JOURNAL
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April 2023 -
Volume 21, Issue 3


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From the Editor

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Original Contribution

Prevalence of Behavioral and Psychological Symptoms in Bedridden Dementia Patients. A Study from Jeddah, Saudi Arabia
[Abstract]
[pdf]

Mazen A. Basheikh, Ashraf M. Dhaiban, Adnan A. Badahdah, Ahmed T. Almalki, Waahaj A. Kattan, Hisham A. Alshite, Mohammed A. Alqarni,
Suleiman A. Alsuleimani, Jamal A. Thaiban, Abdulrahman O. Batarfi,
Mohammed A. Basheikh
DOI: 10.5742/MEWFM.2023.95256066

Knowledge and practices of health practitioners toward pulmonary tuberculosis in Saudi Arabia
[Abstract]
[pdf]

Manal Alotaibi, Manar Aljohar, Raghad Alyousef, Ruba Alosaimi, Norah Albdaya, Mohammad Alshammri
DOI: 10.5742/MEWFM.2023.95256068

Collagen-Based Grafts and Autologous Dura Replacement in Patients with Dura Abnormalities: A Retrospective Comparative Evaluation
[Abstract]
[pdf]

Zahra Mannan Waheed, Muhammad Muneeb Khan, Fahad Rafiq Butt,
Sana Afzal Khan, Chinonso Ndubuisi, Abrar Hussain
DOI: 10.5742/MEWFM.2023.95256069

Prevalence and characteristics of Nocturnal Enuresis (NE) in affected children aged 5-18 years in Saudi Arabia
[Abstract]
[pdf]

Saleh Mohamed Alrajihi, Hawra Abdali Alshajarah, Reem Ridha Alhijri
Alaa AlQurashi, Abdulaziz Ali Subyani, Abdulaziz Abdullah Alqarni,
Noura Yousef Alrashada
DOI: 10.5742/MEWFM.2023.95256067

Regional Covid

Concerns of parents of students with autism spectrum disorders (ASD) towards the safety of COVID-19 Vaccination in Saudi Arabia (SA)
[Abstract]
[pdf]

Ibraheem M. Alsawalem, Khalaf A, Alotaibi, Omar A. Alsamani
DOI: 10.5742/MEWFM.2023.95256070

Post COVID 19 vaccination symptoms among the health care workers in Egypt
[Abstract]
[pdf]

Hala A. Hussein, Radwa M. Elsayed, Eman I. Elmeshmeshy, Eman M. Abd el-Sattar, Rehab M. Yassen
DOI: 10.5742/MEWFM.2023.95256071

Vaccine hesitancy and COVID-19 vaccine acceptance in Makkah Al-Mukarramah, Saudi Arabia
[Abstract]
[pdf]

Abdurahman Hassan-Hussein, Mohammad Alkot, Arwa A. Al-Subhi,
Haneen I. Barno, Shahad S. Al-Kidaiwi, Rawan A. Zagzoog, Arwa A. Hussain, Renad G. Al-Hazmi, Shada Mohammed Abyad
DOI: 10.5742/MEWFM.2023.95256073

The impact of vitamin D deficiency on gestational COVID-19 infection
[Abstract]
[pdf]

Kader Mutluer, Juwairia Hashmi
DOI: 10.5742/MEWFM.2023.95256074

Education and Training

Prevalence of Computer Vision Syndrome among undergraduate medical students in Riyadh, Saudi Arabia: A multi-university cross-sectional study
[Abstract]
[pdf]

Khalid A. Bin Abdulrahman, Abdulmajeed A. Al-Habdan, Mazen. A. Al-Bogami, Abdulmalik. E. Al-Dhafyan, Ahmed A. Basendwah
DOI: 10.5742/MEWFM.2023.95256075

The Effectiveness of Problem-Based Learning in Improving Critical Thinking and Problem-Solving Skills in Medical Students: A Systematic Review of Fifteen Years' Experience (2005-2019)
[Abstract]
[pdf]

Rayed Alreshidi, Fayez Saud Alreshidi
DOI: 10.5742/MEWFM.2023.95256077

Factors Influencing Medical Students and Interns in Choosing a Career in Saudi Arabia. A Cross-Sectional Study
[Abstract]
[pdf]

Murad Aljiffry
DOI: 10.5742/MEWFM.2023.95256078

Review

The Role of Ultrasound in Thyroid Assessment
[Abstract]
[pdf]

Yusuf Bakkar, Rana Bakkar
DOI: 10.5742/MEWFM.2023.95256079

Subclinical Hypothyroidism: significance in conception and pregnancy - a narrative review
[Abstract]
[pdf]

Syed Shahinul Haque, Syed Mohsin Raza
DOI: 10.5742/MEWFM.2023.95256081

Case Report

Case History: A Case of primary Amelanotic Malignant Melanoma

[Abstract]
[pdf]
Imran Ahmad, Bilal Hasan Chaudhry
DOI: 10.5742/MEWFM.2023.95256082

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
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Advertising Enquiries -
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April 2023- Volume 21, Issue 3

Collagen-Based Grafts and Autologous Dura Replacement in Patients with Dura Abnormalities: A Retrospective Comparative Evaluation

(1) Fellow Anesthesia, Shaukat Khanum Memorial Cancer Hospital and Research Center, Pakistan
(2) Department of Zoology, Kohat University of Science and Technology, Kohat, Pakistan (ORCID: 0009-0008-8150-1697)
(3) Locum Consultant, Shaukat Khanum Memorial Cancer Hospital and Research Center, Pakistan
(4) Department of Family Medicine, Humboldt Park Health, Chicago, USA (ORCID: 0000-0001-6793-7031)
(5) Department of Biological Sciences, International Islamic University, Islamabad, Pakistan

Corresponding author:
Fahad Rafiq Butt,
Locum Consultant,
Shaukat Khanum Memorial Cancer Hospital and Research Center,
Pakistan
Email: fahadrafiq@skm.org.pk

Received: February 2023; Accepted: March 2023; Published: April 1, 2023. Citation: Zahra Mannan Waheed et al. Collagen-Based Grafts and Autologous Dura Replacement in Patients with Dura Abnormalities: A Retrospective Comparative Evaluation. World Family Medicine. March 2023; 21(3): 19-23 DOI: 10.5742/MEWFM.2023.95256069

Abstract


Introduction: Accidental spinal anomalies of the spinal dura mater are the source of cerebrospinal fluid (CSF) leakage. Typically, dura abnormalities are identified in 3 percent of endoscopic lumbar discectomy cases.

Objective: The purpose of the current research was to evaluate the results of autologous dura replacement versus collagen-based grafts in individuals with dura deformities.

Methods: The Institute of Neurosurgery at Liaquat National Hospital Karachi undertook this randomized evaluation to identify the most effective therapy for dura mater defects. Employing non-probability random selection, 82 cases among both sexes were selected. Participants were divided randomly into two subgroups i.e. Group 1A received an autologous graft for dura restoration, whereas Group 2B received a semi-synthetic dura replacement. A skilled surgeon led a medical team of six people who completed the entire process.

Results: The operation duration for semi-synthetic collagen was significantly reduced. There was a 40 minute variation in total time spent by the two groups. Autologous grafts showed ideal tightness and better flexibility and fair workability on the other hand semi-synthetic collagen showed better tightness and workability and ideal flexibility. Postoperative hospital stays were seen to be 26 + 2.5 hours in Group 1A whereas they were 23 + 2.5 hours for Group B.

Conclusion: According to the aforementioned findings, an accessible, secure, and efficient substitution for an autologous graft for dura restoration in dura abnormalities is the use of a semi-synthetic collagen substitute.

Keywords: semi-synthetic collagen substitute, cerebrospinal fluid, dura abnormalities, autologous graft.

 






 


 

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