All soft tissue injuries were treated with primary intention following debridement, irrigation, and primary surgical intervention by different methods depending on the defect size and location. They explained probable complications of primary intention to all patients and informed consents were obtained from all patients before surgical interventions. The medical ethics committee of their hospital approved […]
Read MoreDr. Suresh M. DuganiM.Ch. FIAMS (Neurosurgery)
Read MoreDogbites are common cause of visit in the ER. Pit-bulls like in this case are the most common aggressors. Antibiotic therapy its very important since this are contaminated wounds. This patient arrived at 11pm and was rushed to the ER, for debridement and wound cleaning, the facial artery was ligated (since it had active bleeding) […]
Read MoreCase Report A 30-year-old male victim of railway track injury was brought to the emergency department by police. He had a lacerated/partly avulsed wound over face, involving forehead, nose and left cheek, with traumatic evisceration of left eye [Figure 1]. On arrival, the patient was found to have a threatened airway in view of extensive […]
Read MoreCase Report This is a 16-year-old boy who experienced physical aggression in urban fight. He was assaulted by a screwdriver and had stab wound on the anterior face of the chest. He was transported from St. Louis, 192 km away, to our facility by ambulance in a stable hemodynamic status and arrived 8 hours later. Physical […]
Read Morea police chief was struck in the face by an AK-47 and sustained extensive facial injuries that included the loss of most of the left zygomaticomaxillary complex, a shattered left zygomatic arch, orbital rim and floor, loss of most of his nose, and a gaping wound of the left midface (Fig. 1). A “home run” […]
Read MoreCase report A 25-year-old male camel care giver presented to the Emergency Department of Al-Ain Hospital 1 h after being bitten several times in the left side of his head and neck by a 15-year-old male camel. The injury occurred in the farm while the patient was trying to feed the camel. The camel turned […]
Read MoreThe principles of microvascular free tissue transfer in war wounds are not different from civilian trauma. Muscle flaps are preferred over fasciocutaneous flaps to fill the large size defects and to combat the local infection. Today, the reconstructive surgeon with the help of microvascular techniques is able to reconstruct large complex defects as compared to […]
Read MoreCase Report A 30-year-old cheesemaker presented in their emergency room with a severe mutilating avulsion injury of the hand and forearm. His right adominant hand was pulled in a cheese cutting machine with six circular saw blades working in opposition to each other. He sustained a midcarpal amputation of the hand, a complete avulsion of […]
Read MoreAbstract Introduction: The work has been reported in line with the SCARE criteria. Thoracoabdominal impalement injuries are uncommon and very few cases have been reported. Impalement injuries result when a rigid object penetrates and remains lodged within the body. It has complex anesthetic and surgical management. We describe the successful surgical and anesthetic management of a […]
Read MoreMedical advances that bring us closer and closer to reality ?⚕️This isn’t a real human but rather a sophisticated thoracotomy training simulator body.This is a procedural, repairable and operable biofidelic manikin that provides new immersive training options for clinical educators and practitioners of emergency medical care.Improving clinical competency and operative outcomes without endangering patients and […]
Read MoreChemical burns are not as common as thermal burns, but they’re just as destructive to human tissue. In this particular instance the individual committed suicide by drinking a large quantity of sulfuric acid. Sulfuric acid is particularly nasty because it’s chemical composition quickly destroys the lipid membrane of cells and denatures proteins, causing instant cellular […]
Read MoreCASE PRESENTATION A 59-year-old worker got his clothes entangled in grinding machine while operating the machine and was admitted to the Department of Burns and Plastic Surgery in Linyi People’s Hospital 5 hours after injury. The skin of penis and scrotum was completely torn off, with exposure of testes and entire shaft of penis. Only […]
Read MoreA 57-year-old woman suffered from incomplete amputations at the level of the PIP joint of the right index finger without distal circulation, along with crush fracture on the proximal phalangeal bone of middle, ring and little fingers due to being caught in the rotor of a food processor (Fig. 1, 2). The patient underwent revascularization and PIP […]
Read MoreCase Report: A 50-year-old man presented to the emergency room with a wide lower lip injury caused by a human bite that occurred 2 hours earlier, with avulsion of approximately 80% of the lip and 30% of the chin ( Fig. 1 ). The patient carried the avulsed tissue in an ice bag. Neither history of smoking nor […]
Read MoreM. E. Asuquo, MBBS, FWACS, FICS, I. A. Ikpeme, MBBS, FWACS, FICS, and I. Abang, MBBCH CASE REPORT A 22-year-old woman with a history of inability to use both upper limbs since 2 months presented in the accident and emergency unit. This followed a lightning strike in a village while she was asleep in the […]
Read MoreAn 18-year-old man presented with a workplace-related injury, wherein his left shirt sleeve was caught in a cloth rolling machine and consequently his left upper limb was avulsed and amputated at his shoulder. He presented to our center 3 hours after the incident, with the amputated part brought without cooling. Initial examination showed pallor but […]
Read MoreCASE REPORT A 62-year-old, right-handed woman suffered a complete double-level amputation transversely across the left distal forearm and the wrist and a severe crush injury of the midhand in a tree-shredder (Fig.1). Cold ischemia time was less than 2 hours. The proximal amputation occurred at the forearm 3 cm proximal to the radiocarpal joint, the distal obliquely […]
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