open access

Vol 16, No 1 (2014)
Original articles
Published online: 2014-11-13
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Chronic wound of iatrogenic origin — an adverse event or a medical error?

Mariola Sznapka, Grzegorz Biolik, Jacek Kostecki, Damian Ziaja
Chirurgia Polska 2014;16(1):36-44.

open access

Vol 16, No 1 (2014)
Original articles
Published online: 2014-11-13

Abstract

A chronic wound is more frequently considered as venous ulceration rather than ischemic ulceration. Numerous reports concern the issue of decubitus ulcers, which should be treated as a complication during patient nursing at intensive care units and, not only surgical, hospital departments.

The issue of the chronic wound of iatrogenic origin is rarely the subject matter of both conference and literature reports. We describe 16 patients with a wide range of wounds of iatrogenic origin, located within lower extremities. Obviously, they resulted from negligence in having taken proper medical and nursing history data, no or insufficiently precise sphygmoscopy at the periphery of a limb, or complications due to a chosen treatment method.

We emphasize the prevalence of a need for saving some patients’ lives over the following: their health condition, the quality of life, or the resulting cripplehood associated with the loss of one’s extremity. We also pay attention to the necessity of taking an accurate patient’s medical history data, carrying out a proper physical examination, ordering additional tests and examinations in preoperative patients, especially the ones, in whom used therapeutic procedures require good blood supply in the periphery of their lower extremities.

Abstract

A chronic wound is more frequently considered as venous ulceration rather than ischemic ulceration. Numerous reports concern the issue of decubitus ulcers, which should be treated as a complication during patient nursing at intensive care units and, not only surgical, hospital departments.

The issue of the chronic wound of iatrogenic origin is rarely the subject matter of both conference and literature reports. We describe 16 patients with a wide range of wounds of iatrogenic origin, located within lower extremities. Obviously, they resulted from negligence in having taken proper medical and nursing history data, no or insufficiently precise sphygmoscopy at the periphery of a limb, or complications due to a chosen treatment method.

We emphasize the prevalence of a need for saving some patients’ lives over the following: their health condition, the quality of life, or the resulting cripplehood associated with the loss of one’s extremity. We also pay attention to the necessity of taking an accurate patient’s medical history data, carrying out a proper physical examination, ordering additional tests and examinations in preoperative patients, especially the ones, in whom used therapeutic procedures require good blood supply in the periphery of their lower extremities.

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Keywords

chronic wound, chronic ischemia of flower extrenities, ABI

About this article
Title

Chronic wound of iatrogenic origin — an adverse event or a medical error?

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 16, No 1 (2014)

Pages

36-44

Published online

2014-11-13

Bibliographic record

Chirurgia Polska 2014;16(1):36-44.

Keywords

chronic wound
chronic ischemia of flower extrenities
ABI

Authors

Mariola Sznapka
Grzegorz Biolik
Jacek Kostecki
Damian Ziaja

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