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Biomedical subjects

J Bajec

Publications and source records attributed to J Bajec.

11 recordsLinked to original sources
PubMed1996

Unusual development of granulomas on the healing surface of burn wounds associated with MRSA infections.

Ten patients with a mean age of 14.5 years and partial skin thickness burns involving 3-5 per cent body surface areas developed rapidly proliferating tumour-like growths on the surface of their healing wounds within 10-21 days of sustaining the injuries. The number of tumours on every patient was either single or multiple and each increased in size daily. The growths were unique in their fulminating-type fleshy mass, with a consistency varying from soft to firm, absence of purulent material or head, and extension up to the fibrous layer covering the musculatuve. Histopathology was suggestive of granulomatous rather than a suppurative nature of the lesions. Isolation of MRSA from the burn wounds of four cases on the first day of dressing and then from the surface of the tumours of all of them and the excised tissues, as well as from the environment of the dressing room, indicated its involvement in the causation of the growths through contaminations of wounds with a hospital endemic strain while handling or dressing. The organisms were resistant to most antibiotics except vancomycin and teicoplanin. The growths in four cases subsided within 72 h with daily dressing, using an injectable solution of either vancomycin or teicoplanin, while the rest required radical excision and immediate cover with split skin grafts and systemic administration of either of the antibiotics. The wounds healed over a period of 8-10 days.

Adolescent↗
PubMed1993

Post Gulf war explosive injuries in liberated Kuwait.

We collected the statistics of the victims affected by explosive injuries in liberated Kuwait during the period March to December 1991. Included were 1679 patients treated at nine different hospitals in Kuwait. As members of a trauma team, we, the plastic surgeons, were involved in the care of 152 victims of explosive injuries admitted at Al-Razi Orthopaedic Hospital. The records of these patients were reviewed in detail and the results were analysed. Of the patients, 58 had penetrating wounds and 94 explosive blast wounds. In all, 69 patients (45.3 per cent) were found to have associated fractures, 8 (5.3 per cent) had vascular injuries and in 10 (6.5 per cent) a nerve was also involved. There were 41 patients (26.9 per cent) who required amputations. The mainstay of surgical treatment was adequate wound excision, skeletal fixation and soft tissue coverage. Split-skin grafts were used in 34 patients, local flaps in seven and free flaps in four. Most patients healed within 2-3 weeks. There were 10 patients with explosive blast wounds who developed infection and needed staged wound excision before providing final coverage.

Adolescent↗
PubMed1992

Management of thermal injury in pregnancy--an analysis of 16 patients.

Sixteen patients at various stages of pregnancy suffered burns covering between 10 and 80 per cent of the body surface area. This review highlights the management problems of these patients during the first, second and third trimesters. Only two mothers (both with 80 per cent TBSA burns) died. There were five fetal deaths, three of them intrauterine.

Adolescent↗
PubMed1992

Electrical burns in Kuwait: a review and analysis of 64 cases.

Sixty-four patients with electrical burns were admitted to the Department of Plastic Surgery, Ibn Sina Hospital, Kuwait during the past 6 years. There were 1202 admissions during this period, the incidence of electrical burns being 5.3 per cent. Sixty-nine per cent of the patients sustained injury from direct contact with live electrical wire, the remaining 31 per cent sustained flash burns. The incidence of low voltage injury was much higher as compared to high voltage. Forty-four per cent of these injuries were not work related. Less than 10 per cent of the body surface area was involved in about 80 per cent of the patients. A total of 65 operations was carried out in 39 patients. Twenty of these patients had repeated debridements until the wound was ready for coverage. All 64 patients survived.

Adolescent↗
PubMed1991

Experience with 50 free TRAM flap breast reconstructions.

The data from the first 50 patients undergoing free TRAM flap breast reconstruction in two units were examined. Average patient age was 42 years, and average weight was 62 kg. Forty percent of patients were chronic smokers, and 26 percent had low abdominal scars. Twelve percent exercised their abdominal muscles regularly. Eighteen percent had undergone radical mastectomy, whereas 76 percent had undergone modified radical mastectomy and 6 percent had undergone subcutaneous mastectomy. Postoperative radiotherapy had been given in 16 percent of patients, and 54 percent had received postoperative chemotherapy. The average time from mastectomy was 32 months, whereas six breasts were reconstructed immediately. Average operating time was 5.6 hours, and average blood loss was 2.4 units. Average hospital stay was 11.2 days. Complications included three total flap losses (6 percent) and two partial flap losses (4 percent). Abdominal hernia occurred in two patients (4 percent).

Adult↗
PubMed1986

Salvage of the mutilated upper extremity with temporary ectopic implantation of the undamaged part.

A method of salvage of mutilated extremities with temporary ectopic implantation of the undamaged distal part is described. We suggest that this method is indicated in devastating segmental injuries of extremities, where the distal part is devascularized and where a necessary radical debridement would include the structures which are indispensable for a good functional result of the replantation but which would possibly survive if treated with an open-wound technique. The method could also be used in cases where an essential length of limb could be preserved by open-wound management with improvement of the functional and aesthetic result of replantation. The method is contraindicated in injuries where perfusion of the distal part is preserved. The lateral upper part of the thorax is suggested as a convenient site, with the thoracodorsal artery and vein as recipient vessels. The timing of replantation of the ectopic implanted part must be carefully planned to avoid complications caused by remaining necrotic tissues or infection. The importance of intensive physiotherapy of the ectopic implanted part is stressed.

Accidents, Occupational↗