scholarly journals Komplikasi Bedah, Luaran Fungsi Seksual dan Menstruasi dari Prosedur Vaginoplasti Sigmoid pada Pasien dengan Agenesis Vagina

2020 ◽  
Vol 7 (2) ◽  
pp. 126
Author(s):  
Roy Jansen Sinaga ◽  
Nuring Pangastuti ◽  
Ova Emilia
Keyword(s):  
Sexual Function ◽  
Surgical Complications ◽  
Wound Dehiscence ◽  
Severe Bleeding ◽  
Surgical Wound ◽  
Vaginal Agenesis ◽  
Menstrual Function ◽  
Surgical Wound Dehiscence ◽  
Sigmoid Vaginoplasty ◽  
A Prospective Study

Background:  Vaginal agenesis is one form of abnormality found in the uroginecology with a prevalence of 1: 4000 births. Various reconstruction techniques, both non-surgical and surgical, have been introduced, one of which is sigmoid vaginoplasty. Research on the complications and outcomes of sigmoid vaginoplasty procedure is still limited.Objective: To assess surgical complications, sexual and menstrual function outcomes of sigmoid vaginoplasty procedure.Method: This is a prospective study. A total 11 patients with a variety of genital tract malformations have been performed for sigmoid vaginoplasty during January 2017 to January 2019. Data are described descriptively-analytically. All patients were assessed for surgical complications, menstrual and sexual function after surgery.Results and Discussion: A total of 10 cases (90.9%) were diagnosed with vaginal agenesis and 1 case (9.1%) was diagnosed with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Durante surgery complications are severe bleeding and rectum injury, occurred in 2 cases (18.2%). Postoperative complication is surgical wound dehiscence, occurred in 2 cases (18.2%). All patients who have uterus (100%) showed good menstrual function outcomes. Of the 3 married patients, all patients (100%) showed good postoperative sexual function outcomes (FSFI score 27-30.4). Conclusion: The sigmoid vaginoplasty procedure is an effective procedure for patients with agenesis vaginal. This procedure has low surgical complications with good outcomes of menstrual and sexual function. Keywords: Sigmoid vaginoplasty; vaginal agenesis; menstrual function; sexual function.

scholarly journals Management of surgical wound dehiscence by oxygen-ozone therapy in a FIV-positive cat – a case report

2020 ◽  
Vol 89 (2) ◽  
pp. 189-194
Author(s):  
Călin Cosmin Repciuc ◽  
Corina Gina Toma ◽  
Ciprian Andrei Ober ◽  
Liviu Ioan Oana
Keyword(s):  
Case Report ◽  
Wound Dehiscence ◽  
Complete Healing ◽  
Limb Amputation ◽  
X Rays ◽  
Surgical Wound ◽  
Ozone Therapy ◽  
Contraction Phase ◽  
Surgical Wound Dehiscence ◽  
Low Efficiency

Patients infected with the feline immunodeficiency virus (FIV) are frequently victims of postoperative wound dehiscence due to low efficiency of the immune system that predisposes to delayed scaring and epithelization processes. This case report aimed to describe the successful use of medical ozone in the treatment of a dehisced wound in a feline patient that presented this type of FIV-associated complication. Here we present a case of a 12-year-old, mixed-breed, male, FIV-positive cat with purulent arthritis affecting the shoulder, elbow, and the carpal joints with subsequent periostitis and arthrogryposis affecting the right forelimb. After a thorough investigation (clinical examination, X-rays) it was decided that limb amputation would be the proper choice. The surgical wound did not tend to heal, followed by rejection of the suture material, skin necrosis, and wound dehiscence. After 13 days following the surgery with allopathic treatment and no improvement, oxygen-ozone-therapy was started. Clinically, oxygen-ozone therapy showed significant results after the first session: borders of the wound got into the contraction phase, got attached to the underlying tissues, and exudates were significantly diminished. The therapy continued every 2 days showing improved blood perfusion of the affected area and a visible advancement of the contraction phase daily with complete healing in 1.5 months.

Surgical Wound Dehiscence Treatment With Low-Level Laser Therapy and Barbatimão: A Case Report

2021 ◽  
Vol 67 (10) ◽  
pp. 18-22
Author(s):  
Jessica Breder ◽  
Daniela Tsukumo ◽  
Eliana Pereira ◽  
Maria Lima
Keyword(s):  
Case Report ◽  
Laser Therapy ◽  
Wound Dehiscence ◽  
Low Level Laser Therapy ◽  
Surgical Wound ◽  
Low Level ◽  
Low Level Laser ◽  
Surgical Wound Dehiscence ◽  
Level Laser

BACKGROUND: Low-level laser therapy (LLLT) and a gel containing an extract of Barbatimão, a native Brazilian tree, have shown promising results in both preclinical and clinical wound healing studies. PURPOSE: To describe the treatment of surgical wound dehiscence with LLLT and Barbatimão gel. CASE STUDY: A 54-year-old woman without comorbidities underwent abdominoplasty at another health facility. Three (3) weeks later she presented to the authors’ clinic after an episode of syncope, abrupt dyspnea, purulent exudate, and necrotic tissue in the surgical incision. She reported that wound redness, warmth, and swelling started 8 days postoperatively. The patient was admitted; on day 3 of that hospital stay, her condition improved and surgical debridement was performed. Follow-up care of wound dehiscence was provided in the outpatient clinic. The treatment involved daily application of Barbatimão gel and weekly application of LLLT. The wound healed after 84 days. CONCLUSION: This case report suggests that LLLT may be a beneficial adjunctive therapy, together with Barbatimão gel, for the treatment of surgical wound dehiscence.

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.

scholarly journals Brief hospitalization protocol for pressure ulcer surgical treatment: outpatient care and one-stage reconstruction

2017 ◽  
Vol 44 (6) ◽  
pp. 574-581 ◽  
Author(s):  
Dimas André Milcheski ◽  
Rogério Rafael da Silva Mendes ◽  
Fernando Ramos de Freitas ◽  
Guilherme Zaninetti ◽  
Araldo Ayres Moneiro Júnior ◽  
...  
Keyword(s):  
Outpatient Care ◽  
Wound Dehiscence ◽  
Surgical Wound ◽  
Surgical Wound Dehiscence ◽  
Complex Wound ◽  
One Stage Reconstruction ◽  
New Surgery ◽  
Selection Of Patients ◽  
Selection Of

ABSTRACT Objective: to evaluate a brief hospitalization protocol for the treatment of pressure ulcers, proposed by the Complex Wound Group of Clinical Hospital of University of Sao Paulo Medical School, particularly in regard to selection of patients, hospitalization time, cutaneous covering, complications and sore recurrence. Methods: retrospective cohort of 20 consecutive patients with 25 pressure lesions Grade IV. All patients were ambulatorily prepared and were hospitalized for surgical one time procedure for pressure lesion closing. Results: in total, 27 flaps were performed to close 25 wounds. Three patients showed minor dehiscence (11.1%). There was no recurrence during the post-surgical follow-up period. No patient suffered a new surgery and no flap showed partial or total necrosis. Median time of hospitalization was 3.6 days (2-6 days) and median follow-up was 91 months (2-28 months). All patients maintained their lesions closed, and there was no recurrence during follow-up. Conclusion: the brief hospitalization protocol was considered adequate for the resolution of pressure wounds, showing an average time of hospitalization of 3.6 days and rate of minor surgical wound dehiscence of 11.1%.

scholarly journals Retrospective review of risk factors for surgical wound dehiscence and incisional hernia

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Sofie Walming ◽  
Eva Angenete ◽  
Mattias Block ◽  
David Bock ◽  
Bodil Gessler ◽  
...  
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Retrospective Review ◽  
Wound Dehiscence ◽  
Surgical Wound ◽  
Surgical Wound Dehiscence
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