The Effect of Perioperative Dimethyl Sulfoxide Efficacy on Regional and Local Flaps Viability

Background: The purpose of this study was to analyze the effects and results of dimethyl sulfoxide (DMSO) usage on viability and perfusion of local and regional flaps in rabbits, via this study we are going to conclude whether DMSO could be effective after flap operations in human or not. Materials and Methods: Local and regional DMSO spray was used on rabbit’s dorsum flaps immediately after the operation and once per day up to 7 days post-op in 14 rabbits, divided equally to control group (saline solution spray) or experiment group (DMSO spray). The results were compared 3 and 7 days after operations. Results: There were improved results attributed to the DMSO effects regarding flap survival Conclusion: We concluded that topical application of DMSO reduces skin flap ischemia in rabbits and we highly advise the use of it after operations in which skin flaps are created

Clinical study between percutaneous ultrasound-guided release and open classic surgery in treating multiple trigger fingers

Background: A trigger finger is recognized as the most common hand tendinopathies that reduce functional ability. The present study compares the clinical outcomes of open classic release surgery with ultrasound-guided percutaneous surgery in cases of multiple finger involvement. Materials and Methods: A cohort study has been performed from March 2019 to December 2020 by participating 34 trigger finger patients with multiple involvements. These patients were treated using classical open release and ultrasound-guided percutaneous release methods and both methods were compared in patients. The pain severity and functional ability obtained from the quick disabilities of the arm, shoulder, and hand (Quick-DASH) test scores were compared. Results: The pain intensity in the classical open surgery patients was not significantly different from the ultrasound-guided group, and a one-month follow-up showed that the pain intensity in the ultrasound-guided patients was significantly less than in the other group (P = 0.02). Besides, no significant difference was observed between the functional abilities before and after the one-month follow-up. Indeed, the two groups had the same situations. Also, the recovery time in the ultrasound-guided percutaneous release group was significantly faster than in the other group. These cases had statistical differences as P = 0.001 and P < 0.001, respectively. The surgical release was 100% successful in both groups. The patients' satisfaction rates in the ultrasound-guided and open classic surgery treatment methods were 94.1 and 76.4%, respectively. Conclusions: Classical open release and ultrasound-guided percutaneous surgery could successfully treat multiple trigger fingers. However, ultrasound-guided percutaneous surgery provided faster recovery and less pain intensity than the other method

Subciliary skin-muscle flap approach in patients with orbital fractures

&lt;font face="Calibri"&gt;&lt;strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt;Background:&lt;/span&gt;&lt;/strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt; &lt;/span&gt;&lt;font size="3"&gt;Selection of a suitable incision for orbital floor and medial wall fractures is one of the challenging problems in plastic surgery. The most frequently used is the subciliary step skin muscle incision with advantages including: adequate exposure and acceptable cosmetic result and disadvantages such as ectropion and skin necrosis.&lt;/font&gt;&lt;/font&gt;&lt;font size="3"&gt;&lt;font face="Calibri"&gt;In this article we have tried to determine the rate of complications of this incision in a series of patients with orbital trauma that have been operated by the authors in 15khordad hospital during a three years period&lt;span&gt;&amp;nbsp; &lt;/span&gt;(September 2000-september 2003).&lt;/font&gt;&lt;/font&gt;&lt;font face="Calibri"&gt;&lt;strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt;Methods:&lt;/span&gt;&lt;/strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt; &lt;/span&gt;&lt;font size="3"&gt;This retrospective review includes 52consecuative cases of orbital trauma (61 eye) referred to our center who have been operated by authors. Step skin-muscle incision approach was used for reduction and fixation of orbital rim and floor fractures .These patients have been evaluated according to causes of fractures, kind and number of incisions, hospital stay, and complications of step skin-muscle incision. The mean duration of postoperative follow-up was two years.&lt;/font&gt;&lt;/font&gt;&lt;font face="Calibri"&gt;&lt;strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt;Results:&lt;/span&gt;&lt;/strong&gt;&lt;font size="3"&gt; Among the 52 patients reviewed, there were 48 males and 4 females; their mean age was 29 years (range: 15-67 years). Injuries were on the left side in 25 (49%) patients, on the right side in 18(35%) patients and both sides in 9 (16%) patients. &lt;/font&gt;&lt;/font&gt;&lt;font size="3"&gt;&lt;font face="Calibri"&gt;The main cause of trauma was car accident (50%). Six patients had scleral show 1-2 mm, five of them were managed by non surgical methods and the other patient reoperated for sustained ectropion. Other complications such as hematoma, visible scar, hemorrhage, and skin necrosis were not seen.&lt;/font&gt;&lt;/font&gt; &lt;p style="margin: 0in 0in 10pt; text-align: justify" class="MsoNormal"&gt;&lt;font face="Calibri"&gt;&lt;strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt;Conclusion:&lt;/span&gt;&lt;/strong&gt;&lt;span style="font-size: 12pt; line-height: 115%"&gt; &lt;/span&gt;&lt;font size="3"&gt;Potential drawback of this incision is ectropion, though with massage, squinching, and warm compress majority of them would be improved. In our series one patient was reoperated for correction of ectropion. However; it seems that subciliary step skin muscle approach produce less risk of edema and visible scar and better field of view.&lt;/font&gt;&lt;/font&gt;&lt;/p&gt