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Papers by Ghanem Aljassem
Journal of Plastic Reconstructive and Aesthetic Surgery, Feb 1, 2023
Journal of Plastic Reconstructive and Aesthetic Surgery, 2023
Journal of Plastic, Reconstructive & Aesthetic Surgery
Journal of Plastic, Reconstructive & Aesthetic Surgery
Journal of anesthesia & critical care, Nov 26, 2021
Open Medicine, Dec 31, 2022
IJS Short Reports
Introduction: Hidradenitis suppurative (HS) is a chronic inflammatory skin condition that can be ... more Introduction: Hidradenitis suppurative (HS) is a chronic inflammatory skin condition that can be resistant to medical treatment, in which case the surgical option stands out as the only solution. In this paper, we present a case of severe hidradenitis treated surgically, and we introduce a simple way to secure a graft on a big circumferential area. Presentation of case: Our case is a severe form of HS involving both the axillary, the inguinal region and the scrotum that required multistaged surgery; the challenge was in the final stage, that is the grafting of the scrotum. To secure the graft on a big circumferential area we used our own technique that is simple and can be conducted in any hospital setting. Discussion: Surgical treatment of HS includes wide debridement and reconstruction with grafts or flaps. Using a piece of sterile glove to secure the graft is useful because of its stretchable properties that can compress the graft and the ability to maintain a moist environment t...
International Journal of Surgery Case Reports, 2018
Plastic and reconstructive surgery. Global open, Jul 1, 2021
Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial c... more Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial cells, distinguishing them from a very close cystic lesion, which is the ganglion cyst. They usually present with pain and unpleasant appearance; here we present a case of wrist synovial cyst that caused extensor tendon rupture. A 50-year-old woman presented to our clinic with a cystic lesion on the dorsum of her wrist, with an inability to extend her index finger. The lesion was found intraoperatively engulfing the extensors of the index and causing a rupture. The cyst was excised and the tendon was reconstructed; pathology report confirmed the lesion as synovial cyst. Synovial cysts and ganglion cysts are two different entities but they have been used interchangeably in the literature; pathology is the only way to differentiate between them because they usually present with identical scenarios. None of them were reported to cause extensor tendon rupture, as presented in our article. Synovial cysts can cause rupture to extensor tendons if they arise from the sheath, and it is better to anticipate synovial cyst and remove it surgically before causing any further damage, if the lesion appeared to rise from the tendon sheath on further imaging.
Plastic and Reconstructive Surgery - Global Open
Summary: Upper limb muscle anomalies and their clinical implications have been described frequent... more Summary: Upper limb muscle anomalies and their clinical implications have been described frequently in the literature reviews. In this article, we are presenting a case of aberrant forearm muscle that had not been described before, and could be considered as a palmaris longus muscle variation. A 24-year-old man presented to the emergency department, Hamad General Hospital, Doha, Qatar, with right forearm laceration with multiple cut structures for which he was admitted for exploration and repair. Intraoperatively, flexor digitorum superficialis of the third, fourth, and fifth digits, flexor carpi radialis, and palmaris longus were injured‚ and all of them were repaired. We noticed an aberrant muscle—which was also injured—that originated from the distal third of the radius on its medial aspect to insert into the palmar fascia; pulling this muscle’s tendon resulted in tightening of palmar fascia‚ same as the palmaris longus. Along with the importance of deep knowledge of typical huma...
Introduction: Major sporting events worldwide are generally associated with higher incidence of v... more Introduction: Major sporting events worldwide are generally associated with higher incidence of violence from fans and visitors around the world, leading to higher number of injuries. The FIFA World Cup 2022 took place in Doha, Qatar from November 20th to December 18th, 2022. The aim of this study is to focus on the number of hand injuries during that time which required surgical intervention, and to provide a clinical description of these hand injuries. Material and Methods: Records of 103 patients with hand injuries were reviewed during the period of the FIFA World Cup 2022. The statistical software (IBM SPSS version 24; SPSS Inc., Chicago, IL, USA) was used for data analysis. Measures of variation and central tendency were used to summarize the patients’ main characteristics and epidemiological profile. Results: The mean age of the patients was 33.4 ± 11.7 years. The vast majority of patients were residents of Qatar (95%), while visitors accounted for only 5% of cases. The most c...
Plastic and Reconstructive Surgery - Global Open
Journal of Cutaneous and Aesthetic Surgery
Plastic and Reconstructive Surgery - Global Open
Summary: Nerve sheath tumors comprise 5% of soft tissue masses of the upper limb in adults. Neuro... more Summary: Nerve sheath tumors comprise 5% of soft tissue masses of the upper limb in adults. Neurofibromas are divided into three types: localized, diffuse, and plexi- form. The diffuse type is rare and is typically found in the head and neck region. We present a rare case of diffuse type neurofibroma found in the forearm, presented to our clinic as a slowly enlarging mass of the left forearm of 3 years duration. The lesion was suspicious in the magnetic resonance imaging, and biopsy revealed diffuse type neurofibroma. We opted for total excision of the lesion that was found to be not possible due to involvement of the major nerves. The final pathology report showed no malignancy. Nerve tumors of the upper limb can be either benign or malignant. Neurofibroma associated with neurofibromatosis has malignant potential. The diffuse type is rare, and it most commonly occurs in the head and neck region. It has a low malignant transformation rate. Magnetic resonance imaging is the diagnosti...
Plastic and Reconstructive Surgery - Global Open, 2022
Summary: Most cases of hand infections are caused by gram-positive cocci and gram-negative bacill... more Summary: Most cases of hand infections are caused by gram-positive cocci and gram-negative bacilli. Atypical hand infections are rare and are caused by uncommon pathogens like Mycobacterium tuberculosis (TB). Musculoskeletal tuberculosis accounts for 20% of TB cases, and only 2% of these cases involve the hand and foot. In this article, we describe a case of hand TB that had spread from the thenar space to the space of Parona. The patient was treated with a combined surgical and medical approach. A 29-year-old male patient presented to our clinic with the complaint of pain and swelling of the right hand that had been worsening for 4 months before presentation. It was associated with mild weakness and night sweats. On physical examination, he had two separate swellings: one at the thenar eminence and one at the volar side of the wrist. He was taken for incision, which showed caseous material on both sites. It was sent for culture that revealed mycobacterium tuberculosis. The patient ...
Plastic and Reconstructive Surgery - Global Open, 2021
Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial c... more Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial cells, distinguishing them from a very close cystic lesion, which is the ganglion cyst. They usually present with pain and unpleasant appearance; here we present a case of wrist synovial cyst that caused extensor tendon rupture. A 50-year-old woman presented to our clinic with a cystic lesion on the dorsum of her wrist, with an inability to extend her index finger. The lesion was found intraoperatively engulfing the extensors of the index and causing a rupture. The cyst was excised and the tendon was reconstructed; pathology report confirmed the lesion as synovial cyst. Synovial cysts and ganglion cysts are two different entities but they have been used interchangeably in the literature; pathology is the only way to differentiate between them because they usually present with identical scenarios. None of them were reported to cause extensor tendon rupture, as presented in our article. Syn...
Plastic and Reconstructive Surgery - Global Open, 2021
Background: Distal thumb injuries are common in high construction load regions, and it is a chall... more Background: Distal thumb injuries are common in high construction load regions, and it is a challenging task for the plastic surgeon to find the optimum choice that preserves thumb length and provides a sensory substitute to the lost tissue. Introducing first dorsal metacarpal artery flap has solved the dilemma. One drawback is that the flap is susceptible to distal necrosis, which can happen because of tight tunneling or insufficient venous drainage. We combined Foucher and Holevich characteristics to design a flap that promises to solve the problem. Methods: This is a case series that includes 9 patients where we describe a technique that has the potential to enhance the survival of the first dorsal metacarpal artery (FDMA) flap and decreases the rate of distal necrosis via addition of a 5-mm skin bridge to the pedicle and by avoiding tunneling. Distal necrosis of the patients in this study patients was compared with that in a control of 10 patients in whom we did the conventional...
International Journal of Surgery Case Reports, 2018
Journal of Plastic Reconstructive and Aesthetic Surgery, Feb 1, 2023
Journal of Plastic Reconstructive and Aesthetic Surgery, 2023
Journal of Plastic, Reconstructive & Aesthetic Surgery
Journal of Plastic, Reconstructive & Aesthetic Surgery
Journal of anesthesia & critical care, Nov 26, 2021
Open Medicine, Dec 31, 2022
IJS Short Reports
Introduction: Hidradenitis suppurative (HS) is a chronic inflammatory skin condition that can be ... more Introduction: Hidradenitis suppurative (HS) is a chronic inflammatory skin condition that can be resistant to medical treatment, in which case the surgical option stands out as the only solution. In this paper, we present a case of severe hidradenitis treated surgically, and we introduce a simple way to secure a graft on a big circumferential area. Presentation of case: Our case is a severe form of HS involving both the axillary, the inguinal region and the scrotum that required multistaged surgery; the challenge was in the final stage, that is the grafting of the scrotum. To secure the graft on a big circumferential area we used our own technique that is simple and can be conducted in any hospital setting. Discussion: Surgical treatment of HS includes wide debridement and reconstruction with grafts or flaps. Using a piece of sterile glove to secure the graft is useful because of its stretchable properties that can compress the graft and the ability to maintain a moist environment t...
International Journal of Surgery Case Reports, 2018
Plastic and reconstructive surgery. Global open, Jul 1, 2021
Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial c... more Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial cells, distinguishing them from a very close cystic lesion, which is the ganglion cyst. They usually present with pain and unpleasant appearance; here we present a case of wrist synovial cyst that caused extensor tendon rupture. A 50-year-old woman presented to our clinic with a cystic lesion on the dorsum of her wrist, with an inability to extend her index finger. The lesion was found intraoperatively engulfing the extensors of the index and causing a rupture. The cyst was excised and the tendon was reconstructed; pathology report confirmed the lesion as synovial cyst. Synovial cysts and ganglion cysts are two different entities but they have been used interchangeably in the literature; pathology is the only way to differentiate between them because they usually present with identical scenarios. None of them were reported to cause extensor tendon rupture, as presented in our article. Synovial cysts can cause rupture to extensor tendons if they arise from the sheath, and it is better to anticipate synovial cyst and remove it surgically before causing any further damage, if the lesion appeared to rise from the tendon sheath on further imaging.
Plastic and Reconstructive Surgery - Global Open
Summary: Upper limb muscle anomalies and their clinical implications have been described frequent... more Summary: Upper limb muscle anomalies and their clinical implications have been described frequently in the literature reviews. In this article, we are presenting a case of aberrant forearm muscle that had not been described before, and could be considered as a palmaris longus muscle variation. A 24-year-old man presented to the emergency department, Hamad General Hospital, Doha, Qatar, with right forearm laceration with multiple cut structures for which he was admitted for exploration and repair. Intraoperatively, flexor digitorum superficialis of the third, fourth, and fifth digits, flexor carpi radialis, and palmaris longus were injured‚ and all of them were repaired. We noticed an aberrant muscle—which was also injured—that originated from the distal third of the radius on its medial aspect to insert into the palmar fascia; pulling this muscle’s tendon resulted in tightening of palmar fascia‚ same as the palmaris longus. Along with the importance of deep knowledge of typical huma...
Introduction: Major sporting events worldwide are generally associated with higher incidence of v... more Introduction: Major sporting events worldwide are generally associated with higher incidence of violence from fans and visitors around the world, leading to higher number of injuries. The FIFA World Cup 2022 took place in Doha, Qatar from November 20th to December 18th, 2022. The aim of this study is to focus on the number of hand injuries during that time which required surgical intervention, and to provide a clinical description of these hand injuries. Material and Methods: Records of 103 patients with hand injuries were reviewed during the period of the FIFA World Cup 2022. The statistical software (IBM SPSS version 24; SPSS Inc., Chicago, IL, USA) was used for data analysis. Measures of variation and central tendency were used to summarize the patients’ main characteristics and epidemiological profile. Results: The mean age of the patients was 33.4 ± 11.7 years. The vast majority of patients were residents of Qatar (95%), while visitors accounted for only 5% of cases. The most c...
Plastic and Reconstructive Surgery - Global Open
Journal of Cutaneous and Aesthetic Surgery
Plastic and Reconstructive Surgery - Global Open
Summary: Nerve sheath tumors comprise 5% of soft tissue masses of the upper limb in adults. Neuro... more Summary: Nerve sheath tumors comprise 5% of soft tissue masses of the upper limb in adults. Neurofibromas are divided into three types: localized, diffuse, and plexi- form. The diffuse type is rare and is typically found in the head and neck region. We present a rare case of diffuse type neurofibroma found in the forearm, presented to our clinic as a slowly enlarging mass of the left forearm of 3 years duration. The lesion was suspicious in the magnetic resonance imaging, and biopsy revealed diffuse type neurofibroma. We opted for total excision of the lesion that was found to be not possible due to involvement of the major nerves. The final pathology report showed no malignancy. Nerve tumors of the upper limb can be either benign or malignant. Neurofibroma associated with neurofibromatosis has malignant potential. The diffuse type is rare, and it most commonly occurs in the head and neck region. It has a low malignant transformation rate. Magnetic resonance imaging is the diagnosti...
Plastic and Reconstructive Surgery - Global Open, 2022
Summary: Most cases of hand infections are caused by gram-positive cocci and gram-negative bacill... more Summary: Most cases of hand infections are caused by gram-positive cocci and gram-negative bacilli. Atypical hand infections are rare and are caused by uncommon pathogens like Mycobacterium tuberculosis (TB). Musculoskeletal tuberculosis accounts for 20% of TB cases, and only 2% of these cases involve the hand and foot. In this article, we describe a case of hand TB that had spread from the thenar space to the space of Parona. The patient was treated with a combined surgical and medical approach. A 29-year-old male patient presented to our clinic with the complaint of pain and swelling of the right hand that had been worsening for 4 months before presentation. It was associated with mild weakness and night sweats. On physical examination, he had two separate swellings: one at the thenar eminence and one at the volar side of the wrist. He was taken for incision, which showed caseous material on both sites. It was sent for culture that revealed mycobacterium tuberculosis. The patient ...
Plastic and Reconstructive Surgery - Global Open, 2021
Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial c... more Summary: Synovial cysts are juxta-articular-fluid–filled collections that are lined by synovial cells, distinguishing them from a very close cystic lesion, which is the ganglion cyst. They usually present with pain and unpleasant appearance; here we present a case of wrist synovial cyst that caused extensor tendon rupture. A 50-year-old woman presented to our clinic with a cystic lesion on the dorsum of her wrist, with an inability to extend her index finger. The lesion was found intraoperatively engulfing the extensors of the index and causing a rupture. The cyst was excised and the tendon was reconstructed; pathology report confirmed the lesion as synovial cyst. Synovial cysts and ganglion cysts are two different entities but they have been used interchangeably in the literature; pathology is the only way to differentiate between them because they usually present with identical scenarios. None of them were reported to cause extensor tendon rupture, as presented in our article. Syn...
Plastic and Reconstructive Surgery - Global Open, 2021
Background: Distal thumb injuries are common in high construction load regions, and it is a chall... more Background: Distal thumb injuries are common in high construction load regions, and it is a challenging task for the plastic surgeon to find the optimum choice that preserves thumb length and provides a sensory substitute to the lost tissue. Introducing first dorsal metacarpal artery flap has solved the dilemma. One drawback is that the flap is susceptible to distal necrosis, which can happen because of tight tunneling or insufficient venous drainage. We combined Foucher and Holevich characteristics to design a flap that promises to solve the problem. Methods: This is a case series that includes 9 patients where we describe a technique that has the potential to enhance the survival of the first dorsal metacarpal artery (FDMA) flap and decreases the rate of distal necrosis via addition of a 5-mm skin bridge to the pedicle and by avoiding tunneling. Distal necrosis of the patients in this study patients was compared with that in a control of 10 patients in whom we did the conventional...
International Journal of Surgery Case Reports, 2018