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Debridement (0):
Recent article
Debridement
Abstract
Vulvar abscesses can progress to cause significant illness requiring disfiguring surgical debridement, broad spectrum antibiotics, and require hospitalization. A retrospective review of de-identified charts of 13 patients admitted for inpatient care for vulvar abscesses from 2004-2009 at West Virgini...
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PMID: 21932487
PDF is available here.
PDF is available here.
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Abstract
Abstract
Necrotizing fasciitis (NF), a life-threatening soft tissue infection, requires early diagnosis, prompt and repeated surgical intervention, and broad-spectrum antibiotic therapy. The aim of this study was to identify the independent predictors of mortality among patients with NF in Taiwan.
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PMID: 21825948
PDF is available here.
PDF is available here.
Abstract
We here demonstrate a 61 years old man's case of life-saved necrotizing fasciitis in genital area (Fournier's gangrene) by group A streptococcus infection, and usefulness of this kit for rapid diagnosis, aggressive debridement, and selection of adequate antibiotics....
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PMID: 21961278
PDF is available here.
PDF is available here.
Orvosi Hetilap (152)29 2011
Abstract
Diabetes mellitus contributes to a number of disorders that can affect the quality of life. Amongst this diabetic foot syndrome and diabetic foot ulceration are serious secondary complications of diabetes mellitus. Persons with diabetic foot ulceration have an increased risk of amputation. In the fir...
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PMID: 21712183
PDF is available here.
PDF is available here.
Abstract
This study evaluated the efficacy and tolerability of an autologous tissue-engineered graft-a 2-step HYAFF autograft-in the treatment of diabetic foot ulcers compared with standard care. In all, 180 patients with dorsal or plantar diabetic foot ulcers (unhealed for ≥1 month) were r...
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PMID: 21693443
PDF is available here.
PDF is available here.
Abstract
We have demonstrated that the additional problems caused by a non-union of a tibial spine fracture can be dealt with in one arthroscopic session....
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PMID: 21846011
PDF is available here.
PDF is available here.
Neurocirugia (22)3 2011
Abstract
A case of a perforating brain injury caused by a speargun in a suicide attempt is described. Although this kind of injuries has been previously reported, the present case is specially interesting because the patient showed no neurological deficit after surgery. Some advices about the medical and surg...
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PMID: 21743951
PDF is available here.
PDF is available here.
Abstract
Civilian liver trauma is generally sustained by blunt injury, with management strategies increasingly focusing on selective non-operative strategies and endovascular intervention. Military liver trauma is more often ballistic in nature and almost always requiring operative interventi...
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PMID: 21805762
PDF is available here.
PDF is available here.
Abstract
Elbow stiffness is a challenge to manage effectively. Elbow contractures commonly result from both intrinsic and extrinsic factors, causing limited motion. Recent technical advances in elbow arthroscopy have led to the development of minimally invasive procedures for the management of select cases of...
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PMID: 21536626
PDF is available here.
PDF is available here.
Abstract
We report the varied presentations of acute suppurative presentation of osteoarticular tuberculosis in pediatric age group....
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PMID: 21644392
PDF is available here.
PDF is available here.
Calcific uremic arteriolopathy treated with cinacalcet, paricalcitol, and autologous growth factors.
Abstract
Calcific uremic arteriolopathy is an uncommon cutaneous ischemic necrotizing disease, most commonly associated with renal disease and hyperparathyroidism, bearing a high mortality rate.
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PMID: 21477562
PDF is available here.
PDF is available here.
Abstract
Shewanella soft tissue infections usually occur in immunocompromised patients with a preexisting cutaneous ulcer, mostly after exposure to a marine environment or contaminated water. A 35-year-old male presented with a non-healing ulcer over the distal end of his right leg but had no...
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PMID: 21537075
PDF is available here.
PDF is available here.
Abstract
ASP combined with AMT is safe and effective, alleviates pain and discomfort, reduces ocular inflammation, and promotes epithelial healing and resolution of bullae in patients with BK with poor visual potential. There was long-term evidence of amniotic membrane graft retention in all eyes after the p...
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PMID: 21708086
PDF is available here.
PDF is available here.
Abstract
Infection after shoulder surgery is rare but potentially devastating. Normal skin flora, including Staphylococcus aureus, Staphylococcus epidermidis, and Propionibacterium acnes, are the most commonly isolated pathogens. Perioperative measures to prevent infection are of paramount importance, and cli...
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PMID: 21464214
PDF is available here.
PDF is available here.
Abstract
Patellar fracture is a common injury caused by excessive tension through the extensor mechanism or a direct blow. The intact patella increases the leverage and efficiency of the extensor mechanism and articulates with the femoral trochlea. Patellar fractures can lead to stiffness, extension weakness,...
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PMID: 21464213
PDF is available here.
PDF is available here.
Abstract
We report the first documented case of a posttraumatic fungal keratitis caused by Neosartorya udagawae. The patient was empirically treated with fluconazole until a corneal scraping grew an Aspergillus fumigatus-like fungus, and itraconazole therapy was then established. A sequence-based approach ass...
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PMID: 21450961
PDF is available here.
PDF is available here.
Abstract
We report the first case of fatal brain infection in an Indian farmer caused by Thielavia subthermophila, a dematiaceous thermophilic fungus in the order Sordariales, and present a review of previous infections from this order. The patient failed amphotericin B therapy combined with surgical excision...
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PMID: 21411574
PDF is available here.
PDF is available here.
Abstract
Treatment with this method was performed in five cases, all of which successfully healed with no complications or recurrence. CONCLUSION: When treating pulmonary fistula that has developed into thoracic empyema, it is believed that the following three points are important: (1) wound bed preparation...
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PMID: 21396896
PDF is available here.
PDF is available here.
Abstract
We retrospectively analyzed surgical results without preoperative angiography.
Forty-nine patients with shotgun wounds who underwent vascular reconstruction in the extremities from 1999 to 2004 were retrospectively reviewed.
Vascular reconstruction of the extremities...
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PMID: 21644094
PDF is available here.
PDF is available here.
Abstract
Mitral annular calcification (MAC) occurs mainly at the posterior half of the annulus, and is often seen in dialysis-dependent patients who have a high risk for cardiac surgery. A simple supra-annular prosthesis insertion ('half-and-half') technique was applied to five dialysis patients with extensiv...
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PMID: 21560819
PDF is available here.
PDF is available here.
Abstract
A frequent complication for the diabetic patient is neuropathic ulceration on the plantar surface of the first metatarsophalangeal (MTP) joint which can be difficult to manage. Debridement and resection arthroplasty with temporary external fixation and VAC dressing (Kinetic Concepts Inc, San Antonio,...
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PMID: 21477546
PDF is available here.
PDF is available here.
Abstract
We are presenting a case of retained finger tourniquet to highlight this problem and highlight the rapid response report published by the National Patient Safety Agency in December 2009....
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PMID: 21473439
PDF is available here.
PDF is available here.
Abstract
Bilateral iliopsoas abscess is very rare and has never been reported in cases of aortic graft infections. To date, only cases of unilateral abscess have been reported in association with aortic graft infection, and even these are uncommon.
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PMID: 21091188
PDF is available here.
PDF is available here.
Minerva chirurgica (66)1 2011
Abstract
Acta Chirurgica Belgica (111)2 2011
Abstract
Necrotizing soft-tissue infections (NSTIs) are acute surgical conditions that demand prompt and multi-faceted treatment. Early recognition, appropriate resuscitation measures, aggressive surgical debridement, and targeted antimicrobial therapy significantly affect the overall outcome and survival of...
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PMID: 21618858
PDF is available here.
PDF is available here.
Abstract
We report a rare case of recurrent NF due to Streptococcus pyogenes. A 12-year-old female with hereditary sensory and autonomic neuropathy (HSAN) type IV presented with fever and swelling on her left knee. NF was diagnosed and she was treated successfully. Two years later she was readmitted with NF...
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PMID: 21519130
PDF is available here.
PDF is available here.
Anesthesia Progress (58)2 2011
Abstract
Abstract The aim of this study was to evaluate the influence of 2 anesthetic agents on patients' postoperative pain perception after periodontal surgery. For this parallel-group, double-blinded, randomized clinical trial, 36 open flap debridement surgeries were performed on patients...
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PMID: 21679040
PDF is available here.
PDF is available here.
Abstract
The diabetic foot ulcer presents a therapeutic challenge with a high rate of limb infection and extremity amputation. Adequate debridement and stable coverage of exposed structures are paramount to preserving limb length. The authors reviewed their use of a collagen bilayer matrix in the diabetic po...
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PMID: 20938372
PDF is available here.
PDF is available here.
Abstract
We report a case of necrotizing fasciitis, an infection with a mortality rate of 30% to 50%, after endoscopic harvesting of the greater saphenous vein to be used as a conduit in a CABG procedure. Though minimally invasive vein harvesting techniques have advantages of smaller incisions and a decrease...
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PMID: 21902951
PDF is available here.
PDF is available here.
Abstract
To evaluate the effectiveness and treatment outcome of a minimal surgical debridement and antimicrobial-impregnated gauze packing technique for treatment of dental abscesses in rabbits.
Retrospective case series.
13 rabbits with 14 dental abscesses.
Medical records of pet rabbits with dental abscess...
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PMID: 21155684
PDF is available here.
PDF is available here.
Journal of wound care (19)12 2010
Reconstruction of a chronic late post-nephrectomy wound with an extended free latissimus dorsi flap.
Abstract
This report describes the case of a 74-year-old man who spontaneously developed a chronic loin and posterior thoracic wound 28 years after a nephrectomy and adjuvant radiotherapy for renal cell carcinoma. His wound was successfully managed surgically, with an ipsilateral free latissimus dorsi myocut...
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PMID: 21160447
PDF is available here.
PDF is available here.
Abstract
These results indicate that HRT II-RCM can be used to diagnose FK and to monitor the effect of therapy on FK....
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PMID: 20847667
PDF is available here.
PDF is available here.
Abstract
Journal of Trauma (69)6 2010
Abstract
Distal lower and upper extremity wounds with bone and tendon exposure present unique challenges to reconstructive surgeons. The limitations of the local anatomy usually make simpler reconstructive modalities such as primary closure and skin grafting difficult. As a result, wounds in this area, espec...
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PMID: 21150535
PDF is available here.
PDF is available here.
Abstract
I ,39 patients were grade II. Lysholm score was used to evaluate the postoperative effects, and the statistics analysis was carried out with SPSS 13.0.
All the patients were followed up more than 5 years. Three patients underwent total knee replacement respectively at 5.5, 7.8 and 8.3 years after th...
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PMID: 21265194
PDF is available here.
PDF is available here.
Abstract
Abstract
We managed it conservatively by means of wound debridement and washing with physiological saline. The fistula was closed on the 95th day after operation. The patient can now pass urine by himself....
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PMID: 21187712
PDF is available here.
PDF is available here.
Journal of wound care (19)11 2010
Abstract
The risk of amputation is dramatically increased in diabetic patients with osteomyelitis of the foot complicated by Charcot neuroarthropathy. Antibiotic-impregnated cement beads have been widely reported in the treatment of deep soft tissue and bone infections. This case report demonstrates that thi...
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PMID: 21135796
PDF is available here.
PDF is available here.
Abstract
Retrospective case series.
To report the clinical features, diagnostic dilemmas and management options of 11 immunologically normal patients with salmonella spondylodiscitis.
Majority of existing data on salmonella spondylodiscitis in the immunologically normal patient is from anecdotal case report....
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PMID: 20938384
PDF is available here.
PDF is available here.
Abstract
We reviewed 3 cases of severe fluoroscopic burns with ulceration, non healing wounds, and preoperative debilitating pain. The average number of fluoroscopy procedures was 2.7, with an average total fluoroscopy procedure time of 10 hours. The skin changes presented at 2.3 weeks with the time to surgi...
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PMID: 20948414
PDF is available here.
PDF is available here.
Abstract
We present a series of patients who underwent excision of subepithelial lesions using a laryngeal microdebrider.
A retrospective review was carried out of all patients who between June 2005 and April 2009 underwent microlaryngoscopy and excision of vocal fold lesions by the senior author using a mic...
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PMID: 21140639
PDF is available here.
PDF is available here.
American Surgeon (76)11 2010
Abstract
We present two cases of young adults with necrotizing soft tissue infections who sustained sepsis-induced hemodynamic collapse and required extracorporeal support to facilitate adequate tissue débridement as a bridge to recovery....
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PMID: 21140700
PDF is available here.
PDF is available here.
Abstract
Our purpose was to present the diagnostic and therapeutic management and outcome of these patients.
Case series with chart review.
Tertiary care university hospital.
Twenty-six patients, who were operated on because of AIFRS between September 1999 and June 2009, were retrospectively evaluated in thi...
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PMID: 20974328
PDF is available here.
PDF is available here.
Abstract
We attained good results in 50.9% of the patients in the group I, fair results in 7.1%, and poor results in 42% with pathologic fracture in eight tibiae. In group II, there were good results in 77.9%, fair results in 21.4%, and poor results in 0.7% tibiae with the development of chronic osteomyeliti...
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PMID: 20634722
PDF is available here.
PDF is available here.
Foot & Ankle International (31)11 2010
Abstract
Foot & Ankle International (31)11 2010
Abstract
Standard treatment of plantar first metatarsal head neuropathic ulceration with underlying osteomyelitis consists of extensive debridement of infected soft tissues and bone and often first ray amputation. The purpose of this study was to present a previously unreported, one stage, alternative to fir...
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PMID: 21189190
PDF is available here.
PDF is available here.
Foot & Ankle International (31)11 2010
Abstract
Open ankle fractures are one of the most frequently treated open fractures. Immediate internal fixation in open ankle fractures is widely reported to produce good results, with a very low infection rate. However, there are few reports in the literature discussing distinct features of open ankle frac...
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PMID: 21189188
PDF is available here.
PDF is available here.
Abstract
Tendinopathy of the long head of the biceps brachii encompasses a spectrum of pathology ranging from inflammatory tendinitis to degenerative tendinosis. Disorders of the long head of the biceps often occur in conjunction with other shoulder pathology. A thorough patient history, physical examination...
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PMID: 21041799
PDF is available here.
PDF is available here.
Abstract
We defined a septic knee as a knee with infection that required reoperation with arthrotomy or arthroscopy. Infections at an open fracture site were defined as those treated with local irrigation and débridement and intravenously and/or orally administered antibiotics.
Open femoral shaft fractures...
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PMID: 20881635
PDF is available here.
PDF is available here.
Abstract
Abstract
In 2008, in a workshop of the European Federation on Periodontology, a consensus was reached concerning oral peri-implant infections on the basis of the state of the art in the relevant sciences. Important conclusions were that peri-implant mucositis occurs in 80% of subjects with oral implants, and...
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PMID: 21077390
PDF is available here.
PDF is available here.
MMW Fortschritte der Medizin (152)39 2010
Abstract
MMW Fortschritte der Medizin (152)39 2010
Abstract
Journal of Anesthesia (24)5 2010
Abstract
We present a case series of three patients with CIPA who underwent semielective orthopedic surgery under general anesthesia complicated by intraoperative regurgitation, and subsequent aspiration in two of the three cases. All three patients were nil per os (NPO) for at least 8 h prior to surgery. T...
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PMID: 20632040
PDF is available here.
PDF is available here.
Abstract
A new surgical technique for the treatment of keratoconus is presented. This technique combines a new corneal crosslinking method with implantation of a flexible full-ring implant into a "closed" corneal pocket via a narrow incision tunnel in 1 surgical session. Riboflavin is not applied in the form...
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PMID: 20577084
PDF is available here.
PDF is available here.
American Surgeon (76)10 2010
Abstract
We reviewed the experience on a hepatobiliary surgical service with patients who required operative intervention for IPN with emphasis on surgical approach, timing of surgery, and complications. Between 2002 and 2008, 21 patients underwent surgery for IPN. The initial surgical approach in these 21 p...
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PMID: 21105618
PDF is available here.
PDF is available here.
Abstract
We describe 2 cases resulting from Streptococcus pneumonia and Candida albicans. On the basis of these cases and other documented case reports, we discuss the pathogens, clinical course, and pathophysiology and suggest a management protocol based on early debridement to initiate appropriate antibiot...
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PMID: 20879095
PDF is available here.
PDF is available here.
La Revue du praticien (60)7 2010
Abstract
The beneficial effect of a moist wound environment has been well established for healing rate of acute wounds, pain relief and debridement of chronic wounds. Modern dressings are occlusive or semi occlusive, classified according to their physical composition and to their performances such as absorbe...
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PMID: 21033498
PDF is available here.
PDF is available here.
La Revue du praticien (60)7 2010
Abstract
This review discusses current therapeutic options for leg ulcers. Compression therapy remains the first-line treatment for venous ulcers, with the use of an external pressure of 30 to 40 mmHg at the ankle (0.8 < ABPI < 1.3). Superficial vein surgery does not improve healing rates of venous ulcers; h...
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PMID: 21033497
PDF is available here.
PDF is available here.