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DOI: 10.5999/aps.2012.39.4.412
A Retrospective Review of Iatrogenic Skin and Soft Tissue Injuries
Background Even though the quality of medical and surgical care has improved remarkably over time, iatrogenic injuries that require surgical treatment including injuries caused by cast and elastic bandage pressure, extravasation, and dopamine-induced ischemia still frequently occur. The goal of this study was to estimate the incidence and analyze the distribution of iatrogenic injuries referred to our department.
Methods A retrospective clinical review was performed from April 2006 to November 2010. In total, 196 patients (116 females and 80 males) were referred to the plastic surgery department for the treatment of iatrogenic injuries. We analyzed the types and anatomic locations of iatrogenic complications, along with therapeutic results.
Results An extravasation injury (65 cases, 37.4%) was the most common iatrogenic complication in our study sample, followed by splint-induced skin ulceration, dopamine-induced necrosis, prefabricated pneumatic walking brace-related wounds and elastic bandage-induced wounds. Among these, prefabricated pneumatic walking brace-related complication incidence increased the most during the 5-year study period.
Conclusions The awareness of the very common iatrogenic complications and its causes may allow physicians to reduce their occurrence and allow for earlier detection and referral to a plastic surgeon. We believe this is the first study to analyze iatrogenic complications referred to a plastic surgery department in a hospital unit.
This article was presented at the 68th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 4-7, 2010 in Seoul, Korea.
Publication History
Received: 21 December 2011
Accepted: 14 May 2012
Article published online:
01 May 2022
© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Salameh Y, Shoufani A. Full-thickness skin necrosis after arginine extravasation: a case report and review of literature. J Pediatr Surg 2004; 39: e9-e11
- 2 Gault DT. Extravasation injuries. Br J Plast Surg 1993; 46: 91-96
- 3 Loth TS, Eversmann Jr WW. Extravasation injuries in the upper extremity. Clin Orthop Relat Res 1991; (272) 248-254
- 4 Casanova D, Bardot J, Magalon G. Emergency treatment of accidental infusion leakage in the newborn: report of 14 cases. Br J Plast Surg 2001; 54: 396-399
- 5 Guyton GP. An analysis of iatrogenic complications from the total contact cast. Foot Ankle Int 2005; 26: 903-907
- 6 Ceelen KK, Stekelenburg A, Loerakker S. et al. Compression-induced damage and internal tissue strains are related. J Biomech 2008; 41: 3399-3404
- 7 Boltax RS, Dineen JP, Scarpa FJ. Gangrene resulting from infiltrated dopamine solution. N Engl J Med 1977; 296: 823
- 8 Buchanan N, Cane RD, Miller M. Symmetrical gangrene of the extremities associated with the use of dopamine subsequent to ergometrine administration. Intensive Care Med 1977; 3: 55-56
- 9 Hoff JV, Peatty PA, Wade JL. Dermal necrosis from dobutamine. N Engl J Med 1979; 300: 1280
- 10 Nahlieli O, Baruchin AM, Levi D. et al. Povidone-iodine related burns. Burns 2001; 27: 185-188