Massive degloving injury of the trunk.
A case of massive degloving injury of the perineum, thigh, and buttocks is presented. Hemostasis was achieved with a pneumatic anti-shock garment (PASG), followed by direct suturing of bleeding areas. A colostomy was performed. Initial conservative debridement was followed in ten days by multiple skin grafts. The patient was treated with sodium bicarbonate and mannitol to preclude myoglobinuric renal failure. Intravenous hyperalimentation was also utilized.
D000063:Accidents, Traffic; D000328:Adult; D001639:Bicarbonates / Q000627:therapeutic use; D003125:Colostomy; D004630:Emergencies; D006801:Humans; D007869:Leg Injuries / Q000601:surgery / Q000628:therapy*; D008297:Male; D008353:Mannitol / Q000627:therapeutic use; D010289:Parenteral Nutrition, Total; D010502:Perineum / Q000293:injuries; D016038:Skin Transplantation; D012964:Sodium / Q000627:therapeutic use; D017693:Sodium Bicarbonate; D013524:Surgical Flaps
D001639:Bicarbonates; D008353:Mannitol; D017693:Sodium Bicarbonate; D012964:Sodium