ABSTRACT
High voltage electrical burns constitute serious injury. Their depth increases over time. They lead to major tissue damage, sometimes irreversible, with tremendous functional and aesthetic sequelae, especially when extremities are involved.1 In emergency settings, the plastic surgeon faces a dilemma: should he amputate the burnt extremity immediately in order to avoid rhabdomyolysis, or wait until necrosis is delimited to avoid multiple surgeries and limit the size of amputation?
ABSTRACT
Les Auteurs présentent leur protocole pour l'expansion cutanée et rapportent quatre cas colligés au service des brûlures de leur hôpital au Maroc. Ils décrivent leur technique opératoire et les résultats obtenus. L'expansion cutanée reste la méthode de choix pour la couverture des pertes de substance étendues et la correction des séquelles de brûlure, et l'expérience rapportée par les Auteurs confirme les bons résultats que l'on peut obtenir avec cette technique, y compris les résultats esthétiques.
ABSTRACT
Hypogastric flaps are axial cutaneous flaps vascularized by the superficial inferior epigastric pedicle. They are an effective way of covering the posterior face of the hand and wrist. Four patients benefited from this manner of substance loss after excision of the scar tissue required a hypogastric flap severed on day 21. The aesthetical and functional results were quite satisfactory. This type of flap is the technique of choice in the treatment of hand burn sequelae with exposure of the noble elements - with its ease of dissection, it presents few complications and requires only a little eventual touching-up to provide optimal results.
ABSTRACT
The plastic surgeon rarely encounters patients with factitious disorders. The syndrome of Münchausen by proxy is a part of it. We put the point on this syndrome through a clinical observation of an eight-year-old girl victim of parental abuse.
Subject(s)
Mother-Child Relations , Munchausen Syndrome by Proxy/diagnosis , Munchausen Syndrome by Proxy/psychology , Child , Child Abuse/diagnosis , Child Abuse/psychology , Diagnosis, Differential , Female , HumansABSTRACT
Diabetic neuropathy is a frequent complication of diabetes. The most frequent clinical form is known as "sock polyneuritis", with loss of sensitivity to pain in the feet. Hot water bottle burns are the prerogative of diabetic patients suffering from a form of sensitive polyneuropathy. Such burns are deep. It is difficult to take therapeutic responsibility and decisions must be multidisciplinary. We underline the importance of the education of diabetic patients and of arousing their awareness to the possible risks involved in the use of hot water bottles.
ABSTRACT
Devant une brûlure électrique grave, deux attitudes chirurgicales se distinguent: 1. une attitude conservatrice; 2. une attitude d'amputation. A la lumière de deux observations, les Auteurs discutent les avantages et les difficultés de la mise en oeuvre de chaque attitude.
