PubMed Health⌕ Search

Biomedical subjects

S Bugyi

Publications and source records attributed to S Bugyi.

5 recordsLinked to original sources

[Malignant melanoma of the nailbed under a skin graft].

The authors report on a case of subungual malignant melanoma, which developed beneath a split-skin graft. The patient had an accident which caused a pathologic growth of the nail. Eleven years later the patient removed the nail, because it became moist, and a surgeon grafted the nail-bed with a split-thickness skin. Six years later we saw a 2 X 2 cm tumor under the skin graft and histologic examination showed a nodular malignant melanoma. Diagnostic and therapeutic guidelines for subungual and acral melanomas are discussed.

Diagnosis, Differential↗

[Changes in iodine metabolism in patients with burns treated topically with PVP-iodine].

Under exposure treatment of 33 burn patients with povidone-iodine (polyvinylpyrrolidon-iodine) preparations (Betaisodona ointment and solution) massive absorption of the iodine by the body and temporary changes in the thyroid hormones (T3 and T4 lowered, TSH raised) were found. No other clinical or laboratory-chemical side effects were observed in the patients. TRH stimulation test was carried out on 18 patients 3-6 months after ceasing povidone-iodine application. The results showed normoreaction of the hypothalamus-pituitary regulation. Povidone-iodine topical treatment of the burn patients involves them in substantial exposure to iodine, but offers no additional risk to the patients.

Administration, Topical↗

Povidone-iodine in the treatment of burn patients.

The improvement in infusion therapy of burn patients in the last decades has led to a marked reduction of the early mortality rate and to an increase in the importance of severe wound infection and septicaemia. For the control of infection, detailed bacteriological monitoring is recommended. The main therapeutic fields for prevention of infection are: immunotherapy, antisepsis, aseptic techniques, and rapid restoration of the destroyed body surface. The most important part of antisepsis in burns is topical treatment. The good bacteriological and clinical results with povidone-iodine (PVP-I), in combination with open treatment are described. A possible disadvantage of this therapy was the extensive iodine resorption. However, no disorders of thyroid function were revealed, and the TRH test indicated no abnormal reactions of the hypothalamus-pituitary axis. The high serum and urine iodine levels returned rapidly to normal after discontinuing the PVP-I application.

Adolescent↗

[The burned hand].

The treatment of the burned hand is part of the care of the burned patient and is not an isolated problem. Second degree injuries present no difficulties because any therapy will be successful. The deep dermal burn is treated in different ways, some authors preferring early tangential necrectomy, while others had good results with secondary reconstructions. In the case of the third degree burn, necrectomy will in any case be mandatory. The preservation of the scar with Betadine gives the opportunity to choose the best timing for the operation in relation to the general condition of the patient. Skin grafting can be performed without any dressing by using the "hayrake" splint. Postoperative treatment is important, splints and pressure dressings are successful. In electrical burns, early necretomy is mandatory. Defects should be closed with flaps. In the area of the secondary reconstruction, the treatment of functional disability has priority over aesthetic corrections.

Burns↗

[Complications in face lifting].

There is a considerable rate of complications in face lift procedures. Especially those examiners who have included the dissatisfaction of patients found a rate of complications up to 40%. The article brings a conclusion of the most in the literature described complications and also hints from different authors to avoid them.

Eyebrows↗