Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000–2010: A Retrospective Study

Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortality. Materials and Methods. This study includes 55 patients with PUs treated surgically in 2000–2010 period in the Department of Plastic and Reconstructive Surgery Kosovo. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Data processing was done with the statistical package In Stat 3. From statistical parameters arithmetic median and standard deviation were calculated. Data testing is done with χ2-test and the difference is significant if P<0.05. Conclusion. Despite preventive measures against PUs, the incidence of Pus remains high.

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Analysis of epidemiological characteristics and surgical treatment of patients with pressure ulcer

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh200319093p ◽

2021 ◽

pp. 93-93

Author(s):

Dragana Petrovic-Popovic ◽

Milan Stojicic ◽

Maja Nikolic-Zivanovic

Keyword(s):

Surgical Treatment ◽

Pressure Ulcer ◽

Traffic Accidents ◽

Pressure Ulcers ◽

Stage Iv ◽

Clinical Center ◽

Bony Prominence ◽

The University ◽

Epidemiological Characteristics ◽

Reconstructive Methods

Introduction/Objective. A pressure ulcer is a localized injury to the skin and/or underlying tissue, usually over a bony prominence. It appears as a result of pressure or combination of pressure and shear. Pressure ulcers can be identified within a wide variety of patient subpopulations and a major role in their treatment plays epidemiological and etiological aspects. Methods. A retrospective study of data analysis included 72 patients with pressure ulcers that were hospitalized and surgically treated during a five-year period at the Clinic for Burns, Plastic and Reconstructive Surgery of the University Clinical Center of Serbia in Belgrade. Main data features used in the analysis were: gender, age, principal diseases, comorbidities and biochemical indicators of malnutrition. The patients' data was obtained from the existing patients? records. Additionally, the study analyzed the method of treating pressure ulcers, types of reconstructive methods in surgical treatment, as well as the incidence rate of partial osteotomy. Results. A total of 72 patients with pressure ulcers were included into this study with 54.7 ? 16.1 mean age. Three times more patients injured in traffic accidents were male (75% vs. 25%), while the most of the patients with multiple sclerosis were female (85.7%). More than 95% of patients who had pressure ulcers of III or IV stage were treated surgically with a reconstructive method of transposition or rotation myocutaneous flap. The patient with pressure ulcer of stage IV was usually treated with partial osteotomy. Conclusion. A surgical reconstructive treatment with fasciocutaneous and myocutanaeous flaps represents a gold standard for treating patients with pressure ulcers. These procedures provide reconstruction with adequate flap coverage and obliteration of dead space with well-vascularized tissue but with necessity of further implementation of antidecubitus measures.

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Academic surgery: an Interview with Gus McGrouther

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363508x336010 ◽

2008 ◽

Vol 90 (9) ◽

pp. 310-311

Author(s):

Nick Kalson

Keyword(s):

Reconstructive Surgery ◽

Research Group ◽

Academic Medicine ◽

Plastic And Reconstructive Surgery ◽

Academic Surgery ◽

The Future ◽

The University ◽

University Of Manchester

Professor Gus McGrouther works two days a week at the Wythenshawe Hospital and three days running a research group at the University of Manchester, where he is the UK's first professor of plastic and reconstructive surgery. Nick Kalson talked to him about the future of surgery and academic medicine.

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Obituary for Dr. José Guerrerosantos: A Teacher Who Continues to Live in the Works of His Disciples

Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology ◽

10.23999/j.dtomp.2018.3.8 ◽

2018 ◽

Vol 2 (3) ◽

pp. 148-149

Keyword(s):

Plastic Surgery ◽

Reconstructive Surgery ◽

Aesthetic Surgery ◽

Plastic Surgeon ◽

Flap Surgery ◽

Founding Father ◽

Plastic And Reconstructive Surgery ◽

Medical College ◽

The University ◽

State Of Art

Legend of plastic surgery, the great founder has gone. José Guerrerosantos, M.D. (Fig 1), was not only a Director and Plastic Surgeon in Charge, The Jalisco Plastic and Reconstructive Surgery Institute; Professor and Chairman of the Division of Plastic and Reconstructive Surgery, University of Guadalajara Medical College, Guadalajara, Mexico. He was a founding father of the Instituto Jalisciense de Cirugia Reconstructiva (The Jalisco Plastic and Reconstructive Surgery Institute), a hospital affiliated with the University of Guadalajara, Jalisco, Mexico [1]. One of his scientific “children” – Manual of Aesthetic Surgery (editors: Fisher JC, Guerrerosantos J, Gleason M) (Fig 2) is a state of art textbook [2], an immortal masterpiece, which continues to navigate next generations of plastic surgeons in the extremely responsible field of surgery. The sacred Manual, which is a testament for surgeons of different subspecialties. Also, contribution of Professor José Guerrerosantos to the flap of tongue is really helped to lift a flap surgery to the new heights. Professor Guerrerosantos was born as a son of Mexico and will continue to live in his creations, our minds, and the works of his disciples. And it`s very symbolic, that his students and disciples named and still names him the same name as a Jesus was called… “a Teacher”…

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Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008-2012

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.153225 ◽

2015 ◽

Vol 6 (02) ◽

pp. 186-190 ◽

Cited By ~ 5

Author(s):

Agon Y. Mekaj ◽

Arsim A. Morina ◽

Ymer H. Mekaj ◽

Suzana Manxhuka-Kerliu ◽

Ermira I. Miftari ◽

...

Keyword(s):

Subdural Hematoma ◽

Drainage System ◽

Chronic Subdural Hematoma ◽

Burr Hole ◽

Female Ratio ◽

Surgical Interventions ◽

Closed Drainage ◽

Clinical Center ◽

Closed Drainage System ◽

The University

ABSTRACT Background: Chronic subdural hematoma (CSDH) is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008-2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3%) were males and 31 (22.7%) females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%). The head trauma has been responsible for CSDH in 88 patients (64.3%), while the main symptom was headache (92 patients or 67.1%). One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%). The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety.

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Digital Learning Tools for Mobile Devices for Accomplish Hypothesis Testing of Statistical Parameters

International Journal of Interactive Mobile Technologies (iJIM) ◽

10.3991/ijim.v13i06.10436 ◽

2019 ◽

Vol 13 (06) ◽

pp. 15

Author(s):

Francisco Javier Tapia Moreno ◽

Hector Antonio Villa-Martinez

Keyword(s):

Teaching And Learning ◽

Digital Learning ◽

Learning Tools ◽

Statistical Parameters ◽

Arithmetic Means ◽

Educational Levels ◽

Everyday Activities ◽

The Difference ◽

The University ◽

Support Students

Technological changes have been associated with the evolution of computer and telecommunications systems. These changes have resulted in a rethinking of teaching and learning methods in the new digitalized environment at all educational levels. This rethinking motivates some teachers to design new digital tools that support students in their learning process, offering them an easier and more entertaining way to obtain knowledge. The digital learning tools are software and informatics programs that make everyday activities easier for students. We have designed four digital learning tools for the learning of inferential statistics that allow college students to perform hypothesis tests for: i) the arithmetic mean of the population, ii) the proportion of a population, iii) the difference between two arithmetic means, and iv) the difference between two proportions. These digital learning tools are products from the project “Statistics-to-Go” that is being developed at the University of Sonora. This project is now in its fourth stage.

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Surgical treatment of pressure ulcers: an 11-year experience at the Department of Plastic and Reconstructive Surgery of Hospital of Kaunas University of Medicine

Medicina ◽

10.3390/medicina45040035 ◽

2009 ◽

Vol 45 (4) ◽

pp. 269 ◽

Cited By ~ 7

Author(s):

Kęstutis Maslauskas ◽

Donatas Samsanavičius ◽

Rytis Rimdeika ◽

Vygintas Kaikaris

Keyword(s):

Surgical Treatment ◽

Reconstructive Surgery ◽

Pressure Ulcers ◽

Morphological Characteristics ◽

Plastic And Reconstructive Surgery ◽

Myocutaneous Flaps ◽

Retrospective Data Analysis ◽

M 31 ◽

The Mean ◽

Discharge From Hospital

The aim of this study was to evaluate morphological characteristics of pressure ulcers, methods of surgical treatment and its effectiveness in the Clinic of Plastic and Reconstructive Surgery of Kaunas University of Medicine Hospital. Material and methods. A retrospective data analysis of 139 patients with pressure ulcers treated in the Clinic of Plastic and Reconstructive Surgery, Kaunas University of Medicine Hospital, from January 1996 to January 2007 was performed. Results. A total of 139 patients were surgically treated for pressure ulcers at the Clinic of Plastic and Reconstructive Surgery, Kaunas University of Medicine Hospital, from January 1996 to January 2007. Eighty-one patients were treated repeatedly (from 1 to 7 admissions; M=1). Pressure ulcers were healed completely in 94 patients who underwent surgery during the treatment in the hospital; in 45 patients who underwent surgical treatment, pressure ulcers were partially healed, and on discharge from hospital, only small wounds were left. Pressure ulcers most commonly occur in tuber ischii area (69 cases). The mean age of patients was 42±13.65 years (M=31); pressure ulcers were for 8.9±8.5 months on average (M=31). At admission to Kaunas University of Medicine Hospital, the mean size of pressure ulcers was 42.62±53.27 cm2 (M=10). The results showed that the size of pressure ulcers depends on the duration of paraplegia (P<0.05). In 93 cases, pressure ulcers were treated using myocutaneous flaps; 17 of them were closed with V-Y advancement technique over the sacral area, 35 were closed with m. gluteus rotation flap, and in 41 cases, V-Y advancement technique using hamstring flaps was used. Conclusions. In patients with paraplegia, the first pressure ulcer occurs after 74.79±61.34 months from the onset of the disease. Pressure ulcers most commonly occur over tuber ischii area. The most effective surgical treatment of pressure ulcers is closure of the wound using myocutaneous flaps (use of the hamstrings); fasciocutaneous flaps were the most commonly used method in patients who underwent surgery for the second time.

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