Enhancing Viability of Internal Mammary Artery Perforator Flaps Using Delay Phenomenon: Alsheshi Technique.

The introduction of perforator flaps in 1989 opened new possibilities for reconstruction, allowing for primary closure of the donor site and providing superior functional and cosmetic outcomes. This case details the successful application of the delay phenomenon to internal mammary artery perforator flap reconstruction in a left posterior neck third-degree burn victim. This technique enabled us to 1) reliably harvest a long internal mammary artery perforator flap on a single vessel without congestion and 2) maximize aesthetics.

Willingness of Jordanian clinicians to treat a hepatitis B-infected patient.

Objective: In the past, clinicians have sometimes been unwilling to provide care to patients known to be infected with hepatitis B virus (HBV). However, this lack of patient care should have lessened following the introduction of effective HBV vaccination for health care workers. The purpose of this study was to determine the willingness of clinicians in Jordan to provide care to HBV-infected patients.