Nonsurgical Treatment of a Massive Substance Loss
Traumatic wounds are caused by severe trauma, resulting in lesions with extensive skin and subcutaneous tissue loss and damage to tissue viability. A “difficult wound” is a solution of continuity that does not heal spontaneously within three months. The factors that determine it may be as follows: a...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/716549 |
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| author | Pasquale Fino Fioramonti Paolo Diego Massera Vittoria Amorosi Maria Giuseppina Onesti |
| author_facet | Pasquale Fino Fioramonti Paolo Diego Massera Vittoria Amorosi Maria Giuseppina Onesti |
| author_sort | Pasquale Fino |
| collection | DOAJ |
| description | Traumatic wounds are caused by severe trauma, resulting in lesions with extensive skin and subcutaneous tissue loss and damage to tissue viability. A “difficult wound” is a solution of continuity that does not heal spontaneously within three months. The factors that determine it may be as follows: a massive loss of substance, an infection, the presence of foreign bodies, or the clinical condition of the patient. We report a case of a 25-year-old man that presents a skin lesion on the anterior region of the left arm with extensive necrosis of skin and subcutaneous plants that involve the underlying muscle planes, caused by a trauma due to a car accident. In most of the lesions of such size and position, there is always a need for surgery. But in this case, considering the young age and the regenerative capacity of the patient, a quick and targeted antibiotic therapy was chosen, combined with debridement and worked with collagenase ointment. |
| format | Article |
| id | doaj-art-48ef8ee5930f476ebb1420fc81bde1c7 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-48ef8ee5930f476ebb1420fc81bde1c72025-02-03T01:21:47ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/716549716549Nonsurgical Treatment of a Massive Substance LossPasquale Fino0Fioramonti Paolo1Diego Massera2Vittoria Amorosi3Maria Giuseppina Onesti4Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome “Sapienza”, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Plastic, Reconstructive and Aesthetic Surgery, University of Rome “Sapienza”, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Plastic, Reconstructive and Aesthetic Surgery, University of Rome “Sapienza”, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Plastic, Reconstructive and Aesthetic Surgery, University of Rome “Sapienza”, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Plastic, Reconstructive and Aesthetic Surgery, University of Rome “Sapienza”, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, ItalyTraumatic wounds are caused by severe trauma, resulting in lesions with extensive skin and subcutaneous tissue loss and damage to tissue viability. A “difficult wound” is a solution of continuity that does not heal spontaneously within three months. The factors that determine it may be as follows: a massive loss of substance, an infection, the presence of foreign bodies, or the clinical condition of the patient. We report a case of a 25-year-old man that presents a skin lesion on the anterior region of the left arm with extensive necrosis of skin and subcutaneous plants that involve the underlying muscle planes, caused by a trauma due to a car accident. In most of the lesions of such size and position, there is always a need for surgery. But in this case, considering the young age and the regenerative capacity of the patient, a quick and targeted antibiotic therapy was chosen, combined with debridement and worked with collagenase ointment.http://dx.doi.org/10.1155/2013/716549 |
| spellingShingle | Pasquale Fino Fioramonti Paolo Diego Massera Vittoria Amorosi Maria Giuseppina Onesti Nonsurgical Treatment of a Massive Substance Loss Case Reports in Medicine |
| title | Nonsurgical Treatment of a Massive Substance Loss |
| title_full | Nonsurgical Treatment of a Massive Substance Loss |
| title_fullStr | Nonsurgical Treatment of a Massive Substance Loss |
| title_full_unstemmed | Nonsurgical Treatment of a Massive Substance Loss |
| title_short | Nonsurgical Treatment of a Massive Substance Loss |
| title_sort | nonsurgical treatment of a massive substance loss |
| url | http://dx.doi.org/10.1155/2013/716549 |
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