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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] 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] Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan. 3 College of Medicine, Chang Gung University, Taoyuan, Taiwan. 4 Division of Infectious[ncbi.nlm.nih.gov] The presence of gas within the necrotized fasciae is characteristic, but may be lacking.[ncbi.nlm.nih.gov] Pain often occurs at the time of the injection, but tissue necrosis typically becomes apparent a few days later.[ncbi.nlm.nih.gov] RESULTS: Among 3782 papers concerning NF, only 18 were related to NF after an aesthetic surgical procedure.[ncbi.nlm.nih.gov] Fasciotomy with debridement of necrotic subcutaneous tissue and fascia was performed within 9 hours after admission.[pediatrics.aappublications.org]

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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] It is characterized most commonly by disproportionate adipocyte hypertrophy of the lower extremities, significant tenderness to palpation, and a failure to respond to extreme[journals.lww.com] 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] Regarding the elastic-tissue abnormalities, the patient could have either a subclinical form of PXE, perhaps predisposing to lipedema, or secondary elastic-tissue changes[ncbi.nlm.nih.gov] 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] Skin biopsies of the thickened scalp showed thickening of the subcutaneous tissue with proliferation of mature subcutaneous fat cells but no signs of inflammation or hair[researchgate.net] Physiology of lipedema SAT The elasticity of the skin and fascia is decreased in lipedema 132 which in Stage III may progress to abnormally clumped elastic fibers or pseudoxanthoma[doi.org]

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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] extremity pain, numbness, and weakness. 2016.[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] Changing to the heel-supported position had no significant effect on the diastolic blood pressure in the ankle (mean, 32.8 mm Hg).[ncbi.nlm.nih.gov] The last incision of the deep lamina of the deep anterior fascia had no noticeable impact.[ncbi.nlm.nih.gov] Your healthcare provider will examine you and ask about your symptoms, activities, and medical history. You may have a needle test.[summitmedicalgroup.com] Age, gender, bilateral symptoms, previous lower leg pathology, sports (running and skating) and tender muscle compartments were identified as independent predictors of lower[ncbi.nlm.nih.gov]

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  • Lymphedema

    Lymphedema should be considered as tissue process characterized not only by increase in mobile tissue fluid volume but also tissue restructuring.[ncbi.nlm.nih.gov] Lower body lymphedema is a chronic condition and a significant cause of morbidity following treatment of gynecologic cancer that strongly impacts patients' quality of life[ncbi.nlm.nih.gov] We review the efficacy and limitations of these contemporary surgical procedures for lymphedema.[ncbi.nlm.nih.gov] The excised skin and subcutaneous fat weighed 1901 g.[ncbi.nlm.nih.gov] KEYWORDS: extremity; kaposiform hemangioendothelioma; lymphedema[ncbi.nlm.nih.gov] Author information 1 Department of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Austria. 2 Department of Pediatrics, Medical University of Innsbruck,[ncbi.nlm.nih.gov] As quality of life assessments are frequently not utilized in standard treatment regimes, we investigated the change in quality of life for patients with chronic lymphedema[ncbi.nlm.nih.gov] The procedure resulted in substantial scarring and fibrosis between the skin and underlying fascia over a significant area of the leg with only minimal improvement in symptoms[ncbi.nlm.nih.gov] Venous blood from the skin and subcutis collects in the superficial venous system including the greater and lesser saphenous veins and its tributaries, moves through the fascia[accessmedicine.mhmedical.com] Fazhi Qi, Jianying Gu, Yuedong Shi and Yanwen Yang , Treatment of upper limb lymphedema with combination of liposuction, myocutaneous flap transfer, and lymph‐fascia grafting[doi.org]

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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] 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] CONCLUSION: The manifestations of gonococcal infection have changed significantly over the last few years, with more involvement of extra genital sites attributed to changes[ncbi.nlm.nih.gov] In uncomplicated cellulitis, CT demonstrates skin thickening, septation of the subcutaneous fat, and thickening of the underlying superficial fascia .[radiopaedia.org] Abstract Soft tissue infections with Scedosporium spp. are an uncommon but serious and emerging cause of infection in immunocompromised patients.[ncbi.nlm.nih.gov] Swanson, MD, Vice Chair of Medical Dermatology, Associate Professor of Dermatology, Mayo Medical School, Scottsdale, AZ.[medlineplus.gov] We provide a unique photographic timeline of wound progression following major surgical debridement, documenting the effectiveness of 2 different NPWT systems (RENASYS GO[ncbi.nlm.nih.gov]

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  • Fournier Gangrene

    When used in wound débridement after Fournier gangrene, XADM protects interecological organizations, promotes the growth of granulation tissues, and maximally retains function[ncbi.nlm.nih.gov] The nidus is usually located in the genitourinary tract, lower gastrointestinal tract, or skin.[ncbi.nlm.nih.gov] METHODS: The National Surgical Quality Improvement Program is a risk-adjusted surgical database used by nearly 400 hospitals nationwide, which tracks preoperative, intraoperative[ncbi.nlm.nih.gov] In more advanced cases, US can demonstrate that this skin thickening and subcutaneous air extends posteriorly to include the perineum and buttocks.[ncbi.nlm.nih.gov] Fournier gangrene may be an extremely aggressive condition that can result in rapid death, as was demonstrated by the rapid progression in the reported case. 2012 American[ncbi.nlm.nih.gov] […] does not give medical advice. This survey of medical eponyms and the persons behind them is meant as a general interest site only.[whonamedit.com] Patients typically present with systemic toxicity and significant inflammatory changes in the scrotum and perineum.[ncbi.nlm.nih.gov] Scarpa fascia forms another distinct layer deep to Camper fascia.[emedicine.medscape.com] BACKGROUND: In these reported cases, we observed the outcomes of skin take and wound healing using 2-octyl-cyanoacrylate glue, which was used as tissue glue in the reconstruction[ncbi.nlm.nih.gov] The FDG PET/CT scan revealed increased FDG uptakes in the lower pelvic region around the wall of the rectal stump, with extension to the bilateral pelvic sidewalls and the[ncbi.nlm.nih.gov]

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  • Dermatofibrosarcoma Protuberans

    Epidemiology Rare soft tissue tumor, accounts for up to 1% of all soft tissue sarcomas.[atlasgeneticsoncology.org] […] surgery alone and surgery combined with adjuvant radiotherapy showed no significant difference (odds ratio 0.31, P 0.07), although there was a trend that adjuvant RT had a lower[ncbi.nlm.nih.gov] INTRODUCTION: The surgical management of dermatofibrosarcoma protuberans has historically been a challenge, particularly in the head and neck and other aesthetic areas.[ncbi.nlm.nih.gov] BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) typically affects the dermis and subcutaneous tissue. The subcutaneous variant is rare.[ncbi.nlm.nih.gov] DFSP in the vulvar region is extremely rare, with fewer than 50 cases reported to date in the literature.[ncbi.nlm.nih.gov] Oncology, who has provided us with immense support to carry out research at the All India Institute of Medical Sciences, New Delhi, and has been supportive for sarcoma medical[ascopubs.org] Abstract The term "induction" has been used to describe epidermal changes overlying a dermatofibroma (DF).[ncbi.nlm.nih.gov] ., type of subcutaneous invasion, histologic pattern, cell type, areas of fibrosarcoma) and the presence and absence of muscle fascia involvement.[ncbi.nlm.nih.gov] They were categorized into two treatment groups: MMS and surgical excision.[ncbi.nlm.nih.gov] Head and neck region was least common site (P CONCLUSION: Pediatric DFSP has lower incidence but similar clinical characteristics to adults.[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] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] These findings may change as more interviews are completed.[o-wm.com] 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] , the ulcer heals with the formation of the scar tissue.[physiotherapy-treatment.com] […] mellitus Ulcer of the lower leg Varicose ulcer Varicose ulcer of lower extremity Varicose ulcer of lower leg Varicose veins of lower limb, with ulcer Venous stasis edema[icd10data.com] Venous Ulcer Venous Ulcer Our podiatrist gives the dx of "venous ulcer of lower extremity without varicose veins."[aapc.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] In Northern Greenland, geographical distances are vast, and weather conditions can be extreme.[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] […] with postsurgical complications and to evaluate potential interventions that may prevent these changes.[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] George, West Indies, Grenada. 3 Pulmonology and Critical Care Department, Monmouth Medical Center, Long Branch, New Jersey, USA.[ncbi.nlm.nih.gov] […] thickening of the cecal apex (up to 80%): cecal bar sign , arrowhead sign periappendiceal inflammation, including stranding of the adjacent fat and thickening of the lateroconal fascia[radiopaedia.org]

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  • Eosinophilic Fasciitis

    The initial features are pain, swelling, and inflammation of the skin and subcutaneous tissues, followed by induration, creating a characteristic orange-peel configuration[merckmanuals.com] Abstract We report on a 65-year-old woman with typical clinicopathologic features of eosinophilic fasciitis (Shulman syndrome) who suffered from lower limb ischemia and abdominal[ncbi.nlm.nih.gov] Any further surgical procedure such as tumor debulking or neurolysis was considered to be unrewarding in this special situation.[degruyter.com] Diabetic cheiroarthropathy and diffuse systemic sclerosis patients with subcutaneous thinning had less than 20% subcutaneous compressibility, whereas only 1 of 12 EF patients[ncbi.nlm.nih.gov] Eosinophilic fasciitis (EF) is a rare fibrosing disorder associated with peripheral eosinophilia and scleroderma-like induration of the distal extremities which affects substantially[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 ultrasound scans 2 years after diagnosis showed improvement, although some thickening of the fasciae was still present, indicating residual changes.[ncbi.nlm.nih.gov] Tissue eosinophilia may be focal or diffuse and is usually observed in the fascia and/or lower subcutis.[ncbi.nlm.nih.gov] Previous medical history was unremarkable.[imj.ie] The chief complaint was pain, edema and/or stiffness of the extremities.[ncbi.nlm.nih.gov]

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