Treatment for Necrosis of Finger and Palm by Occlusive Dressing.

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  • 指尖・手掌壊死に対するＯｃｃｌｕｓｉｖｅ　Ｄｒｅｓｓｉｎｇ法の治療経験

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Abstract

We treated 6 fingertips and 1 palm necrosis (3 cases) with an occlusive dressing using aluminium foil. Necrotomy was performed to flatten the surface until bleeding. We painted povidine iodine gel on to the raw surface and covered the fingertip and palm with aluminium foil over 1-2cm from the tip. We washed the surface with water every 2-5 days when the dressing was changed.<br>All cases healed. The raw surface changed to a good round fingertip, and 2-3mm of thick soft tissue was shown on X-ray. The period of treatment was 21-41 days (average 30 days).

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