Special issues in plastic and reconstructive surgery.

Autor: Fulda GJ; Department of Surgery, Christiana Care Health Services, 4755 Ogletown-Stanton Road, Newark, DE 19718, USA. gfulda@christianacare.org, Khan SU, Zabel DD
Jazyk: angličtina
Zdroj: Critical care clinics [Crit Care Clin] 2003 Jan; Vol. 19 (1), pp. 91-108, vi.
DOI: 10.1016/s0749-0704(02)00058-1
Abstrakt: Intensivists frequently collaborate with plastic and reconstructive surgeons in treating patients with major wounds, following significant reconstructive procedures, and following free-tissue transfers. Pressure ulcers are a significant source of morbidity and mortality in the intensive care unit; prevention, early recognition, and multidisciplinary treatment are critical components for successful management. Necrotizing fasciitis is an aggressive, soft-tissue infection that requires rapid diagnosis, early surgical intervention frequent operative debridements, and soft-tissue reconstruction Catastrophic abdominal injuries and infections can be treated with an open abdominal approach and require the expertise of a plastic surgeon to reconstruct the abdominal wall. The success of free-tissue transfers and complex reconstructive procedures requires a thorough understanding of the factors that improve flap survival.
Databáze: MEDLINE