Successful -implantation of an amputated hand with abnormal vascular anatomy.

Hand amputation is a devastating, usually accidental, injury. -implantation of the severed hand is a challenging procedure that requires careful planning, precise microsurgical techniques, and adequate vascular supply. Successful surgical reimplantation therefore requires foresight into unique variant neurovascular anatomy that could be encountered and how these would pose challenges during the procedure.

Re-implantation of foot and ankle following crush injury of the distal leg with 22 cm bone deficit: A case report.

Introduction/importance: Crush injury with extensive soft tissue damage to an extremity is generally considered a contraindication to re-implantation and the extremity best managed by prosthesis. However good prosthesis is not easily available especially in resource constrained environment, the overall long term quality of life is also considered better with re-implantation.

Case Presentation: We report a 24 year old tourist patient who presented with post-traumatic amputation of the left leg following a road traffic accident.

The effects of negative pressure wound therapy on wounds with cerebrospinal fluid leakages.

Objective: Negative pressure wound therapy (NPWT) has been widely used for a variety of wounds with good outcomes. However, it is contraindicated in the management of wounds with cerebrospinal fluid (CSF) leakages. The reason is the fear of a sudden shift of CSF fluid as a result of suction leading to brain herniation or coning.

Keloids: Does patients' sex influence the presentation and recurrence post-excision?

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Reliability of Reverse Sural Flap in the Reconstruction of Midfoot and Forefoot Defects.

Reconstruction of mid- and forefoot defects involves few options as versatile as free flaps; however, free flaps are not universally available and require long operative time and can be difficult to successfully heal. Although the reverse sural flap is commonly used for lower limb reconstructions, it has been used mainly for reconstruction of defects around the distal leg, ankle, and hindfoot. Few studies have demonstrated the use of this flap in the reconstruction of mid- and forefoot defects.

Local/regional flaps for extensive abdominal wall defects: Case series.

Introduction: Extensive abdominal wall defects requiring reconstruction with flaps are best done with free flaps. However, free flaps are not readily available in many countries. Free flaps are associated with long operative hours, technically demanding and are prone to complications.

Effects of Dressing Materials on Donor Site Morbidity: A Comparative Study at a Tertiary Hospital in Kenya.

Skin graft donor wounds should heal with rapid epithelialization resulting in good aesthetic and minimal donor site morbidity. Several dressing materials are now available for the dressing of the donor sites. Few studies have, however, been done to compare the efficacy of these dressing materials.

Island Latissimus Dorsi Muscle Flap and a Perforator Flap in Repairing Post-Gunshot Thoracic Spine CSF Fistula: Case Presentation.

Persistent posttraumatic CSF fluid leakage may present a challenge to manage. Failure to address the leakage may result in complications such as meningitis, septicemia, radiculopathy, muscle weakness, and back pains. While the majority of the leakages may be managed conservatively, large dura defects as a result of gunshot wounds or motor vehicle accidents are best managed by surgical interventions.

FAMM Flap in Reconstructing Postsurgical Nasopharyngeal Airway Stenosis.

Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any surgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis.