Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa

Congenital epidermolysis bullosa is a rare, genetic condition in which even slight stimulation can cause blistering of the skin or mucosa. While previous reports of treatments requiring general anesthesia in these patients were focused on anesthesia-related procedures, such as endotracheal intubatio...

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Main Authors: Ikuo Watanobe, Hiroko Kida, Yuuki Sekine, Masaya Kawai, Shozo Miyano, Michio Machida, Toshiaki Kitabatake, Hiroyuki Sugo, Yoshifumi Lee, Kuniaki Kojima
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/1786786
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author Ikuo Watanobe
Hiroko Kida
Yuuki Sekine
Masaya Kawai
Shozo Miyano
Michio Machida
Toshiaki Kitabatake
Hiroyuki Sugo
Yoshifumi Lee
Kuniaki Kojima
author_facet Ikuo Watanobe
Hiroko Kida
Yuuki Sekine
Masaya Kawai
Shozo Miyano
Michio Machida
Toshiaki Kitabatake
Hiroyuki Sugo
Yoshifumi Lee
Kuniaki Kojima
author_sort Ikuo Watanobe
collection DOAJ
description Congenital epidermolysis bullosa is a rare, genetic condition in which even slight stimulation can cause blistering of the skin or mucosa. While previous reports of treatments requiring general anesthesia in these patients were focused on anesthesia-related procedures, such as endotracheal intubation, no report has described specific management required for these patients during surgery, such as preparation of the surgical site, fixation of infusion lines and other tubes, and adjustment of the operation table. This is probably the first report to address these issues. This report presents a case of recessive dystrophic congenital epidermolysis bullosa in which open hepatectomy was safely performed.
format Article
id doaj-art-51c00703b06e487ea28cae6ad37f3ff5
institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-51c00703b06e487ea28cae6ad37f3ff52025-02-03T06:01:02ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/17867861786786Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis BullosaIkuo Watanobe0Hiroko Kida1Yuuki Sekine2Masaya Kawai3Shozo Miyano4Michio Machida5Toshiaki Kitabatake6Hiroyuki Sugo7Yoshifumi Lee8Kuniaki Kojima9Department of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of Nursing, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanDepartment of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanCongenital epidermolysis bullosa is a rare, genetic condition in which even slight stimulation can cause blistering of the skin or mucosa. While previous reports of treatments requiring general anesthesia in these patients were focused on anesthesia-related procedures, such as endotracheal intubation, no report has described specific management required for these patients during surgery, such as preparation of the surgical site, fixation of infusion lines and other tubes, and adjustment of the operation table. This is probably the first report to address these issues. This report presents a case of recessive dystrophic congenital epidermolysis bullosa in which open hepatectomy was safely performed.http://dx.doi.org/10.1155/2018/1786786
spellingShingle Ikuo Watanobe
Hiroko Kida
Yuuki Sekine
Masaya Kawai
Shozo Miyano
Michio Machida
Toshiaki Kitabatake
Hiroyuki Sugo
Yoshifumi Lee
Kuniaki Kojima
Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa
Case Reports in Surgery
title Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa
title_full Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa
title_fullStr Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa
title_full_unstemmed Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa
title_short Safe Skin Management during Open Hepatectomy in a Patient with Recessive Dystrophic Congenital Epidermolysis Bullosa
title_sort safe skin management during open hepatectomy in a patient with recessive dystrophic congenital epidermolysis bullosa
url http://dx.doi.org/10.1155/2018/1786786
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