Care of Surgical Wounds, Dressing and Suture Removal

2014 ◽  
pp. 128-128
Author(s):  
A Padmaja
Keyword(s):  
2007 ◽  
Vol 2 (4) ◽  
pp. 369-376 ◽  
Author(s):  
Melody Boyd ◽  
Marzena Flasza ◽  
Penny A Johnson ◽  
John St Clair Roberts ◽  
Paul Kemp

1998 ◽  
Vol 101 (5) ◽  
pp. 1421-1422 ◽  
Author(s):  
Sanjay Agarwala ◽  
Sanjay Mulay
Keyword(s):  

Author(s):  
Claudio Spinelli ◽  
Alessia Bertocchini ◽  
Gianmartin Cito ◽  
Marco Ghionzoli ◽  
Silvia Strambi

Abstract Purpose The purpose of the study is to evaluate results and outcomes in a long-time follow-up period, by performing a novel testicular fixation procedure, known as “fat anchor orchidopexy” (FAO), for the treatment of palpable low inguinal undescended testis. Materials and methods We retrospectively reviewed all patients who underwent scrotal orchiopexy technique, from May 2013 to May 2019, at the Pediatric Surgery Division of Department of Surgical Pathology, University of Pisa (Italy). FAO (Spinelli’s technique) consists in anchoring the testicles to sub-scrotal fat with a single trans-scrotal incision. All the patients enrolled had history of unilateral or bilateral undescended testis. Data collected included patient’s age, operative times and complications. Results A total of 150 children with cryptorchidism were treated using a single trans-scrotal orchiopexy. Of them, 130 patients (86.7%) had unilateral undescended testis and 20 (13.3%) bilateral cryptorchidism. Mean patient’s age was 21 months (range: 14–28 months). All the procedures were planned in a day-surgery setting. Trans-scrotal orchiopexy was successful in all cases and no patients required an additional groin incision. No intraoperatively and postoperatively major complications were observed. Patients’ post-operative pain was mild (mean pediatric visual analog scale = 2). In all cases, the healing process was rapid and no surgical wounds infections were reported during the post-operative period, referring excellent cosmesis results. During a mean 48-month follow-up period, no testicular retraction, recurrence or testis atrophy was reported. Conclusion The original Spinelli’s technique (FAO) proves to be a safe and effective method for the treatment of palpable or distal-to-external-inguinal-ring testes. No immediate and delayed post-surgery complications were reported. In all cases, the anchored testicle remained in the scrotal position with normal vascularization. This novel surgical technique could give better options for scrotal fixation in case of low-lying cryptorchid testes.


PEDIATRICS ◽  
1961 ◽  
Vol 28 (3) ◽  
pp. 409-409
Author(s):  
KATHERINE SPRUNT

This useful book is critically written, easy to read and well documented. The first of its two sections, Epidemiology of Hospital Infection, contains such chapters as Staphylococcal Infections in Maternity Units, Staphylococcal Sepsis of Surgical Wounds, Infection with Haemolytic Streptococci, and Infections Due to Gram-Negative Bacilli; it includes more general topics such as Various Infections Occurring in All Types of War, and General Factors Influencing the Occurrence of Infection. The second section, Control of Hospital Infection, contains chapters on Administrative Control of Hospital Infection, Operating Theatre Design and Practice, Control of Infection in Wards, etc.; it includes discussions of such problems as The Use of Antibiotics in the Prevention and Treatment of Hospital Infection (methods of sterilization and investigation procedures to be employed in outbreaks of infection).


2021 ◽  
Vol 33 (6) ◽  
pp. 219-221
Author(s):  
Laura Bolton

Activated platelets release a rich broth of growth factors involved in wound healing. One way to deliver activated platelets to wounds is in the form of platelet-rich plasma (PRP) harvested by centrifuging the patient’s venous blood after activating the platelets with collagen or calcium chloride and/or autologous thrombin, then delicately removing the supernatant, called platelet-poor plasma (PPP). Platelet-rich plasma is usually injected into the lesion and/or applied topically, then sealed in or over the wound using a moisture-retentive dressing. Platelet-rich plasma (often with PPP) has been applied at different times, depths, and frequencies to chronic and acute wounds using various PRP doses and vehicles to achieve widely differing results. Meta-analyses have reported that PRP improved healing rates of open diabetic foot ulcers and venous ulcers1,2 and may reduce pain and surgical site infection (SSI) incidence in open and closed acute surgical wounds. However, inconsistency in study methods and outcome measures limited consistency of pain and SSI results.1 No consistent effect on healing or deep SSI rates was reported as a result of adding 1 intraoperative dose of PRP in the surgical site before closing elective foot and ankle surgery incisions of 250 patients as compared with 250 similar patients receiving the same procedure without PRP.3 After decades of research, ideal parameters of PRP delivery and use on each type of wound remain unclear for improving SSI, acute wound pain, and healing outcomes. This installment of the Evidence Corner reviews 2 surgical studies that may provide clues about optimal PRP use. One triple-blind randomized clinical trial (RCT) focused on irrigation of freshly closed carpal ligament surgical incisions with PRP as compared with PPP.4 Another non-blind RCT explored the effect of injecting PRP into open pilonidal sinus excisions 4 days and 12 days after surgery.5


2010 ◽  
Vol 92 (6) ◽  
pp. e16-e18 ◽  
Author(s):  
AD Riddell ◽  
U Minhas ◽  
GL Williams ◽  
KJ Harding

We report two patients with non-healing surgical wounds, which healed after the withdrawal of Nicorandil therapy. Nicorandil should be recognised as an aetiological factor for non-healing wounds or ulcers once other inflammatory and malignant causes have been excluded. This may avoid surgery for high-risk patients and may also reduce complications for patients who undergo surgery for non-healing wounds. As Nicorandil is used in patients with severe coronary artery disease, it is recommended that the advice of a cardiologist is sought prior to cessation or adjustment to its dose.


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