This study aims to analyze the bacteriology and antibiotic resistance in hand infection between 2000 and 2009 at a local hospital in Asia. It is a retrospective study involving all adult patients with hand infections that were treated surgically, with tissue or wound culture sent. A total of 100 cases in 2000 and 98 cases in 2009 were included in this study. Standard epidemiology information, bacteriology, antibiotic sensitivity and treatment outcome were analyzed. Particular interest was given to diabetic hand infection. There was no significant difference of outcome in hand infection between the two years. The outcome of diabetics was not statistically worse than the non-diabetics. Comparing the patients in 2000 and 2009, more younger patients were affected with hand infection in 2009. While length of stay is shorter in 2009. Mixed infection was more common in diabetics in 2009. There was trend of clindamycin resistance in methicillin-sensitive staphylococcus aureus in 2009.
Common causes of stent dysfunction are tumor overgrowth with/without ingrowth and in-stent thrombosis. As the stent expansion rate was insufficient in most cases and it may lead to thrombotic occlusion of the stent, anticoagulation or antiplatelet medication can be considered, In addition, radiation therapy after SVC stenting can also be considered in that radiation therapy after SVC stenting is shown to help the stent expand more by decreasing tumor overgrowth with/without ingrowth. References 1. Gwon et al. Covered stent placement for the treatment of malignant superior vena cava syndrome: is unilateral stenting safe and effective? Korean Journal of Radiology. 2.Gwon et al. Malignant Superior Vena Cava Syndome: A comprehensive cohort study of treatment with covered stent versus uncovered stents. Radiology.
Reconstruction of a tendon defect is a challenging task in hand surgery. Delayed repair of a ruptured flexor pollicis longus (FPL) tendon is often associated with tendon defect. Primary repair of the tendon is often not possible, particularly after debridement of the unhealthy segment of the tendon. As such, various surgical treatments have been described in the literature, including single-stage tendon grafting, 2-stage tendon grafting, flexor digitorum superficialis tendon transfer from ring finger, and interphalangeal joint arthrodesis. We describe step cut lengthening of FPL tendon for the reconstruction of FPL rupture. This is a single-stage reconstruction without the need for tendon grafting or tendon transfer. To our knowledge, no such technique has been previously described.
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