Ionising radiation injury

Ionising radiation injury

These injuries can be divided into groups depending on whether radiation exposure was to the whole body or localised. The management of localised radiation damage is usually conservative until the true extent of the tissue injury is appar ent. Should this damage have caused an ulcer, then excision and coverage with vascularised tissue is required. August Karl Gustav Bier , 1861–1949, Professor of Surgery , Berlin, Germany . and may be fatal. A patient who has su ff ered whole-bod y irradiation and has acute desquamation of the skin has received a lethal dose of radiation, whic h can cause a particularly slow and unpleasant death. Non-lethal radiation has a number of systemic e ff ects related to the gut mucosa and immune system dysfunction. Other than giving iodine tablets, the management - of these injuries is supportive. Summary box 46.21 Radiation burns /uni25CF - /uni25CF

Local burns causing ulceration need excision and vascularised /f_l ap cover, usually with free /f_l aps Systemic overdose needs supportive treatment

Ionising radiation injury

These injuries can be divided into groups depending on whether radiation exposure was to the whole body or localised. The management of localised radiation damage is usually conservative until the true extent of the tissue injury is appar ent. Should this damage have caused an ulcer, then excision and coverage with vascularised tissue is required. August Karl Gustav Bier , 1861–1949, Professor of Surgery , Berlin, Germany . and may be fatal. A patient who has su ff ered whole-bod y irradiation and has acute desquamation of the skin has received a lethal dose of radiation, whic h can cause a particularly slow and unpleasant death. Non-lethal radiation has a number of systemic e ff ects related to the gut mucosa and immune system dysfunction. Other than giving iodine tablets, the management - of these injuries is supportive. Summary box 46.21 Radiation burns /uni25CF - /uni25CF

Local burns causing ulceration need excision and vascularised /f_l ap cover, usually with free /f_l aps Systemic overdose needs supportive treatment

Ionising radiation injury

These injuries can be divided into groups depending on whether radiation exposure was to the whole body or localised. The management of localised radiation damage is usually conservative until the true extent of the tissue injury is appar ent. Should this damage have caused an ulcer, then excision and coverage with vascularised tissue is required. August Karl Gustav Bier , 1861–1949, Professor of Surgery , Berlin, Germany . and may be fatal. A patient who has su ff ered whole-bod y irradiation and has acute desquamation of the skin has received a lethal dose of radiation, whic h can cause a particularly slow and unpleasant death. Non-lethal radiation has a number of systemic e ff ects related to the gut mucosa and immune system dysfunction. Other than giving iodine tablets, the management - of these injuries is supportive. Summary box 46.21 Radiation burns /uni25CF - /uni25CF

Local burns causing ulceration need excision and vascularised /f_l ap cover, usually with free /f_l aps Systemic overdose needs supportive treatment