Affiliation:
1. University Department of Surgery and Division of Surgery, Western Infirmary, Glasgow
Abstract
Abstract
Twenty patients with acute dermal gangrene following surgery, trauma or sepsis are described. In 12 the skin became gangrenous secondary to a necrotizing process affecting the subdermal fascia, and in 8 the condition arose primarily in the skin. In the first group mortality was high unless radical excision of the necrotic fascia was performed at an early stage; in 3 of the recent patients the overlying skin was removed, defatted and stored for later grafting. In the second group, incision and adequate drainage combined with antibiotics seemed to suffice. Hyperbaric oxygen was of dubious value in the first group but appeared to contribute to arrest of the lesion in the second group.
Publisher
Oxford University Press (OUP)
Reference13 articles.
1. Necrotizing fasciitis;Crosthwait;J. Trauma,1964
2. Progessive postoperative gangrene of the skin. Observations on aetiology and treatment in two cases;Lyall;Glasg. Med. J.,1948
3. Necrotizing infections of subcutaneous tissues and fascia;Meade;Ann. Surg.,1968
4. Haemolytic streptococcus gangrene;Meleney;Arch. Surg.,1924
5. A differential diagnosis between certain types of infectious gangrene of the skin;Meleney;Surg. Gynecol. Obstet.,1933
Cited by
83 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献