scholarly journals Seroma after sternal wound debridement: Case report

2021 ◽  
pp. 047-048
Author(s):  
Glizevskaja Julia ◽  
Abbas Mohammed ◽  
Nwaejike Nnamdi
Keyword(s):  
Case Report ◽  
Wound Debridement

scholarly journals Martorell hypertensive ischemic leg ulcer: A case report

2020 ◽  
Vol 73 (5-6) ◽  
pp. 175-179
Author(s):  
Milan Matic ◽  
Aleksandra Matic ◽  
Nada Vuckovic ◽  
Mladen Jovanovic ◽  
Zoran Golusin
Keyword(s):  
Case Report ◽  
Arterial Hypertension ◽  
Pyoderma Gangrenosum ◽  
Skin Grafting ◽  
Lower Leg ◽  
Leg Ulcer ◽  
Response To Therapy ◽  
Pressure Therapy ◽  
Wound Debridement ◽  
Split Thickness Skin Grafting

Introduction. Hypertensive ischemic leg ulcer, also known as Martorell ulcer, is not very rare, but an under-recognized type of leg ulcer. It has specific clinical and histopathological characteristics. It occurs almost exclusively in patients with arterial hypertension. It is more common in women and in patients with type 2 diabetes. It is localized particularly in the laterodorsal distal third of the lower leg. This ulcer is extremely painful. Its clinical features may very much resemble pyoderma gangrenosum. Case Report. We are presenting a case of a 40-year-old obese male, who suffered from arterial hypertension during the past 26 years. His ulcer appeared spontaneously on the lateral aspect of the right lower leg and progressed gradually. From the very onset, the ulcer was extremely painful. At first, it was diagnosed as pyoderma gangrenosum and treated with systemic corticosteroids and immunosuppressants. Since the response to therapy was not satisfactory, the histopathology was revised and the diagnosis of hypertensive ischemic leg ulcer was made. After initial wound debridement and local negative pressure therapy, split-thickness skin grafting was performed. The pain disappeared right away almost completely and complete epithelization was achieved two weeks after skin grafting. Conclusion. It is important to consider Martorell ulcer in hypertensive patients with extremely painful ulcers of the lower leg. In order to establish the appropriate diagnosis, it is essential to take a deep skin biopsy and correlate the finding with a specific histopathological picture. It is the only way not to confuse hypertensive ischemic leg ulcer with pyoderma gangrenosum, since the management of the two conditions is completely different.

scholarly journals Treatment of the infected wound with exposed Silver-ring Dacron graft and delayed skin transplant covering

2005 ◽  
Vol 133 (1-2) ◽  
pp. 69-71
Author(s):  
Dragoslav Nenezic ◽  
Simon Pandjaitan ◽  
Nenad Ilijevski ◽  
Predrag Matic ◽  
Predrag Gajin ◽  
...  
Keyword(s):  
Case Report ◽  
Skin Necrosis ◽  
Standard Procedure ◽  
Early Postoperative Period ◽  
Limb Loss ◽  
Dacron Graft ◽  
Infected Wound ◽  
Prosthetic Infection ◽  
Wound Debridement ◽  
Grade Iii

Although the incidence of prosthetic infection is low (1%-6%), the consequences (limb loss or death) are dramatic for a patient, with high mortality rate (25%-75%) and limb loss in 40%-75% of cases. In case of Szilagyi's grade III infection, standard procedure consists of the excision of prosthesis and wound debridement. Alternative method is medical treatment. This is a case report of a patient with prosthetic infection of Silver-ring graft, used for femoropopliteal reconstruction, in whom an extreme skin necrosis developed in early postoperative period. This complication was successfully treated medically. After repeated debridement and wound-packing, the wound was covered using Thiersch skin graft.

scholarly journals A Case Report of Proximal Migration of Fibular Head with Intact Peroneal Nerve in a Post-Operative Infected Tibia Gap Non-union Managed by Ilizarov Technique

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Spandan R Koshire ◽  
Rajesh R Koshire ◽  
Ajay M Wankhade
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Fracture Site ◽  
Bony Union ◽  
Ilizarov Technique ◽  
Fibular Head ◽  
Non Union ◽  
Wound Debridement ◽  
Proximal Migration

Introduction: We hereby present a rare case of proximal fibular head migration associated with Ilizarov technique for infected tibia gap non-union due to follow-up failure in post-operative management during the coronavirus disease (COVID) pandemic. Case Report: A 45-year-old male patient had undergone primary external fixation with wound debridement for a compound tibia shaft fracture Grade 3 A Gustilo class which later on with a healed external wound with a discharging sinus at the fracture site was confirmed to be infected non-union and subsequently managed by Ilizarov ring fixation over an antibiotic coated intramedullary nail and local gentamycin beads after a necrotic bone fragment of around 6 cm was excised. Post-operative protocol of compression and distraction was initiated and the patient educated regarding the same before discharge. As the world over was hit by the COVID pandemic and the lockdown limited all possible movements in our country, the patient could not follow up for monitoring the Ilizarov limb lengthening procedure. He presented to us after 4 months after the relaxation of lockdown with radiological union at the docking site but with a shortening of about 3 cm. Vigorous knee range physiotherapy failed to improve range beyond 90° which prompted us to check X-ray the knee joint and revealed the complication of proximal fibular head migration of 4 cm but with no neurodeficit and currently the patient is being managed with full weight mobilization with the help of crutch and shoe raise and an improved knee range till 100° of flexion with no pain tenderness or any other complaints. Conclusion: Having knowledge of this possible rare complication and the need for follow-up and monitoring with the importance of patient education makes practicing orthopedic surgeons equipped to handle and anticipate such undesirable complications. Keywords: Bony union, fibula migration, fibula resection, Ilizarov technique, infected non-union.

Treatment of Infectious Complications after Transpedicular Fixation: Case Report and Analysis of Modern State of the Problem

2013 ◽  
Vol 20 (4) ◽  
pp. 60-63
Author(s):  
R. V Pas’kov ◽  
D. S Plyushchenko ◽  
K. S Sergeev ◽  
A. O Faryon ◽  
I. M Yapryntsev ◽  
...  
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Infectious Complications ◽  
Second Step ◽  
Spine Injury ◽  
Modern State ◽  
Spine Deformity ◽  
Treatment Technique ◽  
Wound Debridement ◽  
Transpedicular Fixation

Female patient was treated for wound suppuration after transpedicular fixation of complicated unstable spine injury. Step-by-step treatment technique was used. First step included removal of transpedicular fixative, wound debridement and extrafocal external transpedicular fixation to prevent spine deformity relapse. Second step was performed after wound healing – external fixative was replaced by the internal (ventral) one. Duration of fixation in the apparatus and hospitalization made up 36 and 90 days respectively.

Management of Dushta Vrana (Non-Healing Ulcer) by Dhoopana (fumigation) with Guggulu Panchapala Choorna – A Case Report

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Azeem Ahmad ◽  
Singh Sarika
Keyword(s):  
Case Report ◽  
Hyperbaric Oxygenation ◽  
Current Treatment ◽  
Perfect Health ◽  
Vacuum Assisted Closure ◽  
Healing Ulcer ◽  
Medical Practices ◽  
Wound Debridement ◽  
Inflammatory Drugs ◽  
Maggot Therapy

Man, the superior most of all the species is always remaining in search of one prime goal; The perfect health. From Vedic era to space age, all the researches have been directed by the eminent scholars to achieve the same. Ancient Acharyas and their counterparts in this era tried and still trying their best to beep the man young and virile. Management of chronic non-healing ulcer has always been a difficult proposition in the evolution of medical practices. Throughout the ages, man was seeking better management of wound and ulcers. The current treatment used to treat non-healing ulcer is by antibiotics, anti-inflammatory drugs, wound debridement, irrigation, hyperbaric oxygenation, vacuum assisted closure, maggot therapy etc. Many of such technique are much expensive and are not successful in many cases. Hence, a technique from Ayurvedic classics Dhoopana which is less expensive was selected for the study.

scholarly journals Breast Hamartoma: A Size Diversity with Psychosocial Impact Analysis of 20 Cases and an Exceptional Case Report Review

2020 ◽  
Keyword(s):  
Case Report ◽  
Impact Analysis ◽  
Demographic Data ◽  
Reduction Mammoplasty ◽  
Exceptional Case ◽  
Psychosocial Impact ◽  
Breast Size ◽  
Delay In Diagnosis ◽  
Wound Debridement ◽  
Breast Hamartoma

Objectives: Breast hamartoma is a rare painless benign tumor with limited literature review due to underestimation by clinicians and pathologists. Though slowly growing, delay in diagnosis can lead to physical and psychological impact due to breast size discrepancy. Our study intend was to present breast hamartoma concerning size variance from hardly palpable to gross defacement and its psychosocial impact due to physical disfigurement, along with a case report. Method: We reviewed the demographic data, radiological imaging, and size variability of patients diagnosed with breast hamartoma between May 2006 and November 2019. Results: Overall, 37 cases of female breast hamartoma were operated from 2006 to 2019 but only 20 cases, whose data can be retrieved, in Liaquat National Hospital & Medical College, Karachi Department of General Surgery were included in the study. The mean age of patients was 35±11.92 years. The clinical and histopathological size was 6.12 ±4.44 and 7.88 ±4.23 respectively. Largest recorded size was 20x20cm. There are 65% of cases with less than 40 years and 35% cases with greater than 45 years. Breast ultrasound and Mammograms were performed below 40 years and greater than 40 years age of respectively. Furthermore, one case presented with skin necrosis and necrotizing wound infection underwent wound debridement and later on reduction mammoplasty with hamartoma excision of 2.5 kg. Conclusion: Breast hamartomas are rare benign lesions that may have rapid growth leading to breast disfigurement and must be addressed vigilantly either by close observation or early intervention. Ultrasound has a significant role in diagnosis whereas the role of fine-needle aspiration is questionable.

scholarly journals Case report on necrotizing fasciitis following episiotomy

2020 ◽  
Vol 9 (4) ◽  
pp. 1732
Author(s):  
Bhabani Pegu ◽  
Jayalakshmi D. ◽  
Avantika Gupta
Keyword(s):  
Case Report ◽  
Doppler Ultrasonography ◽  
Necrotising Fasciitis ◽  
High Grade Fever ◽  
Low Socioeconomic ◽  
Wound Debridement ◽  
Vein Thrombosis ◽  
Bilateral Lower Limb ◽  
Deep Vein ◽  
Rule Out

Necrotising fasciitis (NF) is an extremely rare but near fatal bacterial soft tissue infection, complicating the operative wounds. Here is a case report of Necrotising fasciitis in episiotomy wound in low socioeconomic, poorly nourished and anaemic women. A 39 years old, second gravida, delivered normally with medio-lateral episiotomy under local anaesthesia. On postnatal day four, patient developed high grade fever and on examination episiotomy was found to be unhealthy and gaped. She was started on broad spectrum antibiotics empirically but the cellulitis rapidly progressed to vulva, then to the bilateral thighs and extended till knees. Bilateral lower limb Doppler ultrasonography was done to rule out deep vein thrombosis which showed no abnormality. USG abdomen revealed huge pus collection in the lower abdomen. Under anaesthesia, surgical exploration was done, pus was drained followed by wound debridement and pus sent for culture and sensitivity. Pus and blood culture showed growth of Klebsiella pneumoniae, so started on appropriate antibiotics. Patient started recovering, when the wound was healthy, secondary suturing of episiotomy wound done. She was discharged on post-natal day 27 after full recovery. Early diagnosis and aggressive timely management are the corner stone to avoid morbidity and mortality of NF.

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