000			02873cam a2200325 a 4500
003			EG-GiCUC
008			191116s2019 ua h f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.14.M.Sc.2019.Ah.E
100	0		_aAhmad Adel Saeed Elsayed Abdelkhaliq
245	1	4	_aThe effect of microneedling with a roller device on the viability of cutaneous and fasciocutaneous flaps / _cAhmad Adel Saeed Elsayed Abdelkhaliq ; Supervised Adel Michel Wilson , Mohammed Ahmed Hussein , Amr Ahmed Zaki
246	1	5	_aتاثير استخدام جهاز وخذ الابر الدقيقة على تحسين الدورة الدموية بالسدائل الجلدية
260			_aCairo : _bAhmad Adel Saeed Elsayed Abdelkhaliq , _c2019
300			_a113 P. : _bfacsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery
520			_aBackground: Fasciocutaneous flaps are usually used in reconstruction of open wounds that can{u2019}t be closed primarily. The distal portion of a local random pattern fasciocutaneous flap has the maximum risk of ischemic necrosis because of decreased vascular perfusion, thus flap delay was proposed to avoid such undesirable outcome. The effects of various pharmacological agents and surgical delay methods have been frequently studied. Microneedling with a handheld roller device is a newly suggested treatment modality used as a preconditioning method to increase flap viability. In this study, we aimed at evaluating the effect of microneedling as a delay technique when applied directly on the flap could increase flap viability and prevent flap necrosis. Methods: Between August 2018 and March 2019, 20 patients with various defects and exposed structures were treated with cutaneous and fasciocutaneous flaps with the aid of microneedling as a preconditioning method. Each flap was divided into two equal halves (Study and Control). The Study half was exposed to preconditioning by microneedling procedure while the control half wasn{u2019}t. The process was done 3 days before surgery and on the night before surgery. Flaps were monitored postoperatively for viability based on their colour and temperature twice a day. The mean percentages of distal necrosis in the flap area was measured in cm. All patients were followed up for one monthative preparation. However, further histological studies on larger scales are recommended
530			_aIssued also as CD
653		4	_aDermaroller
653		4	_aDistal flap necrosis
653		4	_aMicroneedling
700	0		_aAdel Michel Wilson , _eSupervisor
700	0		_aAmr Ahmed Zaki , _eSupervisor
700	0		_aMohammed Ahmed Hussein , _eSupervisor
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c75218 _d75218