The 75 -year -old man was bitten by a dog for a year, the wound was not healed, leaked, formed a large warts, and the risk of cancer.
On March 3, the representative of the National Hospital of Tropical Diseases confirmed that the patient was vaccinated and initially handled at a medical facility shortly after being bitten by a dog. Despite many stitches and cutting damage, wounds not only do not heal but also develop into large warts.
Patients with complex background disease, including diabetes and history of antibiotic use due to previous infections. This significantly reduces the possibility of healing wounds, while facilitating prolonged chronic inflammation.
According to Dr., Dr. Duong Manh Chien, who directly treated, the two main factors leading to the current situation are the high amount of toxic bacteria from the wound of animals biting and chronic infections. “These factors increase the risk of cancer of the damaged area if not treated thoroughly,” he emphasized, and warned that the treatment of conventional filtration methods could not help the wound healed but only caused a relapse.
The doctor treated a serious patient. Image: The hospital provides
To treat this complicated wound, doctors have removed the entire inflammatory organization and heel area. However, the biggest challenge is to regenerate the shortage of the skin, because the heel is very little excess skin to cover. The failure to recover promptly can cause the heel’s tendon to expose, leading to the risk of necrosis, tendon breakage and cause the patient to lose the ability to walk.
The crew decided to use the Sural flap (also known as the external flap), a pieces of the skin raised from the calf, to regenerate the damaged area. This is a special shaping technique that helps the transplant skin have enough blood supply, ensuring the ability to live and recover quickly. This form of shaping requires the maintenance of the blood vessel system of the skin flap during the transplanting process, bringing optimal regeneration effect.
After 14 days of postoperative, the wound healed, the patient’s health was stable. According to doctors, this is a great success in the treatment of long complicated lesions, especially when the patient has a history of background pathology and many ineffective interventions.
The doctor recommends that the wounds seem small, otherwise after a long time or showing signs of chronic infections, it is necessary to be examined and treated promptly. Sensitive positions such as heels should not be subjective, because the risk of complications can be very serious, even threatening the ability to exercise and overall health.
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