چکیده مقاله
Introduction and Aims: Limb ischemia LI in the newborn is a rare phenomenon defined as sudden loss of blood perfusion that can lead to necrosis if reperfusion is not performed within the first 4 6 hours Its etiology can be classified into two main categories of intrauterine and postnatal causes This condition is frequently associated with umbilical cord torsion in uterine, affecting not only the infant's physical development but also creating notable emotional and psychological complications for families Unfortunately, there is no specific guidelines to manage LI and its complications; on the other hand, isolated LI subsequent to umbilical cord torsion is only reported in handful literature cases which mostly ended up with amputation Therefore, detailed reporting of similar cases is essential to enhance management strategies for healthcare providers This case is reported in line with the SCARE 2025 criteria Case presentation: The patient is a pre term 37weeks newborn male who exhibited significant left forearm and hand cyanosis with necrotic wounds covered by wet and dry eschar, adherent slough, and blisters and complete lack of movement in arm Moreover, he was admitted in NICU to receive respiratory support There were no reported prenatal complications, contributary family history, genetic disorders or congenital anomalies besides his mother received regular prenatal care without prolonged labor A thorough assessment reveals complete absence of sensation and radial pulse and doppler ultrasound confirmed complete absence of blood supply to the affected area Radiological findings suggest malformed fingers and reduced bone density These investigations led to diagnosis of a left hand necrosis secondary to umbilical cord torsion occurred in uterine The management of this condition necessitated a multidisciplinary approach involving wound specialist, pediatric surgeon, orthopedic specialists, and physical therapists In spite of considering amputation, wound specialist convinced the team to follow novel wound management process with dressing and debridement Surprisingly, using dry dressing did not work well for healing ischemic wounds although gel sheet form dressing through 26 sessions closed the wounds with the least scar and no healing complications Moreover, resources were provided to support the family in navigating ongoing orthopedic care Conclusion: This case underscores the important role of wound specialists in addressing complex LI condition via choosing the best wound management plan and preventing amputation performing Therefore, this situation highlights the need for collaborative management strategies, ultimately enhanced neonatology care practice, and continued research to develop suitable guidelines for management in similar cases
کلیدواژهها
نویسندگان
نگین حسینی
B Sc of Nursing, Student Research Committee of Nursing School, Alborz University of Medical Sciences, Karaj, Iran
سارا پارسائی
M Sc Student of Medical Surgical Nursing, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
رضا قربانی
M Sc Student of Wound Healing and Tissue Repair, Cardiff University, UK Wound Care Specialist, Wound Lab Clinic, Iran
طناز فارغ
M Sc Student of Critical Care Nursing, Alborz University of Medical Sciences, Karaj, Iran
شیوه ارجاع
�سینی, نگین and پارسائی, سارا and قربانی, رضا and فارغ, طناز and میرزائیان, مهدیه السادات,1404,Management of Upper Limb Ischemic Wounds Due to Umbilical Cord Torsion in a Newborn: A Case Report Study,37th International Congress on Pediatrics,Tehran
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مجموعه مقالات سی و هفتمین کنگره بیماری های کودکان17 مهر 1404 · تهران