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  • Compartment Syndrome

    The authors present the case of a 69-year-old woman who developed tissue necrosis and compartment syndrome secondary to an untreated hematoma infected by P mirabilis.[ncbi.nlm.nih.gov] Chronic exertional compartment syndrome (CECS) in the lower leg has been described as early as 1956.[doi.org] The aim of this sudy was to determine the prevalence and factors associated with development of IAH/ACS among critically ill surgical patients.[ncbi.nlm.nih.gov] First of all, the release of the skin and subcutaneous tissues allows to decompress the compartments under direct control.[josr-online.biomedcentral.com] Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status.[ncbi.nlm.nih.gov] She developed a haematoma in the right arm at the site of a previous arterial line insertion.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] The last incision of the deep lamina of the deep anterior fascia had no noticeable impact.[ncbi.nlm.nih.gov] Leg pain in athletes has many aetiologies.[ncbi.nlm.nih.gov] BACKGROUND: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open[ncbi.nlm.nih.gov]

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  • Necrotizing Fasciitis

    Free tissue transfer (FTT) is an option for reconstruction in difficult cases.[ncbi.nlm.nih.gov] Only eight cases of necrotizing fasciitis exclusive to the lower extremity due to S marcescens have been previously reported.[ncbi.nlm.nih.gov] The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy.[ncbi.nlm.nih.gov] INTRODUCTION: Necrotizing fasciitis is an uncommon soft-tissue infection that involves the superficial fascia, subcutaneous fat, and deep fascia.[ncbi.nlm.nih.gov] Early IVIG ( 2 days) did not alter this effect (P .99).[ncbi.nlm.nih.gov] […] demonstrated a perforated appendix and gas and fluid collection extending from his retroperitoneal cavity to the subcutaneous layer of his right loin and right lower limb.[ncbi.nlm.nih.gov] Necrotizing fasciitis, which literally translated means "inflammation of the fascia (connective tissue) causing cell death," is the proper medical term for what is colloquially[acsh.org] The presence of gas within the necrotized fasciae is characteristic, but may be lacking.[ncbi.nlm.nih.gov] This case report presents a case of gas gangrene of the leg caused by Fusobacterium necrophorum, the first such case reported.[ncbi.nlm.nih.gov] Prevention Avoid swimming in open water, pools or hot tubs when you have an open wound. Treat your open wounds promptly, sanitizing and dressing them as needed.[advancedtissue.com]

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  • Lipedema

    Here we describe the histopathological features of the lipedema tissue and nonaffected adipose tissue obtained from a typical patient with severe lipedema.[ncbi.nlm.nih.gov] […] an electro-medical device which includes these two technologies (Transponder( )), has been performed on patients affected by lymphedema (LYM) and/or lipedema (LIP) of the lower[ncbi.nlm.nih.gov] Non Surgical Treatment Options Non-surgical medical treatment is largely ineffective.[nycsurgical.net] Abstract Background Lipedema is a common painful subcutaneous adipose tissue (SAT) disorder in women affecting the limbs.[ncbi.nlm.nih.gov] The big veins remain untouched in the phlebograms and an alteration of the skin elasticity is demonstrated.[ncbi.nlm.nih.gov] […] compression of the legs by an external pneumatic device (Lympha-Press) followed by excision of the lymphedematous abdominal fat pad in conjunction with "debulking" of the right[ncbi.nlm.nih.gov] LE&RN seeks to accelerate the prevention, treatment, and cure of the disease while bringing patients and medical professionals together to address the unmet needs surrounding[lipedemaproject.org] Pathophysiology 6. 6 7. 7  Elasticity of skin and fascia is decreased causing abnormal clumping of elastic fibers.  Skin loses its role causing increased compliance of SAT[slideshare.net] Due to its increased presence in the press and on television, the diagnosis of lipedema is on the way to becoming a trendy diagnosis for those with thick legs.[ncbi.nlm.nih.gov] […] doi: 10.1097/GOX.0000000000001043 Original Article Open Abstract Author Information Authors Article Outline Outline Article Metrics Metrics Lipedema, or adiposis dolorosa,[journals.lww.com]

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  • Appendicitis

    Appendicitis was the origin of the soft tissue infection. The abdominal wall was only secondarily involved.[ncbi.nlm.nih.gov] This case illustrates the need to consider MCL when a patient presents to the emergency department with right lower quadrant pain.[ncbi.nlm.nih.gov] There is ongoing debate on the merits of surgical and conservative treatment for acute appendicitis.[doi.org] Anticoagulation with subcutaneous heparin was commenced and eventually switched over to warfarin.[ncbi.nlm.nih.gov] RESULTS: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] His leg pain was resolved with normal palpable pulse. One week later, his kidney function worsened. Thus, Lasix and minoxidil were stopped.[ncbi.nlm.nih.gov] To compare the diagnostic and therapeutic effects of laparoscopic and conventional 'open' surgery.[ncbi.nlm.nih.gov] Blood tests revealed raised inflammatory markers, and an abdominal CT scan demonstrated a perforated appendix with associated large subcutaneous abscess.[ncbi.nlm.nih.gov] CONCLUSION: alterations in imaging, fever, diarrhea, positive abrupt decompression, duration of symptoms and lower age are associated with a higher frequency of complications[ncbi.nlm.nih.gov]

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  • Cellulitis

    You are here Home » Adult Outpatients: Skin and Soft-Tissue Infections: Cellulitis Print PDF Doses provided in this table are for patients with normal renal and hepatic function[idmp.ucsf.edu] […] to lower misdiagnosis rates at our institution.[web.archive.org] The prevention of SSIs involves meticulous surgical technique and aftercare.[ncbi.nlm.nih.gov] […] tissue abscess Stitch abscess Stitch abscess after surgery Streptococcal cellulitis Subcutaneous pheohyphomycotic abscess and cyst Subcutaneous pheomycotic abscess Subcutaneous[icd9data.com] 16%) Ho et al 1/130 (0.77%) 0/130 (0%) Hook et al 2/13 (4%) No mention The authors conclude: “On the basis of the evidence available, blood cultures do not significantly alter[aliem.com] Abstract A 63-year-old woman with a history of hyperlipidemia presented to our hospital with a swollen right hand.[ncbi.nlm.nih.gov] You also may have a medical condition that is making your wound infection worse or could cause added complications, such as diabetes, Several things may be done while you[summitmedicalgroup.com] In uncomplicated cellulitis, CT demonstrates skin thickening, septation of the subcutaneous fat, and thickening of the underlying superficial fascia .[radiopaedia.org] […] the legs, and because the blood circulation tends to decrease in the most distal parts of the leg.[livestrong.com] They were divided into two groups: open drainage group (19 patients) and aggressive debridement group (11 patients).[ncbi.nlm.nih.gov]

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  • Hernia

    […] community in its clinical implementation of skeletal muscle-engineered tissue beyond laboratory research for diaphragmatic replacement.[ncbi.nlm.nih.gov] CONCLUSION: Using FS resulted in cost savings in hospitals based on reduced time to complete surgery, hospitalization time post-op, and lower adverse outcomes.[ncbi.nlm.nih.gov] Abstract Due to the rarity of Grynfelt hernia, there is no standardized surgical technique.From April 2010 to September 2017, 12 cases of primary superior lumbar hernia (Grynfelt[ncbi.nlm.nih.gov] With cure by subcutaneous injections, together with sugcested (!) and improved methods for kelotomy.[commons.wikimedia.org] CONCLUSION: Surgical correction of the inguinal hernia without the use of a prosthesis does not cause alterations in vascularization and testicular volume in the first six[ncbi.nlm.nih.gov] INTRODUCTION: Large hiatal hernia (HH) is often associated with left atrial (LA) compression, anteroposterior cardiac compression (manifesting as reduced right ventricular[ncbi.nlm.nih.gov] Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA.[nlm.nih.gov] The interparietal fascia (cremasteric fascia) was loose in all patients.[bmcsurg.biomedcentral.com] The abdominal wall, a sheet of tough muscle and tendon that runs down from the ribs to the legs at the groins, acts as the body’s corset.[hernia.org] However, it is still unclear whether laparoscopy is superior to open surgery in repairing MH.[ncbi.nlm.nih.gov]

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  • Achilles Tendon Rupture

    Abstract Soft tissue and tendon reconstruction after Achilles tendon rupture:Adipofascial sural turnover flap associated with cryopreserved gracilis tendon allograft for complicated[ncbi.nlm.nih.gov] The function muscle deficit is namely manifested by a lower net plantar flexion moment and a lower net-generated ankle joint power during the take-off in the stance phase.[ncbi.nlm.nih.gov] PURPOSE: To determine which of the three surgical techniques for acute unilateral complete rupture of Achilles tendons in use at the University Clinical Centre Maribor gives[ncbi.nlm.nih.gov] Subcutaneous hemorrhage at the lateral aspect of the heel and a small bone fragment under the lateral malleolus on an anteroposterior plain radiograph indicated a fracture[ncbi.nlm.nih.gov] […] of AT lengthening and plantarflexion strength deficit after surgery and during rehabilitation might help to manage AT rupture since these factors may be responsible for altered[ncbi.nlm.nih.gov] The angiography performed two days after heparinization revealed narrow caliber and decreased flow of the right tibial artery below the right ankle.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] The senior -surgeon at our institution has utilized a technique -employing two turndown fascia flaps fashioned from the proximal Achilles tendon augmented by a tenomyodesis[ncbi.nlm.nih.gov] We then compared responses between values obtained from the ruptured AT leg (LEG ATR ) and non-ruptured AT leg (LEG NOR ).[ncbi.nlm.nih.gov] The authors believe this to be the first reported case of Achilles tendon rupture in association with an open transverse distal tibia fracture.[ncbi.nlm.nih.gov]

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  • Varicose Ulcer

    Adjacent tissues typically show signs of chronic inflammation, but these ulcers are not painful.[symptoma.com] As the edema and hypertension continue, the skin of the lower extremities may actually leak plasma.[podiatrytoday.com] This surgical procedure is called debridement. Other interventional treatment may include vein ablation. Debridement.[bcm.edu] In addition, the increase in pressure stretches the vein walls , allowing proteins in the blood and blood cells to leach into the subcutaneous tissues, resulting in edema[woundsource.com] Leg ulcers are the end stage of these alterations.[cochrane.org] Thomas Field, CPC, CEMC So, for example...venous ulcer of right lower extremity without varicose veins...I would code I87.2 as primary and L97.819 as secondary?[aapc.com] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] Find out how a venous leg ulcer is diagnosed What causes venous leg ulcers?[nhs.uk] Open skin sores called ulcers, however, may not heal without proper treatment.[nm.org] Chronic leg ulcers are not rare in MCTD and they have been reported to be due to subcutaneous calcification, vasculitis, vasospasm (Raynoud's phenomenon), vascular thrombosis[intechopen.com]

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  • Anterior Compartment Syndrome

    The increased tissue pressures at rest and after exercise are most helpful in distinguishing those patients likely to benefit from a surgical fasciotomy.[ncbi.nlm.nih.gov] Pain induced only by athletic activity and only in the anterior lower leg forcing the patient to interrupt running indicated chronic compartment syndrome.[ncbi.nlm.nih.gov] OBJECTIVE: To describe the characteristic presentation of exertional leg pain in athletes and to discuss the diagnostic options and surgical management of exertional anterior[ncbi.nlm.nih.gov] First of all, the release of the skin and subcutaneous tissues allows to decompress the compartments under direct control.[josr-online.biomedcentral.com] Altered sensations, such as numbness, or tingling, may occasionally be felt in the foot. Potential muscle weakness may lead to a 'drop foot.'[secure.yoursole.com] All rights reserved.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] CACS fascia was thicker and stiffer than control fascia specimens (0.35 mm /- 0.12 mm, 109 /- 65 MN/mm; versus 0.22 mm /- 0.06 mm; 60.3 /- 22 MN/mm).[ncbi.nlm.nih.gov] Emergency open fasciotomy of the anterior compartment was performed.[ncbi.nlm.nih.gov] procedures that involve restoration of blood flow.[symptoma.com]

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  • Inguinal Hernia

    In women, the inguinal canal carries a ligament that helps hold the uterus in place, and hernias sometimes occur where connective tissue from the uterus attaches to tissue[mayoclinic.org] He complained of pain in the left abdominal flank and in the lower abdomen. The lower abdomen was tender, moderate distended but not rigid.[ncbi.nlm.nih.gov] He was submitted to a surgical reintervention with good results.[ncbi.nlm.nih.gov] BACKGROUND: Subcutaneous endoscopically-assisted ligation (SEAL) for pediatric inguinal hernia repair has gained in popularity although variations in techniques exist.[ncbi.nlm.nih.gov] During an exploratory laparoscopy, a wide twist of his omentum with necrotic alterations that extended to the bilateral inguinal hernial content was observed.[ncbi.nlm.nih.gov] We report on an operation to treat just such a rare condition for a right inguinal hernia.[ncbi.nlm.nih.gov] Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA.[medlineplus.gov] Tension-free repair of inguinal hernia can be performed through either the anterior transversalis fascia approach or the preperitoneal space approach.[ncbi.nlm.nih.gov] Med Leg J. 2016 Jun;84(2):101-4. doi: 10.1177/0025817216629848. Epub 2016 Feb 2.[ncbi.nlm.nih.gov] Moreover, open tension-free repair does not require expensive instruments or dedicated equipment, other than the prosthetic mesh.[ncbi.nlm.nih.gov]

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