The complications inherent in cannulation of the radial (group I) and dorsalis pedis (group II) arteries were studied in 46 patients. All the local and systemic variables which might be considered to contribute to damage of the artery were studied, from which it appeared that only the duration of cannulation, prothrombin time and partial thromboplastin time were significant in determining post-cannulation blood flow. A 20-gauge Teflon cannula was used in all patients and velocity of flow measured with a Doppler velocimeter probe. A majority of arteries showed a reduction of flow velocity for 24-72 h after the removal of the cannula, with evidence of improvement at 120 h. In six arteries--three in each group--flow ceased altogether after 24-72 h. No disability of either hand or foot resulted.

Background: Psychological distress among people who have severe burns is common. The time taken for burn wounds to heal cannot be fully explained by physical factors, such as wound size and depth. A growing body of evidence indicates that psychological factors impact the wound healing process. Patients and Methods: Hospital based cross sectional survey at burn unit, Menoufia University Hospital, Egypt and Astoon general hospital, Alkhobar, Kingdom of Saudi Arabia within the period of 2 years (2015-2017). The study included 45 patients of four different nationalities (Egyptian, Saudi, Philippine's and Indian patients). Psychological distress as depression and anxiety were assessed using the Hospital Anxiety and Depression Scale in these patients to show if patient has psychological distress or not. Results: Psychological distress was common in burn patients. It was observed that before psychological intervention, females complained of psychological disorders than males. But after psychological intervention, the response improvement in psychological status in females was better than males. Psychological disorders were high in all age groups. While, after psychological intervention, the response and improvement in the psychological status was better in the young and middle ages than in old ages. Also, it was found that after psychological interventions, burn patients with low psychological distress stayed for a shorter duration at hospital with less surgical intervention than those with psychological distress. Conclusion: Psychological intervention to severe burn patients during inpatient hospitalization has good impact on psychological state of these patients and decrease the duration of hospital stay and wound healing.

Background: To gain the best aesthetic outcome after abdominoplasty for patients with weak abdominal wall muscles has been the ultimate goal for plastic surgeons and patients. Myofascial repair is one of the modern techniques to have a flat abdomen and a perfect waist with accepted rehabilitative outcome. But as any technique, it has its benefits and drawbacks. Aim of the Study:This study aims to document and evaluate the durability of modified myofascial repair as a method for musculoapneurotic reconstruction in abdominoplasty for patients with moderate to severe weak lax abdomen. Patients and Methods:Thirteen patients were included in this study for the purpose of performing abdominoplasty to treat weak lax abdomen over the period of 2 years from January 2017 to February 2019. Follow-up period for each case was at least 6 months for the functional outcome and patient satisfaction.Results: Changes in spirometry values before and after operation were recorded and tolerated by all patients. Waist measures taken before and after operation showed great improvement. Patients satisfaction was extremely high and there were no evidences for secondary hernias.Conclusion: Myofacial repair modification is a durable method to gain a good aesthetic and functional output in abdominoplasty for patients with severe abdominal laxity.

Introduction: Repair of the nasal defects is one of the most challenging areas for the reconstructive surgeons due to the lack of uniform skin thickness, complex contours, and small close subunits. Our aim is to utilize the bipaddle forehead flap with a cartilage graft in between for simultaneous cutaneous and lining reconstruction of the hemi-nasal defect after excision of the basal cell carcinoma. Patients and Methods: Our study included 25 patients with full thickness hemi-nasal defects after excision of basal cell carcinoma. We utilized the sandwich forehead flap which is bipaddle (cutaneous and periosteal layers) based on the deep and superficial perforator branches of the supratrochlear artery respectively, and cartilage graft in between. Results: Age of the patients ranged from 40 to 65 years (mean age of 51 years). With a follow-up period ranged from 6 to 18 months (mean of 11 months), no flap necrosis nor cartilage exposure were observed. Twelve cases only came back for debulking. Conclusion: The bipaddle forehead flap with intervening cartilage graft offers a good option for reconstruction of full thickness hemi-nasal defect with no extradonor site morbidity.