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Danielsson, Pär
Publications (6 of 6) Show all publications
Danielsson, P., Fredriksson, C. & Huss, F. (2009). A Novel Concept for Treating Large Necrotizing Fasciitis Wounds With Bilayer Dermal Matrix, Split-thickness Skin Grafts, and Negative Pressure Wound Therapy. Wounds (King of Prussia, Pa.), 21(8), 215-220
Open this publication in new window or tab >>A Novel Concept for Treating Large Necrotizing Fasciitis Wounds With Bilayer Dermal Matrix, Split-thickness Skin Grafts, and Negative Pressure Wound Therapy
2009 (English)In: Wounds (King of Prussia, Pa.), ISSN 1044-7946, E-ISSN 1943-2704, Vol. 21, no 8, p. 215-220Article in journal (Refereed) Published
Abstract [en]

Treatment of necrotizing fasciitis (NF) includes radical surgical debridement often resulting in large wounds that need to be closed with methods including split-thickness skin grafts (STSG), local flaps, or guided tissue regeneration procedures. In this case report, a 45 year-old Caucasian male was surgically treated for a benign left groin hernia, developed NF, and was transferred to the authors burn unit. The wound was treated initially with wide debridement and with a brief delay before finally closing the wound. A collagen matrix such as Integra (R) Dermal Regeneration Template (Integra LifeSciences, Plainsboro, NJ) in combination with STSG and negative pressure wound treatment, can provide fast recovery resulting in pliable, functional skin.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-20581 (URN)000269472900006 ()
Note

Funding text: "We express our sincere gratitude to Mrs. Kristina Briheim and Mrs. Anita Lonn, Senior Laboratory Technicians at the Laboratory for Experimental Plastic Surgery, Institute of Biomedicine and Surgery, Faculty Of Health Sciences, Linkoping Universitet, Linkoping, Sweden."

Available from: 2009-09-15 Created: 2009-09-15 Last updated: 2017-12-13Bibliographically approved
Jergovic, D. & Danielsson, P. (2003). Perspective on contemporary burn surgery and burn care in Sweden. Scandinavian Journal of Surgery, 92(4), 281-286
Open this publication in new window or tab >>Perspective on contemporary burn surgery and burn care in Sweden
2003 (English)In: Scandinavian Journal of Surgery, ISSN 1457-4969, E-ISSN 1799-7267, Vol. 92, no 4, p. 281-286Article in journal (Refereed) Published
Abstract [en]

Burn surgery has gone through revolutionary changes during the last century, even the most severe burns can now be safely treated. Modern surgical treatments have been followed by improvements in intensive burn care and anaesthesiology. These developments have allowed immediate surgery within 24 hours of the injury to take place in our centre, therefore obtaining advantageous results in shortening hospital stay, improving patient’s functional results and simplifying the treatment itself. This treatment is economically beneficial as well. In future we count on rapid development of a new discipline, tissue engineering, which should take a greater role in burn care.

Keywords
Burn surgery, burn care, burn treatment, acute surgery, skin substitutes, paediatric burns
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24983 (URN)9396 (Local ID)9396 (Archive number)9396 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13Bibliographically approved
Danielsson, P., Adolfsson, L. & Dahlin, L. B. (2001). Different effect on axonal outgrowth of application of non-absorbable or absorbable tubes around a nerve repair. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 35(4), 347-353
Open this publication in new window or tab >>Different effect on axonal outgrowth of application of non-absorbable or absorbable tubes around a nerve repair
2001 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, Vol. 35, no 4, p. 347-353Article in journal (Refereed) Published
Abstract [en]

We studied regeneration distance of rat sciatic nerve, with the sensory pinch reflex test and immunocytochemical staining for neurofilaments, four to 21 days after transsection, repair, and enclosure of the repair site in either a non-absorbable silicone tube or an absorbable polyglycolic acid (PGA) tube. The size of both tube-types was carefully selected so that they did not compress the repaired nerve. The opposite nerve was repaired and not inserted in a tube (control). The regeneration distances in repaired nerves enclosed in silicone tube were significantly longer than the control side at all time points, a result not seen when PGA tube was used. The number of proliferating non-neuronal cells (incorporation of 5-bromodeoxyuridine (BrdU)) was studied just proximal to the site of nerve repair after six days. Numerous stained cells were seen, but there where no significant differences between the groups. We conclude that outgrowth of sensory axons after transsection and repair of rat sciatic nerve with sutures can be increased by enclosing the site of repair in a silicone tube but not in a PGA tube. The effect is probably not related to the number of proliferative non-neuronal cells.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24832 (URN)10.1080/028443101317149309 (DOI)9230 (Local ID)9230 (Archive number)9230 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
Danielsson, P., Steinwall, I., Jergovic, D. & Sjöberg, F. (2000). Enhetlig handläggning av brännskador höjer vårdkvalitet på svenska sjukhus. Läkartidningen, 97, 2318-2319
Open this publication in new window or tab >>Enhetlig handläggning av brännskador höjer vårdkvalitet på svenska sjukhus
2000 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 97, p. 2318-2319Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-25501 (URN)9948 (Local ID)9948 (Archive number)9948 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
Sjöberg, F., Danielsson, P., Andersson, L., Steinwall, I., Zdolsek, J., Östrup, L. & Monafo, W. (2000). Utility of an intervention scoring system in documenting effects of changes in burn treatment. Paper presented at 6th Nordic Meeting for Burn Injuries, Stockholm, Sweden, May 1998. Burns, 26(6), 553-559
Open this publication in new window or tab >>Utility of an intervention scoring system in documenting effects of changes in burn treatment
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2000 (English)In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 26, no 6, p. 553-559Article in journal (Refereed) Published
Abstract [en]

The consequences of the introduction of a program of consistent use of topical antimicrobials and early aggressive excision of deep burn wounds by utilizing a comprehensive, computerized patient registry/therapeutic intervention scoring system, were investigated. Prospectively, the clinical course, mortality, outcome and hospital costs were compared for the year preceding (89 patients) and the 4 years following (226 patients) the introduction of the new treatment program. It was found that mortality decreased from 10.1 to 4.6% after change in therapy (P < 0.001), despite an increase in mean burn extent. The length of hospital stay per % burn surface area declined from 1.2 to 1.0 days (P < 0.001). The number and complexity of therapeutic interventions and the associated costs, also declined. Patients in the new treatment program had a better level of physical and psychosocial function at follow up. In conclusion, the introduction of a program of consistent use of topical antimicrobials and early, aggressive surgical excision was associated with an improved outcome at lesser cost. The combined registry-intervention scoring system permits ready analysis of results using data entered on a daily, near-real time basis.

Place, publisher, year, edition, pages
Elsevier, 2000
Keywords
costs; economy; follow up; length of stay; mortality; outcome
National Category
Surgery
Identifiers
urn:nbn:se:liu:diva-24870 (URN)10.1016/S0305-4179(00)00004-8 (DOI)000088323100007 ()2-s2.0-0343081629 (Scopus ID)9272 (Local ID)9272 (Archive number)9272 (OAI)
Conference
6th Nordic Meeting for Burn Injuries, Stockholm, Sweden, May 1998
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13Bibliographically approved
Lidman, D., Danielsson, P., Abdiu, A. & Fåhraeus, B. (1999). The functional result two years after a microsurgical penile replantation. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 33(3), 325-328
Open this publication in new window or tab >>The functional result two years after a microsurgical penile replantation
1999 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, Vol. 33, no 3, p. 325-328Article in journal (Refereed) Published
Abstract [en]

We describe the technique of microsurgical penile replantation and a case followed up after two years. The patient was a young man with decompensated schizophrenia who emasculated himself with a kitchen knife. A particularly good functional result was achieved including restoration of sensation in the penile shaft and in the glans, and return of erectile capacity.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24823 (URN)10.1080/02844319950159325 (DOI)10505448 (PubMedID)9220 (Local ID)9220 (Archive number)9220 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13Bibliographically approved
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