• A Prospective Study for Evaluation of Efficacy of Ligation of the Intersphincteric Fistula Tract (Lift) for Treatment of Patints with Fistula-In-Ano
    Mustafa Biomy and Eslam M. Ibrahim
  • A Comparison of Laparoscopic and Open Repair of Perforated Duodenal Ulcer Using Omental Patch: A Prospective Randomized Controlled Trial
    Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
  • The Value of Preoperative Ultrasound In Predicting Technical Difficulties During Laparoscopic Cholecystectomy
    Ahmed Mahmoud Hussein1 M.D.; Ahmed Abd Alaziz Mohammad1 M.D.; Ahmed Mohammed Ahmed Nasser2 M.Sc.
  • Iliofemoral Venous Stenting for Patients with Chronic Post-thrombotic Venous Occlusive Disease
    Sherif Essam Eldin Tawfik, MD; Abdelrahman Mohamed Salem, MD
  • Peroneal Artery Angioplasty As a Single Runoff Vessel for Foot Revascularization in Patients with Critical Limb Ischemia
    Abdelrahman Mohammed, MD, Ahmed Kamal Gabr, MD, Sherif Essam Eldin Tawfik, MD
  • Fat Harvesting from the Excised Dermolipectomy Flaps for Fat Augmentation in Various Individuals
    Ashraf Elsebaie MD, Ahmed Abdelsalam Hafiz MD, Ahmed Maher MD, Rasha Abdelkader MD
  • Evelauation of the use of Gastrisailtm Gastric Positioning Device during Laparoscopic Sleeve Gastrectomy, Early Experince
    Ahmed M.S.M Marzouk, Haitham S. Omar
  • Feasibility of Round Block Mammoplasty As a Single Technique For Different Quadrants T1,T2 Malignant Breast Lesions. Fayoum University Hospital experience. A study of 25 patients.
    Hany F. Habashy
  • Laparoscopic Cholecystectomy following ERCP in One Day: A Retrospective Study
    Maged Rihan, MD, MRCS
  • Sleeve Gastrectomy with Hiatus Hernia Repair in 25 Egyptian Morbid Obese : Short Term Results
    Karim Sabry (MD, MRCS) , Wael A Jumuah (MD) ,Yasser El Ghamrini (MD)
  • Polypropylene Suture Fixation versus Fibrin Glue in Lichtenstein Inguinal Hernia Repair: A Prospective Randomized Study
    Ahmed Shoka, MD, MRCS, Fady Makram, MD, FACS, Mohamed Matar, MD, FACS.
  • Effect of Two Bariatric Procedures on Macro- and Micronutrient Levels Inspite of Multivitamin Supplementation
    Mohammed Matar,1 MD, FACS, Ahmed Shoka,1 MD, MRCS, Heba Nader,2 MD
  • Complicated Acute Cholecystitis; Protocol of Management
    Mokhtar Abd Elrahman Bahbah, MD; Ehab M Oraby, MD.
  • Motor Bike Accident is a Main Cause of Maxillofacial Fractures Presenting to Cairo University Hospitals: A Retrospective Study
    Youssif Khachaba, Waleed Reda, Ahmed Abd El Salam, Ahmed Samy Saad Hussein, Nadeen Mohamed El Essawy, Ashraf El Sebaie
  • Early Results of Arterioarterial Prosthetic Loop As a Bail Out Procedure in End Stage Renal Disease Patients With Multi-Access Failure
    Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • The Role of Carbon Dioxide As a Safe Contrast Agent in Endovascular Treatment of Chronic Lower Limb Ischemia in Patients with Renal Impairment or Iodinated Contrast Allergy
    Mahmoud Hamda MS, Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • Plastibell Versus Bone Cutting Techniques in Neonatal and Infantile Circumcision: A Retrospective Study and Review of Outcomes
    Ahmed M.S.M. Marzouk
  • Modalities of Pre-Operative Marking Techniques for Breast Reduction & Mastopexy
    1Waleed AlBadry, MSc, MRCS;1Raafat Gohar, MD; 1Ashraf El-Sebaie; 2Mohamed Salah, MD;1Mohamed Ashraf El Meleigy, MD
  • Fat Harvesting from the Excised Dermolipectomy Flaps for Fat Augmentation in Various Individuals

    Ashraf Elsebaie MD, Ahmed Abdelsalam Hafiz MD, Ahmed Maher MD, Rasha Abdelkader MD
    Department of General Surgery, Plastic Surgery Unit, Cairo University

    Introduction: Autologous fat grafting has for cosmetic reasons shown great interest among operators and has been the procedure of choice in certain scenarios as well as gaining popularity with patients. The current study, reports the fat grafting experience in various patients presentations either [1] with limited donor sites for fat or [2] not willing to have comorbidities in various body sites in patients undergoing dermolipectomy. In addition detailed procedures concerning effectiveness and safe results of grafting where evaluated. Methods: harvesting was performed using A 20-ml syringe connected to a 3- hole blunt cannula with a diameter of 3 mm or less from the excised dermolipectomy flaps. After cleaning with the harverst USING cool physiological saline solution to wash off blood cells , the fat was then processed using the open method for concentration and to separate the fat globules from the fluids, oil, and debris. A single hole 14-gauge blunt cannula was utilized for placement of the haevested graft via a 3-mm incision in the recipient area. The fat was there after injected into the recipient area infiltrating from the deep and MOVING towards the superficial tissue planes. Results: Twenty female patients have been included in the current study utilizing this procedure. Most patients were those who had suffering from fluctuations of weight resulting in abdominal apron. Ages ranged from 18 to 45 years, with a mean of 31.3 years. The volumes grafted ranged between 120-250 mL [average, 205 mL] per side in both breast and buttocks injection and about 40cc in the face and in addressing post liposuction depressions. Most cases had mild to moderate improvement in their recipient area regarding volume and shape in addition to the suppleness and natural appearance of the RESULTs. Conclusions: Excised dermolipectomy flaps have shown to be an alternative overlooked source of fat harvesting in cases that require an autologous augmentation. This approach for soft tissue augmentation can be suitable in various patients requiring mild to moderate volumes and requiring a dermolipectomy. While still peserving the fat of the excised flaps and minimizing the patient co- morbidities of liposuction from alternative sites in the body. Excess skin redundancy acts as a good source for fat harvesting during body excisional procedures especially dermolipectomy flaps in [1] thin patients with limited donar area, [2] average built patients not willing to undergo liposuction in available donar sites in an attempt to avoid more morbidities [ecchymosis,seroma…etc] in these areas. Otherwise, alloplastic material used alone or following early first stage 1fat transfer is advised if significant volume is required. Key Words: autologous fat transfer, thin patients, dermolipectomy flaps, limited donor areas.