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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Closed degloving injuries: Results following conservative surgery
Plastic and Reconstructive Surgery, Volume 89, No. 5, Year 1992
Notification
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Description
Closed degloving wounds are uncommon but important injuries because they may be overlooked in the multiply injured patient and, if not treated correctly, may give rise to significant morbidity. This prospective study reports the results of a conservative surgical management policy in 16 patients with closed degloving wounds treated during a 1-year period in a tertiary referral center. Motor vehicle accidents caused most o f the injuries, 69 percent of which occurred on the lower limb. T he extent of injury ranged from 2 to 12 percent (mean 4.9 percent) of the total body surface area. T he diagnosis of closed degloving wound was missed at initial assessment in one-third of patients. A uniform management policy with drainage of the degloved area through a small incision followed by compression bandaging was applied. The volume of blood and necrotic fat evacuated ranged from 15 to 800 ml (mean 120 ml). One patient with necrotic skin initially had excision and primary wound closure performed. Delayed necrosis occurred in one patient in whom extensive degloving occurred and effective compression could not be applied. Ultimate flap viability using this technique was excellent, since only 1 of 16 patents required skin grafting. © 1992 American Society of Plastic Surgeons.
Authors & Co-Authors
Hudson, Donald Anthony
South Africa, Observatory
Groote Schuur Hospital
Knottenbelt, John D.
South Africa, Observatory
Groote Schuur Hospital
Krige, Jacobus E.J.
South Africa, Observatory
Groote Schuur Hospital
Statistics
Citations: 144
Authors: 3
Affiliations: 1
Identifiers
Doi:
10.1097/00006534-199205000-00013
ISSN:
00321052
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cohort Study