Use of Antiseptic Solutions in Postoperative Wound Care

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ryan Bogner ◽  
Colton B. Nielson ◽  
Carol Thompson ◽  
Timothy Brown
Keyword(s):  
Wound Care ◽  
Postoperative Wound ◽  
Antiseptic Solutions

A mobile app for postoperative wound care after arthroplasty: Ease of use and perceived usefulness

2019 ◽  
Vol 129 ◽  
pp. 75-80 ◽  
Author(s):  
H. Scheper ◽  
R. Derogee ◽  
R. Mahdad ◽  
R.J.P. van der Wal ◽  
R.G.H.H. Nelissen ◽  
...  
Keyword(s):  
Wound Care ◽  
Mobile App ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Postoperative Wound

scholarly journals A study to evaluate the role of suction drains in orthopedic surgery

1970 ◽  
Vol 9 (2) ◽  
pp. 91-94 ◽  
Author(s):  
GP Khanal ◽  
R Rijal ◽  
BP Shrestha ◽  
NK Karn ◽  
P Chaudhary
Keyword(s):  
Beneficial Effect ◽  
Orthopedic Surgery ◽  
Postoperative Infection ◽  
Wound Care ◽  
Demographic Data ◽  
Superficial Infection ◽  
Postoperative Wound ◽  
Suction Drain ◽  
One Year

Background: There is controversy in routine use of suction drain in orthopedic surgeries. Devastating postoperative infection and years of treatment had forced on extra measures of postoperative wound care and use of drains. Objective: To find out the necessity of intraoperative drains in routine orthopedic surgery. Methods: Thirty patients were enrolled in the study. All of the patients were followed up on 2nd, 14th days and 3 monthly till one year of period. All the demographic data and preoperative investigations and intraoperative and postoperative parameters were recorded in standard proforma. Data were analysed using appropriate statistical method. Results: All the patients were followed up to one year period. Six patients had superficial infection on 2nd postoperative day. They were managed with antibiotics and no patient showed signs of infections on 14th postoperative day and thereafter. No patient needed postoperative reinforcement of dressing. Conclusion: Routine use of intraoperative drain in hip surgeries has beneficial effect of decreasing reinforcement of postoperative dressing. Keywords: orthopedic surgery; suction drain; BPKIHS DOI: http://dx.doi.org/10.3126/hren.v9i2.4980 Health Renaissance 2011: Vol.9 (No.2): 91-94

scholarly journals Damage control hip disarticulation: two-stage operation with index creation of a large medial flap for the septic hip

2020 ◽  
Vol 5 (1) ◽  
pp. e000502
Author(s):  
Christina Colosimo ◽  
Charles Fredericks ◽  
James R Yon ◽  
John C Kubasiak ◽  
Faran Bokhari ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Hospital Discharge ◽  
High Mortality ◽  
Wound Care ◽  
Damage Control ◽  
Mortality Rates ◽  
Consecutive Series ◽  
Postoperative Wound ◽  
Hindquarter Amputation

BackgroundAlthough rarely performed, hip disarticulation (HD) is usually used for the patient with a non-viable leg who is also in extremis. HD was first used for trauma and infection; however, the technique was perfected during the age of hindquarter amputation for osteosarcomas. The operation performed by most surgeons today is still based on the oncological principles of high vessel control and ligation. When this approach has been used in the overwhelmingly infected or mangled extremity, it has resulted in high mortality rates. During the last 20 years, the concept of damage control operation has been embraced by emergency surgeons in all fields. We sought to extrapolate this concept and to apply it to the non-viable lower extremity.MethodsWe describe a new concept of damage control HD, review the technique and discuss our consecutive series of nine patients who underwent the procedure for trauma or necrotizing infection without flap dehiscence or mortality.ResultsAll patients survived to hospital discharge. At time of discharge or at follow-up, six of the nine patients were able to transfer to a wheelchair.DiscussionProper disarticulations for infection need to address these two operative and postoperative issues: damage control debridement with creation of sufficient flap size and thorough postoperative wound care.Level IV

scholarly journals Single Stage Correction of Rectovestibular Fistula

2014 ◽  
Vol 1 (2) ◽  
pp. 99-105
Author(s):  
Kaniz Hasina ◽  
Abdul Hanif ◽  
S. M. Shafiqul Alam ◽  
Shahin Reza ◽  
Nazrul Islam ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Wound Care ◽  
Single Stage ◽  
Medical College Hospital ◽  
College Hospital ◽  
Postoperative Wound ◽  
Medical College ◽  
Multi Stage ◽  
Rectovestibular Fistula ◽  
Preoperative Bowel Preparation

Introduction: The aim of this study was to determine the feasibility, safety, cost effectiveness and functional outcome between single stage and multiple stage operation of anorectal malformation (ARM) with rectovestibular fistula (RVF).Materials & Methods: This interventional study was conducted on 40 female children born with ARM with RVF from July 2007 to June 2009 in the Department of Pediatric Surgery, Dhaka Medical College Hospital. Their age range was from 3 months to 7 years. Anterior sagittal anorectoplasty (ASARP) was done as definitive treatment of RVF. 20 out of 40 patients underwent single stage procedure and the rest underwent multiple stage procedure. Good preoperative bowel preparation and postoperative wound care were ensured for optimum outcome.Results: Mean operating time was 70 minutes in single stage and 80 minutes in multi stage definitive procedure.  Average hospital stay was 10 days in single stage procedure where as 22-24 days in multi stage procedure. Partial perineal wound dehiscence occurred in two patients with single stage procedure and one patient with multi stage procedure. Wound infection was seen in two patients of single stage and also two patients of multi stage procedures. Fecal continence was good in all patients older than 3 years. Average number of bowel movement was 2-3 times daily in older patients and 2-4 in younger patients. Constipation developed in three patients with multiple stage procedure and in two patients with single stage procedure. Both groups were managed conservatively for all complications. In Dhaka Medical College Hospital, treatment cost is mostly free, so we could not compare this cost but the incidental expenses in single stage treatment was Tk. 10,000.00 and Tk. 30,000.00 in multistage treatment in three settings.Conclusion: Adequate preoperative bowel preparation, good surgical skill, proper analgesia and postoperative wound care remain the key factors to produce a cost effective excellent outcome of single stage correction of RVF.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19523

scholarly journals Cellulitis caused by the Burkholderia cepacia complex associated with contaminated chlorhexidine 2% scrub in five domestic cats

2018 ◽  
Vol 30 (5) ◽  
pp. 763-769 ◽  
Author(s):  
Jessica K. Wong ◽  
Lara C. Chambers ◽  
Elizabeth J. Elsmo ◽  
Tiffany L. Jenkins ◽  
Elizabeth W. Howerth ◽  
...  
Keyword(s):  
Burkholderia Cepacia ◽  
Wound Care ◽  
Clinical Signs ◽  
Burkholderia Cepacia Complex ◽  
Empiric Antibiotic Therapy ◽  
Human Pathogens ◽  
Open Wound ◽  
Source Of Infection ◽  
Empiric Antibiotic ◽  
Antiseptic Solutions

Isolates of the Burkholderia cepacia complex (BCC) are known as plant and human pathogens. We describe herein BCC infections as the cause of subcutaneous abscesses and purulent cellulitis in 5 cats. All cats were presented with an open wound, and 4 received standard wound care and empiric antibiotic therapy. Despite treatment, clinical signs worsened in 4 cats. Isolates of the BCC were obtained from all 5 cases. Two cats were submitted for postmortem examination. Subcutaneous abscesses with draining fistulas were observed. Histopathology revealed severe, pyogranulomatous cellulitis with intralesional gram-negative bacilli. Based on susceptibility results, the other 3 cats were administered effective antibiotics and recovered without complications. The BCC was cultured from the 2% chlorhexidine surgical scrub solution used in the clinic, suggesting the source of infection for 4 of 5 cats. Given the ability to grow in antiseptic solutions, the extra steps required to culture from antiseptics, and innate multidrug resistance, the BCC poses a challenge to both detect and treat. Although the BCC causes disease almost exclusively in humans with cystic fibrosis or immunodeficiency, the bacteria should also be a differential for nosocomial infections in veterinary patients.

scholarly journals Effects of health training in knowledge and surgical wound management

2019 ◽  
Vol 2 (2) ◽  
pp. 80-85
Author(s):  
Eka Yudha Chrisanto ◽  
Nur Afni
Keyword(s):  
Standard Deviation ◽  
Health Workers ◽  
Wound Care ◽  
Sampling Technique ◽  
Wound Management ◽  
P Value ◽  
Surgical Wound ◽  
Health Training ◽  
Postoperative Wound ◽  
Post Test

Background: The surgery in Indonesia ranks 11th out of 50 treatments for disease patterns in hospitals in Indonesia, which is an estimated 32% of them were laparotomy. The number of abdominal surgical cases in Lampung Province in 2017 was (28.95%) and increased in 2018 by (32.45%).Purpose: Know the effect of health training in knowledge and surgical wound management.Methods: This type of study was quantitative, with the Pre-Experiment design and the design one group pre test - post test. The populations were all of postoperative patients and samples of 34 people with a total sampling technique. Data collection uses questionnaire sheets and the statistical test used dependent t-test.Results: The average knowledge about postoperative wound care before being given health training of 14.18 and a standard deviation of 1.749. The average knowledge about postoperative wound care after being given health training of 17.06 and a standard deviation of 3.142, with p-value = (0,000 <0,05).Conclusion: There was the effect of health training in knowledge and surgical wound management. Health workers are expected to be able to apply the provision of health training to postoperative patients to improve patient knowledge in subsequent care and be used as a reference for making policies regarding the provision of health training to postoperative patients.

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