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The operative treatment of epidermolysis bullosa hereditaria


, : The operative treatment of epidermolysis bullosa hereditaria. Zeitschrift für Kinderchirurgie 33(2): 175-181

After demonstrating four clinical patterns of epidermolysis bullosa hereditaria the operative procedure will be discussed in two cases. One is a now 16-year-old male, the other a 18-year-old girl, who suffer from this disease. While removing the affected skin in a first operation, the defect is covered by a split skin graft taken from a non-affected area. In a second operation or in repeated operative procedures, not only must the affected skin be removed but also any existing scars and contractures. Children who suffer from this form of epidermolysis bullosa hereditaria present a severe problem. For all who deal with this problem, the painstaking preoperative preparation as well as the choice of the most suitable anaesthetic are as important in every respect as the operation itself and the postoperative and psychosocial care.


Accession: 006728432

PMID: 7282084

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Related references

Bergenholtz, A.; Olsson, O., 1968: Epidermolysis bullosa hereditaria. I. Epidermolysis bullosa hereditaria letalis. A survey of the literature and report of 11 cases. Acta Dermato-Venereologica 48(3): 220-241

Hums, R., 1980: Epidermolysis bullosa hereditaria simplex of hands and feet. Report on classification of the epidermolysis bullosa hereditaria simplex. Dermatologische Monatschrift 166(11): 722-731

Bergenholtz, A.; Olsson, O.; Arwill, T.; Lundstroem, N.R., 1965: Epidermolysis Bullosa Hereditaria. Ii. Oesophageal Changes In Epidermolysis Bullosa Hereditaria Dystrophica. Practica Oto-Rhino-Laryngologica 27: 219-232

Arwill, T.; Bergenholtz, A., 1968: Epidermolysis bullosa hereditaria. 8. Growth rate of the dentine in deciduous teeth in epidermolysis bullosa revealed by tetracycline lines. Archives of Oral Biology 13(7): 819-822

Haneke, E.; Anton-Lamprecht, I., 1982: Ultrastructure of blister formation in epidermolysis bullosa hereditaria 5. epidermolysis bullosa simplex localisata type weber cockayne. The ultrastructure of the autosomal dominant disorder epidermolysis bullosa simplex type Weber-Cockayne has not been studied systematically. Biopsies of blisters freshly produced by friction after a hot bath were investigated by EM in 8 subjects o...

Haneke, E.; Anton-Lamprecht, I., 1982: Ultrastructure of blister formation in epidermolysis bullosa hereditaria: V. Epidermolysis bullosa simplex localisata type Weber-Cockayne. The ultrastructure of epidermolysis bullosa simplex type Weber-Cockayne has as yet not been studied systematically. Therefore biopsies of blisters freshly produced by friction after a hot bath were investigated by electron microscopy in 8 subjects...

Enell, H.; Hesselman, B.; Soderhjelm, L., 1957: Hormone treatment of epidermolysis bullosa hereditaria. Nordisk Medicin 58(44): 1665-1668

Enell, H.; Lindeas, K., 1953: Epidermolysis bullosa hereditaria dystrofica. I. Treatment with cortisone. Acta Dermato-Venereologica 33(6): 488-496

Orthner E.; Scharf W.; Aberer E., 1984: Treatment of a fracture of the tibia in epidermolysis bullosa hereditaria dystrophica. Unfallheilkunde 87(9): 393-396

Bandmann, H.J.; Perwein, E., 1982: The effectiveness of phenytoin in the treatment of epidermolysis bullosa hereditaria dystrophica partim inversa (Gedde-Dahl). Zeitschrift für Hautkrankheiten 57(21): 1587-1598