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  1. Article: Enzymatic Debridement Compared To Surgical Debridement: A Cost Analysis in a Burn Unit in Spain.

    Ustarroz-Aguirre, I / García-Lorenzo, B / Acaiturri-Ayesta, M T / Gómez-Inhiesto, E / Martin-Playa, P

    Annals of burns and fire disasters

    2024  Volume 37, Issue 1, Page(s) 45–52

    Abstract: The standard care for burns is tangential surgical debridement and subsequent covering, but recently enzymatic debridement has appeared as an alternative. The objective of this study, using an individualised cost-per-patient information system, is to ... ...

    Abstract The standard care for burns is tangential surgical debridement and subsequent covering, but recently enzymatic debridement has appeared as an alternative. The objective of this study, using an individualised cost-per-patient information system, is to compare the cost per patient of these two alternatives and identify their main determining factors. A non-randomised, retrospective, observational study was carried out with 79 patients, 39 of whom were treated with surgical debridement. The average cost per patient for enzymatic debridement is lower, particularly due to a shorter length of stay of critical hospitalisation (13.7 vs. 18.9 days; €26,101 vs. €33,919), a decreased need for surgical procedures (0.45 vs. 1.28) and a shorter use of operating theatres (53 vs. 202 minutes; €904 vs. €3,000). Age, aetiology, evolution length and percentage TBSA are robust determinants of the cost of care for burn patients. The type of procedure does not appear to significantly affect the cost per patient.
    Language English
    Publishing date 2024-03-31
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2106850-1
    ISSN 1592-9566 ; 1592-9558
    ISSN (online) 1592-9566
    ISSN 1592-9558
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  2. Article ; Online: Approach to Fingertip Injuries.

    Martin-Playa, Patricia / Foo, Anthony

    Clinics in plastic surgery

    2019  Volume 46, Issue 3, Page(s) 275–283

    Abstract: The fingertip is mankind's tactile interface with the physical world, from reading braille, to using touchscreens, to wielding power tools. Its special tissue architecture demands astute evaluation and meticulous surgical or nonsurgical care after injury ...

    Abstract The fingertip is mankind's tactile interface with the physical world, from reading braille, to using touchscreens, to wielding power tools. Its special tissue architecture demands astute evaluation and meticulous surgical or nonsurgical care after injury to return patients to their preinjury level of function. Attentive deliberation of physiologic, vocational, and psychosocial factors could improve the odds of achieving satisfactory results. In this article, we explore these aspects of fingertip injury to provoke readers to examine their practices and philosophies.
    MeSH term(s) Amputation, Traumatic/surgery ; Finger Injuries/physiopathology ; Finger Injuries/surgery ; Fingers/surgery ; Humans ; Nails/injuries ; Nails/surgery ; Reconstructive Surgical Procedures/methods ; Surgical Flaps ; Wound Healing
    Language English
    Publishing date 2019-04-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 193117-9
    ISSN 1558-0504 ; 0094-1298
    ISSN (online) 1558-0504
    ISSN 0094-1298
    DOI 10.1016/j.cps.2019.02.001
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  3. Article ; Online: An overview of the situation of hand surgery in Spain during the peak of COVID-19 pandemic.

    Martin-Playa, P / Calzacorta-Muñoz, P / Aparicio Elizalde, L / Carrera-Casal, O / García Gutiérrez, J J

    Hand surgery & rehabilitation

    2020  Volume 39, Issue 5, Page(s) 454–458

    Abstract: Since the first cases were detected in China in December 2019, the COVID-19 pandemic has spread rapidly, collapsing many healthcare systems, and forcing them to adapt. Hand surgery has been indirectly affected by this scenario. This article aims to ... ...

    Abstract Since the first cases were detected in China in December 2019, the COVID-19 pandemic has spread rapidly, collapsing many healthcare systems, and forcing them to adapt. Hand surgery has been indirectly affected by this scenario. This article aims to provide an overview on how Spanish hand surgeons have modified their daily practice. Based on a survey conducted nationwide, we observed a decrease in the number of emergency cases and cancellation of elective cases, shift to a more conservative treatment approach, use of personal protective equipment, and decrease in the number of outpatient visits and tests. Without definitive evidence at this point, knowing how we have dealt with the situation so far will help us adopt the needed measures to ensure both the patient's and surgeon's safety and manage available resources in future pandemics.
    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Emergency Treatment/statistics & numerical data ; Hand Injuries/surgery ; Health Care Surveys ; Humans ; Orthopedic Procedures/statistics & numerical data ; Pandemics ; Pneumonia, Viral/epidemiology ; Practice Patterns, Physicians' ; Plastic Surgery Procedures/statistics & numerical data ; Spain/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-06-30
    Publishing country France
    Document type Journal Article
    ZDB-ID 2848776-X
    ISSN 2468-1210
    ISSN (online) 2468-1210
    DOI 10.1016/j.hansur.2020.06.002
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1791: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
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  4. Article ; Online: Arterialized Posterior Interosseous Nerve Graft for Digital Neuroma.

    Foo, Anthony / Martin-Playa, Patricia / Sebastin Muttath, Sandeep J

    Techniques in hand & upper extremity surgery

    2019  Volume 23, Issue 4, Page(s) 152–154

    Abstract: Painful neuromas are not uncommon following nerve injury, and are especially bothersome in the hand, with severe cases resulting in significant disability. Outcomes of neuroma surgery are unpredictable regardless of technique. It is recognized that ... ...

    Abstract Painful neuromas are not uncommon following nerve injury, and are especially bothersome in the hand, with severe cases resulting in significant disability. Outcomes of neuroma surgery are unpredictable regardless of technique. It is recognized that optimal soft tissue environment influences nerve healing more than the specific nerve graft technique, and it is in this context, we present a novel technique of transferring a posterior interosseous nerve graft along with vascularized synovial and fat tissue based on a branch of the posterior interosseous artery to provide healthy soft tissue for nerve healing of neuroma in continuity about the hand and digits.
    MeSH term(s) Adipose Tissue/blood supply ; Adipose Tissue/transplantation ; Contraindications, Procedure ; Fingers/surgery ; Humans ; Neuroma/surgery ; Peripheral Nervous System Neoplasms/surgery ; Radial Nerve/anatomy & histology ; Radial Nerve/transplantation
    Language English
    Publishing date 2019-05-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075789-X
    ISSN 1531-6572 ; 1089-3393
    ISSN (online) 1531-6572
    ISSN 1089-3393
    DOI 10.1097/BTH.0000000000000240
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5635: Show issues Location:
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  5. Article: An overview of the situation of hand surgery in Spain during the peak of COVID-19 pandemic

    Martin-Playa, P / Calzacorta-Muñoz, P / Aparicio Elizalde, L / Carrera-Casal, O / García Gutiérrez, J J

    Hand Surg Rehabil

    Abstract: Since the first cases were detected in China in December 2019, the COVID-19 pandemic has spread rapidly, collapsing many healthcare systems, and forcing them to adapt. Hand surgery has been indirectly affected by this scenario. This article aims to ... ...

    Abstract Since the first cases were detected in China in December 2019, the COVID-19 pandemic has spread rapidly, collapsing many healthcare systems, and forcing them to adapt. Hand surgery has been indirectly affected by this scenario. This article aims to provide an overview on how Spanish hand surgeons have modified their daily practice. Based on a survey conducted nationwide, we observed a decrease in the number of emergency cases and cancellation of elective cases, shift to a more conservative treatment approach, use of personal protective equipment, and decrease in the number of outpatient visits and tests. Without definitive evidence at this point, knowing how we have dealt with the situation so far will help us adopt the needed measures to ensure both the patient's and surgeon's safety and manage available resources in future pandemics.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #631560
    Database COVID19

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  6. Article ; Online: An overview of the situation of hand surgery in Spain during the peak of COVID-19 pandemic

    Martin-Playa, P. / Calzacorta-Muñoz, P. / Aparicio Elizalde, L. / Carrera-Casal, O. / García Gutiérrez, J.J.

    Hand Surgery and Rehabilitation

    2020  Volume 39, Issue 5, Page(s) 454–458

    Keywords Rehabilitation ; Orthopedics and Sports Medicine ; Surgery
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2848776-X
    ISSN 2468-1210 ; 2468-1229
    ISSN (online) 2468-1210
    ISSN 2468-1229
    DOI 10.1016/j.hansur.2020.06.002
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1791: Show issues Location:
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  7. Conference proceedings: A comparision of functional outcomes of conservatively and surgically treated metacarpal neck fractures with angulation greater than 50 degrees

    Martin Playa, Patricia / Sebastin Muttath, Sandeep Jacob / Ajith, Aiswarya

    2020  , Page(s) IFSSH19–1733

    Event/congress 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT); Berlin; ; International Federation of Societies for Hand Therapy; 2019
    Keywords Medizin, Gesundheit ; metacarpal neck fracture conservative
    Publishing date 2020-02-06
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/19ifssh0787
    Database German Medical Science

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  8. Article ; Online: The use of pedicled abdominal flaps for coverage of acute bilateral circumferential degloving injuries of the hand.

    Sabapathy, Shanmunagathan Raja / Venkatramani, Hari / Martin Playa, Patricia

    Trauma case reports

    2015  Volume 1, Issue 3-4, Page(s) 25–31

    Abstract: Reconstruction of bilateral soft tissue defects in hand and distal third of the forearm, is a challenge for any reconstructive surgeon. When there is circumferential skin loss affecting the whole hand and fingers as in major degloving injuries, the ... ...

    Abstract Reconstruction of bilateral soft tissue defects in hand and distal third of the forearm, is a challenge for any reconstructive surgeon. When there is circumferential skin loss affecting the whole hand and fingers as in major degloving injuries, the extent of tissue required for reconstruction narrows down the choice of flaps. When the injury affects both hands the magnitude of the problem becomes compounded. There is no report in the literature of free skin flaps to cover circumferential degloving injuries in both hands. We are presenting the technical considerations and outcome of pedicled abdominal flaps used for immediate coverage of circumferential degloving injuries of both hands.
    Language English
    Publishing date 2015-08-29
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2835433-3
    ISSN 2352-6440 ; 2352-6440
    ISSN (online) 2352-6440
    ISSN 2352-6440
    DOI 10.1016/j.tcr.2015.08.001
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  9. Article: Combined use of negative pressure wound therapy and Integra® to treat complex defects in lower extremities after burns.

    González Alaña, I / Torrero López, J V / Martín Playá, P / Gabilondo Zubizarreta, F J

    Annals of burns and fire disasters

    2013  Volume 26, Issue 2, Page(s) 90–93

    Abstract: Deep and extensive burns of lower extremities present a difficult challenge to healthcare professionals. After debridement, bones, tendons or joints are frequently exposed and cannot be covered by simple autografts. Moreover, in the case of major burns, ... ...

    Abstract Deep and extensive burns of lower extremities present a difficult challenge to healthcare professionals. After debridement, bones, tendons or joints are frequently exposed and cannot be covered by simple autografts. Moreover, in the case of major burns, damage to the surrounding areas of skin and the severity of the patient's overall condition, often count against using pedicled or microsurgical flaps. In dealing with such complex wounds, which are difficult to treat, several authors have recommended the combined use of Integra(®) and negative pressure wound therapy (NPWT). They emphasize that NPWT eliminates wound exudate, promotes neovascularisation and cell migration through the Integra(®) matrix while increasing its stability and adherence to the wound bed, as well as decreasing the time needed for its total integration. The case presented here is of a patient with major third-degree flame burns to the lower extremities. After debridement, the external and internal malleolus bilaterally became exposed as well as the partially debrided tendons (Achilles, extensor digitorum longus, long and short peroneus, anterior and posterior tibialis). After ruling out the use of local or microsurgical flaps due to the patient's poor general condition and the presence of burns debrided to the fascia over both lower extremities, we elected to manage the patient with a combined treatment using Integra(®) and NPWT. After three weeks of treatment, the surface layer of the Integra(®) matrix was replaced with autografts. Due to partial loss of the skin grafts, a second autograft was needed. At present the patient is completely healed; he can walk with full flexion-extension of both ankles.
    Language English
    Publishing date 2013-07-30
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2106850-1
    ISSN 1592-9566 ; 1592-9558
    ISSN (online) 1592-9566
    ISSN 1592-9558
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  10. Article: Bromelain-based enzymatic burn debridement: Spanish multidisciplinary consensus.

    Serracanta, Jordi / Baena, Jacinto / Martinez-Mendez, José R / Sanchez-Sanchez, Manuel / Lopez-Suso, Eugenia / Galeiras, Rita / Perez-Del-Caz, Maria Dolores / Vivo-Benlloch, Carmen / Monclus-Fuertes, Enrique / Casalduero-Viu, Jacobo / Martin-Playa, Patricia / Ugalde-Gutierrez, Marta / Gacto-Sanchez, Purificacion / Rincon-Ferrari, Maria Dolores / Piqueras-Perez, Jose Maria / Martin-Luengo, Ana

    European journal of plastic surgery

    2022  Volume 46, Issue 2, Page(s) 271–279

    Language English
    Publishing date 2022-09-29
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 632906-8
    ISSN 1435-0130 ; 0930-343X
    ISSN (online) 1435-0130
    ISSN 0930-343X
    DOI 10.1007/s00238-022-01999-2
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 781: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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