Browsing by Author "Gutwein, Luke G."

Now showing 1 - 3 of 3
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    Amyand's hernia: a rare inguinal hernia
    (Oxford University Press, 2013-09-11) Green, Jonathan; Gutwein, Luke G.; Surgery, School of Medicine
    Inguinal hernia repair is commonplace in general surgery practice and an estimated 700 000 are performed each year in the USA. The presence of the vermiform appendix contained in the hernia sac, or an Amyand's hernia, is exceedingly rare, occurring in 1% of inguinal hernia patients. We report the intra-operative findings of a standard inguinal hernia repair and discuss the management of the four types of Amyand's hernia.
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    Immediate Bilateral Breast Reconstruction with Unilateral Deep Superior Epigastric Artery and Superficial Circumflex Iliac Artery Flaps
    (KoreaMed Synapse, 2016-09) Hansen, Keith S.; Gutwein, Luke G.; Hartman, Brett C.; Sood, Rajiv; Socas, Juan; Department of Surgery, IU School of Medicine
    Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilateral breast reconstruction sourced from a unilateral abdominal flap divided into deep superior epigastric artery and superficial circumflex iliac artery flap segments.
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    Management of the Pressure Injury Patient with Osteomyelitis: An Algorithm
    (Elsevier, 2017) Nicksic, Peter J.; Sasor, Sarah E.; Tholpady, Sunil S.; Wooden, William A.; Gutwein, Luke G.; Department of Surgery, School of Medicine
    Pressure injury (PI) is a common complication of inpatient care, affecting an estimated 3 million patients annually in the US. Risk factors include immobility, compromised sensation, malnutrition, urinary or fecal incontinence, and chronic medical illness. Compliance with established guidelines (pressure off-loading, skin care, and frequent inspection) is imperative for the prevention of hospital-acquired PI. Unavoidable PI does occur at times, and is often related to advanced medical illness. Pressure injury complicated by osteomyelitis (OM) can develop in patients with physiologic, behavioral, or treatment-related risk factors, despite the adherence to current standards of prevention.