RESUMO
PURPOSE: A retrospective review is presented of 76 patients with infections of the hand, referred from the community and admitted to our plastic surgery unit for treatment over a 30 month period. METHODS: Retrospective chart review and review of the pertinent English-language literature. RESULTS: The majority of the patients (82%) were male. Most incidents leading to infection happened at home (47%). All except two patients presented with cellulitis, and 55% had abscess formation. The most common site of infection was the digits followed by the dorsum of the hand. The average time to operative drainage was 6 h. Only seven patients (9%) were managed non-operatively. The mean duration of follow up was 51 days. Age and positive cultures were good predictors of the hospital stay and the number of operative procedures, respectively. CONCLUSIONS: Hand infections are surgical emergencies; correct and prompt management thus is essential. A quick and effective regimen for treatment yielded good results.
Assuntos
Antibacterianos/uso terapêutico , Infecções Bacterianas , Infecções Comunitárias Adquiridas , Mãos , Auditoria Médica , Infecção dos Ferimentos , Abscesso/microbiologia , Abscesso/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções Bacterianas/tratamento farmacológico , Infecções Bacterianas/microbiologia , Infecções Bacterianas/cirurgia , Celulite (Flegmão)/epidemiologia , Celulite (Flegmão)/microbiologia , Celulite (Flegmão)/cirurgia , Criança , Infecções Comunitárias Adquiridas/epidemiologia , Infecções Comunitárias Adquiridas/cirurgia , Feminino , Bactérias Gram-Negativas/classificação , Bactérias Gram-Negativas/isolamento & purificação , Bactérias Gram-Positivas/classificação , Bactérias Gram-Positivas/isolamento & purificação , Mãos/microbiologia , Mãos/patologia , Mãos/cirurgia , Unidades Hospitalares , Humanos , Masculino , Pessoa de Meia-Idade , Cirurgia Plástica , Reino Unido , Infecção dos Ferimentos/tratamento farmacológico , Infecção dos Ferimentos/microbiologia , Infecção dos Ferimentos/cirurgiaRESUMO
Microsurgery has expanded the scope of many surgical specialties and is evolving into an integral part of training programmes. The complexity of microsurgery requires considerable time and resources for adequate training and practice. This article reviews the validation of microsurgical models for microsurgery training and competence.