Multiple flap coverage for degloving hand injuries.

Abstract:

:A technic incorporating the simultaneous elevation of multiple adjacent thoracoabdominal pedicale flaps, based in opposite directions, has been successfully used on four patients with extensive degloving injuries of the hand. In all cases, the hand was later divided into individual digits. A five-year follow-up of three patients is presented, illustrating functional results good enough to allow the patients to return to work. The special problems of a circumferential wound and digital shortening appear to be better controlled by this technic than by a single long "wrap-around" flap. Various technics of skin coverage are reviewed.

journal_name

South Med J

journal_title

Southern medical journal

authors

Cowen NJ,Giannotto RP

doi

10.1097/00007611-197803000-00024

subject

Has Abstract

pub_date

1978-03-01 00:00:00

pages

281-8

issue

3

eissn

0038-4348

issn

1541-8243

journal_volume

71

pub_type

杂志文章
  • Determinants of Elevated Alkaline Phosphatase in Patients Infected with HIV.

    abstract:OBJECTIVES:A retrospective cross-sectional study was performed to assess the prevalence of elevated alkaline phosphatase (ALP) in patients infected with human immunodeficiency virus (HIV) and to determine the relation between ALP and specific antiretroviral therapy (ART). METHODS:A total of 2990 patients were included...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000500

    authors: Alemu BT,Troy SB,Beydoun HA,Akpinar-Elci M,Cunningham TD

    更新日期:2016-08-01 00:00:00

  • Paradoxically developed optochiasmatic tuberculoma and tuberculous lymphadenitis: a case report with 18-month follow up by MRI.

    abstract::We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous s...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000209091.57281.23

    authors: Kalkan A,Serhatlioglu S,Ozden M,Denk A,Demirdag K,Yilmaz T,Kilic SS

    更新日期:2006-04-01 00:00:00

  • Spinal epidural hematoma causing cord compression after tissue plasminogen activator and heparin therapy.

    abstract::Bleeding is the most serious complication of thrombolytic therapy and limits its usefulness. We have reported a case of epidural hematoma, a rare occurrence after combined therapy with tissue plasminogen activator (TPA) and heparin. We emphasize that in patients treated with thrombolytic agents, any trauma may increas...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Krolick MA,Cintron GB

    更新日期:1991-05-01 00:00:00

  • Miliary tuberculosis and consumption of clotting factors by multifocal vasculopathic coagulation.

    abstract::We have reported a third case of miliary tuberculosis and associated consumption coagulopathy. It is proposed that clotting factors may be locally consumed, thus producing the syndrome of "multifocal vasculopathic coagulation." ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197911000-00042

    authors: Krauss JS,Walker DH

    更新日期:1979-11-01 00:00:00

  • Adverse effects of transfusions.

    abstract::The risks of morbidity and mortality associated with transfusion are so great that no transfusion should be given until it is decided that it is absolutely necessary and then only with the utmost care. The unfavorable effects of transfusion reviewed are: hemolytic reaction; bacterial contamination; febrile reaction du...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Shaffer AW

    更新日期:1976-04-01 00:00:00

  • Renocolic fistula.

    abstract::A case of left renocolic fistula secondary to chronic pyonephrosis has been reported. Neprectomy, excision of the fistulous tract, and closure of the colon is the treatment of choice. This was accomplished in this case with excellent results. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197505000-00033

    authors: Vargas AD,Victor I

    更新日期:1975-05-01 00:00:00

  • Surgical treatment of reflux in completely duplicated ureters.

    abstract::Vesicoureteral reflux occurs in approximately 50% of duplex systems that undergo evaluation and most commonly involves the lower renal segment ureter. The therapeutic approach can be tailored for each case after careful evaluation of the anatomic and functional status of each renal unit. If reparative srugery is indic...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197611000-00017

    authors: Currie DP

    更新日期:1976-11-01 00:00:00

  • Management of catheter emboli.

    abstract::Catheter emboli are a significant risk to patient well-being. With a 49% complication rate for indwelling catheter emboli, the consensus is that these foreign bodies should be removed. Preferably, the emboli are removed by percutaneous extraction; however, if the emboli are in the heart or central vasculature and perc...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199607000-00013

    authors: Roye GD,Breazeale EE,Byrnes JP,Rue LW 3rd

    更新日期:1996-07-01 00:00:00

  • Changes in liver enzyme values after halothane and enflurane for surgical anesthesia.

    abstract::For over a decade there has been concern about hepatitis related to halothane anesthesia. No dose relationship or other direct cause has ever been established, and jaundice has been found to occur after other anesthetics for surgical operations. Enflurane is a newer halogenated compound with a remarkable record of saf...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197807000-00012

    authors: Thompson DS,Friday CD

    更新日期:1978-07-01 00:00:00

  • Factors Influencing Injury Severity of Bicyclists Involved in Crashes with Motor Vehicles: Bike Lanes, Alcohol, Lighting, Speed, and Helmet Use.

    abstract:OBJECTIVES:In 2014, 726 bicyclists were killed and an additional 50,000 were injured in crashes with motor vehicles. The number of cyclists in the United States is increasing, and as a result there has been a call for more bike lanes. We examined the difference in the severity of injury of bicyclists involved in motor ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000665

    authors: Helak K,Jehle D,McNabb D,Battisti A,Sanford S,Lark MC

    更新日期:2017-07-01 00:00:00

  • Use of subclavian catheters for hemodialysis.

    abstract::In 98 patients, we cannulated the subclavian and internal jugular veins with modified Shaldon catheters, using the Seldinger technic. Catheters were left for long periods, and multiple dialyses were accomplished with each catheter. The incidence of major complications was less than 5%. None of the catheters were belie...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198209000-00016

    authors: Snider HC,Ingalls CE,Schloeder FX,Sivanna P

    更新日期:1982-09-01 00:00:00

  • Cervical myelopathy from spinal sarcoidosis as the unexpected initial presentation for systemic sarcoidosis.

    abstract::This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181e90745

    authors: Nguyen H,Le C,Nguyen H

    更新日期:2010-09-01 00:00:00

  • Amniotic fluid embolism.

    abstract::Amniotic fluid embolism is an almost universally fatal complication of pregnancy. We have presented a case and reviewed the literature concerning this rare but catastrophic problem. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199108000-00026

    authors: Hardin L,Fox LS,O'Quinn AG

    更新日期:1991-08-01 00:00:00

  • Paraspinous abscess with Mycobacterium avium-intracellulare in a patient without AIDS.

    abstract::This paper reports the case of a young woman with SLE whose paraspinous abscess due to Mycobacterium avium-intracellulare was metastatic to the breast. Surgical drainage and 18 months of treatment with rifampin, cycloserine, ethambutol, and streptomycin failed to eradicate the infection. This case illustrates that MAI...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199111000-00025

    authors: Brodkin H

    更新日期:1991-11-01 00:00:00

  • Relation Between Physicians' Work Lives and Happiness.

    abstract:OBJECTIVES:Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and well...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000437

    authors: Eckleberry-Hunt J,Kirkpatrick H,Taku K,Hunt R,Vasappa R

    更新日期:2016-04-01 00:00:00

  • Prevalence of colorectal cancer screening among a multimorbid rural Appalachian population.

    abstract:OBJECTIVES:The purpose of this study was to determine the relation among multiple morbidities and the prevalence of colorectal cancer (CRC) screening among older adult Appalachian residents of Kentucky. This is the first known study to address multiple morbidities exclusively with a health-disparities population. METH...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31823a8879

    authors: Fleming ST,Schoenberg NE,Tarasenko YN,Pearce KA

    更新日期:2011-12-01 00:00:00

  • Incidence and impact of false-positive urine pneumococcal antigen testing in hospitalized patients.

    abstract:OBJECTIVES:Immunochromatographic urine pneumococcal antigen testing (ICT) has become a common diagnostic tool for those presenting with possible invasive pneumococcal disease. The incidence and clinical impact of ICT false-positivity on hospitalized patients has not been assessed outside of specific patient subpopulati...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3182273b82

    authors: Ryscavage PA,Noskin GA,Bobb A,Bardowski L,Zembower TR

    更新日期:2011-08-01 00:00:00

  • Chest pain evaluation unit: a cost-effective approach for ruling out acute myocardial infarction.

    abstract::We compared a "cardiac profile" test with standard creatine kinase (CK) and lactic dehydrogenase (LD) electrophoresis in 798 cases of possible acute myocardial infarction (MI). The cardiac profile enzyme screen (CK-B, CK, LD) used on 495 patients who came to the emergency department with chest pain suggestive of acute...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: de Leon AC Jr,Farmer CA,King G,Manternach J,Ritter D

    更新日期:1989-09-01 00:00:00

  • Infarction of the orbit and paranasal sinuses in sickle cell disease.

    abstract::We have reported the case of a 19-year-old black man with sickle cell disease who had swelling over the right frontal and periorbital areas. Plain roentgenograms and CT scans were consistent with frontal sinus disease. At trephination, however, sterile liquescent blood clot was found in the frontal sinus. Awareness of...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198712000-00019

    authors: Seibert RW,Seibert JJ,Frazier EA

    更新日期:1987-12-01 00:00:00

  • Nutritionally deficient Streptococcus: investigation of the hidden culprit in culture-negative endocarditis.

    abstract::Subacute bacterial endocarditis in a 72-year-old woman was found to be caused by nutritionally deficient ("satelliting") Streptococcus sanguis. The organism, which required pyridoxal compounds or thiol substitutes, was identified after the application of relatively unusual but simple laboratory procedures. Normally, t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Weinberg MS,Ellis CA,Levy SB

    更新日期:1980-12-01 00:00:00

  • A unique case of recurrent takotsubo cardiomyopathy.

    abstract::Takotsubo (stress induced) cardiomyopathy is also known as broken heart syndrome or transient left ventricular apical ballooning syndrome. The clinical presentation, which mimics acute myocardial infarction, is preceded by intense emotional or physical stress. Recurrence of apical ballooning syndrome seems to be rare....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181e631ce

    authors: Pathak H,Esses J,Pathak S,Frankel R,Hollander G

    更新日期:2010-08-01 00:00:00

  • Long-term follow-up after leptospirosis.

    abstract::Human leptospirosis is an infectious disease that is a substantial problem in the Third World, but it can occur in developed countries as well. Survivors of the acute disease are considered to recover without sequelae, though little literature exists on long-term follow-up among these patients. Eleven patients, at an ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199004000-00011

    authors: Shpilberg O,Shaked Y,Maier MK,Samra D,Samra Y

    更新日期:1990-04-01 00:00:00

  • Factors contributing to delay in diagnosis of bacterial meningitis.

    abstract::I reviewed factors contributing to diagnostic delay in 12 children who had symptoms of meningitis for more than three days before diagnosis. Prior antibiotic therapy was more common in children with delayed diagnosis. Parental factors included possible neglect in one child and passivity and failure to recognize the se...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198409000-00014

    authors: Dunn DW

    更新日期:1984-09-01 00:00:00

  • Recognition of cognitive impairment in primary care outpatients.

    abstract::We evaluated 100 primary care outpatients for signs of cognitive impairment using the Mini-Mental State Examination (MMSE). The 23 subjects scoring abnormal values (less than 24/30) were found to be cognitively impaired. Seventeen had previously undetected cognitive impairment, while six had prior diagnoses consistent...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198310000-00017

    authors: Goldschmidt TJ,Mallin R,Still CN

    更新日期:1983-10-01 00:00:00

  • Efficacy and safety of sodium phosphate for colon cleansing in type 2 diabetes mellitus.

    abstract:OBJECTIVES:The need for colonoscopy is common among diabetic patients. However, there are no standards per se for bowel preparation in patients with type 2 diabetes. In this study, we evaluated the efficacy, safety, and tolerability of sodium phosphate (NaP), and the quality of bowel cleansing in relation to glycemic c...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181f20b13

    authors: Ozturk NA,Gokturk HS,Demir M,Unler GK,Gur G,Yilmaz U

    更新日期:2010-11-01 00:00:00

  • Spontaneous internal carotid artery dissection shown by magnetic resonance imaging.

    abstract::We have reported a case of spontaneous dissection of the internal carotid artery, with MRI and angiographic findings. We conclude that MRI is a beneficial noninvasive test for the detection and study of carotid artery dissection. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199109000-00021

    authors: Long TD,Carter MP,Reynolds T

    更新日期:1991-09-01 00:00:00

  • Clinical predictors of 30-day cardiac events in patients with acute coronary syndrome at a community hospital.

    abstract:OBJECTIVE:We sought to determine predictors of coronary events (cardiac death, acute myocardial infarction, and urgent revascularization) within 30 days after admission. METHODS:We prospectively collected data on 400 patients admitted through our emergency room for unstable angina and acute coronary syndromes. Patient...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000053481.49309.58

    authors: Tadros GM,McConnell TR,Wood GC,Costello JM,Iliadis EA

    更新日期:2003-11-01 00:00:00

  • Economic impact of quality control in diagnostic radiology.

    abstract::With ever-increasing costs confronting health care facilities, much attention is being focused on various cost-containment projects. Although it is generally assumed that a radiology department quality control program will increase costs, institutional savings may also result. A comprehensive quality control program i...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198002000-00020

    authors: Carlton WH,Avecilla LS,Pool WH,Wise CH Jr,Young RG

    更新日期:1980-02-01 00:00:00

  • Diabetic ketoacidosis: effective low-cost treatment in a community hospital.

    abstract::Diabetic ketoacidosis can be effectively and economically treated by using low-dose intravenous insulin and 2 to 3 liters of isotonic saline at 500 ml/hr to replace extracellular fluids, followed by 2 to 4 L of 5% glucose in 0.45% saline with potassium chloride and/or potassium phosphate to replace intracellular fluid...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198707000-00017

    authors: Moss JM

    更新日期:1987-07-01 00:00:00

  • Ectopic pregnancy in an urban teaching hospital: can tubal rupture be predicted?

    abstract::We evaluated the medical history, physical examination, and laboratory tests done on 245 patients with laparoscopically proven ectopic pregnancies. The absence of abdominal pain was the only clinically useful negative predictive value (91%) regarding tubal rupture. Although mean levels of serum human chorionic gonadot...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199112000-00014

    authors: Hirata AJ,Soper DE,Bump RC,Hurt WG

    更新日期:1991-12-01 00:00:00