The Effectiveness of Minor Procedure as the Management of Onychocryptosis in Community Podiatry Setting: A Retrospective Study

Abstract Background: Onychocryptosis is a common and debilitating condition that often require surgical management. Despite this minor procedure being the most common and effective method in managing this condition, as well as being one of the essential services provided by Health Care Professional Council (HCPC) registered podiatrists, there is limited evidence around the effectiveness of this procedure in the community setting. The aim of this study was to evaluate the effectiveness of a non-invasive minor procedure for the management of onychocryptosis. Methods: A retrospective study was undertaken within the community podiatry department. All patients who underwent minor procedure for the management of onychocryptosis between June 2018 and December 2019 were included in this study. The data were collected from the electronic patient records using a comprehensive data collection tool. Recurrence rate and infection rate were calculated to determine the effectiveness of the minor procedure. Results: 354 minor procedures were performed on 272 patients presenting with onychocryptosis. The recurrence rate of nail regrowth following intervention was 5.6% (N=20). Patients <40 years old were more likely to experience a recurrence of nail regrowth following an intervention (N=16). The postoperative infection rate was 8.8% (N=31). Patients who had a partial nail avulsion procedure were more likely to experience postoperative infection compared to total nail avulsion.Conclusions: Although the management of onychocryptosis with this minor procedure is effective within the community podiatry department, incorporation of evaluation of patient satisfaction following this procedure is suggested within the recommendations. The limitations of this study have been highlighted and a mixed method research project is recommended to explore this area of specialty to improve patient outcome.

Download Full-text

Infection rate following elective oculoplastic surgery in a minor procedure setting: a single-centre retrospective study

Canadian Journal of Ophthalmology ◽

10.1016/j.jcjo.2021.07.003 ◽

2021 ◽

Author(s):

Véronique Doucet ◽

Marna McKenzie ◽

Matthew Lee-Wing ◽

Lorne Bellan

Keyword(s):

Retrospective Study ◽

Infection Rate ◽

Single Centre ◽

A Minor ◽

Minor Procedure ◽

Oculoplastic Surgery

Download Full-text

Infection Rate following TPLO Procedure with and without a Course of Postoperative Antibiotics: A Retrospective Study of 308 Dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1668231 ◽

2018 ◽

Vol 31 (S 02) ◽

pp. A1-A25

Author(s):

Andrea Clark ◽

Justin Greco ◽

Phil Bergman

Keyword(s):

Retrospective Study ◽

Infection Rate

Download Full-text

One dose of preoperative, intravenous, prophylactic antibiotics significantly lowers postoperative infection rate in septoplasty – a study of 772 operations

Clinical Otolaryngology ◽

10.1111/coa.13889 ◽

2021 ◽

Author(s):

Marie Lundberg ◽

Markus Lilja ◽

Karin Blomgren ◽

Ida Kotisalmi ◽

Antti A Mäkitie ◽

...

Keyword(s):

Infection Rate ◽

Postoperative Infection ◽

Prophylactic Antibiotics ◽

Postoperative Infection Rate

Download Full-text

Septoplasty with and without additional sinonasal surgery: postoperative sequelae and the use of prophylactic antibiotics

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-07113-9 ◽

2021 ◽

Author(s):

Ida Kotisalmi ◽

Maija Hytönen ◽

Antti A. Mäkitie ◽

Markus Lilja

Keyword(s):

Infection Rate ◽

Postoperative Infection ◽

Patient Characteristics ◽

Neck Surgery ◽

Prophylactic Antibiotics ◽

University Hospital ◽

Postoperative Infections ◽

Prophylactic Measure ◽

Prophylaxis Group

Abstract Purpose One of the most common complications after septoplasty is a postoperative infection. We investigated the number of postoperative infections and unplanned postoperative visits (UPV) in septoplasties with and without additional nasal surgery at our institution and evaluated the role of antibiotic prophylaxis. Methods We collected data of all consecutive 302 septoplasty or septocolumelloplasty patients operated during the year 2018 at the Department of Otorhinolaryngology-Head and Neck Surgery, HUS Helsinki University Hospital (Helsinki, Finland). Hospital charts were reviewed to record sociodemographic patient characteristics and clinical parameters regarding surgery and follow-up. Results Altogether 239 patients (79.1%) received pre- and/or postoperative prophylactic antibiotics and within this group 3.3% developed a postoperative infection. The infection rate in the non-prophylaxis group of 63 patients was 12.7% (p = 0.007). When all patients who received postoperative antibiotics were excluded, we found that the infection rate in the preoperative prophylaxis group was 3.8%, as opposed to an infection rate of 12.7% in the non-prophylaxis group (p = 0.013). When evaluating septoplasty with additional sinonasal surgery (n = 115) the rate of postoperative infection was 3.3% in the prophylaxis group and 16.7% in the non-prophylaxis group (p = 0.034). These results show a statistically significant stand-alone effect of preoperative prophylactic antibiotics in preventing postoperative infection in septoplasty, especially regarding additional sinonasal surgery. Conclusion The use of preoperative antibiotics as a prophylactic measure diminished statistically significantly the rate of infections and UPVs in septoplasty when all postoperative infections, superficial and mild ones included, were taken into account.

Download Full-text

DECISION MAKING FOR DEVICE CLOSURE IN ADULTS WITH ‘HYPERTENSIVE PDA’–NON-INVASIVE CRITERIA: IMMEDIATE RESULTS

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v70isuppl-4.6020 ◽

2021 ◽

Vol 70 (Suppl-4) ◽

pp. S762-67

Author(s):

Ahsan Beg ◽

Abdul Malik ◽

Amjad Mahmood ◽

M Younas ◽

Fakher -e- Fayaz

Keyword(s):

Pulmonary Hypertension ◽

Retrospective Study ◽

Pulmonary Artery ◽

Main Pulmonary Artery ◽

Tertiary Care ◽

Referral Hospital ◽

Device Closure ◽

X Ray ◽

Non Invasive ◽

The Mean

Objective: To find the mean pulmonary artery pressures (PAP) in adults (>12 years) Patent Ductus Arteriosus (PDA) with ‘reversible pulmonary hypertension’ after the device closure. Residual PDA and immediate complications (embolization, pulse loss, obstruction in the aorta or pulmonary artery) are to be reported. Study Design: Retrospective study. Place and Duration of Study: Tertiary Care Referral Hospital, from Aug 2007 to Jun 2020. Methodology: This retrospective study is descriptive. Data collected by convenience sampling from 3 tertiary care referral hospital. 981 patients were undergone PDA device closure during the period from Aug 2007 to June 2020. After informed consent, an initial assessment was done by history, clinical examination, x-ray chest PA view, electrocardiography (ECG), and transthoracic echocardiography (TTE). Reversible pulmonary hypertension was labeled based on non-invasive criteria including room air saturation >93% and cardiomegaly on x-ray chest. Patients who had <93% and normal heart size on x-ray chest were excluded. The lower limit for age was 12 years. Results: Nine Hundred Eighty One patients had undergone PDA device closure. 32 (n=32/981 3.3%) had fulfilled our inclusion criteria. The mean age was 22 ± 9 (13–45) years. Mean weight was 41 ± 11 (25-66) kg. Successful device closure was done in 30 patients (93.7%). Mean diameter of PDA was 7 ± 0.1 (4.5-13 mm. Mean PAP decreased from 59 ± 13 mmHg to 38 ± 19 mmHg (p<0.05). Commonest device used was Shasma duct occluder (n=16/32 50%) followed by Occlutech Duct Occluder (n=7/32 21.9%), while 2 had muscular VSD device (n=5/32 15.6%). In 2 patients, there was an underestimation of the size of PDA so the device was retrieved and replaced with another larger one successfully. Two patients had the device fully dropped into the main pulmonary artery before it was released. Larger size device was not available at that time so the patients were referred for surgery. None of our patients had device embolization or residual shunt on echo performed next day to the procedure. Neither any patient had residual pulmonary hypertension on echocardiography. There was no significant obstruction in the aorta in any patients. Two patients had mild left pulmonary artery obstruction. There was no significant obstruction in the aorta in any of our patients. There was pulse loss in 3 patients which were treated successfully with heparin infusion with no residual damage. Conclusion: Device closure is a feasible option in adults with hypertensive PDA while the decision of reversibility is based on non-invasive criteria.

Download Full-text