Complex Wounds and Their Management
| Autor: | Habeeba Park, Sharon Henry, Carol Copeland, Adrian Barbul |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Esthetics medicine.medical_treatment Severity of Illness Index Surgical Flaps Blunt Intervention (counseling) Severity of illness Humans Medicine Fasciitis Necrotizing Fasciitis Intensive care medicine Hyperbaric Oxygenation Wound Healing Debridement integumentary system business.industry Fournier gangrene Skin Transplantation medicine.disease Combined Modality Therapy Long-Term Care Anti-Bacterial Agents Surgery Chronic Disease Orthopedic surgery Wounds and Injuries Female business Gas Gangrene Fournier Gangrene Gas gangrene Follow-Up Studies |
| Zdroj: | Surgical Clinics of North America. 90:1181-1194 |
| ISSN: | 0039-6109 |
| Popis: | Complex wounds present a challenge to both the surgeon and patient in operative management, long-term care, cosmetic outcome, and effects on lifestyle, self-image, and general health. Each patient with complex wounds usually manifests multiple risk factors for their development. This article focuses on complex wounds involved with traumatic and orthopedic blunt or penetrating injuries, particularly in the extremities, as well as massive soft tissue infections including necrotizing fasciitis, gas gangrene, and Fournier gangrene. The principles of management of complex wounds involve assessing the patient's clinical status and the wound itself, appropriate timing of intervention, providing antibiotic therapy when necessary, and planning and executing surgical therapy, including the establishment of a clean wound bed and closure/reconstructive strategies. |
| Databáze: | OpenAIRE |
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