Publications (3)0 Total impact
Article: [Impalement injuries].[Show abstract] [Hide abstract]
ABSTRACT: Impalement injuries are still seen today and constitute a challenging form of trauma. Our experience with four cases is presented. The management of each case has to be individualised. It may not be necessary to lay open the tract taken by the impaling object in every case.
Article: [The "wandering spleen" syndrome].[Show abstract] [Hide abstract]
ABSTRACT: We describe a 26-year-old woman with thrombocytopenia discovered during gestation. On admission for evaluation of abdominal pain, torsion of an ectopic spleen was found. The spleen was removed and the thrombocytopenia resolved.
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ABSTRACT: We treated 2 women and 8 men suffering from Fournier's gangrene during 1990-96. 2 had diabetes, 1 suffered from ulcerative colitis and 1 was an alcoholic. In 8 of them the infection was triggered by a mixture of aerobic and anaerobic bacteria. Treatment consisted of repeated wide debridement and early colostomy. This aggressive approach resulted in relief of the septic signs within 24 hours and permitted early skin grafting of the wounds. 2 patients died due to sepsis that caused multiple organ failure. The 8 who survived were hospitalized for an average of 35 days. On follow-up examination 1-5 years later all patients had undergone closure of the colostomy and were completely rehabilitated. Fournier's gangrene is not rare in the geriatric population. We believe that early diagnosis and aggressive wide debridement, combined with early colostomy, are the keys to successful treatment.
- Harefuah (3)
Tel Aviv Sourasky Medical Center
Tel Aviv, Tel Aviv, Israel
- Division of Surgery