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The therapeutic challenges of degloving soft-tissue injuries.

Latifi R, El-Hennawy H, El-Menyar A, Peralta R, Asim M, Consunji R, Al-Thani H - J Emerg Trauma Shock (2014)

Bottom Line: However, their impact on patients' outcomes is frequently underestimated.They require early recognition, and early management.A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Arizona, Tucson, Arizona, USA ; Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.

ABSTRACT

Background: Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients' outcomes is frequently underestimated.

Objectives: We aimed to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries.

Materials and methods: We conducted a narrative traditional review using the key words; degloving injury and soft-tissue injuries through search engines PubMed, Science Direct, and Scopus.

Results: There are several therapeutic options for treating degloving soft-tissue injuries; however, no evidence-based guidelines have been published on how to manage degloving soft-tissue injuries, although numerous articles outline the management of such injuries.

Conclusion: Degloving soft-tissue injuries are underreported and potentially devastating. They require early recognition, and early management. A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

No MeSH data available.


Related in: MedlinePlus

Major degloving injury in a patient with severe pelvic injury that was diagnosed late (a) requiring major debridment of skin and subcutaneous tissue
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Figure 3: Major degloving injury in a patient with severe pelvic injury that was diagnosed late (a) requiring major debridment of skin and subcutaneous tissue

Mentions: Prompt recognition of degloving soft-tissue injuries is essential, yet treatment is time-consuming and often delayed. Thus, severe degloving injuries, if not recognized may progress to infection or even to necrotizing fasciitis [Figures 2 and 3]. The severity of complications depends on the mechanism, the concomitant injuries, and the anatomic side affected and whether the degloving injuries are open or closed. As there are no established guidelines or consensus for the management of degloving injuries, we aim to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries. Degloving soft-tissue injuries are serious and potentially devastating surgical conditions. Many factors affect outcomes, such as the anatomic location, the force that caused the injury, and the presence of associated injuries. However, early recognition is a crucial step for the favorable outcome.


The therapeutic challenges of degloving soft-tissue injuries.

Latifi R, El-Hennawy H, El-Menyar A, Peralta R, Asim M, Consunji R, Al-Thani H - J Emerg Trauma Shock (2014)

Major degloving injury in a patient with severe pelvic injury that was diagnosed late (a) requiring major debridment of skin and subcutaneous tissue
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126125&req=5

Figure 3: Major degloving injury in a patient with severe pelvic injury that was diagnosed late (a) requiring major debridment of skin and subcutaneous tissue
Mentions: Prompt recognition of degloving soft-tissue injuries is essential, yet treatment is time-consuming and often delayed. Thus, severe degloving injuries, if not recognized may progress to infection or even to necrotizing fasciitis [Figures 2 and 3]. The severity of complications depends on the mechanism, the concomitant injuries, and the anatomic side affected and whether the degloving injuries are open or closed. As there are no established guidelines or consensus for the management of degloving injuries, we aim to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries. Degloving soft-tissue injuries are serious and potentially devastating surgical conditions. Many factors affect outcomes, such as the anatomic location, the force that caused the injury, and the presence of associated injuries. However, early recognition is a crucial step for the favorable outcome.

Bottom Line: However, their impact on patients' outcomes is frequently underestimated.They require early recognition, and early management.A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Arizona, Tucson, Arizona, USA ; Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.

ABSTRACT

Background: Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients' outcomes is frequently underestimated.

Objectives: We aimed to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries.

Materials and methods: We conducted a narrative traditional review using the key words; degloving injury and soft-tissue injuries through search engines PubMed, Science Direct, and Scopus.

Results: There are several therapeutic options for treating degloving soft-tissue injuries; however, no evidence-based guidelines have been published on how to manage degloving soft-tissue injuries, although numerous articles outline the management of such injuries.

Conclusion: Degloving soft-tissue injuries are underreported and potentially devastating. They require early recognition, and early management. A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

No MeSH data available.


Related in: MedlinePlus