Scandinavian journal of plastic and reconstructive surgery
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Scand J Plast Reconstr Surg · Jan 1986
Case ReportsAcral lentiginous malignant melanoma. Case report.
We present a case of a regressing acral lentiginous malignant melanoma of the sole with metastases en route and to regional lymph nodes. The histological findings at the primary site were classed as Clark's level I, stressing the difficulty in diagnosing this type of tumours early enough for effective treatment.
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Scand J Plast Reconstr Surg · Jan 1986
Thermographic assessment of perforating arteries. A preoperative screening method for fasciocutaneous and musculocutaneous flaps.
Pre-operative localization of the involved perforating arteries in the planning of musculocutaneous or fasciocutaneous flaps may lead to a higher survival rate of the whole skin island. This in particular will be of importance in donor areas with changed haemodynamics. A noninvasive method is described for the accurate preoperative localization of the perforating arteries of the trunk and extremities; a method which causes minimal discomfort to the patient, but which will help in preparing for a successful operation. We have used this method since 1983 for all high-risk patients, and it has proved to be very useful in our hands.
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Scand J Plast Reconstr Surg · Jan 1985
Effects of cooling after scald injury to a dorsal skin fold of mouse.
Shaved trunk skin folds of hairy mice were scalded for 20 s by water immersion. In one set of experiments the effect of increasing burn temperature (51 degrees C-60 degrees C) was studied, in another the folds were first scalded at 51 degrees C-54 degrees C and then immediately cooled for 30 min in 8 degrees C water. Animals were killed 2 h and 4 days postburn. ⋯ Histologically, the tissues seemed well preserved at 2 h after 51 degrees C scalds, whereas cell damage was obvious and increasingly pronounced after greater than or equal to 53 degrees C burns. After 52 degrees C burns a mixed picture emerged. A similar microscopic pattern was seen at 4 days; 51 degrees C specimens were undamaged, some 52 degrees C and all greater than or equal to 53 degrees C were necrotic.(ABSTRACT TRUNCATED AT 250 WORDS)
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Scand J Plast Reconstr Surg · Jan 1984
Case ReportsThe burn situation in Gizan. Planning and implementation of a Burns Unit at the King Fahd Central Hospital, Gizan, the Kingdom of Saudi-Arabia.
A 500-bed referral hospital was designed in 1975 in the health region of Gizan , the Kingdom of Saudi-Arabia. According to an agreement of 1981 between the Danish Ministry of the Interior and the Ministry of Health for the Kingdom of Saudi-Arabia, Danish cooperation to start and run this hospital was initiated. At the end of 1982 an investigation was made as to whether there was a need for a Burns Ward, a Burns Unit or a Burns Center. ⋯ During the first 5-month period 46 patients with burns and 77 other patients requiring plastic surgery were treated. It seems therefore that the need for a Unit for Burns and Plastic Surgery has been proved. The number of inhabitants in the Gizan health region corresponds to that of the municipality of Copenhagen (500 000), and in the future the epidemiology, treatment and results of treatment will be compared in these two areas.
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Scand J Plast Reconstr Surg · Jan 1984
Reduction of blood loss by triglycyl-lysine-vasopressin during early excision of burns in pigs.
In a burn model using anesthetized piglets, the circulatory and renal effects and the blood loss during and after excision were compared in two groups, one treated by triglycyl-lysine-vasopressin (TGLVP) given as intermittent bolus injections and the other serving as control. The third degree burn covered approximately 33% of the body surface area, and a solution containing 100 mmol NaCl/l in 2.5% glucose was infused at a rate of 2.4 ml/kg/% burn. Regional blood flows were determined before burn, 5 and 24 h after burn with the aid of radioactively labeled microspheres. ⋯ There was a significant decrease of blood loss associated with burn excision performed 5 h after burn in the TGLVP treated group, mean blood loss 39 g/25 kg versus 145 g/25 kg in the control group. There was a temporary increase in diuresis following TGLVP and also increased excretions of sodium and potassium. The results obtained in this study and possible clinical applications are discussed.