[abstract] MANAGING PYODERMA GANGRENOSUM: A SYNERGISTIC APPROACH COMBINING SURGICAL DEBRIDEMENT, VACUUM ASSISTED CLOSURE AND HYPERBARIC OXYGEN THERAPY

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[abstract] MANAGING PYODERMA GANGRENOSUM: A SYNERGISTIC APPROACH COMBINING SURGICAL DEBRIDEMENT, VACUUM ASSISTED CLOSURE AND HYPERBARIC OXYGEN THERAPY

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Title: [abstract] MANAGING PYODERMA GANGRENOSUM: A SYNERGISTIC APPROACH COMBINING SURGICAL DEBRIDEMENT, VACUUM ASSISTED CLOSURE AND HYPERBARIC OXYGEN THERAPY
Author: Niezgoda, JA; Cabigas, EB; Allen, HK; Simanonok, JP; Kindwall, EP; Krumenauer, JT
Abstract: BACKGROUND: Pyoderma Gangrenosum (PG) is a destructive cutaneous disease characterized by a painful, progressive, necrotizing process. Conservative management utilizing prolonged high dose systemic corticosteroids and other immunosuppressants in addition to gentle local wound care characterizes traditional treatment. MATERIALS AND METHODS: Hyperbaric oxygen therapy (100percent FiO2, 2.4 ATA x 90 minutes) was initiated to stabilize the tissue. Wide surgical debridement of involved tissues was then executed. Post operatively, Vacuum Assisted Closure (VAC), an advanced wound care device utilizing sub atmospheric pressure to support and hasten wound healing, was applied along with continued hyperbaric oxygen (HBO) therapy. RESULTS: This synergistic approach resulted in control of the previously advancing ischemic process and the rapid production of a healthy granular wound bed. Wound closure was achieved with split thickness skin grafting, 5 days following the initial debridement. CONCLUSIONS: After failing traditional management, this complicated case of PG was successfully treated with a synergistic approach utilizing advanced therapies. Excellent patient outcome including rapid wound closure, decreased discomfort and favorable cosmetic appearance was also observed.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1634
Date: 2005

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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