1 / 20

Plastic Surgery Emergencies

Plastic Surgery Emergencies. Dr. Shane KF Seal CORE Lecture August 27, 2008. What are some ‘true’ emergencies?. Topics. Necrotizing Fasciitis Compartment Syndrome Ischemic Limb / Amputated Part Suppurative Flexor Tenosynovitis Septic Joint Major Burn. Necrotizing Fasciitis.

matthew-terry
Download Presentation

Plastic Surgery Emergencies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Plastic Surgery Emergencies Dr. Shane KF Seal CORE Lecture August 27, 2008

  2. What are some ‘true’ emergencies?

  3. Topics • Necrotizing Fasciitis • Compartment Syndrome • Ischemic Limb / Amputated Part • Suppurative Flexor Tenosynovitis • Septic Joint • Major Burn

  4. Necrotizing Fasciitis • NF vs. NSTI • Travels along fascial planes • Types: • I • II • III

  5. Necrotizing Fasciitis • Appearance • Presentation/CC • Investigations (relevant)

  6. Necrotizing Fasciitis • Management • Surgical • Medical • Monitoring • Long term plans

  7. Compartment Syndrome • Definition • Absolute vs. Relative • Signs/Symptoms • Early vs. late • Most reliable sign • Most reliable symptom

  8. Compartment Syndrome • Investigations (relevant) • ‘Whitesides’ technique • Abdominal Compartment measurements

  9. Compartment Syndrome • Management • Know the anatomy! • Closure options • Late management

  10. Ischemic Limb/Amputated Part • Ischemic Limb • Why? • Acute vs. Chronic? • Investigations • Consults

  11. Ischemic Limb/Amputated Part • Traumatic ischemic limb • Management options • Rheumatologic ischemic limb • Management options • Medical • Surgical

  12. Ischemic Limb/Amputated Part • Amputation • Mechanism of injury • Timing • Level of injury • Investigations

  13. Ischemic Limb/Amputated Part • To replant or not to replant???? • Issues that will affect decisions

  14. Suppurative Flexor Tenosynovitis • Closed system • Can spread quickly along sheath

  15. Suppurative Flexor Tenosynovitis • Presentation • Signs/Symptoms • Kanavel’s 4 Findings • Most reliable sign • Management • Medical • Surgical

  16. Septic Joint • Mechanism • Animal/human bite • Examination • Position of joint • Most reliable way to test • Other associated conditions

  17. Septic Joint • Investigations • Management • Surgical • Medical

  18. Major Burn • Definition • Criteria for admission to a Burn Unit • Management • Fluids ‘Parkland’ • Assessing Depth

  19. Major Burn • Acute issues to deal with • Consults • Medical management • Topical Management • Surgical Management • timing

More Related