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Re: Операция на переднем полукольце таза при налич
послал Dan Schlatterer 04 Июнь 2007, 17:25
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hello to all,
pelvic ex-fix is a good option in these situations. in dwelling catheters for any lengthy time period are significant risk for infections (including foley catheters placed for weeks for urethral injuries). resorbable beads develop a fluid which is hard to interpret in terms of the "drainage" they can produce. the fluid always looks like infection although it may just be the beads resorbing. the infection is from the catheter and placing antibiotics around the plate may
help locally but will not prevent infection since the origin/pathway is remote from the surgical site. I have a case myself currently where a pt initially had a suprapubic catheter for 5 days and then urology exchanged for a foley catheter (pt had a urethral tear and APC II pelvis). I placed a supra-acetabular pelvic ex-fix at admission to close the pelvis. a week after the suprapubic catheter was removed I went back and plated the pubic symphysis. 4 wks later the pt returned to the office with very cloudy fluid in the foley and drainage from the pubic incision. urology says the foley got clogged and caused urine to come out of the urethral tear and into my surgical area.
so now I am comfronted with an infection of the pubic region. so to me in dwelling catheters for lengthy time periods are risky. it sounds as if the matta group has a different experience which we would be interested in hearing more about. thanks
dan schlatterer
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