CORRECCIÓN DEL DESPLAZAMIENTO ABOMASAL IZQUIERDO POR VIDEOLAPAROSCOPÍA

Correction of left abomasal displacement by video laparoscopy. This article reviews the benefits of the laparoscopic abomasopexy used for correction and fixation of the left abomasal displacement in dairy cows. The first steps are similar to the conventional technique, with sedation, analgesia and antisepsis. Two small flank incisions were made, the first one is about 10 centimeters ventral to the lumbar transverse processes in the cranial aspect of the left paralumbar fossa, and the second one, more cranial than the other and is located 7 cm ventral to the transverse processes of the lumbar vertebrae in the left 11th intercostal space, these two are the entry points of instruments and optics. This technique allows us to shorten the surgical time, reducing the tissue exposure time, the possibility of intra and post-surgical infections and iatrogenic injuries. Therefore, we saw that the recovery time was shorter; and a quick return to production is guaranteed due to the low use of antibiotics.

First domestic apparatus for vacuum therapy

The first domestic device for vacuum therapy, Impulse KM-1, has been developed. The device is intended for the treatment of wounds, using a method of VAC therapy. Copyright protected by 2 patents. The device includes: an electronic unit with an internal power source, an external battery charge source, a reservoir for collecting of wound discharge, a disposable sterile dressing kit. The kit consists of a sponge, a film covering, a tube with a fixing head, a connector tube. The device is designed for a multiple use, provides continuous, variable and intermittent operation. Clinical trials of the device have been successfully carried out. As part of clinical trials, 17 patients who were treated at the hospital surgery clinic of the Vitebsk State Order of Peoples’ Friendship Medical University with surgical infections of the skin and soft tissues received vacuum therapy of wounds using the Impulse KM-1 apparatus. A significant reduction in the time of wound treatment was noted. The device has established itself as a reliable, easy to use device. The cost of the Impulse KM-1 apparatus is approximately 2500 $ and the cost of a disposable dressing kit is 40 $.

Clostridium perfringens in the spine: A rare cause of post-surgical infection

Background: Post-surgical infections of the spine occur in from 0% to 18% of cases. Postoperative spine infections due to Clostridium Perfringens (CP) resulting in necrotizing fasciitis are extremely rare. However, since they may be fatal, early and definitive treatment is critical. Case Description: A 62-year-old male with a T8-T9 Type C fracture, in ASIA Grade “E” (neurologically intact) underwent a posterior T6-T10 arthrodesis. However, 2 weeks postoperatively, he developed a postoperative thoracic wound infection; the cultures were positive for CP. As the patient developed necrotizing fasciitis, emergent debridement, negative pressure continued drainage, and initiation of appropriate antibiotic therapy were critical. Conclusion: Postoperative spinal infections due to CP with accompanying necrotizing fasciitis are extremely rare. As these infections may be fatal, they must be rapidly diagnosed and treated.

Implementing the Protocol of Perioperative Narrow-spectrum Antibiotic Prophylaxis in the Surgical Wards of Mofid Children’s Hospital in 2019 - 2020, A Comparative Study

Background: Surgical procedures may be complicated by post-surgical infections. This study investigates the role of administering perioperative narrow-spectrum antibiotic prophylaxis in preventing post-surgical infections as compared to routine broad-spectrum antibiotic usage in the surgical ward. Methods: Narrow-spectrum perioperative antibiotic prophylaxis, in accordance with CDC guidelines, was implemented in our hospital in October 2019. In this quasi-experimental study, all the children (one month to fifteen years old) who underwent surgery from April to September 2019 and had received broad-spectrum antibiotics for various durations, as well as those operated after the implementation of the perioperative narrow-spectrum antibiotic prophylaxis plan (October 2019 to March 2020) were enrolled. Surgical wound type (clean, clean/contaminated, contaminated, and dirty), type and site of the infection, and the patient’s age and sex were recorded. Cases with postoperative infections were followed up in the two groups during hospitalization and for 30 days (or 90 days if a prosthetic material was implanted) after discharge. The rate of post-surgical infections was compared between the two groups by the Mann-Whitney and Chi-squared tests. Results: In total, 4308 cases were enrolled in the first six months and 3650 in the second six months of the study. The rate of post-surgical infections in the first group was 31/4380 (23.7%) as compared to 22/3650 (20%) in the second group (P-value = 0.3365) Conclusions: There was no increase in the frequency of post-surgical infections after the implementation of the perioperative narrow-spectrum antibiotic prophylaxis protocol. Reducing the use of antibiotics before surgery shrinks costs and antibiotic resistance without any effect on the post-surgical infection rate.

Post-release of the International Scientific and Practice Congress “Diabetes Mellitus, Its Complications and Surgical Infections” (November 19–21, 2019, Moscow, Russia)

The article presents the chronology of the International Scientific and Practice Congress “Diabetes Mellitus, Its Complications and Surgical Infections” (November 19–21, 2019).

Ozone therapy as complementary treatment for surgical infection: case report.

Background: Infection is a serious surgical complication that increases significantly morbidity and mortality rates as well as health care expenses. Bacterial ever-growing resistance to antibiotics makes the treatment of such events even more troublesome. Objective: Report on a surgical infection case treated with ozone as a complementary therapy. Methods and Materials: Female, 65 years old, submitted to a complex surgical procedure for adult kyphotic deformity correction that presented with early post-surgical infection. The patient was treated with revision surgery and antibiotics that improved the condition but were unable to delete the infection. Ozone, in its gaseous form, was injected subcutaneously and paravertebraly twice weekly for three weeks. Results: After 3 weeks of treatment the wound healed completely and repeated visits and blood exams up to one year after the surgery did not show recurrence of infection. Conclusions: Although not a definite indication on validity of ozone therapy for surgical infections, the results of this case report indicate a new way that merits to be explored.