patient taking into consideration the location and size of the mass and breast size and ptosis.ResultsSeven patients underwent simple oncoplastic procedures with volume displacement techniques, 20 patients underwent more advanced oncoplastic techniques of volume replacement with local dermoglandular flaps, and eight patients required reconstruction with distant pedicle musculocutaneous flaps. All our patients had negative clear specimen margins. Only three complications were encountered: one case of skin necrosis in the skin envelope after skin-sparing mastectomy and two cases of traumatic fat necrosis with the inverted-T technique.ConclusionThis study showed that creative use of reconstructive techniques can yield excellent results, fulfilling all patient and surgeon expectations with a minimum rate of morbidity. Younger women with a small-size breast will benefit from a simple oncoplastic technique with volume displacement procedures. Women with large ptotic breasts need more complex mammoplastic techniques with or without flaps.Oncoplastic surgery should be the standard approach to breast cancer treatment whenever feasible.

Oncoplastic Surgery

Breast-conserving surgery

Mastopexy

Reconstructive Surgery

10.4103/1110-2098.155941

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