scholarly journals Retrospective observational study to evaluate the concept of the warm versus regular room temperature seitz bath in perineal wound healing

2020 ◽  
Vol 7 (10) ◽  
pp. 3230
Author(s):  
Narendra G. Naik ◽  
Arun Y. Mane ◽  
Nupur Gupte
Keyword(s):  
Room Temperature ◽  
Symptomatic Relief ◽  
Perineal Wound ◽  
Study Groups ◽  
Medical College ◽  
Perineal Wound Healing ◽  
Wound Recovery ◽  
Number Of Patients ◽  
Perineal Wounds ◽  
Gandhi Medical College

Background: Seitz bath in post-perineal surgery minimizes pain by reducing anal sphincter tone and also maintains hygiene. The aim and objective of this retrospective study is to compare the effect of warm versus regular room temperature seitz bath. The article clears the concept of seitz bath. The seitz bath gives psychological satisfaction of dressing to patient and helps in boosting the concept of hygiene in their mind.Method: Study design for this study was comparative study of warm and room temperature seitz bath on 60 patients by convenience sampling operated for perineal diseases from 01 November 2019 to 30 March 2020 with written informed consent of patient and fulfilling ethical requirements at Rajiv Gandhi Medical College, Thane, Mumbai. Patients with immunocompromised status and comorbidities like diabetes, tuberculosis, HIV were excluded from study this was the criteria for the study.Results: Out of 60 postoperative cases having perineal wounds, 35 (58.33%) patients opted for warm water seitz bath, while the rest 25 (41.66%) preferred regular room temperature seitz bath. In spite of a greater number of patients opting for warm seitz bath, wound recovery in terms of healing and wound discharge was almost similar in both the study groups. All the patients involved in the study were comfortable to resume their daily activities with significant reduction in pain by the end of first week irrespective of the choice of seitz bath they opted for.Conclusion: The study concludes that symptomatic relief and wound recovery in the operated cases of perineal surgeries completely independent of the choice of seitz bath practiced.

scholarly journals Case series on the on the onset of transient hypo-parathyroidism after thyroidectomy

2017 ◽  
Vol 4 (12) ◽  
pp. 3849
Author(s):  
Kannan Rajendran ◽  
S. Saravana Kumar ◽  
Robinson Smile
Keyword(s):  
Risk Factors ◽  
Total Thyroidectomy ◽  
Serum Calcium ◽  
Statistical Significance ◽  
Case Series ◽  
Medical College ◽  
Number Of Patients ◽  
Common Operation ◽  
Gandhi Medical College

Background: Surgery for thyroid disorders is the common operation in general surgery and total thyroidectomy is widely performed both for carcinoma as well as benign bilateral diseases of the thyroid and the most common complication is transient hypocalcaemia. A preliminary study was conducted to assess the risk factors for transient hypocalcaemia in our hospital.Methods: This was a prospective observational study conducted from February 2013 to April 2014 at the Mahatma Gandhi Medical College and Research Institute, Pondicherry and have included all patients undergone any type of thyroid surgery with a normal pre-operative serum calcium level. After initial clinical assessment, blood samples were drawn for estimation of thyroid function and serum calcium and albumin. Postoperative hypocalcemia was assessed by eliciting Chovstek’s and Troussea’s sign and biochemically estimating serum calcium and albumin at 6,24, and 24 hours intervals and 1st and 3rd months during follow-up. The risk factors involved are also studied like sex, age, type of thyroidectomy, identification of parathyroid, Identification of recurrent laryngeal nerve and their histology.Results: A total of 50 patients who underwent thyroidectomy were included in the study. The hypocalcemia occurred in 28% of patients studied showed that 66.7% of patients developed hypocalcemia at 48-72 hours. There was no statistical significance for the parameters of age or gender, benign and malignant conditions of thyroid. The analysis of type surgery performed showed a significant number of patients developing transient hypocalcaemia after near or total thyroidectomy (p-0.002).Conclusions: The present study, though consisted of a small group of patients has shown that transient hypocalcaemia after near or total thyroidectomy occurs in early post-operative days. Hence, on an average 2-5 days of hospital stay is mandatory. Near total or total thyroidectomy is a risk factor. Early diagnosis and replacement with calcium intra-venous reduce the morbidity and mortality of hypocalcaemia. 

scholarly journals PENGARUH PEMBERIAN REBUSAN DAUN SIRIH HIJAU TERHADAP PENYEMBUHAN LUKA PERINIUM PADA IBU POST PARTUM DI KLINIK PERA SIMALINGKAR B KECAMATAN MEDAN TUNTUNGAN KOTA MEDAN TAHUN 2019

2020 ◽  
Vol 2 (2) ◽  
pp. 186-193
Author(s):  
Stefani Anastasia Sitepu ◽  
Vitrilina Hutabarat ◽  
Kristin Natalia
Keyword(s):  
Wound Care ◽  
Post Partum ◽  
Healing Process ◽  
Perineal Wound ◽  
P Value ◽  
Betel Leaf ◽  
Perineal Wound Healing ◽  
Antibiotic Effect ◽  
Post Test ◽  
Perineal Wounds

Abstrak Postpartum mothers who suffer from perineal injury if not properly maintained and improper care of the perineum can result in infection of the perineum. Care for perineal wounds is carried out by the Indonesian community, one of which is by using green betel leaf decoction water that has an antibiotic effect, based on the effect of this therapy, betel can also be used as material for wound care that is usually used by means of worms. Research to find out whether betel leaf water can accelerate the healing process of perineal wounds in post partum mothers. The research method is pre-experimental using a pretest and posttest design in one group. The sample in this study 31 respondents using non-likely sampling techniques using consecutive sampling method. The results of the study the effect of giving green betel leaf decoction to the healing of perineal wounds in post partum mothers pre-test post-test p-value 0.018 <α = 0.05 Ho is rejected, Ha Accepted which means there is an influence of perineal wound healing with green betel leaf decoction in pera simalingkar B clinic, Medan tuntung sub-district, Medan in 2019.

scholarly journals Hubungan Vulva Hygiene Dengan Kecepatan Penyembuhan Luka Perineum Ibu Nifas Di BPM Yuliani S.ST

2019 ◽  
Vol 11 (2) ◽  
pp. 149
Author(s):  
Lilik Darwati
Keyword(s):  
Wound Healing ◽  
Health Workers ◽  
Perineal Wound ◽  
Perineal Wound Healing ◽  
Perineal Tears ◽  
Initial Survey ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
Relationship Of

ABSTRAKKejadian robekan perineum pada ibu nifas saat bersalin setiap tahunnya semakin meningkat dan mengalami penyembuhan luka yang lama. Hal ini dipengaruhi beberapa faktor salah satunya yaitu vulva hygiene. Berdasarkan survey awal yang dilakukan diBPM Yuliani S.ST di lakukan secara wawancara dan obserfasi dari 10 (100%) ibu nifas didapatkan 7 (70%) ibu nifas yang penyembuhan luka perineumnya lebih dari 7 hari, wawancara lebih lanjut diketahui ibu yang tidak melakukan vulva hygiene dengan benar karena takut akan menyentuh luka jahitan dan takut apabila terlalu sering terkena air jahitan akan sembuh semakin lama.Desain penelitian Analitik Korelasional dengan metode Cohort. Populasi seluruh ibu nifas yang mengalami luka jahitan perineum di BPM Yuliani S.ST sebesar 35 ibu nifas. Metode sampling menggunakan Consecutive Sampling.Variabel independen vulva hygiene dan variabel dependen kecepatan penyembuhan luka perineum pada ibu nifas. Data penelitian diperoleh melalui kuesioner tertutup dan lembar observasi luka perineum. Data ditabulasi dan dianalisis menggunakan uji Fisher’s Exact Test.Hasil penelitian menunjukkan p=0,000, α = 0,05 p < α dimana H1 diterima artinya ada hubungan vulva hygiene dengan kecepatan penyembuhan luka perineum pada ibu nifas ada hubungan yang signifikan. Diharapkan penelitian ini  meningkatkan peran tenaga kesehatan memberikan KIE tentang vulva hygiene sehingga penyembuhan luka perineum ibu nifas.     ABSTRACTThe incidence of perineal tears in postpartum mothers during childbirth is increasing every year and has a long wound healing. This is influenced by several factors, one of which is vulva hygiene. Based on the initial survey conducted at BPM Yuliani S.ST conducted by interview and observation of 10 (100%) puerperal mothers found 7 (70%) puerperal mothers who healing perineal wounds more than 7 days, further interviews known to mothers who did not do vulva hygiene correctly for fear of touching the suture wound and afraid that if it is too often exposed to water the stitches will heal for longer.Correlational Analytic research design with the Cohort method. The population of all postpartum mothers who suffered perineal suture injuries in BPM Yuliani S.ST was 35 postpartum mothers. The sampling method uses consecutive sampling. Valuable independent variables are hygiene and the dependent variable is the speed of perineal wound healing in postpartum mothers. The research data were obtained through a closed questionnaire and perineum wound observation sheet. Data were tabulated and analyzed using the Fisher's Exact Test.The results showed p = 0,000, α = 0.05 p <α where H1 was accepted meaning there was a relationship of vulva hygiene with the speed of healing of perineal wounds in postpartum mothers there was a significant relationship. It is hoped that this research will increase the role of health workers in providing IEC about vulva hygiene so that the healing of puerperal perineal wounds.  

scholarly journals Outcome of Injection Sclerotherapy for First Degree and Second Degree Haemorrhoids– A Study of 50 Cases

2016 ◽  
Vol 12 (2) ◽  
pp. 98-101
Author(s):  
Md Ershad Ul Quadir ◽  
Md Mahbubur Rahman ◽  
Md Tanvirul Islam ◽  
SM Shakhawat Hosssain
Keyword(s):  
Symptomatic Relief ◽  
Digital Rectal Examination ◽  
Cost Effective ◽  
Armed Forces ◽  
Injection Sclerotherapy ◽  
Female Ratio ◽  
Medical College ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Second Degree

Introduction: Haemorrhoid is the frequent problem in clinical practice of general surgery. Haemorrhoids are dilatation and tortuosity of rectal veins affecting almost 4.5% of the population. Various operative and non operative therapeutic options are in practice to treat haemorrhoids, yet none has been proven cent percent effective. Sclerotherapy is a simple, safe and cost effective procedure that is widely practiced globally to treat haemorrhoids. Many sclerosants are being used with variable efficacies. Objective: To evaluate the outcome of injection Sclerotherapy in first degree and second degree haemorrhoids. Materials and Methods: Fifty patients of both gender having haemorrhoids who attended Outpatient Department (OPD) at BNS Patenga from September 2013 to August 2014 were included in this study. On the basis of history, patients were selected for Digital Rectal Examination (DRE) and proctoscopic examination to confirm the diagnosis. Sclerotherapy was repeated at interval of 6 weeks till symptomatic relief was achieved. Maximum 3 sittings of sclerotherapy were given. Patients were followed up at 3 months interval for 1 year. Results: This prospective study was conducted on 50 cases of first degree and second degree Haemorrhoids. The highest number of patients 21(42%) were in the age group of 21-30 years with majority 38(76%) being male. Male female ratio was 3.16: 1. All the patients presented with painless per-rectal bleeding. Satisfactory results were observed in 29(58%) patients of whom 20(40%) patients were having first degree haemorrhoids and 9(18%) patients were having second degree haemorrhoids. Sclerotherapy was more effective in first degree compared to second degree haemorrhoids patients. Conclusion: Injecting Sclerotherapy is a suitable office procedure for treatment of haemorrhoids. The method is easy, convenient, cheap, well accepted and comfortable for patient. More or less there are no complications and the result is also satisfactory. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 98-101

Metastasierender Morbus Crohn vielleicht häufiger als bisher angenommen

2020 ◽  
pp. 1-2
Author(s):  
Irina Blumenstein
Keyword(s):  
Wound Healing ◽  
Perineal Wound ◽  
Skin Lesions ◽  
Complete Healing ◽  
High Rate ◽  
Consecutive Series ◽  
Perineal Wound Healing ◽  
Wound Healing Problems ◽  
Initial Improvement ◽  
Perineal Wounds

<b>Background:</b> Metastatic Crohn’s disease (CD) is a rare manifestation of CD. It involves inflammatory skin lesions with histopathological findings (granulomas) similar to CD, without connection to the gastrointestinal tract. Hyperbaric oxygen therapy (HBO) has been suggested as a possible treatment option. <b>Objective:</b> This study aimed to identify and treat a consecutive series of patients with biopsy-proven metastatic CD and monitor wound healing using prospectively acquired outcomes. <b>Methods:</b> Pathology results of all patients with ongoing perineal wound-healing problems after proctectomy between 2005 and 2018 at the Amsterdam University Medical Centre were assessed for metastatic CD. Patients with a biopsy-proven diagnosis of perineal metastatic CD were offered HBO (40 daily sessions of 100% oxygen at 2.4 atmosphere absolute). Wound healing was monitored using photographs and standardised questionnaires (the Inflammatory Bowel Disease Questionnaire, EuroQol Visual Analogue Scale and the Female Sexual Function Index) at baseline and 1 and 3 months after HBO. <b>Results:</b> Out of 13 patients in the cohort with persisting perineal wounds after proctectomy, six (46%) had biopsy results consistent with metastatic CD. Of these, three accepted treatment with HBO. All three patients were female. One patient had complete healing of her perineal wound; another patient showed initial improvement but had a flare of luminal and perineal disease at the 3-month follow-up. The third patient showed improvement solely in the questionnaires, with higher scores on all three questionnaires. <b>Conclusion:</b> A high rate of metastatic CD was found in patients with ongoing wound-healing problems after proctectomy, implying that the disease might not be as rare in these selected patients as previously thought. HBO might be beneficial in the treatment of metastatic CD.

scholarly journals Prevalence of Candidiasis Infection & Antifungal Susceptibility Pattern at Tertiary Care Hospital, Jaipur

2020 ◽  
pp. 8-13
Author(s):  
Falguni Sharma ◽  
Ved Prakash Mamoria ◽  
Ekadashi Rajni Sabharwal ◽  
Richa Sharma
Keyword(s):  
Candida Albicans ◽  
Candida Species ◽  
Fungal Pathogens ◽  
Antifungal Susceptibility ◽  
Tertiary Care ◽  
Clinical Samples ◽  
Care Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Gandhi Medical College

Background: Candida species are among the most common fungal pathogens. They are ubiquitous yeasts found on plants and form the microbiota of the alimentary tract of mammals and the mucocutaneous membranes in humans. Methods: A total of 90 clinical samples were collected from Mahatma Gandhi Medical College & Hospital, Jaipur over a period of one year. Primary identification is done by the direct smear examination by Gram’s staining and KOH mount and then further sub-cultured on SDA media.  Results: Out of 90 clinical specimens collected, most common form of Candidiasis seen was Candiduria type followed by blood cultures, swab, Endotracheal tube, sputum and Bronchialveolar lavage. The maximum number of patients were found in the age group of 21-30 years, followed by 51-60 years. Out of 90 patients, 48 (53.3%) were males and 42 (46.6%) were females. C. tropicalis (44.4%) was the predominant species followed by C. albicans and other species of Candida. Among 90 samples, 32% were Candida albicans and remaining 68% were Non albicans Candida species. Conclusion: The study found that C. tropicalis was sensitive against Micafungin & Caspofungin, showing a 100% sensitivity. Candida albicans showed 100% sensitivity against Flucytosine.

scholarly journals Efektivitas Sirih Merah dalam Perawatan Luka Perineum di Bidan Praktik Mandiri

2013 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Susilo Damarini ◽  
Eliana Eliana ◽  
Mariati Mariati
Keyword(s):  
Wound Care ◽  
Perineal Wound ◽  
Control Group ◽  
Independent Practice ◽  
Whitney Test ◽  
Betel Leaf ◽  
Perineal Wound Healing ◽  
Mann Whitney Test ◽  
Quasi Experimental ◽  
Perineal Wounds

Angka kejadian ruptur perineum pada primipara persalinan normal adalah sekitar 88,9%. Piper crocatum extract atau ekstrak daun sirih merah diketahui mempunyai kandungan kimia yang berefek antiseptik dan antibakteri. Sebagian besar persalinan normal di Kota Bengkulu mengalami ruptur spontan atau episiotomi. Dari 10 persalinan, ada 7 pasien yang mengalami robekan perineum dan kering rata-rata dalam 7 hari, dengan perawatan menggunakan iodin atau merendam/ cebok rebusan daun sirih. Tujuan penelitian ini adalah menilai efektivitas penyembuhan luka perineum ibu nifas dengan menggunakan daun sirih merah dan obat antiseptik. Metode penelitian quasi eksperimental, populasi ibu pospartum dengan luka perineum yang ditolong oleh bidan praktik mandiri. Sampel perlakuan 35 orang dan kelompok kontrol 35 orang. Sampel diambil secara accidental sampling. Waktu penelitian bulan Mei – Agustus 2012 di Kota Bengkulu. Variabel lainnya yaitu status kesehatan, obat antibiotik dan status gizi. Analisis menggunakan uji Mann - Whitney Test. Hasil penelitian menunjukkan bahwa rata-rata lama penyembuhan luka perineum menggunakan infusum sirih merah adalah 2 - 3 hari sedangkan pada kelompok obat antiseptik rata-rata lama penyembuhan 5 – 6 hari, artinya bahwa daun sirih merah lebih efektif dibandingkan dengan iodine dalam perawatan luka perineum pada masa pospartum.The incidence of perineal rupture in primiparous normal deliveries is 88.9%. Piper crocatum Extract or red betel leaf extract are known contained antiseptic and antibacterial effect. Mostly normal deliveries in Bengkulu City experienced spontaneous rupture or episiotomy. From 10 births, 7 patients experienced perineal laceration and were dry in 7 days by treatment using iodine or soak/ wiping with betel leaf decoction. The aim of this study was to determine the effectiveness of red betel leaf in healing perineal wound of postpartum mother in Independent Practice Midwife in Bengkulu City 2013. The method of this study was quasi-experimental. The population was mothers with postpartum perineal wounds who attended by independent midwive practice. 35 sample as treatment group and 35 people as control group. Sample was taken by accidental samplingthis study doing at month May – August 2012 in The Bengkulu City. Other variables are health status, antibiotics and nutritional status. Analysis using the Mann - Whitney Test. The result of this study showed that the avarage length of perineal wound healing using infusum of red betel leaf was 2 - 3 days, while in group iodine was 5 - 6 days, meaning that red betel leaf is more effective compared with iodine in wound care in the puerperium.

scholarly journals Factor Affecting Perineal Wound Healing

2020 ◽  
Vol 2 (2) ◽  
pp. 38-42
Author(s):  
Esti Handayani ◽  
Herlina Tri Damailia ◽  
Wahyu Pujiastuti
Keyword(s):  
Wound Healing ◽  
Wound Care ◽  
Perineal Wound ◽  
Hemoglobin Level ◽  
Rank Test ◽  
Formula Milk ◽  
Perineal Wound Healing ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
Perineal Care

Perineal wound cause many problems, likea as many as 70% of postpartum mothers have difficulty defecating, 60% of postpartum mothers have difficulty with mictie, 30% of postpartum mothers complain of UTI signs, 60% of breast milk is substandard so that formula milk is added and 10% of mothers with subinvolution uteri. Perineal wound can heal immediately if the postpartum mother has a good hemoglobin level, to get enough hemoglobin, one of them is by consuming Fe tablets and vitamin C. It was found that as many as 60% of postpartum women with perineal wound healing 8 to 14 days. The goals of this research is to find factors that affecting perineal wound healing.This type of research is correlational analytic with cross sectional time approach. The population is postpartum mothers in the working area of Kedu Public Health Center, Temanggung Regency, from September to November 2018. The samples were obtained using quota sampling sampling with 40 postpartum mothers. Spearman rank test showed results of haemoglobin level and perineal wound care related to the speed of healing of perineal wounds (pvalue of hb level 0.00 and pvalue perineal wound care 0.027), multivariat test using linear regression where there is influence of hemoglobin level and perineal care to the speed of perineal wound healing (pvalue 0,021).Midwives are expected to screen haemoglobin levels and monitor perineal wound care performed by the mother to prevent delays in healing perineal wounds Keywords: BMI, age, hemoglobin level, perineal care,perineal wound healing 

scholarly journals The Effect of Betel Leaf Water Decoction on Perineal Wound Healing among Post Partum Women

2021 ◽  
Vol 1 (2) ◽  
pp. 130-135
Author(s):  
Nursupma Oktavia Darulis ◽  
Rini Kundaryanti ◽  
Shinta Novelia
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Leaf Water ◽  
Control Group ◽  
Independent Practice ◽  
Betel Leaf ◽  
Perineal Wound Healing ◽  
Perineal Wounds ◽  
Perineal Injuries

The prevalence of maternity women with perineal injuries in Indonesia in the 25-30 year age group waa 24%, while the 32-39 year old was 62%. Perineal wounds are the cause of postpartum maternal bleeding. Postpartum causes are the main cause of 40% of maternal deaths in Indonesia. This study aimed to determine the effect of betel leaf water decoction on post partum women perineal wound healing at the Independent Practice of midwife R. Agustina in West Bandung in 2021. This research used the Quasi Experimental Design method, with the Post Only Control Group approach. The population in this study were all postpartum women who had grade I and II perineal injuries at PMB R. Agustina in July 2021 which consisted of 30 respondents. The location of this research was carried out at the Independent Practice of the midwife R. Agustina West Bandung in July 2021. The variables of this study were betel leaf boiled water and perineal wounds. The research instrument was the REEDA Scale. The results showed that the average perineal wound healing before intervention in the experimental group was 10.60 and after intervention was 5.87, while the average perineal wound healing before test was 10.87 and after the test was 6.93. There were differences in perineal wound healing between the experimental and control groups at PMB R. Agustina West Bandung (p-value = 0.012). This intervention is expected to be used by the community as a method in overcoming the problem of perineal wound healing among post partum women.

PENGARUH SITZ BATH AIR HANGAT TERHADAP LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM DI PMB PONIRAH KOTA METRO

2019 ◽  
Vol 8 (1) ◽  
pp. 27-32
Author(s):  
Martini Martini ◽  
Yetti Anggraini
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
Perineal Wound ◽  
Perineal Pain ◽  
Sitz Bath ◽  
Perineal Wound Healing ◽  
Accelerate Wound Healing ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
The Impact

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective:  The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain.   Keywords: Perineal pain, Perineal wound healing,Sitz bath

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