From The Journal

The Free-style Gluteal Perforator Flap in the Thinning and Delay Process for Perineal Reconstruction After Necrotizing Fasciitis

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Abstract: Perineal wounds present a special challenge for reconstructive surgeons. The vacuum-assisted closure device is useful as a temporizing measure or for wounds too large or contaminated for immediate reconstruction. Compared to traditional myocutaneous flaps, perforator flaps provide thinner fasciocutaneous flaps for perineal reconstruction with favorable results and fewer donor site morbidities....

Reliability Assessment of an Innovative Wound Score

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Abstract: The authors describe an innovative wound score and demonstrate its versatility for scoring a variety of wound types in addition to diabetic foot ulcers (DFUs). To further test its merits, they determined its interobserver reliability in a prospective series of patients....

Femoral Vein Cannulation in the Treatment of Osteomyelitis

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Abstract: Objective. The main objective was to investigate the feasibility of using the femoral vein for long-term venous access. This was accomplished in the course of treating osteomyelitis patients, using a combination of long-term (6 weeks), outpatient, intravenous (IV) antibiotics administered through a femoral central line. This was combined subsequently with the use of hyperbaric oxygen (HBO) therapy. Using the femoral vein for central venous access means there is no risk of creating an iatrogenic pneumothorax, which would prohibit the subsequent use of HBO therapy. In addition, the propitious nature of the groin skin flora, Propionibacteriaceae, seems less inclined to participate in biofilm production, the root cause of central line infections....

Percutaneous Bone Biopsy to Identify Pathogens in Diabetic Foot Chronic Osteitis: Useful and Harmless

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Abstract: Objective. Diabetic foot ulcers are often complicated by chronic osteitis. Guidelines agree on the necessity to obtain percutaneous bone biopsies to target the antibiotic treatment....

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