Assessment of Nurses knowledge toward Postoperative Wound Care at Al-Diwaniya Teaching Hospital

2019 ◽  
Vol 129 ◽  
pp. 75-80 ◽  
Author(s):  
H. Scheper ◽  
R. Derogee ◽  
R. Mahdad ◽  
R.J.P. van der Wal ◽  
R.G.H.H. Nelissen ◽  
...  

1970 ◽  
Vol 9 (2) ◽  
pp. 91-94 ◽  
Author(s):  
GP Khanal ◽  
R Rijal ◽  
BP Shrestha ◽  
NK Karn ◽  
P Chaudhary

Background: There is controversy in routine use of suction drain in orthopedic surgeries. Devastating postoperative infection and years of treatment had forced on extra measures of postoperative wound care and use of drains. Objective: To find out the necessity of intraoperative drains in routine orthopedic surgery. Methods: Thirty patients were enrolled in the study. All of the patients were followed up on 2nd, 14th days and 3 monthly till one year of period. All the demographic data and preoperative investigations and intraoperative and postoperative parameters were recorded in standard proforma. Data were analysed using appropriate statistical method. Results: All the patients were followed up to one year period. Six patients had superficial infection on 2nd postoperative day. They were managed with antibiotics and no patient showed signs of infections on 14th postoperative day and thereafter. No patient needed postoperative reinforcement of dressing. Conclusion: Routine use of intraoperative drain in hip surgeries has beneficial effect of decreasing reinforcement of postoperative dressing. Keywords: orthopedic surgery; suction drain; BPKIHS DOI: http://dx.doi.org/10.3126/hren.v9i2.4980 Health Renaissance 2011: Vol.9 (No.2): 91-94


2020 ◽  
Vol 5 (1) ◽  
pp. e000502
Author(s):  
Christina Colosimo ◽  
Charles Fredericks ◽  
James R Yon ◽  
John C Kubasiak ◽  
Faran Bokhari ◽  
...  

BackgroundAlthough rarely performed, hip disarticulation (HD) is usually used for the patient with a non-viable leg who is also in extremis. HD was first used for trauma and infection; however, the technique was perfected during the age of hindquarter amputation for osteosarcomas. The operation performed by most surgeons today is still based on the oncological principles of high vessel control and ligation. When this approach has been used in the overwhelmingly infected or mangled extremity, it has resulted in high mortality rates. During the last 20 years, the concept of damage control operation has been embraced by emergency surgeons in all fields. We sought to extrapolate this concept and to apply it to the non-viable lower extremity.MethodsWe describe a new concept of damage control HD, review the technique and discuss our consecutive series of nine patients who underwent the procedure for trauma or necrotizing infection without flap dehiscence or mortality.ResultsAll patients survived to hospital discharge. At time of discharge or at follow-up, six of the nine patients were able to transfer to a wheelchair.DiscussionProper disarticulations for infection need to address these two operative and postoperative issues: damage control debridement with creation of sufficient flap size and thorough postoperative wound care.Level IV


2014 ◽  
Vol 1 (2) ◽  
pp. 99-105
Author(s):  
Kaniz Hasina ◽  
Abdul Hanif ◽  
S. M. Shafiqul Alam ◽  
Shahin Reza ◽  
Nazrul Islam ◽  
...  

Introduction: The aim of this study was to determine the feasibility, safety, cost effectiveness and functional outcome between single stage and multiple stage operation of anorectal malformation (ARM) with rectovestibular fistula (RVF).Materials & Methods: This interventional study was conducted on 40 female children born with ARM with RVF from July 2007 to June 2009 in the Department of Pediatric Surgery, Dhaka Medical College Hospital. Their age range was from 3 months to 7 years. Anterior sagittal anorectoplasty (ASARP) was done as definitive treatment of RVF. 20 out of 40 patients underwent single stage procedure and the rest underwent multiple stage procedure. Good preoperative bowel preparation and postoperative wound care were ensured for optimum outcome.Results: Mean operating time was 70 minutes in single stage and 80 minutes in multi stage definitive procedure.  Average hospital stay was 10 days in single stage procedure where as 22-24 days in multi stage procedure. Partial perineal wound dehiscence occurred in two patients with single stage procedure and one patient with multi stage procedure. Wound infection was seen in two patients of single stage and also two patients of multi stage procedures. Fecal continence was good in all patients older than 3 years. Average number of bowel movement was 2-3 times daily in older patients and 2-4 in younger patients. Constipation developed in three patients with multiple stage procedure and in two patients with single stage procedure. Both groups were managed conservatively for all complications. In Dhaka Medical College Hospital, treatment cost is mostly free, so we could not compare this cost but the incidental expenses in single stage treatment was Tk. 10,000.00 and Tk. 30,000.00 in multistage treatment in three settings.Conclusion: Adequate preoperative bowel preparation, good surgical skill, proper analgesia and postoperative wound care remain the key factors to produce a cost effective excellent outcome of single stage correction of RVF.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19523


2019 ◽  
Vol 1 (2) ◽  
pp. 77-86
Author(s):  
Anggiriani Meilin Br. Sidabutar ◽  
Rika Anggelina Patty ◽  
Sonta Simanjuntak ◽  
Lia Kartika ◽  
Sumiaty Aiba

Currently, the wound care technique is experiencing rapid development, especially modern wound dressing treatments that maintain the moist dressing principle. Wound care is one of the nurses' skills that should be known by all nurses. Data shows that five out of eight nurses are not aware of modern wound dressing techniques. This condition was becoming a cause for concern because inadequate knowledge can make a non-comprehensive wound assessment and treatment that can slow down or even hinder the client's wound healing process. This study aimed to determine the description of nurses' knowledge of modern dressing wound care. Quantitative descriptive methods with total sampling techniques were conducted on 50 respondents who worked in the inpatient rooms on 5th, 6th, and 7th floor in June-July 2019. Univariate analysis was used to obtain an overview of nurses' knowledge of modern dressing wound care techniques. Most of the nurses' knowledge about modern wound dressing care has sufficient knowledge, namely 33 people (66%). Special training and seminars on modern dressing need to be carried out to increase knowledge and ensure the authority of nurses in wound care. Further researchers are advised to identify factors that influence nurses' knowledge of modern dressing wound care.                                                        


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