​Rejuvenating Effect of Mathan Thailam for a Wound Dehiscence following Caesarean Operation in a Kangayam Cow Affected with Uterine Torsion

2021 ◽  
Author(s):  
M. Selvaraju ◽  
M. Periyannan ◽  
V. Varudharajan ◽  
S. Prakash ◽  
K. Ravikumar ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Broad Ligament ◽  
Cattle Breed ◽  
Wound Dehiscence ◽  
Crossing Over ◽  
Large Animal ◽  
Herbal Preparation ◽  
Vaginal Examination ◽  
Postoperative Wound ◽  
Uterine Torsion

Background: Kangayam is a popular and well known cattle breed from Tamil Nadu, known for its heat tolerance and work capacities. Postoperative wound gaping is a very traumatic and painful event for any patient including voiceless animal patient. The rejuvenating effect of herbal preparation from Oomathai (Datura metal); Mathan Thailam in a wound dehiscence following hysterotomy in a Kangayam cow affected with uterine torsion is reported. Methods: A full term pregnant Kangayam cow on its second parity was presented to the Large Animal Obstetrics Unit, Veterinary Clinical Complex (VCC), Veterinary College and Research Institute (VCRI), Namakkal with colic signs for two days. On general clinical examination, the animal was dull and depressed with recurrent kicking in the abdomen with tucked up udder. Vaginal examination revealed closed cervix and rectal examination revealed left side broad ligament crossing over the cervix towards right side. The case was diagnosed as pre-cervical right side uterine torsion and Schaffer’s method of detorsion of cervix failed to dilate. Thus, hysterotomy was performed to deliver the fetus. Postoperative wound dehiscence occurred as a complication which was treated with mathan thailam. Result: The owner was directed to apply the mathan thailam externally thrice daily after regular cleaning of wound. The result is significant that the mathan thailam showed excellent rejuvenation in the wound gaping.

scholarly journals Palliative Management with Ultrasound Guided Percutaneous Pericardial Lavage for Cow with Pericarditis - A case Report

2018 ◽  
Vol 14 (3) ◽  
Author(s):  
M. Venkatesan ◽  
P. Selvaraj ◽  
M. Saravanan ◽  
M. Veeraselvam ◽  
S. Yogeshpriya ◽  
...  
Keyword(s):  
Case Report ◽  
Early Intervention ◽  
Tamil Nadu ◽  
Palliative Therapy ◽  
Economic Loss ◽  
Invasive Technique ◽  
Large Animal ◽  
Ultrasound Guided ◽  
Loss Minimization ◽  
Non Invasive

Traumatic reticulopericarditis is a very frequently occurring, high morbid and mortality syndrome affecting bovines in large animal practice. It is quite common in delta districts of Tamil Nadu. For early intervention and economic loss minimization, appropriate diagnostic and prognostic testing is essential. Ultrasound guided, percutaneous pericardiocentesis is the non-invasive technique and helped in therapeutic management and prognostication of traumatic reticulopericarditis. This case documented the successful utility of the palliative therapy.

The Perth Surgical Wound Dehiscence Risk Assessment Tool (PSWDRAT): development and prospective validation in the clinical setting

2019 ◽  
Vol 28 (6) ◽  
pp. 332-344 ◽  
Author(s):  
Kylie Sandy-Hodgetts ◽  
Keryln Carville ◽  
Nick Santamaria ◽  
Richard Parsons ◽  
Gavin D. Leslie
Keyword(s):  
Risk Assessment ◽  
Predictive Power ◽  
Assessment Tool ◽  
Wound Dehiscence ◽  
Risk Assessment Tool ◽  
Anatomical Location ◽  
Surgical Wound ◽  
Previous Surgery ◽  
Postoperative Wound ◽  
Surgical Wound Dehiscence

Objective:The worldwide volume of surgery today is considerable and postoperative wound healing plays a significant part in facilitating a patient's recovery and rehabilitation. While contemporary surgical procedures are relatively safe, complications such as surgical wound dehiscence (SWD) or breakdown of the incision site may occur despite advances in surgical techniques, infection control practices and wound care. SWD impacts on patient mortality and morbidity and significantly contributes to prolonged hospital stay. Preoperative identification of patients at risk of SWD may be valuable in reducing the risk of postoperative wound complications.Method:A three-phase study was undertaken to determine risk factors associated with SWD, develop a preoperative patient risk assessment tool and to prospectively validate the tool in a clinical setting. Phases 1 and 2 were retrospective case control studies. Phase 1 determined variables associated with SWD and these informed the development of a risk assessment tool. Univariate analysis and multiple logistic regression were applied to identify predictors of surgical risk. Phase 2 used the receiver operator curve statistic to determine the predictive power of the tool. Phase 3 involved a prospective consecutive case series validation to test the inter-rater reliability and predictive power of the tool.Results:In addition to those already identified in the literature, one independent risk predictor for SWD was identified: previous surgery in the same anatomical location (p<0.001, odds ratio [OR] 4). Multiple combined factors were integrated into the tool and included: age (p<0.019, OR 3), diabetes (p<0.624, OR 2), obesity (p<0.94, OR 1.4), smoking (p<0.387, OR 2), cardiovascular disease (p<0.381 OR 3) and peripheral arterial disease (p<0.501, OR 3). The predictive power of the tool yielded 71% in a combined data sample.Conclusion:Patients with previous surgery in the same anatomical location were four times more likely to incur a dehiscence. Identification of at-risk patients for complications postoperatively is integral to reducing SWD occurrence and improving health-related outcomes following surgery.

The influence of bowel preparation on postoperative complications in surgical treatment of colorectal cancer

2019 ◽  
Vol 91 (3) ◽  
pp. 10-14 ◽  
Author(s):  
Zbigniew Małek ◽  
Piotr Małek ◽  
Łukasz Dziki
Keyword(s):  
Colorectal Cancer ◽  
Bowel Preparation ◽  
Postoperative Mortality ◽  
Mechanical Bowel Preparation ◽  
Wound Dehiscence ◽  
Oral Antibiotic ◽  
Wound Infections ◽  
Postoperative Wound ◽  
Results Of Treatment ◽  
Early Results

Introduction Colorectal cancer is the most common gastrointestinal cancer treated by departments and surgical clinics in Poland. Currently, the biggest challenge of surgery is to reduce the number of leaks in the bowel anastomoses and postoperative wound infections to a minimum. Objective Whether bowel preparation before surgery affects the early results of treatment? Methods The study was retrospective and included patients operated electively on one surgical center due to colorectal and rectal cancer in years 2013-2018. Patients who underwent surgery were divided into two groups in the study. The first was 109 patients with mechanical bowel irrigation. The second group of 118 patients, in addition to mechanical bowel preparation, received an oral antibiotic. Results The studied groups did not differ significantly in terms of traits that could affect the results of treatment within 30 days of surgery. Postoperative mortality was 0,9% and 0,85%. Complications: leakage of the bowel anastomosis 1,8% and 1,7%, postoperative obstruction 3,7% and 5,0%, wound dehiscence 2,75% and 0,85%, infection of the surgical site 13,8% and 3,4% respectively in the first and second group of patients. Conclusion 1. Mechanical bowel preparation in combination with the oral supply of antibiotic significantly reduces the frequency of surgical site infection compared to the mechanical rinsing itself. 2. Type of preparation of the intestine before the surgery does not significantly affect postoperative mortality and other complications, including anastomotic leak, but may be important for the frequency of postoperative wound dehiscence.

Postoperative wound dehiscence

Ophthalmology ◽  
2003 ◽  
Vol 110 (9) ◽  
pp. 1864-1865 ◽  
Author(s):  
Uwe Pleyer ◽  
Christian Hartmann
Keyword(s):  
Wound Dehiscence ◽  
Postoperative Wound

scholarly journals Postoperative wound dehiscence: Predictors and associations

2015 ◽  
Vol 23 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Victoria K. Shanmugam ◽  
Stephen J. Fernandez ◽  
Karen Kim Evans ◽  
Sean McNish ◽  
Anirban N. Banerjee ◽  
...  
Keyword(s):  
Wound Dehiscence ◽  
Postoperative Wound

Enhanced Recovery After Surgery Pathway: Association with Lower Incidence of Wound Complications and Severe Hypoalbuminemia in Patients Undergoing Posterior Lumbar Fusion Surgery

2021 ◽  
Author(s):  
Shuaikang Wang ◽  
Peng Wang ◽  
Xiangyu Li ◽  
Wenzhi Sun ◽  
Chao Kong ◽  
...  
Keyword(s):  
Lower Incidence ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Lumbar Fusion ◽  
Wound Dehiscence ◽  
Wound Complications ◽  
Rehabilitation Center ◽  
Postoperative Wound ◽  
Posterior Lumbar Fusion ◽  
The Relationship

Abstract Background. Wound complications were associated with worse satisfaction and additional costs in patients underwent posterior lumbar fusion(PLF) surgery ,the relationship between enhanced recovery after surgery(ERAS)pathway and wound complications remains poorly characterized.Methods. In this retrospective single-center study, we compared 530 patients receiving ERAS pathway care with previous 530 patients in non-ERAS group. The primary aim of our study was to identify the relationship between ERAS program and the incidence of postoperative wound related complications and other complications following PLF surgery, other outcomes included the length of stay(LOS), 90-day hospital and rehabilitation center readmission.Results. Average patient age was 65yr. There were more patients with old cerebral infarction in ERAS group (p<0.01), other demographics and comorbidities were similar between both groups. Patients in ERAS group had a lower incidence of postoperative wound-related complications compared with non-ERAS group(12.4 vs 17.8%, p=0.02).The non-ERAS group had a significantly higher rate of wound dehiscence or poor wound healing(6% vs 3%, p=0.02). ERAS group had a lower incidence of server postoperative hypoalbuminemia(serum albumin less than 30g/L)(15.8% vs 9.0% p<0.01).Additionally, ERAS patients had a shorter postoperative LOS (8.0±1.5 vs 9.5±1.7 p<0.01), lower rate of readmission within 90 days (1.9% vs 6.4%, p<0.01) and discharge to rehabilitation center (4.2% vs 1.0%, p<0.01).Conclusion. ERAS pathway may help to decrease the rates of postoperative wound complications and server hypoalbuminemia following PLF surgery, additionally, we demonstrated that ERAS pathway was also associated with shorter LOS and lower rate of readmissions within 90-day.

Improving the identification of Postoperative Wound Dehiscence missed by the Patient Safety Indicator algorithm

2013 ◽  
Vol 205 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Ann M. Borzecki ◽  
Marisa Cevasco ◽  
Hillary Mull ◽  
Marlena Shin ◽  
Kamal Itani ◽  
...  
Keyword(s):  
Patient Safety ◽  
Wound Dehiscence ◽  
Postoperative Wound ◽  
Safety Indicator

scholarly journals Broad ligament ectopic pregnancy: a dilemma to diagnose

2017 ◽  
Vol 6 (5) ◽  
pp. 2109 ◽  
Author(s):  
Shweta Mittal ◽  
Vinita Gupta ◽  
Dolly Chawla ◽  
Seema Pundir
Keyword(s):  
Ectopic Pregnancy ◽  
Broad Ligament ◽  
Emergency Laparotomy ◽  
Vaginal Examination ◽  
Extrauterine Pregnancy ◽  
History Of ◽  
The Right ◽  
Cervical Motion ◽  
Cervical Motion Tenderness ◽  
Urine Pregnancy Test

Broad ligament ectopic pregnancy is a rare and serious form of extrauterine pregnancy with a high risk of maternal mortality. There are no specific clinical features. Ultrasonography may help in diagnosis but definitive diagnosis is made only during surgery. A 20-year-old woman with previous 2 abortions presented with acute abdomen. She had no history of amenorrhoea but there was history of two episodes of bleeding in the last month at an interval of 14 days, each episode lasting for two-three days. The last episode of bleeding was 10 days back. Her urine pregnancy test was done and it was positive. There was marked abdominal tenderness with guarding and rigidity. Per vaginal examination revealed marked tenderness in the right fornix and cervical motion tenderness, uterus size could not be assessed due to tenderness.  It was diagnosed as a case of ruptured ectopic pregnancy. Since she was haemodynamically unstable, emergency laparotomy was done. She had a right sided broad ligament ectopic pregnancy which had ruptured. The tissue was completely removed and haemostatic sutures were taken. High index of clinical suspicion, early diagnosis and prompt surgery is the key to management.

scholarly journals Intractable Postoperative Wounds Caused by Self-Inflicted Trauma in a Patient with Cutaneous Munchausen Syndrome Presenting as a Pyoderma Gangrenosum-Like Lesion

2016 ◽  
Vol 8 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Keiko Inui ◽  
Takaaki Hanafusa ◽  
Takeshi Namiki ◽  
Makiko Ueno ◽  
Ken Igawa ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Wound Dehiscence ◽  
Skin Grafting ◽  
Physical Symptoms ◽  
Japanese Woman ◽  
Lower Abdomen ◽  
Munchausen Syndrome ◽  
Postoperative Wound ◽  
Vac Therapy ◽  
Surgical Wound Dehiscence

A 50-year-old Japanese woman consulted the emergency department of our hospital for bleeding due to an intractable postoperative wound on the lower abdomen; the postoperative wound was owing to a laparoscopic cholecystectomy performed 1 year previously for acute cholecystitis. She presented with a painful ulcer on her right lower abdomen. She also presented with multiple scars, skin grafts on the extremities, and a missing left lower leg, the causes for all of which were unexplained. The results of her blood test were normal, except for the hemoglobin level. Histology of the skin biopsy specimen from the ulcer did not show any specific findings. The previous surgeon who had performed the laparoscopic cholecystectomy revealed that surgical wound dehiscence had occurred during her admission. After a body restraint had been applied, the ulcer improved. Medical records indicated that she had been admitted to the department of plastic surgery at our hospital for skin grafting of a leg ulcer. During that admission, she refused to consult with the department of psychiatry, although the staff suspected mental disorders. Therefore, we diagnosed her with cutaneous Munchausen syndrome. After vacuum-assisted closure (VAC) therapy had been performed to prevent her from traumatizing the ulcer again, it rapidly became granulated and reepithelialized. Munchausen syndrome is characterized by feigning physical symptoms to seek attention. Patients self-inflict numerous lesions, keep getting admitted to different hospitals, and feign acute illness, usually spectacular diseases. VAC therapy may be effective for preventing patients with cutaneous Munchausen syndrome from traumatizing their wounds.

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