a Clinical manifestation after admission in abdomen view; b clinical manifestation in perineum view; c emergency surgical debridement was performed to control the invasive infection that involved the subcutaneous tissue and fascia, but muscle involvement was not obvious; d the excised necrotic tissue; e wound in perineum; f wound in right buttock; g repeated debridement was performed on the 5th day after admission; h wound bed manifestation after NPWT; i abdominal wound was closed by secondary suture and skin graft; j wound in right buttock was closed by secondary suture
Hey guys, I'm back after a while. I got pretty occupied with life but I'll try to make up for lost time! :
This is from a patient undergoing an amputation, showcasing the extraction of healthy bone marrow
This young man attempted suicide by decapitation with a chainsaw, and survived. It was successfully managed operatively.
DESTRUCTIVE DELIVERY / INTRAUTERINE FETAL DEATH
In intrauterine fetal death (IUFD) do not perform C/S.
Severe maternal infection with fatal sepsis is a substantial risk.
By destructive delivery if needed
Basiotribe – Perforator – Heavy scissors – Delivery hook
Perforate the skull with perforator or a pair of heavy scissors
In face presentations use an eye as entry point
Open the shanks of the perforator
Break all intracranial septa
Apply the basiotribe with the solid leg inside and fenestrated leg outside of the skull
Be careful not to catch part of cervix or vagina in the grip
Tighten grip as much as possible
Extract the fetus.
Do this slowly
Allow time for the head to collapse.
In lack of a basiotribe use:
Ordinary delivery forceps
Several heavy toothed clamps
Remove the placenta manually
Check with a hand in the uterine cavity for rupture
Proximal femoral resection and reconstruction with endoprosthesis.
A: proximal femoral resection site;
B: resection specimen and endoprosthesis;
C: site after placement of endoprosthesis;
D: soft tissue fascial and muscular closure over endoprosthesis;
E: primary closure of soft tissue defect is possible, given anatomic orientation of soft tissue defect and reconstruction
The attached image demonstrates cobblestoning of intestine. It is seen in Crohn's disease. The condition can also be seen in:
Brunner gland hyperplasia
nodular lymphoid hyperplasia