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SM ISO690:2012 FORTUNA, Elvira, STOIAN, Alina, MIHALUŢA, Viorica, BUZU, Dumitru, VEREGA, Grigore. Dupuytren's disease – treatment particularities. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 349. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 349-349 | ||||||
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Rezumat | ||||||
Background. Dupuytren's disease is a fibroproliferative disorder, that affects the palmar and digital fascia, take an increasingly important place in the pathologies of the plastic surgeons' preoccupations. Being a slowly progressive and disabling disease, the treatment tactic remains decisive. Objective of the study. Highlighting the peculiarities of surgical treatment in Dupuytren's disease and the dilemmas faced by the surgeon, depending on the stage of the disease, to obtain a good function of the upper limb, avoiding recurrences and complications. Material and Methods. In the Clinic of Plastic, Aesthetic Surgery and Reconstructive Microsurgery, in 2010-2021, were performed surgery on 50 patients with Dupuytren's disease – percutaneous needle fasciotomy, subtotal fasciectomy, subtotal fasciectomy with autodermoplasty, even amputation. Results. Percutaneous fasciotomy is the minimally invasive method, which is applied to resolve cases that require rapid recovery, without extensive intervention. It can be performed in the initial stages of the disease (Stages I-II Tubiana) or used as the first stage of surgery, in case of advanced contractures (Stages III-IV Tubiana), which can result in skin defects. Subtotal fasciectomy still remains the most common method of surgical treatment, which can be staged with autodermoplasty (in case of skin defects), with good functional results and a low number of recurrences. Conclusion. The more advanced is the stage of Dupuytren's disease and the longer is the duration of the disease, the weaker is the response to surgical treatment of the contracture and the greater is the risk of irreversible joint contracture, regardless of the choice of surgical treatment method. |
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Cuvinte-cheie Dupuytren's disease, percutaneous fasciotomy, subtotal fasciectomy, Maladia Dupuytren, fasciotomie percutană, fasciectomie subtotală |
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