Soft Tissue Infection after Missile Injuries to the Extremities–A Non-Randomized, Prospective Study in Gaza City

2007 ◽  
Vol 22 (2) ◽  
pp. 106-108 ◽  
Author(s):  
Hazem M. Hamouda ◽  
Eivind Witsø ◽  
Nedal K.E. Moghani ◽  
Ahmed Shahwan ◽  
Øystein P. Nygaard
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Tissue Damage ◽  
Soft Tissue Injuries ◽  
Tissue Infection ◽  
Soft Tissue Damage ◽  
Safe Procedure ◽  
Infected Wound ◽  
Severe Soft Tissue

AbstractIntroduction:Patients with soft tissue injuries caused by missile attacks during wartime have been treated with radical debridement and delayed closure. In a study in Gaza City, the rate of infection of missile injuries to the extremities when treated with minimal surgical intervention, was measured.Methods:Patients with severe soft tissue damage, compound fractures, and injuries to major blood vessels and/or nerves were excluded from the study. One hundred fourteen patients were treated according to a standardized regime that included a superficial, minor surgery revision of the inlet and the outlet opening, and antibiotic treatment. Local soft tissue infection was defined as the presence of at least two signs of local infection.Results:A total of 109 out of 114 patients attended the first follow-up visit. Eleven (10%) of these patients had an infected wound. A total of 105 of the patients (92%) attended a second follow-up. None of these patients had an infected wound.Conclusions:Under conditions with a high number of causalities, minimal surgical treatment followed by the administration of antibiotics is a safe procedure for patients with penetrating missile injuries and less severe soft tissue damage.

scholarly journals Does NPWT improve the outcome of osteomyelitis in HCV-HIV coinfected patient?

2017 ◽  
Vol 4 (1) ◽  
pp. 3
Author(s):  
Ciro Pempinello ◽  
Alfredo Franco ◽  
Fiorella Martucci
Keyword(s):  
Soft Tissue ◽  
Antibiotic Therapy ◽  
Tissue Damage ◽  
Laboratory Tests ◽  
Soft Tissue Damage ◽  
Peripheral Vascular ◽  
Antiseptic Solution ◽  
Critical Patients ◽  
Severe Soft Tissue

Osteomyelitis with severe skin and soft tissue damage in a critical patient cannot be treated by an orthopedic specialist. In such patients, a team appOsteomyelitis with severe skin and soft tissue damage in critically ill patients cannot be treated solely by an orthopedic specialist. In such patients, a team approach is required. We report the treatment of osteomyelitis in an HCV and HIV positive patient with several severe comorbidities (liver failure, peripheral vascular disease, and peripheral neuropathy). The patient underwent mechanical debridement, followed by three months of antibiotic therapy. Six months later the infection relapsed and a second debridement was performed. V.A.C.Ulta therapy with instillation of “Dermacyn” solution, a super-oxidized disinfectant, as an antiseptic solution was applied for 20 days and the wound healed. Three years follow-up with inflammatory laboratory tests, clinical and radiographic examinations showed healing of the wound without any relapse of the infection. In this paper, we suggest combining debridement and NPWT with installation for critical patients with severe soft tissue damage that poorly respond to other therapies. Keywords—antibiotic therapy, HCV, HIroach is required. We report the treatment of osteomyelitis in patient HCV/HIV coinfected with several severe comorbidities (liver failure, peripheral vascular disease and peripheral neuropathy). The patient was underwent debridement, followed by a long period of antibiotic therapy. Six months later the infection relapsed, the second debridement was performed, VAC-Ulta therapy with instillation of antiseptic solution was applied for 20 days and the wound healed. Three-years follow-up with inflammatory laboratory tests, clinical and radiographic examinations showed healing of wound without any relapse of infection. In this paper, we suggest different therapeutic strategies for critical patients with severe soft tissue damage that are not good responsive to other therapies, showing that the melding of different approaches can provide a picturesque legacy of outcomes for unusual procedures.

Injected novel legal highs associated with severe soft tissue infection: A regional hand unit's experience

The Surgeon ◽  
2017 ◽  
Vol 15 (5) ◽  
pp. 315-317
Author(s):  
Li Yenn Yong ◽  
Zeeshan Sheikh ◽  
Katarzyna M. Milto ◽  
Claire Simpson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Legal Highs ◽  
Severe Soft Tissue

scholarly journals Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Diogo Guimaraes ◽  
Luís Ribeiro ◽  
Luís Vieira ◽  
Ruben Coelho
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Acellular Dermal Matrix ◽  
Tissue Infection ◽  
Dermal Matrix ◽  
First Case ◽  
Photobacterium Damselae ◽  
Acellular Dermal ◽  
Severe Soft Tissue

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.

Staged Management of High Energy Proximal Tibia Fractures with Severe Soft Tissue Damage

2009 ◽  
Vol 22 (3) ◽  
pp. 152
Author(s):  
Seung-Ryul Lee ◽  
Jae-Hoon Yang ◽  
June-Kyu Lee ◽  
Hyun-Dae Shin ◽  
Kyung-Cheon Kim ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tissue Damage ◽  
Proximal Tibia ◽  
High Energy ◽  
Soft Tissue Damage ◽  
Tibia Fractures ◽  
Proximal Tibia Fractures ◽  
Severe Soft Tissue

Severe Soft-Tissue Infection Caused by Eikenella corrodens

1992 ◽  
Vol 15 (4) ◽  
pp. 740-741 ◽  
Author(s):  
J. H. Poliner ◽  
A. Khan ◽  
C. U. Tuazon
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Eikenella Corrodens ◽  
Severe Soft Tissue
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