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Postoperative gluteal skin damage associated with latent development of gluteal muscle damage
- Source :
- The Journal of dermatology. 43(5)
- Publication Year :
- 2015
-
Abstract
- Preceding this study, we observed two cases of concurrent postoperative gluteal skin and muscle damage with extremely high serum creatine kinase (CK) levels, both of which were unrelated to pressure-induced tissue injury. However, postoperative gluteal skin damage accompanied by gluteal muscle damage has not been previously reported and the association between gluteal skin damage, gluteal muscle damage and pressure-induced tissue injury has not previously been investigated. Therefore, we conducted this study to determine the postoperative incidence of gluteal skin damage associated with gluteal muscle damage and assess associations with postoperative serum CK levels and pressure-induced tissue injury. We prospectively evaluated postoperative incidence of gluteal skin damage and measured serum CK levels in 929 consecutive patients who underwent abdominal, urological or gynecological surgery at our hospital. Magnetic resonance imaging (MRI) of the pelvis was performed in 67 patients who consented. As a result, two of 929 patients developed postoperative gluteal skin damage accompanied by gluteal muscle damage. Gluteal muscle damage without gluteal skin damage was observed in 23 of the 67 patients who underwent MRI, and volumes of damaged gluteal muscle and postoperative serum CK levels were positively correlated. Both gluteal skin and muscle damage were distinguishable from pressure-induced tissue injury. Based on the results of this study, we could confirm the occurrence of postoperative gluteal skin damage, distinct from pressure sores, accompanied by gluteal muscle damage. We also revealed latent development of postoperative gluteal muscle damage, distinguishable from compression-induced tissue injury, without accompanying gluteal skin damage.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Dermatology
030218 nuclear medicine & medical imaging
Pelvis
03 medical and health sciences
0302 clinical medicine
Gynecologic Surgical Procedures
Postoperative Complications
Japan
medicine
Humans
Prospective Studies
Prospective cohort study
Gluteal muscles
Muscle, Skeletal
Creatine Kinase
Gynecological surgery
Skin damage
Aged
Skin
Aged, 80 and over
Pressure Ulcer
medicine.diagnostic_test
business.industry
Incidence
Postoperative complication
Magnetic resonance imaging
General Medicine
Middle Aged
Magnetic Resonance Imaging
Surgery
body regions
medicine.anatomical_structure
Buttocks
Urologic Surgical Procedures
Female
business
High serum creatine kinase
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 13468138
- Volume :
- 43
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- The Journal of dermatology
- Accession number :
- edsair.doi.dedup.....0558d6e8e15c79ee9d190c8c1a4a7cfe