Document Detail


The use of simultaneous free latissimus dorsi tissue transfers for reconstruction of bilateral upper extremities in a case of purpura fulminans.
MedLine Citation:
PMID:  10811762     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of extensive purpura fulminans destroying the soft tissue over the posterior aspect of both elbows. Simultaneous, bilateral free latissimus dorsi muscle transfers were used to close both wounds in a single procedure. The wounds resulting from severe purpura fulminans can be extensive and limb threatening. The simultaneous transfer of 2 free flaps can provide expeditious soft tissue repair while minimizing the risk of repeat anesthesia in these critically ill patients. We found that certain details concerning planning and performing the procedure fostered its successful outcome.
Authors:
R J Redett; T F Bury; M A McClinton
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  25     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-08-03     Completed Date:  2000-08-03     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  559-64     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine and University of Maryland, Baltimore, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arm / surgery
Bacteremia / complications*,  diagnosis
Follow-Up Studies
Graft Survival
Humans
Male
Meningococcal Infections / complications*,  diagnosis
Neisseria meningitidis / isolation & purification
Pectoralis Muscles / transplantation*
Purpura, Schoenlein-Henoch / etiology,  surgery*
Reconstructive Surgical Procedures
Surgical Flaps*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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