title: Traumatic complex wounds, multidisciplinary approach: our experience in a case series.
abstract: "Limb-salvage" is a social problem that is rapidly increasing, both in Italy and in the rest of world. Today, as in earlier times, the main causes of open wounds are traumas and such injuries are mainly of II and III stage of Gustilo's classification. Nowadays, the use of modern techniques determined a further dramatic reduction in the infection rates and, above all, in the risk of limb amputation. The most important techniques include: V.A.C. therapy (vacuum assisted closure); PRP gel (platelet-rich plasma gel); hyperbaric oxygen therapy. We treated 4 patients with high energy acute trauma through the combined and innovative use of advanced dressings. The authors report their experience and a brief review of the literature as contribution in regards to treatment of complex wounds of the limbs.
authors.affiliation: Dipartimenti di Chirurgia d'Urgenza e del Trauma, Sapienza University of Rome, Italy. marco.assenza@uniroma1.it
authors.forename: M
authors.initials: M
authors.lastname: Assenza
authors.forename: L
authors.initials: L
authors.lastname: Valesini
authors.forename: G
authors.initials: G
authors.lastname: Monacelli
authors.forename: L
authors.initials: L
authors.lastname: Simonelli
authors.forename: A
authors.initials: A
authors.lastname: Antoniozzi
authors.forename: G C
authors.initials: GC
authors.lastname: Ferrazza
authors.forename: V
authors.initials: V
authors.lastname: Usai
authors.forename: V
authors.initials: V
authors.lastname: Romeo
authors.forename: C
authors.initials: C
authors.lastname: Modini
mesh_terms: D000328:Adult; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D014947:Wounds and Injuries / Q000628:therapy*