44 research outputs found
sj-pdf-1-whe-10.1177_17455057221133835 – Supplemental material for Level and predictors of breast cancer awareness among Saudi women: A nationwide study
No full textSupplemental material, sj-pdf-1-whe-10.1177_17455057221133835 for Level and predictors of breast cancer awareness among Saudi women: A nationwide study by Jumanah T Qedair, Abdullah A Al Qurashi, Turki Alfayea, Hatan Mortada, Ali Alsudais, Saleh Almuntashiri and Alqassem Y Hakami in Women’s Health</p
sj-pdf-2-whe-10.1177_17455057221133835 – Supplemental material for Level and predictors of breast cancer awareness among Saudi women: A nationwide study
No full textSupplemental material, sj-pdf-2-whe-10.1177_17455057221133835 for Level and predictors of breast cancer awareness among Saudi women: A nationwide study by Jumanah T Qedair, Abdullah A Al Qurashi, Turki Alfayea, Hatan Mortada, Ali Alsudais, Saleh Almuntashiri and Alqassem Y Hakami in Women’s Health</p
Management of a Difficult-to-Treat Diabetic Foot Wound Complicated by Osteomyelitis: A Case Study
No full textIntroduction. Diabetic ulcers are a major health issue worldwide, causing significant economic burdens and affecting both the patient and the society as a whole. Predisposing factors in diabetic patients, known as the pathogenic triad, comprise trauma, ischemia, and neuropathy. Regardless of the cause, correct diagnosis and prompt treatment are essential in the management of leg ulcers. Case History. We report a case of a 51-year-old male patient, with a known history of type 2 diabetes mellitus who presented to our hospital with a history of two ulcers, one that he was mainly complaining of, which was actively infected and located at the posterior part of the distal left leg, and the second, dry ulcer caused by unrecognized trauma, located on the heel of the same limb. Magnetic resonance imaging showed osteomyelitis and degenerative changes in the calcaneonavicular and tarsal joints. The patient underwent multiple sessions of excisional debridement. He was started on negative pressure wound therapy with some improvements. However, after skin graft failure, Nanoflex powder was used, leading to complete wound closure within one month of treatment. Conclusion. A multidisciplinary holistic approach must be used when treating diabetic foot ulcers. Different modalities and sessions of debridement should be performed after optimizing the general condition of the patient
Management of a Difficult-to-Treat Diabetic Foot Wound Complicated by Osteomyelitis A Case Study
No full textAbsorbable versus Nonabsorbable Sutures for Facial Skin Closure: A Systematic Review and Meta-analysis of Clinical and Aesthetic Outcomes
No full textWhen repairing facial wounds, it is crucial to possess a thorough understanding of suitable suture materials and their evidence base. The absence of high-quality and comprehensive systematic reviews poses challenges in making informed decisions. In this study, we conducted a review of the existing literature and assessed the quality of the current evidence pertaining to the clinical, aesthetic, and patient-reported outcomes associated with absorbable and nonabsorbable sutures for facial skin closure
Modified McKissock's Breast Reduction Technique: A Case Series and Description of Our Technique Modification
No full textSummary: Background: The modified McKissock breast reduction technique uses upper and lower vascular pedicles to reduce breast size and reshape the breasts. This technique has gained significant interest in recent years because of its potential to minimize surgical complications. The current study aims to report our experience and results with our refined version of the McKissock technique. Methods: We conducted a prospective cohort study on patients with breast hypertrophy between 2022 and 2023 to evaluate the modified McKissock breast reduction technique. Two main alterations were made to the original McKissock technique. First, the superior pedicle was modified to create a superomedial pedicle. Second, the inferior pedicle was thinned to form a dermoseptal pedicle with a 4 cm wide base. Results: A total of 13 patients underwent surgery using the modified McKissock breast reduction technique. The average age of the patients was 37.2 years. For the right breast, the weight of tissue resected during reduction ranged from 189 g to 695 g (average 379 g). For the left breast, the resection weight range was 160 g to 608 g (average 370 g). There were no complications except one patient who developed partial nipple necrosis on the left side. All patients expressed satisfaction with the outcomes. Conclusion: Our modified McKissock breast reduction technique shows promise as a method for reducing breast size. It offers several potential advantages, including improved preservation of the nipple and areola complex, more precise breast shaping, contouring capabilities, and reduced risk of complications. Although the early results of this technique are encouraging, further research is required to evaluate its long-term benefits and risks fully
Abdominoplasty: An Easy Approach to Giant Abdominal Lipomas
No full textIntroduction. Giant lipomas, which are greater than 10 cm, are rare, cosmetically unacceptable, and deteriorate the quality of daily living. Removal of giant abdominal lipomas either by liposuction, excision, or both, can lead to the formation of a loose, pendulous drooping abdomen, and abdominal wall laxity, which is aesthetically displeasing. The objective of this case report is to highlight an easy approach to treat giant abdominal lipoma through therapeutic abdominoplasty. Case History. In this case, a 29-year-old man with a known case of hypothyroidism and HCV was in remission but had a huge abdominal mass on his lower left side; it progressed for 7 years and increased in size and caused discomfort. His BMI was 29.53 and the mass measured about 15×13 cm. All other investigations were normal and showed no malignancies. He underwent excision of the giant abdominal lipoma using a standard abdominoplasty approach. Conclusion. In conclusion, in selected patients, giant abdominal lipomas can be successfully excised along with the redundant abdominal skin
Periareolar minimally invasive approach for cardiac surgery: a case series and description of technique with a review of literature
No full textAbstract Background Minimally invasive cardiac surgery (MICS) has garnered significant attention for its potential benefits, including decreased surgical trauma, accelerated recovery, and improved aesthetic outcomes. This case series aims to elucidate the technical aspects and assess the aesthetic, functional, and quality of life outcomes associated with the utilization of a periareolar incision approach in female patients undergoing cardiac surgery. Methods The periareolar MICS technique, performed with or without high-definition (HD) 3D endoscopic visualization, limited rib-spreading, and a periareolar incision spanning the 3 to 9 o’clock positions, was employed. We present a case series encompassing five female patients who underwent various cardiac procedures for different pathologies using this approach. Results No intraoperative complications occurred, and all patients experienced uneventful postoperative recoveries. The periareolar approach resulted in well-healed incisions with minimal scaring, preserving breast contour and yielding satisfactory cosmetic outcomes. Patients reported negligible pain levels and expressed contentment with the scar appearance. Conclusion The periareolar incision technique in MICS represents an efficacious approach characterized by favorable aesthetic outcomes and enhanced patient experience. Further investigations are warranted to compare different MICS approaches with respect to pain management and their impact on quality-of-life domains
Epidemiological and Pathological Trends in Skin Cancer: A Hands-On Analysis of 10 Years of Data from the Saudi Cancer Registry
Get PDFMuhannad Q Alqirnas,1 Amr Y Arkoubi,2 Rand Alshabnan,3 Alwaleed I Almughira,4 Moustafa Alhamadh,5 Faris A Aldaghri,2 Hatan Mortada,6 Waiel Daghistani2 1Division of Plastic and Reconstructive Surgery, King Salman Hospital, Riyadh, Saudi Arabia; 2Imam Mohammad Ibn Saud Islamic University (IMSIU), Department of Anesthesia and Surgery, College of Medicine, Riyadh, Saudi Arabia; 3College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia; 4College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia; 5College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 6Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, and Department of Plastic Surgery & Burn Unit, King Saud Medical City, Riyadh, Saudi ArabiaCorrespondence: Muhannad Q Alqirnas, Division of Plastic and Reconstructive Surgery, King Salman Hospital, Riyadh, Saudi Arabia, Email [email protected]: Skin cancer is a major global health issue. Current literature focuses on Western countries whose characteristics of skin tone and cultures differ vastly from Saudi Arabia.Objective: To analyze skin cancer patterns in Saudi Arabia, focusing on regional differences and cancer types in a country with high sun exposure.Design: Retrospective cohort study utilizing the Saudi Health Council’s Cancer Registry for the requisite data for this study.Data Source: Ethical approval (637/2024) was prior to the beginning of this study. The Saudi Health Council’s Cancer Registry supplied the requisite data for this study.Subjects and Methods: We reviewed 6381 cases of skin cancer diagnosed in Saudi Arabia from 2010 to 2021. Inclusion Criteria was all histologically confirmed cases of primary skin cancer; exclusion criteria included tumors of secondary origin or cases with incomplete diagnostic data. Data on demographics, tumor types and regional trends were analyzed using IBM SPSS 27.0.1.Main Outcome Measures: Tumor factors were collected along with demographic variables.Results: A total of 6381 skin cancer cases were recorded. Skin cancer was more common in older men, who made up 62.7% of cases, with an average age of 62.5 years. Basal Cell Carcinoma was the most common type (49.5%), followed by Squamous Cell Carcinoma (25.6%). Most cases (76.6%) were caught early, with the Central region reporting the highest number of cases (31.8%), followed by the Western (26.3%) and Eastern (20.1%) regions.Conclusion: This study reveals significant differences in skin cancer rates across Saudi Arabia, particularly among older men and in specific regions. The results can help establish awareness programs targeting vulnerable populations and focusing on early detection and intervention, such as initiating targeted skin cancer screening or sun-protection campaigns in high-burden regions. They emphasise the need for the allocation of resources in the Central and Western regions.Limitations: The retrospective nature of the study does not allow for the full scope of patient behaviour or risk factors; there were also gaps in the data.Keywords: skin cancer, basal cell carcinoma, squamous cell carcinoma, Saudi Arabi
