Acta chirurgiae plasticae
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As a result of the increasing numbers of disasters and constant advances in medical care technology allowing survival of critically ill patients by using an interdisciplinary approach to comprehensive therapy, the past decade has seen the emergence of ethical problems related to burn injury. The study discusses the issue of sorting out patients from the point of view of providing emergency care and transport as well as from the point of view of psychologic care and palliative therapy. The quality of life and prolonged suffering of elderly individuals is another major issue as well as, last but not least, ethical and moral obstacles encountered in clinical research carried out in the critically ill where the potential of misuse is greater than in other groups of patients. The role played by ethical committees and by integrity of the research project coordinator are highlighted.
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Acta chirurgiae plasticae · Jan 1991
Transferred triage to a level I trauma center in a mass catastrophe of patients; many of them with burns.
Three airplanes were involved in an airshow accident at the Ramstein military airbase on 28th of August 1988 causing immediate 45 dead and approximate 400 injured people. As a Level I Trauma facility we received 47 patients in different state of distress direct from airfield within an hour. The disaster plan was activated and sufficient personal and infrastructure could be mobilized.
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Acta chirurgiae plasticae · Jan 1990
Regulation of traumatic skin wound healing by influencing the process in the neighbouring zone of the wound.
After the burn, the authors immediately applied the albuminous hydrolysate Hydropot, a propolis-urea ointment and Trypsin compresses (3,500 E) to the burned area and its vicinity, and repeated this procedure for several days. Samples for histological examination were taken after the animals' decapitation every 2 hrs. and on the 3rd, 5th and 14th post-injury days. The morphological picture showed a difference in rate and quality of regeneration. The authors are of the opinion that the processes occurring in the neighbourhood of the traumatic skin wound can be influenced and that regeneration can be regulated.
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Acta chirurgiae plasticae · Jan 1989
Case ReportsExperiences in the treatment of electrical burns covering deep wounds with various tissue flaps.
From 1979 to 1986, 121 patients with electrical burns were admitted to our, unit (6% of all the burned patients admitted during that period). Of these cases 64 were regarded as having deep burns (e.g. burns which injured muscles, tendons, nerves, bones and capsules of the joints etc.). Thirty-five flaps of various types of tissues (including one free muscle flap, two island fascial flaps, four island skin flaps, three arterial skin flaps, two musculocutaneous flaps and twenty-three random skin flaps) were used for the coverage of deep burns in twenty-seven patients. ⋯ The swollen and hardened regions of the skin of involved extremities generally corresponded to the areas of necrotic muscle tissue at about three days after the injuries or later. This was used as a reference to indicate where to place or extend the exploratory incisions. We frequently preserved denatured peripheral nerves and tendons, because these injured structures often later regain their functions partially or completely with a reliable coverage.(ABSTRACT TRUNCATED AT 400 WORDS)
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Acta chirurgiae plasticae · Jan 1989
Case ReportsSurgery for adduction contracture of the thumb after burn.
The paper generalizes experience obtained from surgical treatment of adduction contracture of the thumb after burn. These operations were performed on 171 hands. ⋯ The issue under discussion is the choice of a suitable technique for repairing the thumb adduction contracture and other hand deformities. The repair of severe thumb adduction contracture significantly improves occupational and social rehabilitation of patients with severe hand deformities.