The Pedicled Anterolateral Thigh Flap as a Versatile Option for Resurfacing Extensive Lower Trunk Defects.

BACKGROUND: The resurfacing of large abdominal and perineal defects is a major concern, and it poses a great challenge to the reconstructive surgeon. The main target in the reconstruction of the abdomen is to ensure a stable soft-tissue cover, and a strong and reliable fascia to prevent hernia recurrence and fecal contamination. The pedicled anterolateral thigh flap (ALT) either in the myocutaneous or fasciocutaneous form is a work-horse for the closure of abdominal and perineal defects. AIM: There is a paucity of studies on the use of the anterolateral thigh flap among black Africans especially in Nigeria; hence, we present our experience with the use of this flap for extensive abdominal and perineal defects. PATIENTS AND METHODS: The folders of all patients who had pedicled anterolateral thigh flap between January 2019 and July 2022 in our institution were reviewed. The patients' demographic data and the available details about the flap reconstruction were extracted from the folders. RESULTS: There were three males and two females, and the age range was between 22 and 48 years. Four cases resulted from tumor extirpation, while one was following extensive necrotizing fasciitis of the lower anterior abdominal wall. No gross anatomical variations were encountered intraoperatively. Four flaps had full survival, while one had marginal flap tip loss. CONCLUSION: The pedicled anterolateral thigh flap is an excellent reconstructive tool for the coverage of extensive abdominal and perineal defects.

Bioremediation of atrazine herbicide contaminated soil using different bioremediation strategies

ABSTRACT: This study evaluated the bioremediation of atrazine herbicide contaminated agricultural soil under different bioremediation strategies using indigenous Pseudomonas aeruginosa, Bacillus subtilis and Aspergillus niger as bioaugmentation agents and poultry droppings as biostimulation agent. The results showed that bioaugmentation with Pseudomonas aeruginosa, bioaugmentation with Bacillus subtilis, bioaugmentation with Aspergillus niger, bioaugmentation with bacterial-fungal consortium (Pseudomonas aeruginosa, Bacillus subtilis and Aspergillus niger), biostimulation with poultry droppings, and combined biougmentation and biostimulation (Pseudomonas aeruginosa, Bacillus subtilis, Aspergillus niger and poultry droppings) resulted in maximum atrazine biodegradation of about 97%, 95%, 84%, 99%, 100% and 100%, respectively. The kinetics of atrazine biodegradation in the soil were modelled using first-order kinetic model and the biodegradation half-life estimated. The first order kinetic model adequately described the kinetics of atrazine biodegradation in soil under the different bioremediation strategies. The rate constants ( k1 ) of atrazine biodegradation in soil subjected to bioaugmentations with Pseudomonas aeruginosa, Bacillus subtilis, Aspergillus niger, and bacterial-fungal consortium ranges between 0.059 day-1 and 0.191 day-1 while for that subjected to natural bioattenuation, biostimulation and combined bioaugmentation and biostimulation are 0.026 day-1, 0.164 day- 1 and 0.279 day-1, respectively. The half-life ( 2 t1/ ) of atrazine biodegradation in soil under natural bioattenuation was obtained to be 26.7 days. This was reduced to between 2.5 and 11.7 days under the application of bioaugmentation, biostimulation and combined bioaugmentation and biostimulation strategies. The bioremediation efficiencies of the different bioremediation strategies in influencing atrazine biodegradation or removal is of the following order: Combined bioaugmentation and biostimulation > Bioaugmentation with bacterial-fungal consortium > Biostimulation with poultry droppings > Bioaugmentation with Pseudomonas aeruginosa > Bioaugmentation with Bacillus subtilis > Bioaugmentation with Aspergillus niger > Natural bioattenuation