{"id":86,"date":"2013-10-20T15:31:22","date_gmt":"2013-10-20T15:31:22","guid":{"rendered":"http:\/\/www.modestosurgery.com\/surgeryblog\/?p=86"},"modified":"2013-10-20T17:32:08","modified_gmt":"2013-10-20T17:32:08","slug":"skin-and-soft-tissue-surgical-highlights-notes","status":"publish","type":"post","link":"http:\/\/www.modestosurgery.com\/surgeryblog\/skin-and-soft-tissue-surgical-highlights-notes\/","title":{"rendered":"Skin and Soft Tissue Surgical Highlights &#8211; Notes"},"content":{"rendered":"<h2>Skin and Soft Tissue &#8211; Surgical Issues<\/h2>\n<ul>\n<li>Various classification systems for necrotizing skin and soft tissue infections help in the study of the disease, doesn&#8217;t necessarily help in the care of the patient.<\/li>\n<li>Dish water exudates and grey necrotic tissue are macroscopic findings of necrotizing soft tissue infection.<\/li>\n<li>Along with early debridement, very broad spectrum IV antibiotics is the mainstay of necrotizing soft tissue infection.<\/li>\n<li>Hyperbaric oxygen is not a proven therapy of necrotizing soft tissue infection.<\/li>\n<li>Switching from castille soap to a once daily 2% chlorhexidine body wash reduces MRSA colonization rates of Surgical ICU patients.<\/li>\n<li>MRSA (Methicillin Resistant Staphylococcus Aureus) is currently the leading pathogen of surgical site infection<\/li>\n<li>Chloraprep (contains alcohol) use must be selective &#8211; beware of starting a fire on the surgical site.<\/li>\n<li>After fasciotomies, negative wound therapy could be helpful for getting rid of <strong>edema<\/strong> and keeping wound clean and dry.<\/li>\n<li>Negative pressure wound systems have been associated with complications of death and injuries.<\/li>\n<li>Measuring compartment pressures, position of the head and trunk relative to the extremities is important when zeroing the transducer<\/li>\n<li>When performing a Fasciiotomy &#8211; one approach anterolateral incision and then posteromedial incision<\/li>\n<li>Calciphylaxis is associated with high calcium phosphorus product (Ca x P).<\/li>\n<li>Infected Calciphylaxis lesions must be completely excised which is associated with a high mortality rate.<\/li>\n<li>Pressure sores is a &#8220;never&#8221; event.<\/li>\n<li>Smoking cessation is a mainstay of managing hidradenitis supperativa<\/li>\n<li>Carbon dioxide laser excision is now being tried to treat moderate infections of\u00a0hidradenitis supperativa (not severe enough for hospitalization).<\/li>\n<li>Biopsy of complex skin lesions is important for diagnosis<\/li>\n<li>Pyoderma Gangrenosum &#8211; 50-70% will have systemic disease (like inflammatory bowel disease (UC \/ Crohn&#8217;s Disease).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Skin and Soft Tissue &#8211; Surgical Issues Various classification systems for necrotizing skin and soft tissue infections help in the study of the disease, doesn&#8217;t necessarily help in the care of the patient. Dish water exudates and grey necrotic tissue are macroscopic findings of necrotizing soft tissue infection. Along with early debridement, very broad spectrum &hellip; <a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/skin-and-soft-tissue-surgical-highlights-notes\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Skin and Soft Tissue Surgical Highlights &#8211; Notes<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[166,162,164,63,159,165,78,158,61,163,156,167,157,160,161],"tags":[181,183,174,175,170,171,177,178,173,169,172,259,168,179,182,176,180],"class_list":["post-86","post","type-post","status-publish","format-standard","hentry","category-calciphylaxis","category-compartment-syndrome","category-hidradenitis-supperativa","category-icu","category-infection","category-inflammatory-bowel-disease","category-mrsa","category-nectrotizing-soft-tissue-infection","category-pearls","category-pyoderma-gangrenosum","category-skin","category-smoking-cessation","category-soft-tissue","category-surgical-icu","category-surgical-preps","tag-calcium-phosphorous-product","tag-carbon-dioxide-laser","tag-chloraprep","tag-chlorhexidine","tag-classification-systems","tag-dish-water-exudates","tag-fasciotomy","tag-fda","tag-hyperbaric-oxygen","tag-infection-2","tag-iv-antibiotics","tag-mrsa","tag-necrotizing-soft-tissue-infection","tag-negative-pressure-wound-systems","tag-pressure-sores","tag-surgical-site-infections","tag-transducer"],"_links":{"self":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/86","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/comments?post=86"}],"version-history":[{"count":3,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/86\/revisions"}],"predecessor-version":[{"id":89,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/86\/revisions\/89"}],"wp:attachment":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/media?parent=86"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/categories?post=86"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/tags?post=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}