RESUMO
As in many other countries, burn injuries are a challenging healthcare problem in Turkey. Initial management of burn patients is very important for future morbidity and mortality. Therefore, the Turkish Ministry of Health prepared "National Burns Treatment Algorithm" aided by the Scientific Burns Council. The basic aim of this algorithm is to guide physicians in the treatment of burn victims until they reach an experienced burns center. The content of this algorithm is first aid, initial management, resuscitation, and transfer policy. The Council started to work on this algorithm in 2011. Various consultants, including general surgeons, pediatric surgeons, aesthetic, plastic and reconstructive surgeons, anesthesiologists, and intensive care physicians, revised the first draft and it was sent to eight education and research hospitals of the Ministry of Health, four universities, and seven non-governmental organizations. In the last quarter of 2012, the algorithm was finalized and approved by the Scientific Council, after which, it was approved by the Ministry of Health and published.
Assuntos
Queimaduras/terapia , Guias de Prática Clínica como Assunto , Algoritmos , Unidades de Queimados/normas , Humanos , Transferência de Pacientes/normas , Ressuscitação/normas , TurquiaRESUMO
A new paraumbilical-based pedicled abdominal flap was used in 11 patients with extensive soft-tissue defects of the forearm and hand. With a relatively narrow pedicle, large flaps up to 5- x 14-cm can be raised. Another advantage of this flap is the comfortable position of the hand and forearm for the patient. The main disadvantage is the conspicuous abdominal scars like the other pedicled abdominal flaps.
Assuntos
Músculos Abdominais/transplante , Traumatismos do Antebraço/cirurgia , Traumatismos da Mão/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos , Adolescente , Adulto , Pré-Escolar , Feminino , Humanos , Masculino , Índice de Gravidade de Doença , UmbigoAssuntos
Anti-Infecciosos Locais/efeitos adversos , Dermatite de Contato/etiologia , Nitrofurazona/efeitos adversos , Adulto , Idoso , Anti-Infecciosos Locais/economia , Criança , Pré-Escolar , Custos de Medicamentos , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Nitrofurazona/economiaRESUMO
Although multiple Z-plasties are widely used for burn contractures, the seven flap Z-plasty procedure has not gained wide acceptance in plastic surgery practice. However, the technique has the advantage of achieving more elongation than other Z-plasty techniques. The technique safely performed with satisfactory results in 31 cases.
