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Dubai doctor puts end to ‘bulge of the bowels’
Up to 50 patients - mostly labourers with industrial trauma to their abdomens - have successfully been treated at the hospital.
A local doctor has come up with a new surgical method to close abdominal wounds without skin graft, giving patients a firmer stomach.
The Two-Step-Technique (TST) method developed by Dr Marwan Al Zarouni, Head of the Plastic and Reconstructive Surgery Department at Rashid Hospital puts an end to the problematic ‘bulge of the bowels’ that hampers everyday activities of patients after the conventional surgery that only covers the wound with the skin without closing the abdominal wall.
Up to 50 patients — mostly labourers with industrial trauma to their abdomens — have successfully been treated at the hospital. “The technique uses two steps including a vacuum-assisted closure method and the ‘flipping over’ of the abdominal wall step which helps in healing of the wound. The wound is then stitched together and closed enabling a quicker recovery,” explained Dr Marwan.
Earlier, only a skin graft was used to cover the gaping wound and bowels causing a ‘bulge.’
“This bulge meant patients were unable to walk, had weak bowels and were unable to get back to their work,” said Dr Marwan who started work on the method in 2007.
“I thought there must a better surgical intervention, hence I started work on this method,” he added.
The TST study was published in the International Wound Journal in March this year. According to the abstract, abdominal wall defects continue to be a challenging problem for reconstructive surgeons. The study reported a three year experience using TST to treat abdominal wall defects on 20 patients between January 2008 and December 2010.
“The technique provides excellent outcomes and we anticipate it will become widespread in the near future,” said the abstract from the study.
The two-hour long surgery costs up to Dh10,000 with a three week long hospital stay and two weeks of follow up. “We invent surgical treatments for humanity and cannot patent them technically,” he said.
Dr Marwan, who has still kept the tricks of the surgery to himself, said he is ready to train anyone who wants to learn.
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