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    Gluteal necrosis due to diaper pressure: Case report
    (2011) Kapi E.; Bozkurt M.
    We encounter fewer cases of pressure sores in the pediatric age group when compared to adults. There are often problems such as additional systemic disease, immobility and sensory impairment in the pediatric case in which the pressure sore develops. In the cases in which there are not such problems, the pressure sore development emerges due to unfamiliar reasons. At this study, the case in the infantile period in which the pressure sore develops in the gluteal area after diaper usage is presented. The case has been hospitalized and debridement has been applied to the gluteal necrotic tissue defect, after the wound care program repairment with partial thickness skin graft has been implemented. Parents taking care of the baby have to make tiny distinctions in order to solve the problem of the baby reacting abnormally because the baby does not have the ability to talk or of any reason. As monitored in our case, the parents of the baby a part of whose body was under pressure were late to find a solution and the necrotic defects occurred has affected baby's health negatively. On the other hand, such carelessness cause problems that parents would be held responsible juridically and cause problems to impose penal sanctions. Therefore the role of the media and social organizations essential for educating and raising the awareness of the parents about this case is important. In the literature review we have made, we have not come across with any parameter about the pressure sore developing due to diaper pressure in babyhood. Therefore, our case is rather interesting in terms of its unusual etiology.
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    Öğe
    High voltage upper extremity electrical burns repair with groin flap
    (2012) Selçuk C.T.; Bozkurt B.; Durgun M.; Özalp B.; Kapi E.; Akkoç M.F.
    Upper extremities are significantly affected by high-voltage electrical injuries. In this study, the repair of the upper extremity tissue defects due to high-voltage electrical injuries using groin flaps is discussed. Methods: Ten patients who developed upper extremity tissue defects following high-voltage (>1000 V) electrical injuries between April 2009 and October 2011 were enrolled in our study. All the patients underwent reconstructions with pedicled groin flaps. All the patients were male. The areas on which the reconstructions were performed were hand and wrist areas where structures like the bones, tendons and nerves are accessible. The separation of the pedicles was performed on days 20-27 (average period: 23 days) after the pedicle ligation examination revealed no problems. Result: Adequate soft tissue coverage was obtained in all patients following the reconstruction. All the flaps healed without problem. No donor area morbidity was observed. No articular rigidity related to the operation was observed in any of the patients. Conclusion: We are of the opinion that in soft tissue defects that form in the upper extremities subsequent to high-voltage electrical injuries, when local flaps or free tissue transplants are risky or inapplicable, reconstruction with pedicled groin flaps constitutes an ideal treatment alternative.