Dr Basit Ali

Principles of gut anastomoses

The Principles of Anastomoses: Techniques and Best Practices

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Introduction Anastomosis is a fundamental surgical technique used to reconnect tubular structures like the bowel or blood vessels after resection or bypass procedures. Derived from the Greek words ana (without) and stoma (mouth), it reflects the joining of two hollow structures. Over time, surgical methods have evolved, from basic exteriorization to advanced stapling techniques. This article explores the key […]

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Tattooed human hand holding a prosthetic hand in a studio setting, symbolizing connection and technology. a patient with mangled limb who undergoes amputation and applied prosthetic arm post surgery

The Mangled Limb: When Is Early Amputation Necessary?

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Introduction Severe limb trauma, often called a “mangled limb,” presents a critical dilemma: should surgeons attempt limb salvage or opt for early amputation? While saving the limb is ideal, certain situations demand immediate amputation to prioritize survival and long-term function. This article explores the clear indications for amputation, factors influencing the decision, and why scoring systems like the Mangled

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Medical personnel assisting a patient on a stretcher outdoors in a snowy setting. crush injuries rescue

Crush Injuries: Causes, Symptoms, and Emergency Treatment

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What Are Crush Injuries? Crush injuries occur when excessive force or pressure damages soft tissues, muscles, and bones. These injuries can result from traumatic events like building collapses or vehicle accidents, but they may also develop after prolonged immobility, such as from a drug overdose. Even closed injuries can lead to severe complications, making prompt

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Loving parents gently playing with their happy baby boy after safe circumcision procedure, telling about The Best Age for Circumcision,

The Best Age for Circumcision Surgery

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Introduction: When Should Circumcision Be Performed? One of the most common questions parents have about circumcision is: “What’s the best age for this procedure?” While circumcision is a routine surgery for many boys, the ideal timing can significantly impact recovery, safety, and cost. Recent research suggests that circumcision before age 1 may offer several advantages, including: But is infancy really

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leg fasciotomy, compartment syndrome, general surgery case, orthopaedics surgery case,

Leg Fasciotomy: Step-by-Step Guide

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Introduction to Leg Fasciotomy A leg fasciotomy is an emergency surgical procedure performed to relieve dangerously high pressure in muscle compartments. When compartment syndrome develops, immediate fasciotomy can mean the difference between saving a limb and permanent disability. This guide details the step-by-step surgical technique, post-operative care, and consequences of delayed treatment. Surgical Technique for Four-Compartment Leg Fasciotomy Preoperative Preparation Medial Incision:

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crutches, trauma, fracture, legs, injury, bone, health, anatomy, skeleton, the medicine, traumatology, treatment, rehabilitation, nursing, doctors, patient, crutches, crutches, fracture, fracture, injury, injury, injury, injury, injury, rehabilitation, compartment syndrome, fasciotomy,

Compartment Syndrome: Emergency Management, and Surgical Treatment

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Understanding Compartment Syndrome: A Surgical Emergency Compartment syndrome is a potentially limb-threatening condition that occurs when pressure builds up within a muscle compartment enclosed by fascia. This increased pressure compromises blood flow, leading to tissue ischemia and, if untreated, muscle and nerve necrosis. Recognizing and treating compartment syndrome promptly is crucial to prevent permanent disability. Other Ortho Topics: Orthopedics Surgery Key

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open fractures management, trauma patient, intramedulary nailing, Gustilo-Anderson classification, internal fixation, external fixation, wound reconstruction, rahabilitation.

Open Fractures: Classification, Emergency Management, and Surgical Treatment

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Open Fractures: A Critical Orthopedic Emergency Open fractures represent some of the most challenging injuries in orthopedic trauma, characterized by a broken bone that communicates with the external environment through a breach in the skin. These injuries demand immediate, systematic management due to their high risk of infection, delayed healing, and potential limb-threatening complications. The Gustilo-Anderson classification system serves

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Closed soft tissue injuries, orthopedic injury, orthopedic surgery, RTA case, injured patient

Closed Soft Tissue Injuries in Orthopedics And Its Management

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Introduction to Closed Soft Tissue Injuries In orthopedic trauma, closed soft tissue injuries often accompany fractures and significantly impact treatment outcomes. While fractures get most of the attention, the surrounding soft tissue damage—including contusions, hematomas, swelling, tenting, blisters, and degloving—can dictate healing timelines and surgical risks. Understanding these injuries helps orthopedic specialists optimize recovery and prevent complications like infection,

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Regional Intravenous Anaesthesia, Injection lignocaine, bier's block

Regional Intravenous Anaesthesia – Bier’s block

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Introduction to Regional Intravenous Anaesthesia Regional intravenous anaesthesia (RIVA) is a specialised technique used to numb a limb for surgical procedures. By injecting a local anaesthetic into a vein below a tourniquet, doctors can achieve targeted pain relief without affecting the entire body. This method is particularly useful for hand and wrist surgeries, where precision

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a doctor holding a syringe of lidocaine 2% for regional nerve blockade.

Regional Nerve Blockade: Anesthesia for Emergency Procedures

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Introduction to Regional Nerve Blockade Regional nerve blockade is a highly effective and reliable method for providing anesthesia in emergency settings. It is particularly useful for procedures involving the hand and proximal femur, offering targeted pain relief while minimizing systemic side effects. This guide explores common techniques, including the ring block, metacarpal block, ulnar and

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