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Wed Aug 9 18:13:10 BST 2006

Also a good approach to the swelling is to use a VAC system that has been
use in burn patients and ofidic accidents and work very nice in controlling
it.

Dr. Aguilar
Hospital Calderón Guardia
Costa Rica

On 8/8/06, docrickfry at aol.com <docrickfry at aol.com> wrote:
>
> For the leg swelling that was mentioned, one maneuver that has worked and
> been described is to elevate the leg and wrap it with ace bandages to
> promote drainage--obviously there has been compromise of venous drainage,
> but it is highly difficult and unusial to fully ablate all venous drainage
> from the leg.  Restoration of venous outflow may be considered if this does
> not work with a temporary conduit or shunt.
> ERF
>
>
> -----Original Message-----
> From: KMATTOX at aol.com
> To: trauma-list at trauma.org
> Sent: Tue, 8 Aug 2006 3:25 PM
> Subject: Re: SGW to Femoral triangle - Synthetic vs "autogenous"
>
>
>
> In a message dated 8/8/2006 1:45:34 P.M. Central Standard Time,
> sohailmuzammil at hotmail.com writes:
>
> The time  has come to counsel the patient and
> amputate (or ablate as Dr. Mattox puts  it).
>
> Regards
> S Muzammil, FRCS
>
>
>
> This suggestion was also mentioned in our group, by me.   It has  caused a
> great deal of ethical, moral, and scientific polarization.    The leg is
> still
> viable.   The man is a construction worker and wants  to keep his leg.
>
> k
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SGW to Femoral triangle - Synthetic vs "autogenous"