1/8. Treatment of a wound infection in a patient with mantle cell lymphoma.This case study examines the impact of a severe wound infection on a patient undergoing chemotherapy for the treatment of mantle cell lymphoma. The study illustrates how life threatening an infection can become in a patient whose body is compromised as a consequence of both disease and chemotherapy treatment. A number of specialist products were required in order to overcome the infection, debride and heal the wound. These included larval therapy, vacuum-assisted closure and leptospermum honey. While this case study focuses on the successful outcome of one particular patient it aims to raise awareness of the role of specialist products, both old and new, in improving healing rates of complex wounds.- - - - - - - - - - ranking = 1keywords = complex (Clic here for more details about this article) |
2/8. Evaluating a new technique for the treatment of chronic wounds.This paper describes the techniques used to manage a complex foot wound in a patient with ankylosing spondylitis. Several methods were used initially to promote wound healing, but after some weeks progress ceased, requiring a review of the methods applied. Management was continued using a new approach to chronic wound care, resulting in complete healing.- - - - - - - - - - ranking = 1keywords = complex (Clic here for more details about this article) |
3/8. Free latissimus dorsi flap used in treatment of cerebral aspergillosis: a case report and review of the literature.Cerebral aspergillosis infection is a rare disease in children that carries extremely high morbidity and mortality. Although occurring most commonly in the immunosuppressed patient, cerebral aspergillosis infection has been reported after trauma or neurosurgical procedures. amphotericin b is the main medical therapy for cerebral aspergillosis. However, surgical treatment is often required for cases of abscess or granuloma formation. Despite aggressive antifungal treatment and surgical intervention, aspergillosis of the central nervous system is often fatal. We present a case report in which a free latissimus dorsi muscle flap was used in conjunction with antifungal medication and surgical debridement to treat intracranial and epidural aspergillosis in a young male following complex craniofacial trauma.- - - - - - - - - - ranking = 1keywords = complex (Clic here for more details about this article) |
4/8. Salvage of the destroyed wrist.Two cases of complex limb threatening destruction of the wrist region and their reconstruction are described. The role of external fixation and composite vascular grafts in controlling infection and achieving bony union is outlined.- - - - - - - - - - ranking = 1keywords = complex (Clic here for more details about this article) |
5/8. Primary inoculation complex of skin by mycobacterium chelonei.We report a patient with a primary inoculation complex of the skin caused by mycobacterium chelonei, a facultative pathogen that belongs to group IV of Runyon's classification of atypical mycobacteria. This organism is seldom responsible for disease in humans, although cutaneous, pulmonary, heart, bone, and disseminated infections have been reported. An unusual cutaneous manifestation of this organism is presented with a review of the literature.- - - - - - - - - - ranking = 5keywords = complex (Clic here for more details about this article) |
6/8. Apophysomyces elegans infection in a renal transplant recipient.A 50-year-old cadaveric renal transplant recipient on immunosuppressive therapy is described with post-traumatic cutaneous infection caused by Apophysomyces elegans. He showed no evidence of hematogenous dissemination and recovered fully after therapy with extensive local debridement and amphotericin b lipid complex. An apparent drug-drug interaction between amphotericin b lipid complex and cyclosporine was encountered. The course of A elegans infection in transplant recipients may be similar to that described in immunocompetent hosts. A elegans infection should be considered in evaluation of post-traumatic cutaneous infection not readily responsive to antibacterial therapy.- - - - - - - - - - ranking = 2keywords = complex (Clic here for more details about this article) |
7/8. Muscle flap closure for salvage of complex back wounds.STUDY DESIGN. The use of muscle flaps for closing complex thoracolumbar and lumbar spine wounds was studied retrospectively. Five patients in whom traditional, conservative treatment modalities did not work underwent a variety of muscle flap closures with successful healing. OBJECTIVES. patients with complicated back wounds ranging from exposed hardware to post-traumatic defects were treated initially with conservative treatments. The authors evaluated the efficacy of applying techniques and knowledge gained from complex lower extremity wound coverage of back wounds. SUMMARY OF BACKGROUND DATA. Six muscle transfer procedures were performed on five patients. All patients were closed with local muscle flaps using the trapezius and latissimus dorsi muscles. methods. Success was defined as a closed stable wound that needed no future surgery nor allowed the primary defect to heal before hardware removal. There was no evidence of chronic infection. Surgical hardware was salvaged in one of three patients. RESULTS. All were successfully closed and have been followed up to 30 months without evidence of recurrence. CONCLUSIONS. The cases presented illustrate the usefulness of rotation flaps when there is an extensive soft tissue defect that has exposed neural, osseous, and foreign structures. The use of local transposition muscle flaps as an adjunct in closing complex back wounds has been very successful in our experience. Although recurrent infection may occur, this technique has facilitated the establishment of a soft tissue envelope to achieve short- and long-term wound healing.- - - - - - - - - - ranking = 7keywords = complex (Clic here for more details about this article) |
8/8. Clostridial infection following severe facial trauma.Severe posttraumatic wound infections are uncommon occurrences in the craniofacial region. Although most reported cases have occurred following an odontogenic infection or minor soft-tissue trauma, the potential for the development of this type of infection exists following complex facial fractures. We report a case with clostridial infection in the temporalis fascia complicating a complex facial fracture. The implications regarding antibiotic usage and delay of surgical treatment are discussed.- - - - - - - - - - ranking = 2keywords = complex (Clic here for more details about this article) |