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Titlebook: Surgery in Wounds; Luc Téot (Professor),Paul E. Banwell,Ulrich E. Zie Book 2004 Springer-Verlag Berlin Heidelberg 2004 Burns.Debridement.S

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Radiotherapy and Wounds E.L. Dormande effects may be due to radiation-induced DNA mutations, cell death within irradiated organs, ischaemia due to the effects of radiation on small blood vessels or due to perturbed inflammatory and repair responses.The skin is particularly affected with atrophy, soft-tissue fibrosis and microvascular damage.
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Maggot Debridementtroduction of antibiotics into medicine. Later, it was mainly the work of Ronald Sherman which enlarged the scope of indications to chronic wounds, like stasis ulcers and bed sores [2]. At that time, clinical emphasis was on the problem of impaired wound healing as found in diabetic patients [3].
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Control of Exudate and Periwound Skin Carebarriers can be used on periwound skin before it breaks down from exudate. A faecal pouch can be applied to an incontinent patient directly in the operating room to prevent faecal contamination of a new staple line following, for example, a myocutaneous flap repair of a sacral pressure ulcer.
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The Sequelae of the Cutaneous Radiation Syndromeonventional” wars, and which without doubt will cause contamination with short-ranging radioactive nuclides. These nuclides again will affect the skin primarily. In summary, the probability of cutaneous radiation exposures with, in part, extremely high absorbed doses (< 60 Gy) with concomitantly survivable bone marrow doses has increased.
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