[Why a burn center at the Vaud University Hospital Center?].
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Biomedical subjects
Publications and source records attributed to N Favarger.
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The authors present four patients with cutaneous defects of the genital organs, one with a degloving injury to the penis, one with Fournier's gangrene, one with massive lymphoedema and one with a full thickness burn. In those four cases, a stable coverage was obtained through skin grafts, maintained by an external splint. The use of this older method gave an excellent esthetic and functional result.
A study of 34 reconstructive or aesthetic operations done with supplemented local anaesthesia (local anaesthesia associated with a premedication of methadone, midazolam and droperidol) is presented. Results of this anaesthesia were good in 88% as judged by the surgeon. The immediate post-operative impression was indifferent to pleasant in 85% of the patients. A few months later on, 72% of this cohort of patients would accept a new operation with the same kind of anaesthesia. Although these results are good, ways of improving the results are discussed.
Tissue expansion is a useful tool in reconstructive surgery. It permits the correction of large skin lesions by expanded cutaneous or fascio-cutaneous flaps, well vascularised and matching in colour, texture and thickness. We report our results in 12 children. There was a relatively high complication rate.