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Biography - Main
Abstracts
By
Mohamed Samir A. Abdel-Rheem
Cons. Of surgery, Damanhour National Medical Institute
Damanhour, Egypt.
(S) Plasty Instead of (Z) Plasty as a New Surgical
Treatment of Post Burn Contracture
Mohamed Samir A. Ahdel-Rheem
Damanhour Teaching Hospital, Damanhour ,Egypt
(z) Plasty is
being used now in treatment of post burn contracture, this method has many draw
backs as there is no actual increase in skin surface area and the increase is
due to undermining of the skin. This leads to make multiple incisions, also
strong traction may lead to necrosis of the apices of skin triangles.
For these reasons I
constructed new technique which I call it (S) plasty. In fact the incision is
done as so ( ).
It is made perpendicular to the line of contracture. By this incision 2 adjacent
rectangles are produced, both are separated and put facing to each others, then
sutured to each other and adjacent skin. The final picture will be so (H). by
this new technique, there is actual increase in skin surface area in the
direction of contracture as we transfer the redundant skin on each side of the
contracture to the line of contracture. So only one incision is done and no fear
of necrosis of any piece of skin.
The study was done on 12
patients, 10 females and 2 males, 9 cases were contracture opposite elbow joint,
3 cases opposite ankle joint, all cases healed within normal time without
complications or recurrence.
Biography - Main
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