Database : HANSEN
Search on : ULCERA DA PERNA [Subject descriptor]
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Id:17725
Author:Liwen, Dong; Futian, Li; Juan, Jiang; Guocheng, Zhang.
Title:Techniques for covering soft tissu defects resulting from plantar ulcers in leprosy: Part V - use of the flap in the inguinal region and latissimus dorsi musculocutaneous flap.
Source:In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.60-77ilus, tab.
Abstract:The area of distribution of the superficial cicunflex iliac, superficial epigastric and superficial external pudental arteries is large and flaps based on them can meet the requirement of different recipient sites. We have transplanted free flaps based on the superficial epigastric artery for repairing plantar soft tissue defects in six leprosy patients. During the follow up examination 58 to 118 months later there has been no recurrence of ulceration in any of these cases. The latissimus dorsi muscle, is mainly nourished by the thoracadorsal artery and the latissimus dorsi musculocutaneous flap is a large sized, composite structure with abundant blood provision and strong anti infectious property. The latissimus dorsi flap can be used as a muscle graft. because ofits constant vascular position, wide outer diameter of the vessels and long pedicle. It can therefore be utilized for repairing soft tissue defect or replacement of paralyzed muscle. We have used the latissimus dorsi musculotacutaneous free flap for repairing large skin and soft tissue defects resulting from plantar ulceration in three leprosy patients. During the follow up period, one patient who had complete drop foot and had refused corrective surgery had recurrence of the ulcer in the 12 post operative month. No ulcers had recurred in the other two cases during the follow up at 48 and 114 months.
Descriptors:ULCERA DA PERNA/compl
ULCERA DA PERNA/diag
ULCERA DA PERNA/cirurg
PE/anat
PE/cirurg
Limits:RELATO DE CASO
ESTUDO COMPARATIVO
HUMANO
Location:Br191.1; WC335.603, W48m


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Id:17724
Author:Liwen, Dong; Futian, Li; Juan, Jiang; Guochang, Zhang.
Title:Techniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part IV - use of medial leg flap and medial knee flap.
Source:In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.46-59ilus, tab.
Abstract:The medial leg flap, based on the cutaneous branches of the posterior tibial artery is raised from the middle and lower regions of the medial aspect of the leg. It has a long pedicle, and it can be used as a free flap to reconstruct the distant soft tissue and also as an island flap. We have used this retrograde island flap for a surfacing ulcerated areas in six leprosy patients. The flap survived in all cases. At 24 to 60 months follow up examination, ulceration had not recurred in any for them. The medial knee flap consisting of the skin and subcutaneous tissu of lower part of the medial side of the thih and upper part the leg, is suitable for covering soft tissue cushion defects of the extremities because of the constant vessels, long pedicle, wide diameter, well recognizable sensory nerves and less subcutaneous fat. We have used the medial knee flap for the resurfacing sizeable raw areas due to ulceration in there leprosy patients. the flap survived in all cases there was no recurrence of ulceration duriong the 70-148 months follow up period.
Descriptors:ULCERA DA PERNA/diag
ULCERA DA PERNA/reabil
ULCERA DA PERNA/cirurg
JOELHO/anorm
JOELHO/inerv
JOELHO/cirurg
Limits:RELATO DE CASO
ESTUDO COMPARATIVO
HUMANO
Location:Br191.1; WC335.603. 48m


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Id:16074
Author:Cochrane, R. G.
Title:General principles in the treatment of trophic ulcers in leprosy.
Source:Lepr Ind;12(1):11-16, jan., 1940. tab, ilus.
Descriptors:HANSENIASE/compl
HANSENIASE/quimioter
ULCERA DA PERNA/quimioter
ULCERA DO PE/quimioter
Location:BR191.1


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Id:15694
Author:Anon.
Title:Treatment and management of trophic ulcers.
Source:Lepr. Ind;5(2):60-67, Apr. 1933. .
Descriptors:HANSENIASE/compl
HANSENIASE/quimioter
HANSENIASE/terap
ULCERA DO PE/compl
ULCERA DO PE/quimioter
ULCERA DO PE/reabil
ULCERA DO PE/cirurg
ULCERA DA PERNA/compl
ULCERA DA PERNA/quimioter
ULCERA DA PERNA/reabil
ULCERA DA PERNA/cirurg
ULCERA DA PERNA/terap
Limits:HUMANO
Location:BR191.1


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Id:15691
Author:Cruz, M. C; Abuel, José I; Samson, José G.
Title:Periarterial sympathectomy in trophic ulcers of leprosy.
Source:Lepr Ind;5(1):51-52, jan. 1933. .
Descriptors:HANSENIASE/compl
HANSENIASE/cirurg
ULCERA DA PERNA/cirurg
Location:BR191.1


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Id:15008
Author:Martínez Jiménez, Angel; Ruiz, Ligia.
Title:Manejo de úlceras de piernas con injertos laminares en enfermos de Hansen.
Source:Fontilles - Revista de Leprología;13(3):295-301, Sep.-Dic. 1981. ilus, tab.
Abstract:Se estudiaraon 8 pacientes leprosos, de los cuales: 7 fueron lepromatosos y 1 indeterminado, portadores de úlceras de pierna, con una evolución promedio de 12 años, tomándose de cuenta además del estucio clínico, exámenes de laboratorio (hemoglobina, albúminas totales y parciales, colesterol, triglicéridos), actividad baciloscópica y bacteriología de las úlceras que fueron tratados con injertos laminares intermediariso. (AU).
Descriptors:HANSENIASE
HANSENIASE/diag
ULCERA DA PERNA/diag
ULCERA DA PERNA/cirurg
Electronic Medium:http://www.ilsl.br
Location:BR191.1


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Id:13705
Author:Nagoba, B. S; Wadher, B. J; Chandorkar, A. G
Title:Citric acid treatment of non-healing ulcers in leprosy patients ..-
Source:s.l; s.n; 2002. 1 p. ilus.
Descriptors:DOENCA CRÔNICA
ACIDO CITRICO/uso terap
ULCERA DO PE/quimioter
ULCERA DA PERNA/quimioter
HANSENOSTATICOS/uso terap
HANSENIASE/compl
Limits:RELATO DE CASO
HUMANO
MASCULINO
MEIA-IDADE
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 09053/s


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Id:13621
Author:Thappa, D. M; Karthikeyan, K; Vijaikumar, M; Koner, B. C; Jayanthi, S
Title:Leg ulcers in active lepromatous leprosy associated with cryoglobulinaemia ..-
Source:s.l; s.n; 2002. 3 p. ilus.
Abstract:A 40-year-old male agricultural labourer presented with active lepromatous leprosy and painful leg ulcers of 2 months' duration. Biopsy from the ulcer showed nonspecific changes. Raised erythrocyte sedimentation rate and positive rheumatoid factor made us suspect underlying cryoglobulinaemia. Presence of cryoprecipitate in the serum, demonstration of cryoglobulins by serum electrophoresis and raised cryocrit were compatible with cryoglobulinaemia as the cause of atypical leg ulcers in this case. The ulcers healed with bed rest, aspirin and specific anti-leprosy treatment. Though 95 per cent of lepromatous leprosy patients can have cryoglobulinaemia, the presence of atypical ulcers as seen in our patient has not previously been related to the presence of cryoglobulinaemia. (AU).
Descriptors:CRIOGLOBULINEMIA/compl
CRIOGLOBULINEMIA/diag
CRIOGLOBULINEMIA/parasitol
ULCERA DA PERNA/etiol
HANSENIASE VIRCHOWIANA/compl
Limits:RELATO DE CASO
HUMANO
MASCULINO
ADULTO
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 09011/s


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Id:13593
Author:Enna, Carl D; Delgado, Delio D
Title:The surgical management of Hansen's disease: a survey updated ..-
Source:s.l; s.n; jan. 1981. 15 p. ilus.
Abstract:Hansen's disease, leprosy, is one of the oldest known diseases, yet it continues to be shrouded in mystery and superstition, not only among the public but also within the medical profession. Unwarranted fear is due to a lack of knowledge of the disease and dread of acquiring the same fate as Hansen's disease victims.(AU).
Descriptors:EXTREMIDADES/cirurg
FACE/cirurg
DEFORMIDADES ADQUIRIDAS DO PE/cirurg
DEFORMIDADES ADQUIRIDAS DA MAO/cirurg
ULCERA DA PERNA/cirurg
HANSENIASE/patol
HANSENIASE/cirurg
DEFORMIDADES ADQUIRIDAS NASAIS/cirurg
OPINIAO PUBLICA
CIRURGIA PLASTICA/métodos
Limits:HUMANO
MASCULINO
FEMININO
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 01804/s


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Id:13569
Author:Enna, Carl D; Delgado, Delio D
Title:The surgical management of Hansen's disease: a survey updated ..-
Source:s.l; s.n; jan. 1981. 5 p. ilus.
Abstract:Hansen's disease, leprosy, is one of the ildest known diseases, yet it continues to be shrouded in mystery and superstititon, not only among the public but also within the medical profession. Unwarranted fear is due to a lack of knowledge of the disease and dread of acquiring the same fate as Hansen's disease victims.(AU).
Descriptors:HANSENIASE/patol
HANSENIASE/cirurg
OPINIAO PUBLICA
DEFORMIDADES ADQUIRIDAS NASAIS/cirurg
CIRURGIA PLASTICA/métodos
ULCERA DA PERNA/cirurg
EXTREMIDADES/cirurg
FACE/cirurg
DEFORMIDADES ADQUIRIDAS DO PE/cirurg
DEFORMIDADES ADQUIRIDAS DA MAO/cirurg
Limits:HUMANO
MASCULINO
FEMININO
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00230/s


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Id:13306
Author:Andersen, J. G
Title:Malignant degeneration in chronic ulceration of the leg and foot in leprosy patients; two case reports ..-
Source:s.l; s.n; dec. 1982. 5 p. ilus.
Abstract:The development of squamous cell carcinoma in long-established ulcers is described in two patients with leprosy, one on the lower leg in a patient with borderline-tuberculoid (BT) leprosy and the other on the sole of the foot in a patient with lepromatous (LL) leprosy. Although sometimes stated by clinicians to be rare, and infrequently reported in the literature, it is suggested that malignant change in chronic ulcers in leprosy may be found more often if patients are examined with care and the possibility kept in mind.(AU).
Descriptors:HANSENIASE/compl
ULCERA DA PERNA/compl
NEOPLASIAS CUTÂNEAS/etiol
ULCERA/compl
DOENCAS DO PE/compl
CARCINOMA DE CELULAS ESCAMOSAS/etiol
Limits:RELATO DE CASO
HUMANO
MASCULINO
FEMININO
MEIA-IDADE
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00897/s


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Id:11068
Author:Kontochristopoulos, G; Kyriakis, K; Symeonidou, S; Katsiboulas, V; Aroni, K; Panteleos, D; Katsambas, A
Title:Squamous cell carcinoma in chronic trophic ulcers of leprosy patients ..-
Source:s.l; s.n; may 2000. 2 p. ilus.
Descriptors:HANSENIASE LEPROMATOSA
CARCINOMA DE CÉLULAS ESCAMOSAS
CARCINOMA DE CÉLULAS ESCAMOSAS
ULCERA DA PERNA
NEOPLASIAS CUTANEAS
NEOPLASIAS CUTANEAS
Location:BR191.1; 07364/s



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