conclusions the designed safe irrigator syringe seems to be applicable in wound irrigation and superior to the conventional devices regarding efficacy and user comfort. results all of the interns stated that the new device is quite applicable for wound washing and is easy to handle. nine interns believed that safe irrigator syringe is superior to the conventional devices regarding efficacy and ...

One hundred patients had surgical treatment for a gunshot injury to the femur at the authors' hospital. Each injury was classified (Grade 1-3) based on clinical and radiographic signs of deep soft tissue necrosis. All patients were followed up for a minimum of 6 months (average, 18 months; range, 6 months-72 months). Grade 1 injuries are defined by small entry and exit wounds (< 2 cm) and the a...

A gunshot wound is associated with high-energy transfer and the extent of intra-abdominal injuries is difficult to predict. The path of the missile is unpredictable and secondary missiles eg, bone fragments or fragments of the bullet can inflict other injuries. The velocity of military firearms and hunting rifles is much higher than that of civilian handguns and therefore has a much higher ener...

OBJECTIVE The purpose of this article is to describe the treatment of injuries resulting from land mine explosions using a holistic approach that includes gauze-based negative pressure wound therapy (NPWT) and encompasses wound bed preparation, exudate management, and infection control. METHOD In the treatment of 3 traumatic injuries, each requiring limb amputation, we describe the applicatio...

Background: In case of large burn injuries, split-thickness skin graft (STSG) is limited by donor skin availability. It is not possible to achieve an expansion of more than 1:9 using conventional STSG. Here we introduce Xpansion micrografting technique, which allows a substantially larger expansion ratio enabling adequate coverage of large wounds. Methods: Pre-clinical and clinical studies usin...

Decompressive fasciotomy for preservation of lower extremity function and salvage is an essential technique in trauma. The wounds that result from the standard two incision four-compartment leg fasciotomy are often accompanied by a wide soft tissue opening that in the face of true compartment syndrome are often impossible to close in a delayed primary fashion. We describe a technique using a de...

conclusions penetrating trauma from wooden fragments provides a diagnostic challenge. a stubborn discharge from a wound must always raise the suspicion of retained fragment. early and appropriate surgical exploration is imperative. introduction in contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. in most cases, this causes no difficulty, ...

Early wound closure is the ultimate goal of burn care. While excisional therapy is necessary in the treatment of both large, full-thickness and deep, partial skin-thickness burns, the majority of burns are superficial partial skin-thickness injuries requiring a different clinical approach. In superficial wounds, cosmetic and functional restoration in conjunction with relief from pain and preven...

Facial soft tissue injuries are common in pediatric trauma patients. Early diagnosis and definitive treatment as well as good postoperative wound care are important when dealing with soft tissue injuries, such as facial nerve and parotid injuries, animal bites, avulsive skin wounds and eyelid and ear lacerations. Children heal quickly, but they also tend to develop hypertrophic scars. Proper wo...