Correction to: Guidelines for the Prevention of Surgical Site Infection: The Surgical Infection Society of Thailand Recommendations (Executive Summary)

2020 ◽  
Vol 103 (5) ◽  
pp. 519-520
Keyword(s):  
Wound Healing ◽  
Royal College ◽  
Biliary Surgery ◽  
Health Organizations ◽  
Perioperative Nurses ◽  
Surgical Infection ◽  
International College ◽  
General Surgeons ◽  
Colorectal Surgeons ◽  
Upper Gastrointestinal

The author has informed the editor to correct the acknowledgement in the article(1) as follow: Incorrect acknowledgement in the article: The Surgical Infection Society of Thailand would like to thank the representatives of following health organizations for your kind cooperation and valuable suggestions on this guidelines, namely the Royal College of Surgeons of Thailand, the Royal College of Neurological Surgeons of Thailand, the Royal College of Orthopaedic Surgeons of Thailand, the Royal Thai College of Obstetricians and Gynaecologists, the Royal College of Anesthesiologists of Thailand, the International College of Surgeons (Thailand Section), the Association of General Surgeons of Thailand, the Burn and Wound Healing Association (Thailand), the Thai Perioperative Nurses Association, the Thai Urological Association, the Thai Vascular Association, the Trauma Association of Thailand, the Society of Thoracic Surgeons of Thailand, the Society of Plastic and Reconstructive Surgeons of Thailand, the Thai Hernia Society, the Thai Hepato-Pancreato-Biliary Surgery Society, the Society of Colorectal Surgeons of Thailand, the Upper Gastrointestinal Surgical Club (Thailand), and the Laparoscopic and Endoscopic Surgeons of Thailand. Correct acknowledgement: The Surgical Infection Society of Thailand would like to thank the representatives of following health organizations for your kind cooperation and valuable suggestions on this guidelines, namely the Royal College of Surgeons of Thailand, the Royal College of Neurological Surgeons of Thailand, the Royal College of Orthopaedic Surgeons of Thailand, the Royal Thai College of Obstetricians and Gynaecologists, the Royal College of Anesthesiologists of Thailand, the International College of Surgeons (Thailand Section), the Association of General Surgeons of Thailand, the Burn and Wound Healing Association (Thailand), the Thai Perioperative Nurses Association, the Thai Urological Association, the Thai Vascular Association, the Trauma Association of Thailand, the Society of Thoracic Surgeons of Thailand, the Society of Plastic and Reconstructive Surgeons of Thailand, the Thai Hernia Society, the Thai Hepato-Pancreato-Biliary Surgery Society, the Society of Colorectal Surgeons of Thailand, the Upper Gastrointestinal Surgical Club (Thailand), the Laparoscopic and Endoscopic Surgeons of Thailand, the Infectious Disease Association of Thailand, and the Nosocomial Infection Control Group of Thailand.

scholarly journals Post-CCT National Surgical Fellowship in Bariatric and Upper GI Surgery

2010 ◽  
Vol 92 (10) ◽  
pp. 354-357 ◽  
Author(s):  
S Agrawal
Keyword(s):  
Royal College ◽  
Family Life ◽  
Essential Requirement ◽  
Upper Gi ◽  
One Year ◽  
Fierce Competition ◽  
The Right ◽  
Upper Gastrointestinal ◽  
Park Hospital

With fierce competition for the best consultant posts in surgery, a fellowship is almost becoming an essential requirement. There are numerous fellowships available but finding the right one and organising family life around it is extremely difficult. After a lot of scepticism from some trainees about the post-Certificate of Completion of Training (CCT) national surgical fellowships scheme, it was advertised in July 2008 through The Royal College of Surgeons of England in partnership with the surgical specialist associations. I was extremely fortunate to be successful in the interview in November 2008 as the first Fellow in Bariatric and Upper Gastrointestinal (GI) Surgery under the scheme and opted for the fellowship at Musgrove Park Hospital, Taunton, for one year.

scholarly journals Hubungan Status Gizi dengan Proses Penyembuhan Luka pada Pasien Post Apendektomi

2020 ◽  
Vol 1 (3) ◽  
pp. 226-232
Author(s):  
Andi Siswandi ◽  
Mardheni Wulandari ◽  
Mizar Erianto ◽  
Azahrah Mawaddah Noviska
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Chronic Wounds ◽  
Healing Process ◽  
Wound Healing Process ◽  
Chi Square ◽  
Cross Sectional ◽  
Surgical Infection ◽  
Chi Square Test ◽  
Acute Wound

Appendicitis is part of the emergency cases that often occur in the abdominal area. Appendicitis is a prototype disease that takes place through inflammation due to obstruction and ischemia with the main symptoms which is pain that reflects the state of the disease. Appendicitis requires surgical appendectomy to reduce the risk of perforation. Apendectomy surgery is one type of wound that is an incision wound. The time of wound healing can be determined by the distinguishing between types of acute or chronic wounds. Appendectomy that does not have a post-surgical infection is categorized as an acute wound, physiologically the acute wound will heal ± 0-21 days. However, if the provision of nutrition is not fulfilled properly it will be almost the wound healing process. One factor that can influence the wound healing process is nutritional status. This study aim to determine the correlation of nutritional status with the wound healing process of post-appendectomy patients in RSUD Dr. H. Abdoel Moeloek, Bandar Lampung. This study used observational analytic with cross sectional approach. The sampling technique used was accidental sampling. The data were analyzed by using Chi-square test. From the Chi-square test found a relationship of nutritional status with a significant wound healing process (p <0.05) which is obtained p = 0.004, and the value obtained (OR = 10.5) can be said that adequate nutritional status is 10.5 times more likely to experience good wound healing when compared to undernourished nutritional status. There is a correlation between nutritional status and wound healing process in post-appendectomy patients.

Trends in Antibiotic Duration for Complicated Intra-Abdominal Infections

2020 ◽  
pp. 000313482094218
Author(s):  
Laura DeCesare ◽  
Thomas Q. Xu ◽  
Constantine Saclarides ◽  
Julia M. Coughlin ◽  
Sitaram V. Chivukula ◽  
...  
Keyword(s):  
Acute Care ◽  
Negative Impact ◽  
Complicated Appendicitis ◽  
Complicated Diverticulitis ◽  
Source Control ◽  
Antibiotic Exposure ◽  
Surgical Infection ◽  
Antibiotic Duration ◽  
General Surgeons ◽  
Abdominal Infections

Introduction The 2017 surgical infection society (SIS) guidelines recommend 4 days of antibiotic therapy after source control for complicated intra-abdominal infections (cIAIs). Inappropriate exposure to antibiotics has a negative impact on outcomes in individual patients and populations. The goal of this study was to evaluate our institution’s practice patterns and adherence to current antibiotic guidelines. Methods Medical records from 2010 to 2018 for cIAIs were examined. Complicated appendicitis and complicated diverticulitis cases were included. Exclusion criteria included other etiologies of IAIs, pediatric cases, and cancer operations. Results Fifty-nine complicated appendicitis cases and 96 complicated diverticulitis cases were identified. For all cases, antibiotic duration prior to publication of the SIS guidelines was significantly longer than post-SIS duration (appendicitis: 12.6 ± 1.1 days pre-SIS [n = 37] vs 9.0 ± 1.1 days post-SIS [n = 22], P = .01; diverticulitis: 15.1 ± 0.8 days pre-SIS [n = 49] vs 11.2 ± 0.5 post-SIS [n = 47], P = .04). Surgical management (SM) was associated with shorter duration of postsource control antibiotic exposure compared with percutaneous drainage (PD) for both appendicitis (SM 10.0 ± 1.2 days vs PD 13.4 ± 1.0 days, P = .02) and diverticulitis (SM 12.8 ± 1.5 days vs PD 16.0 ± 1.5, P = .07). Patients with complicated appendicitis received shorter duration of antibiotics when managed by acute care surgeons compared to general surgeons (8.4 ± 1.1 vs 11.9 ± 0.8, P = .02). Conclusion Despite improvements after the SIS guidelines’ publication, the antibiotic duration is still longer than recommended. Surgical intervention and management by acute care specialists were associated with a shorter duration of antibiotic exposure.

scholarly journals Subspecialisation and its Effect on the Management of Rectal Cancer

2006 ◽  
Vol 88 (2) ◽  
pp. 181-184 ◽  
Author(s):  
Vivien V Ng ◽  
Matthew G Tytherleigh ◽  
Lucy Fowler ◽  
Ridzuan Farouk
Keyword(s):  
Rectal Cancer ◽  
Cancer Surgery ◽  
Resection Margins ◽  
Rectal Cancer Surgery ◽  
Oncological Outcomes ◽  
Transfusion Requirements ◽  
Colorectal Surgeon ◽  
General Surgeons ◽  
Colorectal Surgeons ◽  
The Impact

INTRODUCTION To assess the impact of subspecialisation on surgical and oncological outcomes after rectal cancer surgery in a single surgical unit within a district general hospital. PATIENTS AND METHODS A total of 207 patients with rectal cancer treated surgically by two colorectal surgeons and four experienced general surgeons at the Royal Berkshire Hospital, Reading, England between January 1995 and December 1999 were studied. A retrospective case-note review of each patient's personal details, operative and histological findings, their subsequent clinical progress and oncological outcomes, including 5-year survival were recorded. RESULTS In the study group, 127 patients were treated by a colorectal surgeon and 80 by general surgeons. Pre-operative radiotherapy was more likely to be given to patients treated by a colorectal surgeon. Fewer permanent stomas were performed by colorectal surgeons. Postoperative morbidity, transfusion requirements, anastomotic leak rates and 30-day mortality were not significantly different. Tumour-involved circumferential resection margins, local recurrence rates and risk of distant metastases were similar between the two groups of surgeons. CONCLUSIONS Colorectal subspecialisation has resulted in an increased use of pre-operative radiotherapy and fewer permanent stomas. No significant improvement in surgical or oncological outcomes after rectal cancer surgery have been observed.

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