Subject(s)
Buttocks/injuries , Carcinoma, Squamous Cell/surgery , Epidermal Cyst/surgery , Intestinal Neoplasms/surgery , Skin Diseases/surgery , Wounds, Nonpenetrating/complications , Carcinoma, Squamous Cell/pathology , Disease Progression , Epidermal Cyst/pathology , Fatal Outcome , Humans , Intestinal Neoplasms/pathology , Lymphatic Metastasis , Male , Middle Aged , Skin Neoplasms/pathology , Skin Neoplasms/surgeryABSTRACT
This article reports on two cases in which porcine dermal collagen grafts were used successfully alongside topical negative pressure therapy in order to close open abdominal wounds in which severe infection was present.
Subject(s)
Collagen/therapeutic use , Laparotomy/adverse effects , Skin Care/methods , Suction/methods , Surgical Wound Dehiscence/therapy , Surgical Wound Infection/therapy , Adult , Carboxymethylcellulose Sodium/therapeutic use , Combined Modality Therapy , Humans , Male , Middle Aged , Postoperative Care/methods , Surgical Wound Dehiscence/etiology , Surgical Wound Infection/etiology , Treatment Outcome , Wound HealingABSTRACT
Postclipping cerebral angiography is generally not practised in the UK. The International Subarachnoid Trial (ISAT) data show that coiling compared favourably with clipping in the early posttreatment phase. We present a 4-year, single unit experience comparing cerebral angiography at 6 months postclipping and postcoiling, defining the proportion of aneurysms in either group, which were incompletely excluded from the cerebral circulation after treatment. There were 4 'dog-ear' remnants (4.6%) in the clipping group of 86 aneurysms, one of which required further surgery. Thirty-one out of 82 (37.8%) coiled aneurysms that underwent check angiography were inadequately excluded from the cerebral circulation at 6 months. Of these, to date, four patients have undergone re-coiling. Although the immediate complications of coiling may be less than those of clipping (ISAT), it seems that the degree and permanence of exclusion of an aneurysm from the cerebral circulation may be more secure with surgery. In summary, the rates of incomplete aneurysmal exclusion from the cerebral circulation, the requirement for reintervention and the requirement for continuing surveillance were all higher in the coiled population than in the clipped population.