keyword
https://read.qxmd.com/read/38410325/laser-assisted-surgical-management-of-oral-mucocele-a-case-report
#1
Sourabh Shinde, Vidya Lohe, Unnati Shirbhate, Swapnil Mohod, Dhruvi Solanki
This case represents mucocele of extravasation phenomenon associated with a lower lip on the right side in the last 15 days. A 19-year-old male patient visited the outpatient department with a history of constant trauma due to lip biting and due to soft and flocculent consistency on palpation, mucocele was considered under the provisional diagnosis. The borders of the lesion were marked following all the protocols of asepsis and sterilization and laser-assisted surgical excision was undertaken resulting in total removal of the lesion with a diode laser by resecting it from the base to reduce chances of re-occurrence...
January 2024: Curēus
https://read.qxmd.com/read/38042513/multicenter-parallel-randomized-trial-evaluating-incisional-negative-pressure-wound-therapy-for-the-prevention-of-surgical-site-infection-after-lower-extremity-bypass
#2
JOURNAL ARTICLE
Francis Rezk, Håkan Åstrand, Robert Svensson-Björk, Julien Hasselmann, Johan Nyman, Talha Butt, Linda Bilos, Artai Pirouzram, Stefan Acosta
OBJECTIVE: Incisional negative pressure wound therapy (iNPWT) applied over all incisions after lower extremity bypass in the prevention of surgical site infections (SSI) is unclear. The primary and secondary aims of this study were to investigate if prophylactic iNPWT after the elective lower extremity bypass prevents SSI and other surgical wound complications. METHOD: Multicenter parallel randomized controlled trial. Patients undergoing elective lower extremity bypass in three hospitals were randomized to either iNPWT or standard dressings...
November 30, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37974277/ultrasound-guidance-practices-used-for-the-placement-of-vascular-accesses-in-intensive-care-units-an-observational-multicentre-study
#3
JOURNAL ARTICLE
Nathalie van der Mee-Marquet, Anne-Sophie Valentin, Isabelle Duflot, Mathilde Farizon, Agnès Petiteau
BACKGROUND: Central catheters expose ICU patients at risk of catheter-related bloodstream infections. A mechanism by which these infections occur is the contamination of the catheter during its insertion if aseptic techniques are not strictly applied. Recent studies suggest that the use of ultrasound guidance (USG) may increase the risk of catheter contamination during insertion. We assessed current practices regarding the use of USG during catheter insertion, with a focus on identifying breaches of the surgical asepsis required for this invasive procedure...
November 16, 2023: European Journal of Medical Research
https://read.qxmd.com/read/37936758/comparison-of-honey-povidone-iodine-dressings-in-post-cesarean-surgical-site-wound-infection-healing
#4
JOURNAL ARTICLE
Erum Majid, Sadia Pathan, Bader Faiyaz Zuberi, Memoona Rehman, Shoaib Malik
OBJECTIVE: To compare the healing of post-cesarean infected wounds by a combination of honey and povidone iodine & povidone-iodine alone dressings using ASEPSIS Score. METHOD: This prospective randomised cohort study was carried out at at OBGYN Department Jinnah Postgraduate Medical Center from 1st August 2022 till 31st December 2022. Patients were randomly allocated into groups A and B. Group-A was dressed with honey povidone-iodine, while Group-B only had povidone-iodine...
2023: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/37928950/rationale-behind-phosphate-therapy-to-modulate-the-gut-microbiome-and-protect-against-surgery-related-infection
#5
JOURNAL ARTICLE
John C Alverdy
Despite major advances in infection control and the ever increasing use of broader spectrum antibiotics in surgery, postoperative infections continue to occur under the best of care and in the best institutions. Postoperative infections, also termed "surgical site infections (SSIs), can range from superficial wound infections to deep organ space infections. SSIs can be superficial and only require medical treatment (i.e antibiotics), whereas others such as deep organ space infections resulting from an anastomotic leak can require multiple surgeries leading to sepsis and occasionally shock and death...
February 2023: Microbiota Host
https://read.qxmd.com/read/37905679/laparoscopic-vs-open-surgery-a-comparative-analysis-of-wound-infection-rates-and-recovery-outcomes
#6
JOURNAL ARTICLE
Zhen Shi
As medical technology continues to evolve, it becomes crucial to distinguish the outcomes of traditional versus modern surgical techniques. This was a retrospective cohort study, conducted to compare the wound infection rates and recovery outcomes between laparoscopic and open surgery (OS) in 180 patients. Participants were divided into laparoscopic (n = 105) and OS (n = 75) groups. Comprehensive data, including demographics, surgical details, and postoperative outcomes, were extracted...
October 31, 2023: International Wound Journal
https://read.qxmd.com/read/37858142/negative-pressure-wound-therapy-for-flap-closed-incisions-after-3d-printed-prosthesis-implantation-in-patients-with-chronic-osteomyelitis-with-soft-tissue-defects
#7
JOURNAL ARTICLE
Zhiyu Lin, Xinling Zhang, Yujie Chen, Yun Tian, Xin Yang, Zhenmin Zhao
BACKGROUND: The flap closed-incisions healing after 3D-printed prosthesis implantation in Chronic Osteomyelitis with Soft Tissue Defects (COSTD) is critical. This study aimed to explore the safety and effectiveness of Negative Pressure Wound Therapy (NPWT) in promoting flap closed-incisions healing. METHODS: Retrospective analysis of clinical data was performed, including baseline, surgical and hospitalization information. The efficacy of NPWT was assessed by comparing the ASEPSIS scores, Visual Analogue Scale (VAS), Activity of Daily Living Scale (ADLS), and Lower Extremity Functional Scale (LEFS), as well as the major postoperative complications...
October 19, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/37856166/wound-infection-after-ileostomy-closure-an-interim-analysis-of-a-prospective-randomized-study-comparing-primary-versus-circumferential-subcuticular-closure-techniques
#8
JOURNAL ARTICLE
Sumesh Kaistha, Rajesh Panwar, Sujoy Pal, Nihar Ranjan Dash, Peush Sahni, Tushar Kanti Chattopadhyay
Background: Circumferential subcuticular wound approximation (CSWA) of round shaped skin wounds after ileostomy take down is believed to lower the rates of surgical site infection (SSI). We performed this randomized trial to compare the rates of SSI and other short-term outcomes among primary linear skin closure (PC) and CSWA groups of patients. Patients and Methods: All patients undergoing ileostomy reversal during the study period were randomly assigned to either PC or CSWA. The primary outcome was the incidence of SSI as assessed by ASEPSIS scoring system...
October 19, 2023: Surgical Infections
https://read.qxmd.com/read/37750100/knowledge-attitudes-and-practices-on-the-usage-of-antiseptics-prior-to-invasive-medical-procedures-evidence-from-sri-lankan-healthcare-professionals
#9
JOURNAL ARTICLE
Yasheelee Thameesha Kalingamudali, Praba Jalini, Akila Jayamaha, Dehiwela Liyanage Jayaratne
BACKGROUND: The skin is the largest organ of the body, where many microorganisms reside. These microorganisms can produce detrimental effects if introduced into the body through surgical incisions. Therefore, the aseptic applications of the surgical site, with proper antiseptics, are necessary prior to an invasive medical procedure. OBJECTIVES: This study aims to identify the knowledge, attitudes, and practices on skin asepsis with the use of antiseptics and to identify the most preferred antiseptic by healthcare professionals in Sri Lanka, which allows understanding of whether the current procedure of skin antisepsis is up to the standard...
2023: SAGE Open Medicine
https://read.qxmd.com/read/37719618/hand-scrubbing-and-donning-of-sterile-surgical-gloves-an-observational-clinical-audit-of-novice-dental-surgeons
#10
JOURNAL ARTICLE
Nutan Dhamdhere, Rozina Vishnani, Amit Reche, Priyanka Paul, Samruddhi Rathi, Akarsh Bolenwar
Background The most critical factors in the satisfactory recovery of a patient post-surgery are obedience to sterilization and aseptic protocol. Using aseptic principles, the standard hand scrubbing and gloving procedure prevents contamination of the surgical site and aids in infection control.  Methods Eighty dental interns were observed during minor oral surgical procedures for hand scrubbing and donning sterile surgical gloves, following the steps and guidelines provided by World Health Organization (WHO)...
August 2023: Curēus
https://read.qxmd.com/read/37675248/inter-rater-agreement-of-cdc-criteria-and-asepsis-score-in-assessing-surgical-site-infections-after-cesarean-section-a-prospective-observational-study
#11
JOURNAL ARTICLE
Giovanni Delli Carpini, Luca Giannella, Jacopo Di Giuseppe, Marco Fioretti, Ilaria Franconi, Ludovica Gatti, Keti Sabbatini, Michele Montanari, Chiara Marconi, Elisa Tafuri, Luisa Tibaldi, Mariasole Fichera, Davide Pizzagalli, Andrea Ciavattini
OBJECTIVE: To assess and compare the inter-rater agreement of the CDC criteria and the ASEPSIS score in identifying surgical site infections after cesarean section. METHODS: Prospective observational study including 110 patients subjected to a cesarean section at our institution. Surgical wounds were managed according to standard care and were photographed on the third, seventh, and thirtieth postoperative day or during any evaluation in case of complications. Three expert surgeons reviewed the prospectively gathered data and photographs and classified each wound using CDC criteria and the ASEPSIS score...
2023: Frontiers in Surgery
https://read.qxmd.com/read/37586014/a-content-validity-reliability-and-quality-analysis-of-peripheral-intravenous-catheterization-videos-on-youtube%C3%A2
#12
JOURNAL ARTICLE
Aysel Özsaban, Aysun Bayram
BACKGROUND: YouTube™ has become a potential way to integrate technology into nursing curriculum and acquire skills. However, it is important to review the accuracy of the information contained in YouTube™. This study was conducted to evaluate the content validity, reliability and quality of YouTube™ videos on peripheral intravenous catheterization. METHODS: In this descriptive study, videos were searched using the keyword 'Peripheral Venous Catheter'...
August 10, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37473836/prospective-comparison-of-wound-complication-rates-after-elective-open-peripheral-vascular-surgery-endovascular-versus-open-vascular-surgeons
#13
JOURNAL ARTICLE
Johan Nyman, Stefan Acosta, Robert Svensson-Björk, Christina Monsen, Julien Hasselmann
BACKGROUND: Skill and experience of surgeons are likely to influence the incidence of surgical wound complications (SWC) after open lower limb revascularization. Differences in SWC between surgeons with predominantly endovascular or open vascular surgical profiles could be expected. The aim of this study was to compare SWC rates after elective open vascular surgery between primarily endovascular and primarily open vascular surgeons. METHODS: Prospective data from patients undergoing elective surgery for peripheral artery disease (PAD) was collected between 2013 and 2019...
July 18, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/37389392/total-glans-amputation-in-a-child-following-ritual-circumcision-report-of-a-case-and-review-of-literature
#14
Amar Shah, Anirudh Shah
Ritual circumcision in children remains a trivialized procedure in some countries, especially in rural areas. It is often performed by unqualified paramedical personnel, or even by religious workers whose notions of surgery and asepsis are uncertain. Although it is thought to be a minor procedure, major complications with sexual or even life-threatening prognosis can occur. Amputation of the glans during circumcision is a rare incidence secondary to poor application of operating principles. We report the case of a 1½-year-old boy who underwent a progressive amputation of the glans after a ritual circumcision by a religious worker...
2023: Journal of Indian Association of Pediatric Surgeons
https://read.qxmd.com/read/36933213/ilc3s-restrict-the-dissemination-of-intestinal-bacteria-to-safeguard-liver-regeneration-after-surgery
#15
JOURNAL ARTICLE
Manuel O Jakob, Daniel Spari, Daniel Sànchez Taltavull, Lilian Salm, Bahtiyar Yilmaz, Rémi Doucet Ladevèze, Catherine Mooser, David Pereyra, Ye Ouyang, Theresa Schmidt, Irene Mattiola, Patrick Starlinger, Deborah Stroka, Franziska Tschan, Daniel Candinas, Georg Gasteiger, Christoph S N Klose, Andreas Diefenbach, Mercedes Gomez de Agüero, Guido Beldi
It is generally believed that environmental or cutaneous bacteria are the main origin of surgical infections. Therefore, measures to prevent postoperative infections focus on optimizing hygiene and improving asepsis and antisepsis. In a large cohort of patients with infections following major surgery, we identified that the causative bacteria are mainly of intestinal origin. Postoperative infections of intestinal origin were also found in mice undergoing partial hepatectomy. CCR6+ group 3 innate lymphoid cells (ILC3s) limited systemic bacterial spread...
March 17, 2023: Cell Reports
https://read.qxmd.com/read/36852598/pasteur-at-the-academy-of-medicine-from-hygiene-to-germ-theory
#16
JOURNAL ARTICLE
Patrice Debré
In the 19th century, the applications of the scientific discoveries of Louis Pasteur to medicine had difficulty in imposing themselves within the French medical community and its National Academy. Among those concerning infectious diseases, their prevention by hygiene and their etiology by microbes are described here. Louis Pasteur found it difficult to convince and had to fight, to show through the surgical practice of asepsis and examples of infections induced in animal models (anthrax), the modes of transmission of germs and their pathogenicity...
November 10, 2022: Comptes Rendus Biologies
https://read.qxmd.com/read/36810268/development-and-validation-of-the-infection-prevention-appraisal-scale
#17
JOURNAL ARTICLE
Maria Lindberg, Magnus Lindberg
It has been emphasized that future studies aimed at improving adherence to infection prevention guidelines should focus on beliefs in, e.g., self-efficacy. Reliable situation specific measures are needed to measure the phenomenon of self-efficacy, but there seems to be few valid scales available that are suitable for measuring one's belief in self-efficacy regarding infection prevention measures. The purpose of the study was to develop a unidimensional appraisal scale to capture nurses' beliefs in their abilities to practice medical asepsis in care situations...
January 31, 2023: Nursing Reports
https://read.qxmd.com/read/36694490/donning-sterile-surgical-gloves-a-prospective-clinical-audit-of-young-surgeons-at-a-tertiary-care-hospital-of-lahore-pakistan
#18
JOURNAL ARTICLE
Rana Arslan Rabbani, Muhammad Khalil-Ur-Rehman, Fahad Hussain, Shah Ahmad Fazli, Haseeb Mehmood Qadri, Nida Manzoor, Menahil F Cheema, Amjid Ul Haq, Fiza Ismail, Junaid Saffi
Background Sterilization and aseptic surgical techniques are the most important keys to successful postoperative outcomes. The standard surgical gloving technique causes early wound healing and reduces morbidity and mortality. Objective To assess the standard technique of donning sterile surgical gloves while scrubbing among young surgeons. Material and Methods This two-week prospective audit involved 60 young residents and house officers after ensuring ethical implications. Participants were observed unannounced for donning sterile surgical gloves in the surgical operation theatre (OT) according to the standard criteria set by World Health Organization (WHO) before and after the relevant intervention...
December 2022: Curēus
https://read.qxmd.com/read/36536988/robert-lawson-tait-1845-1899-the-true-innovator-of-aseptic-surgery
#19
JOURNAL ARTICLE
Iain Macintyre, Sean Hughes
Robert Lawson Tait was an original thinker, a surgical innovator, a controversialist and an iconoclast. He made important contributions to surgery, was an eloquent supporter of Darwinian evolution and women in medicine and opposed vivisection. He is probably best remembered for his high-profile opposition to Listerian antisepsis which continued until his death. While Lister went on to receive the country's highest honours and was lauded throughout the world, Tait received much more modest honours and little subsequent recognition by historians...
December 19, 2022: Journal of Medical Biography
https://read.qxmd.com/read/36536264/infections-in-critically-ill-children
#20
REVIEW
Abinaya Kannan, Kambagiri Pratyusha, Ruchy Thakur, Manas Ranjan Sahoo, Atul Jindal
Health care-associated infections (HAI) directly influence the survival of children in pediatric intensive care units (PICU), the most common being central line-associated bloodstream infection (CLABSI) 25-30%, followed by ventilator-associated pneumonia (VAP) 20-25%, and others such as catheter-associated urinary tract infection (CAUTI) 15%, surgical site infection (SSI) 11%. HAIs complicate the course of the disease, especially the critical one, thereby increasing the mortality, morbidity, length of hospital stay, and cost...
March 2023: Indian Journal of Pediatrics
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