A basic algorithmic surgical approach for nicolau syndrome

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dc.authorscopusid57205561681
dc.authorscopusid56524060300
dc.authorscopusid37085575000
dc.authorscopusid56025760100
dc.authorscopusid24490740900
dc.contributor.authorYeniocak, Ali
dc.contributor.authorÖzkan, Mustafa
dc.contributor.authorTemel, Metin
dc.contributor.authorGüneren, Ethem
dc.contributor.authorKelahmetoğlu, Osman
dc.date.accessioned2024-09-19T15:47:02Z
dc.date.available2024-09-19T15:47:02Z
dc.date.issued2020
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: Nicolau syndrome (NS) is a rare complication that develops after the administration of intramuscular diclofenac sodium. The etiology and surgical treatments of 11 patients with NS were evaluated and studies in the literature were examined. The aim of this study was to compose a basic algorithm for surgical approaches to treat NS. Materials and Methods: Eleven patients were evaluated for NS between December 2013 and January 2018. Two patients did not accept treatment, and nine patients underwent surgical debridement of necrotic tissues. The tissue defects of five patients were closed with a fasciocutaneous flap and, in four patients, the defects were repaired primarily. Results: No complications, such as wound infection, wound dehiscence, seroma, or flap necrosis, were encountered. Of the seven patients who received concurrent antibiotic therapy, no patient had any problems at their follow-up (2-30 months). The results were satisfactory from an aesthetic and functional point of view. Conclusion: NS was more frequent in women with a high body mass index and high fat in gluteal regions. We considered that any kind of medication could lead to NS. Different methods are discussed for treatment. © 2020 Journal of Cutaneous and Aesthetic Surgery | Published by Wolters Kluwer - Medknow 154en_US
dc.identifier.doi10.4103/JCAS.JCAS_139_19
dc.identifier.endpage159en_US
dc.identifier.issn0974-2077
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85094921129en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage154en_US
dc.identifier.urihttps://doi.org/10.4103/JCAS.JCAS_139_19
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14931
dc.identifier.volume13en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofJournal of Cutaneous and Aesthetic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDiclofenac sodiumen_US
dc.subjectInjectionen_US
dc.subjectIntramuscularen_US
dc.subjectNicolau syndromeen_US
dc.titleA basic algorithmic surgical approach for nicolau syndromeen_US
dc.typeArticleen_US

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