ABSTRACT
BACKGROUND: Short-term and long-term complications of transurethral prostate resection can be different in nature. Capsule perforation and subsequent fistulation after resection and electrovaporization is seldom reported in the literature. CASE PRESENTATION: Here we report the case of a 79-year-old caucasian man with capsule perforation after transurethral prostate resection and electrovaporization resulting in a severe and recurrent symphysitis and subsequent pelvic ring fracture. The bladder-symphysis fistulation was surgically removed and additional orthopedic surgery could be avoided after definitely solving the urological problem. CONCLUSIONS: Urologists should be aware of rare complications after transurethral resection and electrovaporization of the prostate.
Subject(s)
Fractures, Bone/surgery , Osteitis , Pelvic Pain/diagnosis , Pubic Symphysis , Transurethral Resection of Prostate , Urinary Bladder Fistula/surgery , Aged , Capsule Endoscopy/adverse effects , Follow-Up Studies , Fractures, Bone/etiology , Humans , Male , Osteitis/diagnosis , Osteitis/surgery , Pelvic Pain/etiology , Pelvic Pain/surgery , Postoperative Complications/surgery , Pubic Symphysis/surgery , Recurrence , Transurethral Resection of Prostate/adverse effects , Treatment OutcomeSubject(s)
Arthroplasty, Replacement, Elbow , Joint Instability/surgery , Osteitis/complications , Osteoarthritis/surgery , Anti-Bacterial Agents/therapeutic use , Cautery/adverse effects , Cicatrix/etiology , Combined Modality Therapy , Drainage , Female , Humans , Joint Instability/etiology , Medicine, African Traditional , Osteitis/surgery , Osteoarthritis/etiology , Range of Motion, Articular , Recovery of Function , Time Factors , Wounds and Injuries/therapy , Young Adult , Elbow InjuriesABSTRACT
Five years after a tooth extraction, a bone necrosis of the mandibular angle happened, without consideration to the antibiotics. Such complication is rare. Living in poor socio-cultural and economic conditions, the patient tried to find help near tradipractionners, prayers groups, without any result. The treatment consisted to an extra oral incision, helping to eliminate bone sequestra, and the liquid around after a dynamic bimaxillary linkage by resin links was settled. About aetiology, only the questioning allowed to say that extraction was traumatic, putting in front of the surgical responsibility and post surgical survey.
Subject(s)
Facial Asymmetry/etiology , Mandibular Diseases/etiology , Osteitis/etiology , Tooth Extraction/adverse effects , Adult , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Anti-Bacterial Agents/therapeutic use , Drug Therapy, Combination/therapeutic use , Facial Asymmetry/surgery , Faith Healing , Female , Humans , Mandibular Diseases/microbiology , Mandibular Diseases/surgery , Medicine, Traditional , Necrosis , Osteitis/microbiology , Osteitis/surgery , Streptococcal Infections/diagnosis , Streptococcal Infections/drug therapy , Surgical Wound Infection/etiology , Surgical Wound Infection/microbiologyABSTRACT
Between 1990 und 1992, 22 patients with bone and soft tissue defects were treated by open segmental bone transport according to Ilizarov, and 20 of these were followed up over a period of 18 months after removal of the external fixator. In 19 cases the bone defect could be filled by callus distraction only, while 1 patient needed additional spongeous bone transplantation because of delayed ossification. In 1 case amputation was necessary because of extensive fistula carcinoma of the resected bone and soft tissue. Closure of soft tissue defect was achieved in 14 patients simultaneously with docking of the bone segments. In 5 patients additional skin transplantation was needed, and in 1 case a latissimus dorsi flap had to be transferred because of unstable scar formation. Transporting vital bone simultaneously with the overlying tissue into a defect allows for limb salvage even in poor biological conditions and in patients with vascular problems. Open bone transfer has extended the range of methods available for the treatment of bone and soft tissue defects.
Subject(s)
Bone Lengthening/instrumentation , Bone Transplantation/instrumentation , External Fixators , Fractures, Open/surgery , Osteitis/surgery , Postoperative Complications/surgery , Soft Tissue Injuries/surgery , Tibial Fractures/surgery , Adolescent , Adult , Aged , Child , Female , Fracture Fixation, Internal , Fracture Healing/physiology , Humans , Male , Middle Aged , ReoperationABSTRACT
The treatment of osteomyelitis essentially depends on a bactericidal concentration of antibiotic in bone tissue with an appropriate spectrum. Ciprofloxacin is effective against the main organisms causing osteomyelitis (staphylococcus aureus, pseudomonas aeruginosa) at low MIC. We investigated the concentration of ciprofloxacin in human bone. After a single dose (200 mg ciprofloxacin i.v., preoperatively) the concentration in cortical bone was 6.9 +/- 0.8 mcg/g and 9.7 +/- 0.8 mcg/g in cancellous bone. In any case the concentration of ciprofloxacin exceeded the MIC for staph. aureus and pseudomonas aeruginosa. For the treatment of osteomyelitis we transferred the antibiotic bound to autologous cancellous bone grafts to the site of inflammation after surgical debridement. First clinical results are documented.