International Journal Of Medical Science And Clinical Research Studies最新文献

{"title":"Difficult Airway in a Patient with Well-Differentiated Epidermoid Carcinoma: A Case Report","authors":"Víctor Rodrigo Islas-Canto, Jacobo Elías Daguer-González, Alexis Emir Noguera-Echeverría, María Fernanda Ibarra-Guerrero, Francisco Rodolfo Esquivel-Díaz, Francisco Alejandro Nava-Rodríguez, Stephany Pilar Castellanos-Bernal, Karla Mariela Astorga-Avilez","doi":"10.47191/ijmscrs/v4-i02-32","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-32","url":null,"abstract":"Introduction: Cutaneous epidermoid carcinoma (SCC) is a common skin tumor that can arise from precursor lesions or de novo. It is the second leading cause of death from skin cancer and its incidence is expected to double by 2030. Risk factors include gender, ionizing radiation, alcohol and tobacco use, and HPV infection. SCC can be classified into five types according to the Peniche classification, with the ulcerative form being the most frequent. Anesthesia management for head and neck cancers is challenging due to airway complications. Case presentation: An 82-year-old female with a history of biomass combustion smoke exposure and hypertension presented with a painful papular lesion on the left nasal wing. Biopsy revealed well-differentiated epidermoid cancer. Despite treatment, the lesion progressed rapidly, leading to a request for surgical resection. The patient had predictors of difficult intubation and ventilation, and initial intubation attempts were unsuccessful. After aspiration of secretions and intracavitary bleeding, successful intubation was achieved on the second attempt. Controlled ventilation was initiated with specific settings. Clinical discussion: A difficult airway can pose challenges for anesthesiologists, especially in patients with head and neck cancer. Pre-anesthetic evaluation and preparation for rescue devices or maneuvers are crucial. In this case, the patient had a difficult Intubation Prediction Index. General anesthesia allowed for invasive monitoring, venous access, and reliable mechanical ventilation. Direct laryngoscopy was performed due to retro nasal bleeding, with equipment available for difficult airway management and aspiration. Conclusion: Anesthetic management for patients with head cancer presents challenges in airway management and carries the risk of complications. Pre-anesthetic and airway assessment are crucial to prevent complications and ensure successful intubation.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"4 S3B","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting the Pathophysiology of Acute Respiratory Distress Syndrome in Burn with Inhalation Injury: A Comprehensive Review","authors":"Sigit Kren Fino, Nathasya Fernanda, Michele Gondokesumo, A. Fawzy","doi":"10.47191/ijmscrs/v4-i02-34","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-34","url":null,"abstract":"Acute respiratory distress syndrome (ARDS) is a common complication in severe burn patients, arising from inflammatory responses following burns or inhalation injuries. This literature review explores the mechanisms and diagnostic approaches for ARDS in burn patients. Methods involved searching open-access journals using specific keywords on PubMed, Google Scholar, and Elsevier. The review highlights the involvement of various immune cells and cytokines in ARDS pathophysiology, with diagnostic tools including clinical signs, imaging, and bronchoscopy. Therapeutic strategies focus on ventilation and pharmacological interventions targeting inflammation. Further research is needed to better understand ARDS in burn patients, particularly regarding inflammatory markers and pharmacological treatments.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"17 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of the Enhanced Recovery after Surgery Protocol (ERAS Protocol) in Anesthetic Management for Pediatric Surgery in Patients with Down Syndrome: Case Report","authors":"Lucía Guadalupe Segovia-Medina, Alexis Emir Noguera-Echeverría, Claudia Basulto-Castro","doi":"10.47191/ijmscrs/v4-i02-33","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-33","url":null,"abstract":"Introduction: Down syndrome is a common genetic condition affecting approximately 1 in every 1,000 births, caused by a trisomy on chromosome 21. This condition leads to several abnormalities, including cardiac, respiratory, musculoskeletal, and digestive problems such as atresia and duodenal stenosis. The latter may require surgery in childhood, with general or regional anesthesia. The Enhance recovery after surgery (ERAS) Protocol is a set of scientifically supported strategies to reduce surgical stress and improve patient recovery. Although it has been used in adult surgeries for more than 20 years, its implementation in pediatric surgeries is more recent, demonstrating promising results in reducing complications and hospital stays. Case presentation: 3-year-old female, diagnosed with Down syndrome and duodenal stenosis, with a history of closure of the ductus arteriosus at 2 years of age, electively scheduled for diagnostic laparoscopy. Fasting for 6 hours was indicated prior to surgery. Upon her arrival to the operating room, Midazolam and Paracetamol were administered as anxiolysis. Non-invasive continuous cardiac monitoring was initiated in the operating room, anesthetic induction was performed with Fentanyl, Lidocaine, Propofol and Cisatracurium. Orotracheal intubation with videolaryngoscopy was performed. Anesthetic maintenance was using Sevoflurane, as well as Fentanyl infusion. During the surgical procedure, multiple intra-abdominal adhesions were evident, so it was modified to open surgery, performing duodenal-duodenal anastomosis. Bispectral index (BIS) monitoring was performed throughout the procedure with values of 40-60. The fluid balance remained neutral. For analgesia, caudal block with Ropivacaine was used at the end of the surgery. For the prevention of postoperative nausea and vomiting, Ondansetron was administered. Emersion and extubation were performed without complications. Anesthesiology follow-up was carried out in the first 24 hours, with adequate pain control. Enteral feeding was started after 48 hours and progressively. Hospital discharge took place 72 hours after surgery. Clinical discussion: The ERAS protocol was implemented for the first time in adult patients undergoing open colectomy; prolonged fasting, prolonged rest, excessive fluid resuscitation, and opioid analgesia were found to favor hospital stay and complications. For anesthetic management, the main points to take into account are: suspend the consumption of clear liquids up to two hours before surgery; in the perioperative phase, a multimodal approach should be focused on reducing postoperative nausea and vomiting. Regarding Regional anesthesia for abdominal surgery, options such as ultrasound-guided transversus abdominis plane (TAP) block or rectus abdominis sheath block can be used safely; when ultrasound is not available, caudal epidural block is the ideal technique in pediatric patients. The administration of fluids in the perioperative period at an a","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140426658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upper Limb Reconstruction with Latissimus Dorsi Flap","authors":"Dr. Héctor Manuel Suarez Ortega, Dr. Williams Antonio Barrios Garcia, Dr. Sergio Domínguez Mercado, Dr. Román Esteban Hernandez González, Dra. Lourdes Montserrath Brito Piñan, Dra. Michell Flores Castañeda, Dra. Marisela Estefhanía Trejo Rubio, Dra. Bárbara Alejandra Niño Robles, Dr. Ricardo Rene Arrazola Zarate","doi":"10.47191/ijmscrs/v4-i02-24","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-24","url":null,"abstract":"The latissimus dorsi flap (LDF) is a surgical technique used by surgeons to rebuild many different types of breast cancer surgical defects, such as modified radical mastectomy, quadrantectomy, and lumpectomy. The LDF can be utilized as an autogenous flap alone, in conjunction with implant-based immediate reconstruction, in conjunction with tissue expanders for a phased reconstruction, or in either case, either immediately or later. During breast reconstruction, the LDF is a dependable soft tissue covering option that offers shape and function with manageable short- and long-term morbidities. When tissue is scarce, the LDF can help by providing tissue volume in autologous reconstruction. It can also serve as a dependable vascular pedicle for implant-based repair in situations when the tissue has been exposed to radiation.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questioning the Relevance of Normal White Blood Cell Count under 10,000 Cells per Microlitre in Millard Criteria as an Absolutely Required Parameter for Cleft Lip Repair Surgeries: A Case-Based Literature Review","authors":"Michele Gondokesumo, A. Fawzy","doi":"10.47191/ijmscrs/v4-i02-31","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-31","url":null,"abstract":"Leukocytosis, defined as an elevated white blood cell count, has long been regarded as a crucial indicator of inflammation or infection in surgical procedures. In the context of cleft lip surgeries, normal white blood cell count has often been considered an absolute requirement for proceeding with the procedure, as it is believed to signal the presence of a potentially infectious or inflammatory state. Therefore, leukocytosis is thought to be a strong precautionary factor. However, recent evidence challenges this long-held belief, suggesting that elevated white blood cell counts may not necessarily be indicative of adverse outcomes in cleft lip surgeries. To explore this notion, we conducted a comprehensive literature review focusing on two case studies involving unilateral cleft lip patients with presurgical white blood cell counts exceeding 10,000 per microlitre. Both cases underwent successful cleft lip repair and demonstrated excellent post-surgical outcomes without any signs of inflammation or infection. Both cleft lip repair surgeries results showed no complications, and the patient exhibited optimal wound healing and an aesthetically pleasing outcome at the follow-up appointments. These cases challenge the assumption that normal white blood cell count is an absolute requirement for cleft lip surgeries and call for a reconsideration of its significance in predicting post-surgical outcomes. While leukocytosis is an essential parameter to identify potential infectious or inflammatory states, our findings suggest that it should not be solely relied upon in isolation when assessing the suitability for cleft lip surgery and predicting the adverse outcomes in cleft lip surgeries. Further studies are warranted to establish a more nuanced understanding of leukocytosis in the context of cleft lip surgeries, including its association with other clinical parameters and potential alternatives for evaluating surgical candidacy and predicting the adverse outcomes in cleft lip surgeries.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Ischemic Stroke in a 41-year-old Female Secondary to Internal Carotid Artery Dissection: A Case Report","authors":"Eduardo Nieves Paredes, Ana Gabriela Ayala Hernandez, Esmeralda Hernández Lerma, Lorena Marianne Villalobos Trejo, Santiago Sandoval Correa, Consuelo Alejandra Aguirre González, Diana Paola Cortés Silva, Lizeth Anahi Delgado Arteaga, Lydia Aguilar Dávila, Mariana Guadalupe Saucedo Varela, Yolanda García Aguilar, Mario Antonio Quiñonez Moreno","doi":"10.47191/ijmscrs/v4-i02-19","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-19","url":null,"abstract":"Spontaneous carotid artery dissection is an important cause of ischemic stroke and is most common in young and middle-aged adult patients. Dissection occurs after tearing of the intima layer of the artery causes the formation of a thrombus (intramural), and it leads to thrombosis or embolism. The thrombosis or embolism, in turn, interrupts arterial circulation and, subsequently, induces infarction in the territory of the affected artery. The case of an ischemic vascular event involving the left cerebral hemisphere secondary to a spontaneous dissection of the left internal carotid artery is presented here.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140437498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the Gasometric and Hemodynamic Profile upon Graft Reperfusion in Living Donor Kidney Transplant Patients","authors":"Alfonso de Jesus Flores Rodriguez, Enrique Monares Zepeda, Karla Joselyne Manríquez- Marines, Mariana Elisa Guillen Camacho, Javier Vazquez Falconi Justiniani, R. D. R. Morelos, Paulina Carpinteyro Espin","doi":"10.47191/ijmscrs/v4-i02-29","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-29","url":null,"abstract":"Introduction: In the field of medicine, the study of hemodynamics is fundamental to understanding the functioning of the cardiovascular system and its impact on tissue oxygenation. Within this context, crucial parameters such as mean systemic filling pressure (MSFP), cardiac output (CO) and oxygen extraction rate (EO2) play essential roles in regulating tissue perfusion and oxygen delivery to the lungs the vital organs. In the case of kidney transplant recipient patients, the interaction between these parameters acquires unique relevance, given the intimate relationship between cardiovascular function and the new implanted kidney. Material And Methods: Material And Methods: A descriptive, observational, single-center, and retrospective study was carried out undergoing living donor kidney transplant patients between June 2022-2023 at the Hospital Juarez de Mexico. Results: 54 patient records were examined, 24 with exclusion criteria. Remaining 30, 18 were female (60%) and 12 were male (40%); Receiver: Age 30.46±11.68 years; Weight: 59.93±11.87kg; Size: 156.20±18.74cm; Hemoglobin: 9.87±1.62g/dl. Prior hemodynamic values to reperfusion: CaO2 (arterial content) 13.44 ± 2.22, CvO2 (venous content) 9.07 ± 2.20, Da-vO2 (arterio-venous difference) 3.67 ± 1.48, CO (cardiac output) 5.65 ± 3.13, VS ( stroke volume) 76.05±41.73, SVR(systemic vascular resistance) 852.61±396.72, DO2(oxygen delivery) 770.89±444.07, VO2(oxygen consumption) 239.33±29.38, EO2(oxygen extraction) 26.83±9.82, PMSF (mean systemic filling pressure) 17.47±3.09 mm Hg with Student's T con values of p<0.05 statistically significant; Hemodynamic values after reperfusion: CaO2 13.3±2.18, CvO2 8.11±1.61, Da-vO2 5.03±1.04, CO 4.57±1.26, VS 62.32±17.41, SVR 1265.97±419.41, DO2 621.66±150.83, VO2 239.33±29.38, EO2 37.62 ±5.28, PMSF 14.27±2.44 mm Hg with Student's T statistically significant values of p<0.05. Conclusions: Undergoing kidney transplantation patients strategies that include the optimization of PMSF, CO and EO2 based on their determinants can be implemented to improve perfusion and oxygenation of kidney transplanted prior kidney graft reperfusion, which in turn contributes to longterm viability and improved quality of life for the transplant recipient.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schamberg's Purpura: A Comprehensive Review of Clinical Manifestations, Pathophysiology, and Management Strategies","authors":"Giovanna Aldonza Rios López, Leonel Martín Pulido Gutiérrez","doi":"10.47191/ijmscrs/v4-i02-30","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-30","url":null,"abstract":"Schamberg's Purpura, also known as progressive pigmented purpura or Schamberg disease, is a dermatological condition characterized by a distinctive purpuric rash. This article provides a thorough examination of the clinical manifestations, pathophysiological mechanisms, and current management approaches associated with this intriguing disorder. The review aims to consolidate existing knowledge, highlight diagnostic challenges, and explore emerging therapeutic interventions. Through an in-depth analysis of the latest research findings, this comprehensive overview aims to enhance the understanding of Schamberg's Purpura among healthcare professionals, facilitating more accurate diagnosis and improved patient outcomes.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"53 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful Surgical Management of Giant Mediastinal Teratoma – A Case Report of a Difficult Case without Any Post-Operative Complication","authors":"Alexander Josethang, Brema Suranta Prakarsa Utama Pasaribu","doi":"10.47191/ijmscrs/v4-i02-28","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-28","url":null,"abstract":"Introduction. Mediastinal teratoma is a rare germ cell tumor, located in anterior mediastinum and is lack of population-based study. It usually occurs in the age of 20-40 years, accounting for 15% of anterior mediastinal masses in adults and 25% of anterior mediastinal masses in children. It is frequently diagnosed accidentally on chest imaging due to its asymptomatic nature. Hereby, we presented a case of giant anterior mediastinum teratoma with complete surgical excision without any post-operative complication. This case is unique due to its uneventful result after excision. From our literature research, we successfully avoid the potential post operative complications of resecting this tumor such as bleeding, wound dehiscence and even death. It is due to early diagnosis, treatment and good intraoperative management of lesion & hemodynamics. Case Report. A 21-year old male was referred from pulmonologist oncologist to our Thoracic Surgical Unit with complains of dyspnea and chest pain. Physical examination showed no lung sounds in (R) hemithorax and was dull to percussion, ictus cordis shifted 2 fingerbreadths towards left-side. Chest X-ray showed a large well-defined lesion in (R) hemithorax and chest CT-scan with contrast showed hypodense mass on (R) hemithorax adhering & compressing the lung, diaphragm, pericardium & chest wall, with estimation size of 60 x 20 x 12 cm, lesion displaced the heart. Patient was then treated with complete surgical excision and found a huge cystic tumor with a size of 60 x 20 x 12 cm adhering to all parts of (R) lung, diaphragm and pericardium. He underwent (R) pneumonectomy due to adhesion. Histologic examination was consistent with mature teratoma. Patient showed no complication after surgery and was discharged uneventfully from our hospital after 5 days. Discussion. Approximately 95% of benign teratomas arise in the anterior mediastinum. The tumor grows progressively, mostly asymptomatic, dyspnea and substernal chest pain are the most common symptoms if present. Productive Cough of hair or sebum is a pathognomonic sign. Chest radiograph typically reveals a well-circumscribed anterior mediastinal mass that often protrudes into one of the lung, they are usually large at the time of diagnosis. Complete surgical excision is a treatment of choice of mediastinal teratoma, which can be performed through median sternotomy or thoracotomy or thoracoscopy. Some patients require additional procedures (eg, lobectomy, pericardiectomy) for complete tumor resection. Conclusion. There is still limited data on mediastinal teratoma. Early referral & treatment show good prognosis. Benign Mediastinal Teratomas was tricky to be diagnosed, when it is diagnosed, it is usually very large in size. Complete Surgical Excision can be performed safely without any complications.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140442286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hand Reconstruction with Posterior Interosseous Flap. A Review","authors":"Dr. Héctor Manuel Suarez Ortega, Dr. Victor Mario Martinez Bravo, Dr. Alfredo Gallardo Carreon, Dra. Ariadna Martinez Becerril, Dr. Manuel Eduardo Muñiz Gutierrez, Dr. Álvaro Sebastián Gutiérrez Macklis, Dr. Williams Antonio Barrios Garcia, Dra. Bárbara Alejandra Niño Robles, Dr. Ugo Mendoza Aguilar","doi":"10.47191/ijmscrs/v4-i02-27","DOIUrl":"https://doi.org/10.47191/ijmscrs/v4-i02-27","url":null,"abstract":"For the greatest functional outcome, hand reconstruction with soft tissue abnormalities requires an early, single-stage, well-vascularized cover. Since important tissues including tendons, bones, and joints are exposed, a full thickness graft is typically needed, and subsequent repair is frequently necessary. Reverse flow flaps in the posterior interosseous artery provide a flexible and dependable means of covering intricate soft tissue abnormalities in the hand in full thickness.","PeriodicalId":335261,"journal":{"name":"International Journal Of Medical Science And Clinical Research Studies","volume":"25 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140443083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}