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    Wyświetlanie 1-3 z 3
    Tytuł:
    Gas gangrene as a surgical emergency – own experience
    Autorzy:
    Zaręba, Konrad Piotr
    Dawidziuk, Tomasz
    Zińczuk, Justyna
    Pryczynicz, Anna
    Guzińska-Ustymowicz, Katarzyna
    Kędra, Bogusław
    Powiązania:
    https://bibliotekanauki.pl/articles/1392112.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    gangrene
    Clostridium
    skin
    infection
    surgery
    hyperbaric treatment
    Opis:
    In this paper the authors would like to present a correct procedure in both surgical and hyperbaric treatment of patients with gas gangrene admitted to a surgical department during ER. Gas gangrene is not very common these days, but when it comes to dealing with gangrenous infection in the emergency it is quite likely to make errors in both diagnostic and therapeutic manners. When there is a gas gangrene in a patient at the emergency time plays crucial role and the proper application of procedures is vital for the patient’s survival. 10 cases made the study group here, all of them were patients diagnosed and treated surgically due to gas gangrene. As shown here, It is important to perform a revision of surgical wounds after few hours since primary surgery and to begin hyperbaric treatment as quickly as possible. The findings and suggestions included in this study are supported by own experience of The 2nd Department of General and Gastrointestinal Surgery of Medical University in Białystok, Poland.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 6; 1-5
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Fournier gangrene – a challenge for the surgeon
    Autorzy:
    Kuchinka, Jakub
    Matykiewicz, Jarosław
    Wawrzycka, Iwona
    Kot, Marta
    Karcz, Włodzimierz
    Głuszek, Stanisław
    Powiązania:
    https://bibliotekanauki.pl/articles/1391522.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    Fourniere gangrene
    hyperbaric oxygen treatment
    early surgical approach
    Opis:
    Introduction. Fournier gangrene (FG) is life - threatening condition, defined as the necrotizing fascitis of perineum and can spread to the adjacent areas. It is rare disease and infection is caused by mixed bacterial flora, seldom by fungal infection. Risk factors are: male sex, diabetes, hypertension, malignant neoplasms, alcoholism, immunospression. Material and methods. The analysis of four group patients treateted for Fournier gangrene was made about diagnostic and therapeutic process, assessment of prognosis based on Fournier’s Gangrene Severity Index). Results. All patients were males. Average age at the moment of diagnosis was 60 years. All of them had comorbidities resulting with the higher risk of susceptibility to FG. Morbitity was 50%, despite of all of patients had less than 9 points in FGSI. Discussion. The FG, despite of better diagnostic tools and technological progres remaines the significant clinical issue because of the mortality - 80%. „The golden standard” is surgical excision of necrotic tissues, antibiotics support, equation of fluid, electrolytes and base – acid balance, level of glycemia is very important. The treating results were assessed on the base of FGSI. The significance has the moment of performing the surgical intervention – it is proven, that should be carried out during 24 hours. The hyperbaric oxygen therapy is controversial. Seem to be appropriate if the infection is caused by anaerobic bacteria. Conclusions. Fournier syndrome is significant clinical issue. Its treatment requires early surgical approach with exicision of necrotic tissues, antibiotics support and treatment of hyperbaric oxygen in some cases.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 1; 55-60
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Degloving lower leg injury – the importance of additional treatment: negative pressure and hyperbaric oxygen therapy
    Autorzy:
    Stabryła, Piotr
    Kulińska, Joanna
    Warchoł, Łukasz
    Kasielska-Trojan, Anna
    Gaszyński, Wojciech
    Antoszewski, Bogusław
    Powiązania:
    https://bibliotekanauki.pl/articles/1392742.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    degloving injury
    skin graft
    hyperbaric oxygen therapy
    negative pressure therapy
    Opis:
    Degloving injury poses a severe therapeutic challenge concerning both trauma and plastic surgery. The injury involves separation of skin and subcutaneous tissue from fascia and muscles. Treatment is often long-lasting and brings unsatisfying results due to the extent of damage, risk of infection and massive blood loss. In this article, we present the management and therapeutic outcomes of a patient admitted due to the degloving injury of the lower extremity caused by workplace accident. We described the complexity of treatment including surgical intervention as well as additional treatment, which combined brought good esthetic outcome.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 2; 5-9
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-3 z 3

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