Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · May 2022
Flow-through Dorsoulnar Perforator Flap Repair of Soft-Tissue Defect of the Finger with Segmental Digital Arterial Defect.
The aim of this study was to investigate the feasibility of transferring the free flow-through dorsoulnar perforator flap to reconstruct severely injured fingers. From January 2015 to March 2019, 16 patients, 16 thumb or fingers volar partial defects concomitant with segmental digital arterial defects, were included in this study. The flow-through dorsoulnar perforator flaps were used to repair the finger wounds and reconstruct digit arteries. ⋯ According to the Total Active Motion (TAM) method: nine fingers were excellent, four were good, and three were fair. The free flow-through dorsoulnar perforator flap can achieve the goal of mending finger soft-tissue conditions complicated with segmental digital arterial defects with good results. Key Words: Flow-through flaps, Perforator flap, Dorsoulnar artery, Soft-tissue defect.
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Clear cell renal carcinoma (CCRC) is the most common type of renal carcinoma. We hope to find out the potential key genes playing important roles in CCRC genesis and progression by analysing the recent expression profiling by array from 2014 to 2016. In order to find out the differentially expressed genes (DEGs) between CCRC and normal renal tissue. ⋯ LOX was finally believed to be the most reliable prognostic factor since it has prognostic value for both overall survival and recurrence-free survival analysis. Our analysis suggests that LOX is the most reliable prognostic factor for CCRC patients. Key Words: Renal clear cell carcinoma, Microarray datasets, Bioinformatics approach, Prognostic factor, LOX.
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J Coll Physicians Surg Pak · May 2022
Case ReportsSurgical Blowhole Incision - An Unconventional Approach to Subcutaneous Emphysema Management Following Blunt Neck Trauma.
Subcutaneous emphysema is the fortuitous entry of air into subcutaneous tissue. Its occurrence in the head, neck, and mediastinum is a result of trauma or surgery. ⋯ In this case, we used an unconventional approach of making blowhole incision which is not in routine practice. Key Words: Subcutaneous emphysema, Blowhole, Neck trauma.
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Bromine is a water-soluble, severely toxic element. It leads to tissue injury by causing the release of radical oxygen species from mucosal membranes. Redness or brownish discoloration of the skin, pain, measles-like rash, vesicles, blisters, pustules, furuncles, burns, and ulcers may be seen in the acute phase. ⋯ Although bromine burn is rare, it causes severe damage to the skin, and injury starts insidiously without causing a visible skin reaction at the beginning. Irrigation with plenty of water in the early period is critically important in reducing the severity of the injury. Key Words: Bromine, Burn, Skin, Radical oxygen species.