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.

scholarly journals Surgical Strategies to Promote Cutaneous Healing

2021 ◽  
Vol 9 (2) ◽  
pp. 45
Author(s):  
Ines Maria Niederstätter ◽  
Jennifer Lynn Schiefer ◽  
Paul Christian Fuchs
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Chronic Wounds ◽  
Treatment Algorithm ◽  
Surgical Site Infections ◽  
Repair Process ◽  
Suture Technique ◽  
The Body ◽  
Wound Debridement ◽  
Reconstructive Ladder

Usually, cutaneous wound healing does not get impeded and processes uneventfully, reaching wound closure easily. The goal of this repair process is to restore the integrity of the body surface by creating a resilient and stable scar. Surgical practice and strategies have an impact on the course of wound healing and the later appearance of the scar. By considering elementary surgical principles, such as the appropriate suture material, suture technique, and timing, optimal conditions for wound healing can be created. Wounds can be differentiated into clean wounds, clean–contaminated wounds, contaminated, and infected/dirty wounds, based on the degree of colonization or infection. Furthermore, a distinction is made between acute and chronic wounds. The latter are wounds that persist for longer than 4–6 weeks. Care should be taken to avoid surgical site infections in the management of wounds by maintaining sterile working conditions, using antimicrobial working techniques, and implementing the principles of preoperative antibiotics. Successful wound closure is influenced by wound debridement. Wound debridement removes necrotic tissue, senescent and non-migratory cells, bacteria, and foreign bodies that impede wound healing. Additionally, the reconstructive ladder is a viable and partially overlapping treatment algorithm in plastic surgery to achieve successful wound closure.

Punch Grafting for the Management of Hard-to-Heal Diabetic Foot Ulcers: A Prospective Case Series

2021 ◽  
pp. 153473462110310
Author(s):  
Marta García-Madrid ◽  
Irene Sanz-Corbalán ◽  
Aroa Tardáguila-García ◽  
Raúl J. Molines-Barroso ◽  
Mateo López-Moral ◽  
...  
Keyword(s):  
Wound Healing ◽  
Clinical Outcomes ◽  
Diabetic Foot ◽  
Donor Site ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Wound Debridement ◽  
Prospective Case Series

Punch grafting is an alternative treatment to enhance wound healing which has been associated with promising clinical outcomes in various leg and foot wound types. We aimed to evaluate the clinical outcomes of punch grafting as a treatment for hard-to-heal diabetic foot ulcers (DFUs). Six patients with chronic neuropathic or neuroischemic DFUs with more than 6 months of evolution not responding to conventional treatment were included in a prospective case series between May 2017 and December 2020. All patients were previously debrided using an ultrasound-assisted wound debridement and then, grafted with 4 to 6 mm punch from the donor site that was in all cases the anterolateral aspect of the thigh. All patients were followed up weekly until wound healing. Four (66.7%) DFUs were located in the heel, 1 (16.7%) in the dorsal aspect of the foot and 1 (16.7%) in the Achilles tendon. The median evolution time was 172 (interquartile range [IQR], 25th-75th; 44-276) weeks with a median area of 5.9 (IQR; 1.87-37.12) cm2 before grafting. Complete epithelization was achieved in 3 (50%) patients at 12 weeks follow-up period with a mean time of 5.67 ± 2.88 weeks. Two of the remaining patients achieved wound healing at 32 and 24 weeks, respectively, and 1 patient showed punch graft unsuccessful in adhering. The median time of wound healing of all patients included in the study was 9.00 (IQR; 4.00-28.00) weeks. The wound area reduction (WAR) at 4 weeks was 38.66% and WAR at 12 weeks was 88.56%. No adverse effects related to the ulcer were registered through the follow-up period. Autologous punch graft is an easy procedure that promotes healing, achieving wound closure in chronic DFUs representing an alternative of treatment for hard-to-heal DFUs in which conservative treatment has been unsuccessful.

Reversible Severe Immunological and Infectious Complications in Intestine Transplant: A Case Report

2012 ◽  
Vol 94 (10S) ◽  
pp. 735
Author(s):  
C. Bösmüller ◽  
M. Biebl ◽  
S. Schneeberger ◽  
R. Öllinger ◽  
F. Aigner ◽  
...  
Keyword(s):  
Case Report ◽  
Infectious Complications

scholarly journals Treatment of venous ulcers in drug addicts: A case report

2021 ◽  
Vol 12 (4) ◽  
pp. 439-441
Author(s):  
Mirela Vasileva ◽  
Vesna Brishkoska Boshkovski ◽  
Andrej Petrov
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Multidisciplinary Approach ◽  
Venous Ulcer ◽  
Lifestyle Changes ◽  
Drug Addicts ◽  
Wound Botulism ◽  
Venous Ulcers ◽  
Serious Infections ◽  
Cutaneous Anthrax

Venous ulcers are common in drug addicts and, although the management of these wounds is the same as in other patients, there are differences in the approach and the outcome of treatment. Those injecting drugs are at risk of serious infections, such as necrotizing fasciitis, wound botulism, and cutaneous anthrax due to the nature of the substances being injected. Herein, we present two cases of venous ulcers in drug addicts in their thirties. Both patients had been suffering from a venous ulcer for several years and the final result differed in the two patients. We concluded that it is necessary to raise awareness of the importance of treatment and lifestyle changes. The multidisciplinary approach in these patients may contribute to the improvement of wound healing.

scholarly journals Placentrex gel used as a surgical wound healing agent: A case report

2021 ◽  
Vol 7 (2) ◽  
pp. 366-369
Author(s):  
Dr. Aditya Sharma ◽  
Dr. Mayur Kaushik ◽  
Dr. Nazar Rana ◽  
Dr. Soundarya Singh
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Surgical Wound ◽  
Healing Agent

scholarly journals Nasal Wall Oriented Implants for All-on-4 Fix-Detachable Maxillary Reconstruction

2020 ◽  
pp. 151-160
Author(s):  
Jean Uhlendorf ◽  
Carolina A. Cartelli ◽  
Larissa C. Trojan ◽  
Geninho Thomé ◽  
Marcos B. Moura
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Dental Care ◽  
Clinical Case ◽  
Posterior Region ◽  
Anterior Region ◽  
Second Step ◽  
Immediate Loading ◽  
Viable Option ◽  
Tapered Connection

Immediate loading of full-arch prostheses on dental implants in the upper arch is challenging, as the bone is of low quality and obtaining sufficient torque may be difficult. The purpose of this case report is to describe the rehabilitation of a full-arch by means of placement of four internal tapered connection tilted implants and immediate loading. A 65-year-old man sought dental care with a partially edentulous upper arch. The teeth presented mobility and were extracted. In a second step, two conventional-length implants were placed in the anterior region and two tilted and nasal wall–directed extra-long implants in the posterior region. The insertion torques of 60 N.cm allowed the installation of an immediate prosthesis (hybrid). The clinical case report suggests that the placement of tilted and extra-long implants in the paranasal bone and immediate loading may be a viable option for rehabilitation of the edentulous upper arch.

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 Surgical treatment for irreducible pediatric subaxial cervical unilateral facet dislocation: case report

2016 ◽  
Vol 17 (5) ◽  
pp. 607-611 ◽  
Author(s):  
Wei Qu ◽  
Dingjun Hao ◽  
Qining Wu ◽  
Zongrang Song ◽  
Jijun Liu
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Complete Resolution ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Facet Dislocation ◽  
Unilateral Approach ◽  
Subaxial Cervical Spine

Unilateral facet dislocation at the subaxial cervical spine (C3–7) in children younger than 8 years of age is rare. The authors describe a surgical approach for irreducible subaxial cervical unilateral facet dislocation (SCUFD) at C3–4 in a 5-year-old boy and present a literature review. A dorsal unilateral approach was applied, and a biodegradable plate was used for postreduction fixation without fusion after failed conservative treatment. There was complete resolution of symptoms and restored cervical stability. Two years after surgery, the patient had recovered range of motion in C3–4. In selected cases of cervical spine injury in young children, a biodegradable plate can maintain reduction until healing occurs, obviate the need to remove an implant, and recover the motion of the injured segment.

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