Clinical Case Round-up: From Routine Excisions to Complex Trauma Management

Sharing a few recent cases that highlight the diverse of surgical presentations in daily practice, ranging from planned elective procedures to acute trauma care.

🔹 Case 1: Epidermal Inclusion Cyst (Images 1). in the dorsum of hand.

Presentation: A well-circumscribed, subcutaneous nodule on the dorsum of the hand.

Intervention: Complete surgical excision of the cyst wall to minimize recurrence risk. Closed using stay sutures to ensure optimal skin edge apposition.

🔹 Case 2: Acute Trauma (Image 2)

https://drive.google.com/file/d/1fINedgEcw8xEZsYQIl_N3bpU0GdOK932/view?usp=drivesdk

Presentation: Deep, cavitating soft tissue defect presenting as acute trauma. Radiographic evaluation confirmed no underlying bony injury or fracture.

Intervention: Thorough debridement and irrigation, followed by the placement of matrix sutures to securely approximate the deep tissue margins and optimize wound healing.

🔹 Case 3: Pediatric Complex Hand Injury (Image 3)

https://drive.google.com/file/d/1dzUoyuMIGZlAiMSD7py8bobMgLttbx24/view?usp=drivesdk

Presentation: A young boy presented with acute trauma resulting in a severe laceration to the index finger, complicated by a partial tendon cut.urgicalSkills

# Medicine

Intervention: Under local anesthesia, a meticulous primary tendon repair was executed to restore future digital flexion/extension, followed by stay sutures to secure the overlying soft tissue.

Key Takeaway: Whether managing a benign cyst or restoring function to a severed tendon, precision and specialized suture selection are critical to preserving mobility and ensuring excellent cosmetic and functional outcomes.

Disclaimer: Some images may be distributing. However, they are for educational purpose only.

#Surgery #Acute Trauma #Orthopaedics #ClinicalCases #MedEd #SurgicalSkills #Medicine

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