INNOVATION OF THE USE OF HONEY AS A TOPICAL MEDICINE TO THE THERAPY OF ABDOMEN'S INCISION POST-CAESAR

2020 ◽  
Vol 1 (2) ◽  
pp. 83-90
Author(s):  
Muhammad Rizki Darmawan ◽  
Nur Mahmudah ◽  
Dwi Lisa Nur'aini
Keyword(s):  
Wound Healing ◽  
Cesarean Delivery ◽  
Cell Damage ◽  
Healing Process ◽  
Wound Complications ◽  
Osmotic Effect ◽  
Puerperal Infection ◽  
Mother And Child ◽  
Antioxidant Characteristics ◽  
The Many

 Honey has long been used as food and medicine. One of the many researched benefits of honey is that it speeds up wound healing. The Koran and the hadiths clearly state that there is healing in honey. Along with advances in technology, cesarean delivery is increasingly being performed to help facilitate labor under various indications. However, cesarean delivery can limit the mother's activities in the care of herself and her child. On the other hand, cesarean delivery also often causes obstetric complications such as puerperal infection, endometritis, wound complications, and surgical healing complications. It will increase the cost of cesarean delivery. The authors reviewed the data regarding the effectiveness of honey in the therapy of post-cesarean delivery abdominal incisions. The data show that the antibacterial, anti-inflammatory, and antioxidant characteristics of honey can significantly affect the therapy of cesarean delivery incisions. The combination of the osmotic effect and hydrogen peroxide activity in honey can inhibit bacterial growth, reduce edema, exudate, and pain due to inflammatory processes. Besides, honey has the effect of protecting antioxidant enzymes from free radicals and reducing oxidative stress to reduce cell damage. Honey can also stimulate angiogenesis, the proliferation of fibroblasts and epithelial cells, and granulation, helping speed up the healing process. This paper discusses honey's mechanism in accelerating wound healing and its effect in preventing wound infection from improving the quality of health and the relationship between mother and child after cesarean delivery.    

Pilonidal sinus disease: Karydakis flap procedure in our patients

2020 ◽  
Vol 99 (8) ◽  
Keyword(s):  
Wound Healing ◽  
Pilonidal Sinus ◽  
Healing Process ◽  
Pilonidal Sinus Disease ◽  
Wound Complications ◽  
Limberg Flap ◽  
New Disease ◽  
Sinus Disease ◽  
Flap Procedure

Introduction: Despite the available guidelines, opinions of many surgeons are quite ambiguous when it comes to the therapy of pilonidal sinus disease. The treatment can be a frustrating problem both for the surgeon and the patient because it is associated with wound complications and high recurrence rate. The objective of this study was to analyze the results of patients with pilonidal sinus disease undergoing the Karydakis flap procedure. Methods: A total of 27 patients treated for primary and recurrent pilonidal disease using the Karydakis flap procedure at our department between October 23, 2018 and November 22, 2019 were analyzed prospectively. We evaluated postoperative wound healing, complications and recurrence of the disease in a short-term follow-up period. Disease recurrence was defined as prolonged healing or as a new disease requiring repeated surgery. Results: In December 2019 all 27 patients came for a follow-up visit. The result was a fully lateralized wound without any signs of a new disease in all patients. In May 2020 a follow-up visit by phone was performed. The median follow-up was 12 months. The healing process was free of any serious complications in 25 patients. Seroma formation cases were managed by puncture in the outpatient setting. Conclusion: According to the available evidence and guidelines, off-midline procedures – the Karydakis flap, Bascom cleft lift, and Limberg flap procedures – are associated with lower recurrence rates and better wound healing. An important goal is to achieve complete wound lateralization and to change the configuration of the gluteal cleft by reshaping it, which results in a nicely flattened gluteal crease.

Physiology of Wound Healing and Risk Factors that Impede the Healing Process

1990 ◽  
Vol 1 (3) ◽  
pp. 545-552 ◽  
Author(s):  
Susan O’Brien Norris ◽  
Barbara Provo ◽  
Nancy A. Stotts
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Tissue Repair ◽  
Wound Repair ◽  
Healing Process ◽  
Critically Ill Patient ◽  
Wound Complications ◽  
Care Environment ◽  
Patient Morbidity ◽  
Illness Knowledge

In the critically ill patient, wound repair can be impeded by processes inherent to the illness, its treatment, and the critical care environment. This vulnerability to wound complications increases patient morbidity and mortality as well as length of stay, resource consumption, and hospital cost. The physiology of wound healing and factors that impede wound repair are discussed. Those factors commonly seen in critical illness include advanced age, diabetes mellitus, compromised immunocompetence, inadequate perfusion, and oxygenation, infection, malnutrition, obesity, and preoperative illness. Knowledge of management of the physiologic factors that affect wound healing enables the nurse to maximize tissue repair and prevent wound complications

scholarly journals Wound healing complications after revascularization for moyamoya vasculopathy with reference to different skin incisions

2019 ◽  
Vol 46 (2) ◽  
pp. E12 ◽  
Author(s):  
Güliz Acker ◽  
Nicolas Schlinkmann ◽  
Lucius Fekonja ◽  
Lukas Grünwald ◽  
Juliane Hardt ◽  
...  
Keyword(s):  
Wound Healing ◽  
Moyamoya Disease ◽  
Clinical Symptoms ◽  
Healing Process ◽  
Superficial Temporal Artery ◽  
Surgical Techniques ◽  
Temporal Artery ◽  
Wound Complications ◽  
Wound Healing Process ◽  
Moyamoya Syndrome

OBJECTIVEMoyamoya vasculopathy (MMV) is a steno-occlusive cerebrovascular disease that can be treated by a surgical revascularization. All the revascularization techniques influence the blood supply of the scalp, with a risk for wound healing disorders. The authors’ aim was to analyze the wound healing process in the patients who underwent a direct or combined bypass surgery with a focus on different skin incisions.METHODSThe authors retrospectively identified all the patients with MMV who were treated surgically in their institution. Subsequently, they analyzed demographic data, clinical symptoms, surgical treatment, and detailed history of complications. Based on the evolution of their surgical techniques and the revascularization strategy to be used, the authors applied the following skin incisions: linear incision, curved incision, incomplete Y incision, and complete Y incision. Group comparisons regarding wound healing disorders were performed with significance testing using Fisher’s exact test.RESULTSThe authors identified 172 patients with MMV (61.6% moyamoya disease, 7% unilateral moyamoya disease, 29.7% moyamoya syndrome, and 1.7% unilateral moyamoya syndrome), of whom 124 underwent bilateral operations. One-quarter of the patients were juveniles. A total of 236 hemispheres were included in the analysis, of which 27.9% were treated by a combined procedure with encephalomyosynangiosis. Overall, 5.1% major and 1.7% minor wound complications occurred. The overall wound complication rate was lower in direct revascularization compared to combined revascularization (3% vs 15.2%). The lowest incidence of wound healing disorders was found in the linear incision group for the parietal superficial temporal artery branch (1.6%), followed by the incomplete Y incision group for the frontal branch of the superficial temporal artery (3.8%) in the direct bypass group. In the combined revascularization cohort, major or minor wound disorders appeared in 14.3% and 4.8%, respectively, in the complete Y incision group and in 4.2% (for both major and minor) in the curved incision group. The complete Y incision caused significantly more wound healing disorders compared to the remaining incision types (17.1% vs 3.1%, p = 0.007).CONCLUSIONSWound healing disorders are one of the major complications of revascularization surgery. Their incidence depends on the revascularization strategy and skin incision applied, with a complete Y incision giving the worst results.

scholarly journals EFFECT MOIST WOUND HEALING TECHNIQUE TOWARD DIABETES MELLITUS PATIENTS WITH ULKUS DIABETIKUM IN DHOHO ROOM RSUD PROF Dr. SOEKANDAR MOJOSARI

2017 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
Lutfi Wahyuni
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Research Design ◽  
Cell Damage ◽  
Healing Process ◽  
Wound Healing Process ◽  
Diabetic Patients ◽  
Treatment Technique ◽  
Wound Treatment ◽  
Granulation Process

Wound healing of ulkus diabetikum depends on wound treatment given; an appropriate wound treatment technique is able to help the healing process quickly and prevent amputation effectively. It needs wound treatment that is able to prevent advanced complication and increase wound healing process such as moist wound healing. This study aimed to aplicated technique with moist wound healing toward diabetes mellitus patients with ulcer diabetic in dhoho room RSUD Prof Dr. Soekandar Mojosari. Deskriptive explorative research design was used in this study. The number of sample were 20 respondents who were the whole ulcer diabetic patients on January – March 2016. The date were collected from the 1st and 7th wound treatment days of embroider medic and used observation sheets. The findings revealed that 20 respondents were on wound healing degree with regeneration wound; it means that the whole respondents cared by moist wound healing within 7 days got regeneration wound or net amelioration. Moist wound healing technique is able to keep moist of wound itself, so that it can facilitate cell and wound movement as well as expedite the granulation process about 50%. Therefore, after doing wound healing during 7 days, the significant change was on wound granulation development. Besides, it can minimize cell damage while the alteration bandage in order to prevent the new trauma and wound spread.

Neodermis Formation in Full Thickness Wounds Using an Esterified Hyaluronic Acid Matrix

2019 ◽  
Vol 40 (5) ◽  
pp. 585-589 ◽  
Author(s):  
Ariel Aballay ◽  
Michel H E Hermans
Keyword(s):  
Wound Healing ◽  
Hyaluronic Acid ◽  
Normal Skin ◽  
Healing Process ◽  
Healing Time ◽  
Wound Healing Process ◽  
Dermal Matrix ◽  
Impaired Wound Healing ◽  
Normal Wound Healing ◽  
The Many

AbstractThe role of the dermis is essential for the proper orchestration of all phases of the normal wound healing process. Wounds with seriously damaged or even absent dermis consistently show seriously impaired wound healing and/or long-term complications such as hypertrophic scarring. Replacing a damaged dermis requires a dermal matrix that is compatible with, or even stimulates, the process of wound healing. Hyaluronic acid (HA), in an esterified form, is among the many matrices that are available. HA has been used in a number of indications, such as ulcers (ie, diabetic foot ulcers and venous leg ulcers), trauma, including burns, and for the repair of contractures and hypertrophic scars. The shorter healing time and the decrease of recurring hypertrophy demonstrate the efficiency of HA-derived matrices. Biopsies, taken up to 12 months post-reconstruction show a neodermis that histologically is largely comparable to normal skin, which probably is a function of HA playing such a pivotal role in normal, unwounded skin, as well as in the process of healing.

scholarly journals Types of Wounds and the Prevalence of Bacterial Contamination of Wounds in the Clinical Practice of Small Animals

2018 ◽  
Vol 62 (4) ◽  
pp. 39-47
Author(s):  
M. Kožár ◽  
H. Hamilton ◽  
J. Koščová
Keyword(s):  
Wound Healing ◽  
Bacterial Contamination ◽  
Treatment Plan ◽  
Healing Process ◽  
Small Animal ◽  
Wound Complications ◽  
Wound Healing Process ◽  
Small Animals ◽  
Degloving Injury ◽  
The University

Abstract Skin wounds are a common presentation in small animal practice. The successful management of wound healing in dogs and cats requires knowledge of the physiology of the wound healing process and the application of an appropriate therapeutic intervention. Many wounds are colonised by bacteria or show signs of clinical infection. Infections can delay wound healing, impair cosmetic outcome and increase healthcare costs. Because of a lack of papers giving an overall prevalence of bacteria in different types of wounds, 45 samples were taken from patients treated at the Small Animals Clinic, Section of Surgery, Orthopaedics, Roentgenology and Reproduction of the University of Veterinary Medicine and Pharmacy in Košice during the years 2017 — 2018 to determine the types of wounds and the prevalence of bacterial contamination of the wounds. Samples were obtained by using cotton-tipped swabs and then cultivated on Sabouraud’s plates in the Institute of Microbiology and Gnotobiology of the University. All 45 animals used in this research were first subjected to an anatomical and clinical exam to determine the patient’s health condition and the status of the wounds. Of these 45 samples, 9 were negative. Of the remaining 36 samples, 12 were cultivated and tested to give only the genera of the bacteria present, whilst 24 were tested more extensively for a specific diagnosis of the species. The most common wound was due to a bite from another animal; these made up 12 out of the 45 cases (26.67 %). There were 10 cases of dehiscence of old wounds (22.22 %), whereas there were only 2 cases of surgical wound complications (4.44 %). There were 5 puncture wounds or fistulas (11.11 %), 4 lacerations (8.88 %), 1 degloving injury (2.22 %), 1 seroma (2.22 %), 1 foreign body (2.22 %), 1 crushing injury (2.22 %), 1 case of contusion and necrosis (2.22 %), 1 cases of dermatitis with resulting pruritic lesions (2.22 %), and 1 cutting injury from a tight wire collar (2.22 %). Five cases (11.11 %) were wounds of unknown aetiology. The most commonly found bacteria was Staphylococcus intermedius, which was found in 14 out of the 45 wounds (31.11 %). From this study it appears that the first consideration for treatment of infected wounds should be a treatment plan which will have a high efficacy against Staphylococcus spp. However, despite the high prevalence of Staphylococcus spp., our results revealed that they are not present all of the time.

scholarly journals EFFECT OF CHANNA MICROPELTES IN THE GRANULATION, FIBROSIS AND NECROSIS OF DIABETIC WOUND HEALING

2021 ◽  
Vol 6 (2) ◽  
pp. 171
Author(s):  
Amy Nindia Carabelly ◽  
Juliyatin Putri Utami ◽  
Didit Aspriyanto ◽  
Muhammad Hasanu Reksi ◽  
Dewi Puspitasari ◽  
...  
Keyword(s):  
Wound Healing ◽  
Granulation Tissue ◽  
Wistar Rats ◽  
Healing Process ◽  
Wound Complications ◽  
Control Group ◽  
Diabetic Wound ◽  
Model Group ◽  
Delayed Wound Healing ◽  
Diabetic Model

Background: Diabetes mellitus (DM) is characterized by persistent hyperglycemia. The symptoms of DM is delayed wound healing. Delayed wound healing in diabetes will increase the risk of wound complications that will hinder the healing process, and lead to complications such as fibrosis and necrosis. The use of Channa Micropeltes (CM) extract at a dose of 16 mL/kg BW orally is proven to general optimal wound closure and wound contraction clinically in Wistar rats as diabetic model on day 14.However, the histopathological description of wound healing is yet to be known. Objective: To analyze the effect of 16 mL/kg BW dose of CM extract on histopathological changes of wound healing granulation tissue, fibrosis and necrosis in diabetic Wistar rats on day 14. Materials and Methods: This study was a true experimental design with a post-test only control group design. The samples were divided into two groups, namely the diabetic model group given CM extract at 16 mL/kg BW dose for 14 days, and the diabetic model group given BR2 feed only for 14 days. Results: The results of Mann-Whitney U test showed p = 0.003 for granulation tissue, p = 0.411 for fibrosis and p = 1 for necrosis, with the level of significance was p<0.05. Conclusion: The CM extract at 16 mL/kg BW dose affects the histopathological description of granulation tissue which presents a better result than those in the control group but did not affect the features of fibrosis and necrosis in diabetic Wistar rats on day 14. Keywords: Channa Micropeltes, Diabetic wound, Fibrosis, Granulation tissue, Necrosis.

Psychological influences on wound healing

2019 ◽  
Vol 98 (8) ◽  
pp. 312-314
Keyword(s):  
Wound Healing ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Wound Complications ◽  
State Of Mind ◽  
Life Threatening ◽  
Psychological Influences ◽  
Fear And Anxiety ◽  
Care Costs

Surgical wound complications remain a major cause of morbidity; although usually not life threatening, they reduce the quality of life. They are also associated with excessive health care costs. Wound healing is affected by many factors – wound characteristics, infection, comorbidities and nutritional status of the patient. In addition, though, psychological stress and depression may decrease the inflammatory response required for bacterial clearance and so delay wound healing, as well. Although the patient´s state of mind can be influenced only to a certain extent, we should nevertheless stick to ERAS (Enhanced Recovery After Surgery) guidelines and try to diminish fear and anxiety by providing enough information preoperatively, pay due attention to postoperative analgesia and seek to provide an agreeable environment.

HUBUNGAN MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA POST OPERASI SECTIO CESARIA

2019 ◽  
Vol 2 (1) ◽  
pp. 14-17
Author(s):  
Nurul Aini Siagian ◽  
Syafira Nusaibah ◽  
Andayani Boang Manalu
Keyword(s):  
Wound Healing ◽  
Healing Process ◽  
Early Mobilization ◽  
Sectio Caesarea ◽  
Wound Healing Process ◽  
P Value ◽  
Cross Sectional ◽  
Care Services ◽  
Healing Wound ◽  
Rapid Healing

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.

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