scholarly journals Facilitation of Wound Healing Following Laparoscopic and Conventional Abdominal Surgery with Dressings, Patches, Antibiotics, etc.

2019 ◽  
Author(s):  
Rebekah Amarini ◽  
Sufan Chien ◽  
Girish J. Kotwal
Keyword(s):  
Wound Healing ◽  
Abdominal Surgery

scholarly journals Feasibility and diagnostic accuracy of Telephone Administration of an adapted wound heaLing QuestiONnaire for assessment for surgical site infection following abdominal surgery in low and middle-income countries (TALON): protocol for a study within a trial (SWAT)

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
◽  
James Glasbey ◽  
Victoria Adeyeye ◽  
Adesoji Ademuyiwa ◽  
Alisha Bhatt ◽  
...  
Keyword(s):  
Wound Healing ◽  
Abdominal Surgery ◽  
Diagnostic Accuracy ◽  
Surgical Site Infection ◽  
Hospital Discharge ◽  
Site Infection ◽  
Middle Income ◽  
Middle Income Countries ◽  
Wound Assessment ◽  
Study Within A Trial

Abstract Background Surgical site infection is the most common complication of abdominal surgery, with a global impact on patients and health systems. There are no tools to identify wound infection that are validated for use in the global setting. The overall aim of the study described in this protocol is to evaluate the feasibility and validity of a remote, digital pathway for wound assessment after hospital discharge for patients in low- and middle-income countries (LMICs). Methods A multi-centre, international, mixed-methods study within a trial, conducted in two stages (TALON-1 and TALON-2). TALON-1 will adapt and translate a universal reporter outcome measurement tool (Bluebelle Wound Healing Questionnaire, WHQ) for use in global surgical research (SWAT store registration: 126) that can be delivered over the telephone. TALON-2 will evaluate a remote wound assessment pathway (including trial retention) and validate the diagnostic accuracy of this adapted WHQ through a prospective cohort study embedded within two global surgery trials. Embedded community engagement and involvement activities will be used to optimise delivery and ensure culturally attuned conduct. TALON-1 and TALON-2 are designed and will be reported in accordance with best practice guidelines for adaptation and validation of outcome measures, and diagnostic test accuracy studies. Discussion Methods to identify surgical site infection after surgery for patients after hospital discharge have the potential to improve patient safety, trial retention, and research efficiency. TALON represents a large, pragmatic, international study co-designed and delivered with LMIC researchers and patients to address an important research gap in global surgery trial methodology.

scholarly journals Preoperative Nutritional Status and Its Consequences on Abdominal Surgery in Wolaita Zone, Southern Ethiopia: An Institution-Based Observational Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Leila Hussen ◽  
Elazar Tadesse ◽  
Dereje Yohannes Teferi
Keyword(s):  
Wound Healing ◽  
Observational Study ◽  
Nutritional Status ◽  
Abdominal Surgery ◽  
Nutritional Assessment ◽  
Risk Index ◽  
Nutritional Risk ◽  
Southern Ethiopia ◽  
Increased Risk ◽  
Nutritional Risk Index

This study aimed to determine the prevalence of malnutrition and its association with wound healing and length of hospitalization among patients undergoing abdominal surgery admitted to hospitals in the Wolaita zone in southern Ethiopia. Methods. An institution-based prospective observational study was conducted in three hospitals in the Wolaita zone from August to October 2016. All eligible individuals aged between 19 and 55 years were recruited in this study. Anthropometric and biochemical analyses, such as serum albumin (Alb) and total lymphocyte count (TLC), were taken for nutritional assessment during the preoperative period. Quantitative variables were compared using Student’s t test. Cox’s regression was employed to determine which variables were possible risk factors for poor wound healing. Results. A total of 105 patients aged 19 to 55 with a mean age (±SD) of 34 ± 9.6 years were included, and the prevalence of preoperative malnutrition was 27.6%, 87%, according to BMI and nutritional risk index, respectively. Poor wound healing was significantly associated with underweight patients (BMI < 18.5 kg/m2) (AHR: 6.5 : 95%CI: 3.312.9), postoperative weight loss (AHR: 4.9; 95%CI: 2.8–8.5), and nutritional risk index (NRI) less than 97.5 (AHR 1.8; 95% CI: 1.09–3.1). Conclusion. The prevalence of malnutrition is high in our study setup; this is associated with an increased risk of adverse postoperative outcomes. Therefore, our results emphasize the need of routine preoperative nutritional assessment, optimizing nutritional status of patients and postoperative nutritional support.

Immediate postoperative enteral feeding decreases weight loss and improves wound healing after abdominal surgery in rats

1992 ◽  
Vol 20 (1) ◽  
pp. 115-118 ◽  
Author(s):  
GARY P. ZALOGA ◽  
LARRY BORTENSCHLAGER ◽  
KIMBERLY WARD BLACK ◽  
RICHARD PRIELIPP
Keyword(s):  
Weight Loss ◽  
Wound Healing ◽  
Abdominal Surgery ◽  
Enteral Feeding

Impact of repeated abdominal surgery on wound healing and myeloid cell dynamics

2018 ◽  
Vol 223 ◽  
pp. 188-197 ◽  
Author(s):  
Gunes Esendagli ◽  
Digdem Yoyen-Ermis ◽  
Emil Guseinov ◽  
Cigdem Aras ◽  
Cisel Aydin ◽  
...  
Keyword(s):  
Wound Healing ◽  
Abdominal Surgery ◽  
Myeloid Cell ◽  
Cell Dynamics

Comparative study of wound healing in primary versus delayed primary closure in contaminated abdominal surgery

2016 ◽  
Vol 88 (5) ◽  
pp. 314-320
Author(s):  
Prashant Kumar Singh ◽  
Neeraj Saxena ◽  
Devadatta Poddar ◽  
Rohit Kumar Gohil ◽  
Gaurav Patel
Keyword(s):  
Wound Healing ◽  
Abdominal Surgery ◽  
Comparative Study ◽  
Primary Closure ◽  
Delayed Primary Closure

Cosmetic results and patient satisfaction with secondary wound healing after abdominal surgery

The Lancet ◽  
1998 ◽  
Vol 351 (9099) ◽  
pp. 337 ◽  
Author(s):  
LPS Stassen ◽  
Chr van der Werken ◽  
AGM Hoofwijk ◽  
Th JMV van Vroonhoven
Keyword(s):  
Wound Healing ◽  
Patient Satisfaction ◽  
Abdominal Surgery ◽  
Cosmetic Results ◽  
Secondary Wound Healing

The Impact of Prior Abdominal Surgery on Complications of Abdominally Based Autologous Breast Reconstruction: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Evalina S. Bond ◽  
Carol E. Soteropulos ◽  
Qiuyu Yang ◽  
Samuel O. Poore
Keyword(s):  
Wound Healing ◽  
Abdominal Surgery ◽  
Breast Reconstruction ◽  
Publication Bias ◽  
Meta Analysis ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Prior Surgery ◽  
History Of ◽  
The Impact

Abstract Background Approximately half of all patients presenting for autologous breast reconstruction have abdominal scars from prior surgery, the presence of which is considered by some a relative contraindication for abdominally based reconstruction. This meta-analysis examines the impact of prior abdominal surgery on the complication profile of breast reconstruction with abdominally based free tissue transfer. Methods Literature search was conducted using PubMed, Scopus, and Web of Science. Included studies examined patients with a history of prior abdominal surgery who then underwent abdominally based free flap breast reconstruction. Prior liposuction patients and those with atypical flap designs were excluded. The Newcastle-Ottawa Scale was used to assess study quality. Flap complications included total and partial flap loss, fat necrosis, infection, and reoperation. Donor-site complications included delayed wound healing, infection, seroma, hematoma, and abdominal wall morbidity (hernia, bulge, laxity). Relative risk and 95% confidence intervals (CIs) between groups were calculated. Forest plots, I 2 statistic heterogeneity assessments, and publication bias funnel plots were produced. Publication bias was corrected with a trim-and-fill protocol. Overall effects were assessed by fixed-effects and random-effects models. Results After inclusion and exclusion criteria were applied, 16 articles were included for final review. These included 14 cohort and 2 case–control studies, with 1,656 (46.3%) patients and 2,236 (48.5%) flaps having undergone prior surgery. Meta-analysis showed patients with prior abdominal surgery were significantly more likely to experience donor-site delayed wound healing with a risk ratio of 1.27 (random 95% CI [1.00; 1.61]; I 2= 4) after adjustment for publication bias. No other complications were statistically different between groups. Conclusion In patients with a history of prior abdominal surgery, abdominally based free tissue transfer is a safe and reliable option. Abdominal scars may slightly increase the risk of delayed donor-site wound healing, which can aid the surgeon in preoperative counseling.

Randomized clinical trial of the influence of local water-filtered infrared A irradiation on wound healing after abdominal surgery

2006 ◽  
Vol 93 (8) ◽  
pp. 952-960 ◽  
Author(s):  
M. Hartel ◽  
G. Hoffmann ◽  
M. N. Wente ◽  
M. E. Martignoni ◽  
M. W. Büchler ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Wound Healing ◽  
Abdominal Surgery ◽  
Randomized Clinical Trial ◽  
Local Water

scholarly journals Malnutrition in the Outcome of Wound Healing at Public Hospitals in Bahir Dar City, Northwest Ethiopia: A Prospective Cohort Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Netsanet Fentahun ◽  
Yeabsira Anteneh ◽  
Yonatan Menber
Keyword(s):  
Wound Healing ◽  
Cohort Study ◽  
Nutritional Status ◽  
Abdominal Surgery ◽  
Serum Albumin ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Statistical Significance ◽  
Public Hospitals ◽  
Adult Patients

Background. Poor nutritional status affects the normal process of the wound healing stage. There is limited evidence regarding the association between malnutrition and wound healing in Ethiopia. Objective. To assess the association between nutritional status and wound healing progress among adult individuals who had undergone abdominal surgery at Public Hospitals, Ethiopia. Methods. A prospective cohort study was conducted on 310 adult patients who had undergone abdominal surgery from August to December 2019. Data were collected using a standardized, structured, and pretested questionnaire. Anthropometric and serum albumin measurements were used to measure nutritional status. A multivariable Cox-regression analyses model was fitted to show the association between malnutrition and wound healing and p value < 0.05 was used to declare statistical significance value. Results. The cumulative incidence rate of good wound healing was 65.5% (95% CI: 60.0–71.0). Patients who had normal preoperative body mass index (adjusted hazard ratio (AHR) = 2.22 (95% CI: 1.55–3.19)) and normal range of serum albumin level (≥3.5) (AHR = 1.56 (95% CI: 1.05–2.29)) were significantly associated with better wound healing outcomes. Conclusion. Nutritional status had a strong association with good wound healing outcomes. Therefore, nutritional status screening should be done for all adult patients before undergoing abdominal surgery to improve wound healing outcomes and reduce hospital stays.

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