|LETTER TO EDITOR
|Year : 2020 | Volume
| Issue : 2 | Page : 126-127
Thermographic appearance of dead necrotic tissue around a vicryl thread and sero-purulent discharge from the wound
Vedavyas Srigiriraju1, P Ramamohan2, Muniraju Katikala1, Vishnu Vardhan Reddy1, Amit Agrawal1
1 Department of Neurosurgery, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India
2 Department of Pharmacology, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India
|Date of Submission||12-Apr-2019|
|Date of Acceptance||16-Apr-2020|
|Date of Web Publication||18-Jun-2020|
Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore - 524 003, Andhra Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Srigiriraju V, Ramamohan P, Katikala M, Reddy VV, Agrawal A. Thermographic appearance of dead necrotic tissue around a vicryl thread and sero-purulent discharge from the wound. Apollo Med 2020;17:126-7
|How to cite this URL:|
Srigiriraju V, Ramamohan P, Katikala M, Reddy VV, Agrawal A. Thermographic appearance of dead necrotic tissue around a vicryl thread and sero-purulent discharge from the wound. Apollo Med [serial online] 2020 [cited 2020 Jul 8];17:126-7. Available from: http://www.apollomedicine.org/text.asp?2020/17/2/126/287080
Infrared (IR) thermography has been used to manage many clinical conditions, including breast cancer, diabetes, to monitor wound healing, dentistry, to diagnose arthritis and diabetic neuropathy, and many other clinical conditions.,,,, A 27-year-old man underwent spinal fixation of traumatic L1 wedge fracture 1 month back. He did not have any neurological deficits, and he had an uneventful postoperative recovery. Now he presented with serous discharge from the operative site. There was no history of fever. Local examination revealed apparently healthy except a small hole with serous discharge and extruded vicryl thread. There was no local pain, redness, or the local rise of temperature [Figure 1]a. The patient was submitted for thermographic examination, and it showed area suggestive of avascularity around the discharge site [Figure 1]b and c]. There were areas of hypervascularity around the surgical scar, and two areas were extending where the self-retaining retractors were placed during surging to achieve retraction to expose the spine. The vicryl thread was removed, and the patient is doing well at follow-up.
|Figure 1: (a) Clinical photograph showing postoperative scar with visible vicryl thread and wound discharge, (b and c) thermal visual images showing areas of decreased vascularity as cold spots, the area with retained vicrl thread and sero-purulent discharge appears larger in size|
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The human skin is considered as a perfect black body (the emissivity is 0.98) and emits the heat energy, which can be detected with IR camera to create a visual map of surface temperature distribution (thermogram).,, IR thermography is a simple, noninvasive, and safe method to assess physiological and morphological changes on the surface of the skin.,,, The role of IR thermography has been explored to assess get the visual feedback regarding wound healing. In the presented case, presence of vicryl thread created an area on inflammation leading to dead necrotic tissue, which appeared as cold spot on IR thermography images. The removal of vicryl thread resulted in enhanced wound healing and relief in sero-purulent discharge. In summary, the technique of IR thermography is nonspecific yet has the potential to identify areas of inflammation or decreased circulation as hot or cold spots, respectively, and a careful clinical correlation can further help in making a management decision.,,
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
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