Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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A Retrospective Review of Iatrogenic Skin and Soft Tissue Injuries

  • Lee, Tae Geun (Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine) ;
  • Chung, Seum (Department of Plastic and Reconstructive Surgery, Ilsan Hospital, National Health Insurance Corporation) ;
  • Chung, Yoon Kyu (Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine)
  • Received : 2011.12.21
  • Accepted : 2012.05.14
  • Published : 2012.07.15
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Abstract

Background Even though the quality of medical and surgical care has improved remarkably over time, iatrogenic injuries that require surgical treatment including injuries caused by cast and elastic bandage pressure, extravasation, and dopamine-induced ischemia still frequently occur. The goal of this study was to estimate the incidence and analyze the distribution of iatrogenic injuries referred to our department. Methods A retrospective clinical review was performed from April 2006 to November 2010. In total, 196 patients (116 females and 80 males) were referred to the plastic surgery department for the treatment of iatrogenic injuries. We analyzed the types and anatomic locations of iatrogenic complications, along with therapeutic results. Results An extravasation injury (65 cases, 37.4%) was the most common iatrogenic complication in our study sample, followed by splint-induced skin ulceration, dopamine-induced necrosis, prefabricated pneumatic walking brace-related wounds and elastic bandage-induced wounds. Among these, prefabricated pneumatic walking brace-related complication incidence increased the most during the 5-year study period. Conclusions The awareness of the very common iatrogenic complications and its causes may allow physicians to reduce their occurrence and allow for earlier detection and referral to a plastic surgeon. We believe this is the first study to analyze iatrogenic complications referred to a plastic surgery department in a hospital unit.

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References

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