Enzymatic debridement of large burn wounds with papain-urea: Is it safe?

Introduction: Enzymatic debridement is a method by which burn wounds can be prepared for coverage by skin grafts in patients presenting late. Many agents have been used in the past but none of them have been thoroughly evaluated. The present study was undertaken to assess the efficacy of Debridace, a commonly available debriding agent with papain and urea as its constituents.

Management of major limb injuries.

Management of major limb injuries is a daunting challenge, especially as many of these patients have severe associated injuries. In trying to save life, often the limb is sacrificed. The existing guidelines on managing such trauma are often confusing.

Negative pressure wound therapy as an adjunct in healing of chronic wounds.

Negative pressure wound therapy (NPWT) has emerged as a cutting-edge technology and provides an alternative solution to the problem of wounds. This study was undertaken to assess the efficacy of this technique in the treatment of chronic wounds. A prospective clinical study was used to evaluate our experience in use of NPWT in the healing of pressure ulcers and chronic wounds over 2 years.

Evaluation of recombinant human platelet-derived growth factor as an agent for wound bed preparation in traumatic wounds.

Background: In patients with life-threatening injuries, simple wounds requiring split-thickness skin grafts (SSG) often get neglected. These then need SSG once they are covered with granulation tissue through wound bed preparation. Traditionally, this is done by daily moist dressings.

Body contouring following massive weight loss.

Obesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss.

Case report and mini literature review: anesthetic management for severe peripartum cardiomyopathy complicated with preeclampsia using sufetanil in combined spinal epidural anesthesia.

Peripartum cardiomyopathy (PPCM) is a rare entity, and anesthetic management for cesarean section of a patient with this condition can be challenging. We hereby present the anesthetic management of a patient with PPCM complicated with preeclampsia scheduled for cesarean section, along with a mini review of literature. A 24 year-old primigravida with twin gestation was admitted to our hospital with severe PPCM and preeclampsia for peripartum care, which finally required a cesarean section.

Intraneural lipoma associated with a branch of the superficial peroneal nerve.

Intraneural lipoma is a hamartoma that may involve various nerves, although its association with the superficial peroneal nerve is extremely rare. In this article, we describe the case of a young female with an intraneural lipoma localized to the superficial peroneal nerve. Also highlighted is the importance of meticulous clinical examination in order to accurately diagnose the entity so as to avoid expensive diagnostic imaging investigations.