RESUMO
Introducción y objetivos: La onicocriptosis (OC), problema común, afecta principalmente a adultos jóvenes, siendo a menudo el hallux el más afectado. Dependiendo de la gravedad y cronicidad existen 4 estadios, y de estos se derivan distintos tratamientos, abarcando tanto técnicas conservadoras como quirúrgicas. Presentamos nuestra experiencia en esta afección, destacando las características de nuestra población, y dentro de los tratamientos quirúrgicos la técnica de exéresis en U. Materiales y métodos: Estudio retrospectivo y descriptivo de pacientes que presentaron OC a nivel del hallux, que fueron resueltos quirúrgicamente a través de la exéresis en U y su manejo postoperatorio. Resultados: De 10 pacientes operados la edad media fue 35,7 años, en donde 9 tenían compromiso de un hallux y uno de ambos. El estadio II fue el predominante. La mitad había recibido tratamiento quirúrgico previo con una técnica distinta a la exéresis en U. El tiempo de cicatrización promedio fue 6 de semanas. Respecto a las complicaciones, solo un paciente sufrió una infección postoperatoria; y respecto del dolor posquirúrgico este fue leve-moderado, con duración de una semana. La mayoría estaba satisfecha con el resultado estético. Conclusiones: Consideramos que la exéresis en U es una técnica que ha demostrado ser de gran utilidad cuando la OC se encuentra en estadio II, y/o cuando el paciente ya ha recibido tratamiento quirúrgico que ha fallado. Además, sería de elección en los estadios iii y iv, donde lo que predomina es un exceso de tejido hipertrófico (AU)
Introduction and objectives: Ingrown nails are a common problem, seen mostly in young adults. Also known as onychcrypotisis, this condition typically affects the great toenail. Four stages have been defined according to the severity and duration of the condition, and treatment varies from conservative to surgical techniques depending on the stage. We present our experience with this condition, describing the characteristics of our population and surgical treatment, in particular the super U technique. Material and methods: This was a retrospective, descriptive study of patients with ingrown great toenail treated surgically using the super U technique. We also describe postoperative management. Results: Ten patients with a mean age of 35.7 years underwent operation, 9 for unilateral ingrown great toenail and 1 for bilateral disease. Stage II ingrown nail was the most common. Half of the patients had been treated previously using other surgical techniques. The mean time to healing was 6 weeks. The only postoperative complication was infection in 1 patient. Mild to moderate postoperative pain persisted for a week. The majority of patients were satisfied with the cosmetic result. Conclusions: We believe the super U technique is very useful in stage II ingrown nail and in disease that has recurred after previous surgery, and is the treatment of choice in stage III or IV disease in which excessive hypertrophic tissue is found (AU)
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Unhas Encravadas/cirurgia , Lesões dos Tecidos Moles/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Estudos Retrospectivos , Cuidados Pós-Operatórios/métodos , Resultado do Tratamento , Hallux/cirurgiaRESUMO
INTRODUCTION AND OBJECTIVES: Ingrown nails are a common problem, seen mostly in young adults. Also known as onychcrypotisis, this condition typically affects the great toenail. Four stages have been defined according to the severity and duration of the condition, and treatment varies from conservative to surgical techniques depending on the stage. We present our experience with this condition, describing the characteristics of our population and surgical treatment, in particular the super U technique. MATERIAL AND METHODS: This was a retrospective, descriptive study of patients with ingrown great toenail treated surgically using the super U technique. We also describe postoperative management. RESULTS: Ten patients with a mean age of 35.7 years underwent operation, 9 for unilateral ingrown great toenail and 1 for bilateral disease. Stage II ingrown nail was the most common. Half of the patients had been treated previously using other surgical techniques. The mean time to healing was 6 weeks. The only postoperative complication was infection in 1 patient. Mild to moderate postoperative pain persisted for a week. The majority of patients were satisfied with the cosmetic result. CONCLUSIONS: We believe the super U technique is very useful in stage II ingrown nail and in disease that has recurred after previous surgery, and is the treatment of choice in stage III or IV disease in which excessive hypertrophic tissue is found.
Assuntos
Hallux/cirurgia , Unhas Encravadas/cirurgia , Adolescente , Adulto , Procedimentos Cirúrgicos Ambulatórios , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor Pós-Operatória/etiologia , Cuidados Pós-Operatórios , Recidiva , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/etiologia , Técnicas de Sutura , Cicatrização , Adulto JovemRESUMO
No disponible
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Humanos , Feminino , Idoso , Neoplasias/complicações , Neoplasias/diagnóstico , Neoplasias/terapia , Nádegas/lesões , Nádegas/patologia , Nádegas/efeitos da radiação , Neoplasia Residual/patologia , Recidiva Local de Neoplasia/patologia , Biópsia/instrumentação , Biópsia/métodos , Biópsia , Microscopia/instrumentação , Microscopia/métodos , Microscopia , Dermatologia/instrumentação , Dermatologia/métodosRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Biópsia/instrumentação , Biópsia/métodos , Biópsia , Melanoma/diagnóstico , Melanoma/cirurgia , Melanoma/complicações , Morbidade/tendênciasRESUMO
El Staphylococcus aureus meticilin resistente (SAMR), es un conocido patógeno intrahospitalario que actualmente surge como una causa prominentede infecciones cutáneas adquiridas en la comunidad (SAMR.com). En el Uruguay en los últimos años se notificó la existencia de una nueva clona concaracterísticas genotípicas y fenotípicas particulares, que ha generado una alerta sanitaria a nivel nacional. En este estudio describimos la incidencia deSAMR.com y sus diversas presentaciones clínicas, en los pacientes que consultaron en la policlínica de la Cátedra de Dermatología del Hospital de Clínicasde la Facultad de Medicina de Montevideo-Uruguay, durante el período comprendido entre el 1 de julio y el 30 de septiembre de 2004. Incluimostreina y nueve pacientes con sospecha clínica de presentar SAMR-com. Se cultivó dicho germen en veintitrés. Las patologías implicadas con mayor frecuenciaen los pacientes que desarrollaron SAMR-com fueron eccemas, forunculosis, foliculitis, y úlceras de miembros inferiores (AU)
Methicilin-resistant Staphylococcus aureus, a well known inpatient pathogen, is nowadays an important cause of community acquired skin infections.A new genotipicaly and phenotypicaly peculiar clone that caused a sanitary alert was notified community acquired in Uruguay during last years. Herewithwe describe the incidence and clinical manifestations of Methicilin-resistant Staphylococcus aureus (MRSA.ca), from the patients that consultedat the Hospital de Clínicas Dermatology Departament during july 1st and september 30, 2004. We included 39 suspicious MRSA.ca patients, 23 ofwhom had positive bacteriological cultures. Most frequent pathologies that cultured MRSA.ca were eczema, forunulitis/forunulosis and lower limbswounds (AU)
