Tropical Ulcers: A Quick and Successful Method of Treatment by Excision and Skin Graft

James, Clifford S.

doi:10.1016/s0140-6736(01)18152-3

Cited by 5 publications

(2 citation statements)

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“…Excision of ulcers (James, 1932;Clements, 1936) and debridement Pinkerton, 1947) have been advocated, but they require general anaesthesia and must result in removal of a certain amount of viable tissue. I have occasionally employed both methods, particularly when there has been bone or tendon involvement with delay in separation of necrotic tissue, but in most cases cleansing was done without anaesthesia and was confined to wiping or snipping away obvious sloughs.…”

Section: Local Treatmentmentioning

confidence: 99%

“…Walker-Taylor (1945) treated 47 cases of ulcers and tropical onychia by minor surgery and skin grafts with an overall average stay of 17.8 days in hospital, but if 12 cases of onychia are excluded the average stay for the remainder was 19 days. James (1932), using excision and immediate skin grafts in 45 cases, obtained complete epithelial cover in 41 cases in an average of 13 days. These ulcers were all apparently less than 3 in.…”

Section: Comparison With Other Pblished Seriesmentioning

confidence: 99%

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Treatment of Tropical Ulcers

O’Brien¹

1951

BMJ

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PLASMA INSULIN IN DIABETES MELLITUS BRmSH MEDICAL JOURNALThe first is severe and is chairacterized by weight loss and ketosis as well as hyperglycaemia; it occurs at any age, but mainly in the young, and their plasma contains no available insulin but renders the rats insensitive to subsequent insulin injections. They require insulin treatment to live.The second type consists mainly of middle-aged obese diabetics, females being more numerous, and is distinguished by the absence of ketosis and loss of weight. Their plasma contains available insulin, roughly 70% of normal controls, but does not make rats insensitive to insulin. Their diabetic state is easily controlled by diet alone, especially when obesity is thereby reduced.

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Section: Local Treatmentmentioning

confidence: 99%

Section: Comparison With Other Pblished Seriesmentioning

confidence: 99%