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Success of skin grafting
Injury: the British Journal of Accident Surgery (1985) Vol. 16/No. 9
636
VASCULAR
INJURIES
with
Venous injuries Nine major veins in upper limbs were ligated without causing complications. In the lower limbs (in which I2 major veins were injured) repair is preferable to ligation and should be accompanied by anticoagulant drugs and by fasciotomy if there is much swelling. Ross S. E., Ransom K. J. and Shatney C’. If. (1YX.S) The management of venous injuries in blunt extremity trauma. .I. Trauma 25. 1SO.
BURNS Complications
comminution, or Y-shaped. The authors of poor results of treatment without operation
or without
quote reports
but report no such case of their own. Niechajer I. (1985) Dislocated intra-articular fracture of the base of the 5th metacarpal. flast. Reconstr. Surg. 75. 4()h.
Fractures of the hamate One fracture occurred during a golf shot. the other while playing tennis. In neither instance was there a recognizable injury. Both fragments were removed. There was no mention of damage to the deep branch of the ulnar nerve. Bray T. J., Swafford A. R. and Brown R. I,. (1085) Bilateral fracture of the hook of the hamate. /. Trcrumo 25. 173.
of burn therapy
Self-treatment by immersion in iced water for several hours added damage by cold to that caused by burning. Purdue G. F., Layton T. R. and Copeland C. E. (10%) Cold injury complicating burn therapy. J. 7‘raunza 25. 167.
Success of skin grafting Fat and dermis under burned skin took split skin grafts equally well. Deitch E. A. (1985) Prospective study of the effect of the recipient bed on skin graft survival after thermal injury. .I. Trauma 25, 118.
Wounds made through burned tissue within 17 hours of burning healed without infection but those made after I2 hours were liable to become infected. Ward H.. Ahrenholz D. H., Crandall H. and Solem L. D. (1085) Primary closure of wounds in burned tissue: experimental and clinical study. J. Truuma 2.5. 125.
AND ACCIDENT
Anti-shock
garments
This is not the first report of inhatable trouser splints and appliance. Godbout B., Burchard K. 0. S. (1984) Crush syndrome antishock
garment
application.
PREVENTION
Dealing with battle casualties A wise and sympathetic account of the difticulties confronting the conscript medical officer called upon to deal with battle casualties. Eiseman B. (1085) Preparing the civilian surgeon for combat casualty management. .I. Traurnu 25. 156.
W., Slotman G. J. and Gann with death following pneumatic J. Truurna 24. 1052.
Silastic foam dressing Silastic foam polymerized on the spot offered particular advantages in the dressing of skin grafts on irregular surfaces and in cavities, and was found to be self-sterilizing. Groves A. R. and Lawrence J. C. (IYSS) Silastic foam dressing: an appraisal. Ann. R. Cdl. Surg. Engl. 67. 116.
Free tissue transfers An ultrasound Doppler flow meter used during operation and a laser Doppler How meter (which is much more expensive) used after operation greatly improved confidence in the microvascular anastomosis at the time and afterwards. Jones B. M. (1985) Predicting the fate of free tissue transfers. Ann. R. Coil. Surg. Engl. 67. 63.
Suturing of abdominal
HAND INJURIES Metacarpal
this complication of the use of questions the proper use of the
PLASTICS
Wounds in burned tissue
ORGANIZATION
SHOCK
fractures
Twenty-three cases are described and operated on, usually with one Kirschner wire to hold the fragments together and one to hold the metacarpal in place. Fractures were oblique.
wounds
The stitches took longer to insert but did not have removed. Otherwise they produced results similar to achieved with other suture materials, both absorbable unabsorbable. Fiennes A. G. T. W. (1985) Interrupted subcuticular glactin sutures for abdominal wounds. Ann. R. Coil. Engl. 67. I2 I
to be those and poly-
Surg.
636
VASCULAR
INJURIES
with
Venous injuries Nine major veins in upper limbs were ligated without causing complications. In the lower limbs (in which I2 major veins were injured) repair is preferable to ligation and should be accompanied by anticoagulant drugs and by fasciotomy if there is much swelling. Ross S. E., Ransom K. J. and Shatney C’. If. (1YX.S) The management of venous injuries in blunt extremity trauma. .I. Trauma 25. 1SO.
BURNS Complications
comminution, or Y-shaped. The authors of poor results of treatment without operation
or without
quote reports
but report no such case of their own. Niechajer I. (1985) Dislocated intra-articular fracture of the base of the 5th metacarpal. flast. Reconstr. Surg. 75. 4()h.
Fractures of the hamate One fracture occurred during a golf shot. the other while playing tennis. In neither instance was there a recognizable injury. Both fragments were removed. There was no mention of damage to the deep branch of the ulnar nerve. Bray T. J., Swafford A. R. and Brown R. I,. (1085) Bilateral fracture of the hook of the hamate. /. Trcrumo 25. 173.
of burn therapy
Self-treatment by immersion in iced water for several hours added damage by cold to that caused by burning. Purdue G. F., Layton T. R. and Copeland C. E. (10%) Cold injury complicating burn therapy. J. 7‘raunza 25. 167.
Success of skin grafting Fat and dermis under burned skin took split skin grafts equally well. Deitch E. A. (1985) Prospective study of the effect of the recipient bed on skin graft survival after thermal injury. .I. Trauma 25, 118.
Wounds made through burned tissue within 17 hours of burning healed without infection but those made after I2 hours were liable to become infected. Ward H.. Ahrenholz D. H., Crandall H. and Solem L. D. (1085) Primary closure of wounds in burned tissue: experimental and clinical study. J. Truuma 2.5. 125.
AND ACCIDENT
Anti-shock
garments
This is not the first report of inhatable trouser splints and appliance. Godbout B., Burchard K. 0. S. (1984) Crush syndrome antishock
garment
application.
PREVENTION
Dealing with battle casualties A wise and sympathetic account of the difticulties confronting the conscript medical officer called upon to deal with battle casualties. Eiseman B. (1085) Preparing the civilian surgeon for combat casualty management. .I. Traurnu 25. 156.
W., Slotman G. J. and Gann with death following pneumatic J. Truurna 24. 1052.
Silastic foam dressing Silastic foam polymerized on the spot offered particular advantages in the dressing of skin grafts on irregular surfaces and in cavities, and was found to be self-sterilizing. Groves A. R. and Lawrence J. C. (IYSS) Silastic foam dressing: an appraisal. Ann. R. Cdl. Surg. Engl. 67. 116.
Free tissue transfers An ultrasound Doppler flow meter used during operation and a laser Doppler How meter (which is much more expensive) used after operation greatly improved confidence in the microvascular anastomosis at the time and afterwards. Jones B. M. (1985) Predicting the fate of free tissue transfers. Ann. R. Coil. Surg. Engl. 67. 63.
Suturing of abdominal
HAND INJURIES Metacarpal
this complication of the use of questions the proper use of the
PLASTICS
Wounds in burned tissue
ORGANIZATION
SHOCK
fractures
Twenty-three cases are described and operated on, usually with one Kirschner wire to hold the fragments together and one to hold the metacarpal in place. Fractures were oblique.
wounds
The stitches took longer to insert but did not have removed. Otherwise they produced results similar to achieved with other suture materials, both absorbable unabsorbable. Fiennes A. G. T. W. (1985) Interrupted subcuticular glactin sutures for abdominal wounds. Ann. R. Coil. Engl. 67. I2 I
to be those and poly-
Surg.