Is the Supraorbital Notch a Reliable Landmark to Avoid the Frontal Sinus?

2018 ◽  
Vol 16 (3) ◽  
pp. 360-367 ◽  
Author(s):  
Thomas A Ostergard ◽  
Chad A Glenn ◽  
Simone E Dekker ◽  
Nicholas C Bambakidis
Keyword(s):  
Surgical Site Infection ◽  
Frontal Sinus ◽  
Image Guidance ◽  
Epidural Abscess ◽  
Abscess Formation ◽  
Site Infection ◽  
Lateral Extent ◽  
The Relationship ◽  
Supraorbital Foramen

Abstract BACKGROUND When performing a craniotomy involving the orbital bar, the supraorbital notch is a potential landmark to localize the lateral extent of the frontal sinus. Avoidance of the frontal sinus is important to reduce the risk of postoperative surgical site infection, epidural abscess formation, and mucocele development. OBJECTIVE To determine the reliability of the supraorbital notch as a marker of the lateral location of the frontal sinus. METHODS Cadaveric dissections were used with image guidance software to define the relationship between the frontal sinus and supraorbital foramen. RESULTS The supraorbital notch was located 2.54 cm from midline and the lateral extent of the frontal sinus extended 2.84 mm lateral to the supraorbital notch. When performing a craniotomy extending medially to the supraorbital notch at a perpendicular angle, the frontal sinus was breached in 65% of craniotomies. When the craniotomy ended 10 mm lateral to the supraorbital notch, the rate of frontal sinus breach decreased to 10%. CONCLUSION When performing a craniotomy involving the supraorbital notch, a lateral to medial trajectory that ends 15 mm to the supraorbital notch will minimize the risk of frontal sinus violation.

Compare the Incidence of Surgical Site Infection after Appendectomy Wound Irrigation with Normal Saline and Imipenem Solutions

2021 ◽  
Vol 15 (8) ◽  
pp. 2184-2186
Author(s):  
Ahmad Shah ◽  
Nazeer Ahmad Sasoli ◽  
Farrukh Sami
Keyword(s):  
Surgical Site Infection ◽  
Wound Infection ◽  
Saline Solution ◽  
Abscess Formation ◽  
Site Infection ◽  
Wound Irrigation ◽  
Group I ◽  
Perforated Appendix ◽  
The Mean ◽  
Group Ii

Objective: To compare the incidence of surgical site infection after appendectomy wound irrigation with regular saline solution and imipenem solution. Study Design: Comparative randomized control trial Place and Duration of Study: Department of Surgery Unit-1, Sandeman Provincial Hospital Quetta from 1st September 2020 to 30th April 2021. Methodology: Eighty patients of both genders were presented in this study. Patients detailed demographics age, sex and body mass index were recorded after taking informed written consent. Patients underwent for appendectomy wound irrigation were included. Patients were equally divided into two equal groups, I and II. Group I had 40 patients and received imipenem and group II irrigated with saline solution with 40 patients. Outcomes were surgical site infection, deep abscess formation was observed post-operatively. Results: The mean age of the patients in group I was 26.11±2.03 years with mean BMI 23.61±3.32 kg/m2 and in group II mean age was 25.14±3.12 years with mean BMI 22.14±4.88 kg/m2. In group I, 32 (80%) patients had inflamed appendix, perforated appendix was in 7 (17.5%) and gangrenous appendix in 1 (2.5%) while in group II inflamed appendix in 34 (85%), perforated appendix in 4 (10%) and gangrenous appendix 2 (5%). Surgical site infection in group I was 3 (7.5%) and abscess formation in 2 (5%) cases while in group II SSI in 6 (15%) and abscess formation in 3 (7.5%) cases. Conclusion: Imipenem irrigation after appendectomy reduces wound infection. Healthcare costs and patient suffering due to infection can be reduced. Keywords: Imipenem solution, Wound irrigation with saline, Appendectomy wound infection

scholarly journals Tingkat Pengetahuan Ibu Tentang Perawatan Luka Dan Kejadian Infeksi Daerah Operasi Di RSUD Banyumas

2021 ◽  
Vol 6 (2) ◽  
pp. 75
Author(s):  
Utami Purwaningsih ◽  
Kris Linggardini
Keyword(s):  
Surgical Site Infection ◽  
Wound Care ◽  
Good Health ◽  
P Value ◽  
Wound Infections ◽  
Knowledge Level ◽  
Site Infection ◽  
Chi Square ◽  
Cross Sectional ◽  
The Relationship

Surgical Site Infection is infections that occur after surgery. Control of the incidence of nosocomial infection is part of the parameters of good health services at the hospital. One in 10 mothers who give birth by cesarean has an infection. The level of patient knowledge about how to care for wounds is an important factor in decreasing the incidence of wound infection in the surgical area in SC patients. Objective: knowing the relationship between levels of knowledge of post-operative SC patients about wound care and the incidence of surgical site wound infections. Method: The design used descriptive correlative and cross sectional approach. The sample were 76 respondents. The data were collected in December 2019 by using a knowledge level questionnaire and a form of signs of infection from Morison 2004. Data analysis using chi square).  The results showed that there was a relationship between knowledge and the incidence of infection in the area of ​​operation (p value 0.001).  Keywords: nosocomial, surgical site infection (SSI), section caesarea (SC) 

scholarly journals Surgical site infection in patients submitted to heart transplantation

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Jussara Aparecida Souza do Nascimento Rodrigues ◽  
Renata Eloah de Lucena Ferretti-Rebustini ◽  
Vanessa de Brito Poveda
Keyword(s):  
Heart Transplantation ◽  
Surgical Site Infection ◽  
Systemic Disease ◽  
Wilcoxon Test ◽  
Site Infection ◽  
Test Results ◽  
Exact Test ◽  
Organ Space Infection ◽  
The Relationship ◽  
Severe Systemic Disease

Abstract Objectives: to analyze the occurrence and predisposing factors for surgical site infection in patients submitted to heart transplantation, evaluating the relationship between cases of infections and the variables related to the patient and the surgical procedure. Method: retrospective cohort study, with review of the medical records of patients older than 18 years submitted to heart transplantation. The correlation between variables was evaluated by using Fisher's exact test and Mann-Whitney-Wilcoxon test. Results: the sample consisted of 86 patients, predominantly men, with severe systemic disease, submitted to extensive preoperative hospitalizations. Signs of surgical site infection were observed in 9.3% of transplanted patients, with five (62.5%) superficial incisional, two (25%) deep and one (12.5%) case of organ/space infection. There was no statistically significant association between the variables related to the patient and the surgery. Conclusion: there was no association between the studied variables and the cases of surgical site infection, possibly due to the small number of cases of infection observed in the sample investigated.

The Relationship of Hospital Charges and Volume to Surgical Site Infection After Total Hip Replacement

2014 ◽  
Vol 30 (3) ◽  
pp. 283-288 ◽  
Author(s):  
Rebecca Boas ◽  
Kelsey Ensor ◽  
Edward Qian ◽  
Lorraine Hutzler ◽  
James Slover ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hospital Charges ◽  
Site Infection ◽  
Total Hip ◽  
Relationship Of ◽  
The Relationship

scholarly journals The Relationship Between Payer and Risk of Surgical Site Infection Following Cesarean Delivery

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S650-S650
Author(s):  
Sarah H Yi ◽  
Kiran Mayi Perkins ◽  
Sophia Kazakova ◽  
Kelly Hatfield ◽  
David Kleinbaum ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Cesarean Delivery ◽  
Site Infection ◽  
The Relationship

The Relationship Between Bacteria and Breast Cancer: Focusing on the Common Staphylococcus aureus

2019 ◽  
Vol 9 (11) ◽  
pp. 1571-1574
Author(s):  
A. Na-Er ◽  
Yunhong Liu ◽  
Yanjun Gan
Keyword(s):  
Breast Cancer ◽  
Staphylococcus Aureus ◽  
Surgical Site Infection ◽  
Tnm Classification ◽  
Site Infection ◽  
The Common ◽  
One Year ◽  
The One ◽  
The Relationship

Background: The risk of post-operative infection still accounts for a high proportion among the patients. The peptidoglycan on Staphylococcus aureus promotes cellular invasiveness and adhesiveness of tumor cells by pathways activation, including NF-kB, STAT3 and Smad3. Methods: This study included 132 patients age ranging from 45–55 that have been diagnosed with IIA phase breast cancer based on the TNM classification system in one hospital located in the relatively high-income area. These patients have been scheduled the operations and are distributed into two groups: one group will be given certain dosage of antibiotics on presumed Staphylococcus aureus infections, and another group will not be given any unnecessary antibiotics before surgery. Results: We found that 6 patients present surgical site infection related Staphylococcus aureus, with 1 patient in the antibiotics group and the other 5 patients are in the non-antibiotics group. Within the one-year period after surgery, 4 patients presented with metastasis to adjacent lymph nodes, 3 patients are in the non-antibiotics group and another one in the antibiotics group. Conclusion: Early intervention could be an accessible method to decrease the incidence of surgical site infection, which has been illustrated in this study. We consider to take preventive dosage of antibiotics before surgery, which could improve the prognosis of breast cancer and their quality of life in a larger extent.

scholarly journals Correlation of pre-operating antibiotic types with surgical site infection in post-appendectomy patients

2021 ◽  
Vol 129 (s2) ◽  
Author(s):  
Fitria Romadoni ◽  
Handayani ◽  
Aditya Bhayusakti
Keyword(s):  
Surgical Site Infection ◽  
Prophylactic Antibiotics ◽  
Body Parts ◽  
Site Infection ◽  
Preoperative Antibiotics ◽  
The Relationship

Introduction: Prophylactic antibiotics are antibiotics given to patients undergoing surgery to prevent infection due to surgery. Surgical site infection (SSI) is an infection that occurs when microorganisms from the skin, other body parts, or the environment enter the postoperative incision. This study aimed to analyze the relationship between preoperative antibiotics and the occurrence of SSI.

The Relationship Between Surgical Site Infection and Volume of Coronary Artery Bypass Graft Surgeries: Taiwan Experience

2006 ◽  
Vol 27 (3) ◽  
pp. 308-311 ◽  
Author(s):  
Shiao-Chi Wu ◽  
Chi-Chen Chen ◽  
Yee-Yung Ng ◽  
Hui-Fan Chu
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Surgical Site Infection ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Site Infection ◽  
Surgical Volume ◽  
Artery Bypass Graft ◽  
The Relationship

In this study, the overall incidence of surgical site infection was 8.83% (3.28% for index hospitalization events [ie, events that occurred during hospitalization for surgery] and 5.55% for postdischarge events [ie, events that occurred within 30 days after discharge]). There was a negative association between surgical volume and the incidence of surgical site infection following coronary artery bypass graft surgery. The hospital volume has a greater effect than does surgeon volume on reducing the incidence of surgical site infection.

scholarly journals Adequacy of antibiotic prophylaxis and incidence of surgical site infections in neck surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
M. Alonso-García ◽  
A. Toledano-Muñoz ◽  
J. M. Aparicio-Fernández ◽  
F. M. De-la-Rosa-Astacio ◽  
D. Rodríguez-Villar ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Antibiotic Prophylaxis ◽  
Cumulative Incidence ◽  
Surgical Site Infections ◽  
Neck Surgery ◽  
Adjusted Relative Risk ◽  
Site Infection ◽  
Administration Route ◽  
The Relationship ◽  
Time Of Administration

AbstractHealth care-related infections are frequent and among them surgical site infection (SSI) are the most frequent in hospitals. The objective was to evaluate the adequacy of antibiotic prophylaxis in patients undergoing neck surgery and its relationship with the incidence of surgical site infection (SSI). Prospective cohort study. The adequacy of antibiotic prophylaxis in patients undergoing neck surgery was evaluated. Antibiotic prophylaxis was considered adequate when it conformed to all items of the protocol (antibiotic used, time of administration, administration route, dose and duration). The cumulative incidence of SSI was calculated, and the relationship between SSI and antibiotic prophylaxis adequacy was determined using adjusted relative risk (RR). Antibiotic prophylaxis was administered in 63 patients and was adequate in 85.7% (95% CI 75.0–92.3) of them. The cumulative incidence of SSI was 6.4% (95% CI 3.4–11.8). There was no significant relationship between antibiotic prophylaxis inadequacy and the incidence of SSI (RR = 2.4, 95% CI 0.6–10.6). Adequacy of antibiotic prophylaxis was high and it did not affect the incidence of SSIs.

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