Case 1 Clinical Presentation A 29-year-old white male had significant left proximal tibia bone loss and open knee injury as a result of an explosive injury in a foreign country. The orthopedic injury was stabilized initially after debridement in an…
Case 1 Clinical Presentation A 42-year-old White male had a complicated lateral thigh wound following an open distal femur fracture. He underwent an open reduction and internal fixation of the distal femur fracture by the orthopedic trauma service, which left…
Case 1 Clinical Presentation A 40-year-old White male had a very complicated injury to his right hip and lateral thigh regions with a pelvic fracture and extensive muscle necrosis over his right hip region as a result of a motor…
Clinical Presentation A 76-year-old paraplegic White male with a long-standing history of diabetes developed Fournier’s gangrene and presented to the urology service. The primary service performed emergent radical surgical debridement to control the soft tissue infection. After debridement, a significantly…
Clinical Presentation A 14-year-old intersex White person had been born with ambiguous genitalia. The patient decided to be a male but unfortunately all male genital organs had been removed at a young age. The patient now strongly desired a transformation…
Clinical Presentation A 68-year-old Asian woman had radiation therapy for early-stage cervical cancer about 40 years ago in Asia and remained cancer free for a long time but unfortunately developed recurrent cervical cancer. She was offered an anterior pelvic exenteration…
Clinical Presentation An 86-year-old White female underwent a wide local excision (WLE) for a vulvar squamous cell cancer (SCC) by the gynecologic oncology service. A 15 × 8-cm large soft tissue defect remained over the vulva down to the deep muscles…
Clinical Presentation A 34-year-old White male was diagnosed with advanced rectal cancer and had been scheduled for an abdominoperineal resection (APR) by the colorectal service. Because his perineal resection could be extensive with a potential dead space within the pelvic…
Case 1 Clinical Presentation A 63-year-old White female had chronic recurrent drainage from her right buttock for the past 2 years. She had a resection of malignant fibrohistiocytoma and postoperative irradiation in the region approximately 20 years ago. She was…
Case 1 Clinical Presentation A 35-year-old Hispanic paraplegic female developed a sacral pressure sore when she was in hospital to give birth ( Fig. 33.1 ). This was the first time she had a pressure sore since she became paraplegic as…