RESUMEN
Covering tibial bone exposure from third degree burns to the lower limbs is a challenging task for the plastic surgeon. We present our experience of covering tibial exposure from burns in three different patients, where four limbs were involved and three muscular flaps were used in conjunction with one another; i.e. the tibialis anterior flap, the medial gastrocnemius flap and the hemisoleus flap. Through the use of this technique, tibial bone exposure, ranging from 15-30 cm, was successfully covered. This technique constitutes a good solution for surgically challenging wounds.
RESUMEN
Covering tibial bone exposure from third degree burns to the lower limbs is a challenging task for the plastic surgeon. We present our experience of covering tibial exposure from burns in three different patients, where four limbs were involved and three muscular flaps were used in conjunction with one another; i.e. the tibialis anterior flap, the medial gastrocnemius flap and the hemisoleus flap. Through the use of this technique, tibial bone exposure, ranging from 15-30 cm, was successfully covered. This technique constitutes a good solution for surgically challenging wounds.
RESUMEN
BACKGROUND: Penile strangulation is a rarely described medical emergency. Removal of the strangulating object is challenging, with a lack of proper guidelines. OBJECTIVE: To describe the challenges faced during an attempt to urgently remove a metal object (wedding ring) constricting an erect penis. METHODS: We report a case of penile strangulation with a wedding ring in an adult man who presented at Van Velden Hospital casualty department, Limpopo, South Africa, and review the related literature. RESULT: The ring was successfully removed using an aspiration technique (via a pink needle). CONCLUSION: No proper guidelines exist for the treatment of this condition, so the 'best method' is the one with a successful outcome.