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Abdominal AND wound infection

Ming Xu, You-Liang Tao
To conduct a randomized controlled trial (RCT), meta-analysis to assess the effectiveness of drains in reducing complications after laparoscopic cholecystectomy (LC) for acute cholecystitis needs to be carried out. An electronic search of PubMed, Embase, Science Citation Index, and the Cochrane Library from January 1990 to January 2018 was performed to identify randomized clinical trials that compare prophylactic drainage with no drainage in LC for acute cholecystitis. The outcomes were calculated as odds ratios (ORs) with 95 per cent confidence intervals (CIs) using RevMan 5...
January 1, 2019: American Surgeon
E Gammeri, T Petrinic, G Bond-Smith, A Gordon-Weeks
Background: The use of peritoneal lavage to prevent postoperative intra-abdominal abscess (IAA) after appendicectomy has been debated widely. Methods: A systematic review and meta-analysis of suction alone versus lavage for appendicitis was performed to determine the relative benefit of lavage. Primary outcomes were postoperative IAA and wound infection (WI). Inclusion criteria were human studies reporting a comparison of appendicectomy with or without peritoneal lavage...
February 2019: BJS open
Omair A Shariq, Kristine T Hanson, Nicholas P McKenna, Scott R Kelley, Eric J Dozois, Amy L Lightner, Kellie L Mathis, Elizabeth B Habermann
BACKGROUND: Metabolic syndrome is associated with poorer postoperative outcomes after various abdominal operations. However, the impact of metabolic syndrome on outcomes after colorectal cancer surgery remains poorly described. OBJECTIVE: The purpose of this study was to determine the association between metabolic syndrome and short-term postoperative outcomes in patients undergoing elective colorectal cancer surgery. DESIGN: This was a retrospective cohort study...
January 31, 2019: Diseases of the Colon and Rectum
C Heus, N Bakker, W M Verduin, H J Doodeman, A P J Houdijk
BACKGROUND: Obesity is becoming a bigger health problem every year. Current research shows that the obesity-related metabolic problems are strongly associated with visceral fat and not subcutaneous fat. Visceral obesity (VO) is associated with a worse postoperative outcome in multiple fields of abdominal surgery. On the other hand, muscle mass is related to better postoperative outcome. In rectal cancer patients, we studied the influence of visceral obesity and muscle mass on postoperative complications...
February 4, 2019: World Journal of Surgery
J Dembinski, C Mariette, J J Tuech, F Mauvais, G Piessen, D Fuks, L Schwarz, S Truant, C Cosse, F R Pruvot, J M Regimbeau, F Browet, N Ainseba, M Scotte, L Rebibo, F Le Roux
BACKGROUND: To determine whether the timing of removal of abdominal drainage (AD) after pancreatoduodenectomy (PD) influences the 30-day surgical site infection (30-day SSI) rate. METHODS: A multicenter randomized, intention-to-treat trial with two parallel arms (superiority of early vs. standard AD removal on SSI) was performed between 2011 and 2015 in patients with no pancreatic fistula (PF) on POD3 after PD (NCT01368094). The primary endpoint was the 30-day SSI rate...
January 31, 2019: Journal of Visceral Surgery
P H F Amaral, L Tastaldi, P H F Barros, I P Abreu Neto, B L Hernani, H Brasil, C J L Mendes, M Y Franciss, A M Pacheco, R Altenfelder Silva, S Roll
PURPOSE: A residual bulge in the lateral abdominal wall is a reason for patient dissatisfaction after flank hernia repair (FHR). We hypothesized that combining a laparoscopically-placed intraperitoneal mesh (IPOM) with onlay hernia repair performed through a small open incision would increase repair durability and decrease such residual bulges. We aim to report our medium-term outcomes with this technique. METHODS: Patients who have undergone FHR using the technique described above from March 2013 through June 2017 were identified in a prospectively maintained database...
January 30, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Virgilio Ruiz-Luque, Pablo Parra-Membrives, Carlos Escudero-Severín, José Aguilar-Luque
BACKGROUND: Anastomotic leak after colorectal surgery, which remains a serious clinical problem that causes augmented morbidity and mortality, is usually favored by ischemia. The aim of this study was to determine whether alprostadil may improve anastomotic wound healing under ischemic condition. METHODS: Ninety-three adult Wistar rats were randomized into three groups: control, ischemia (by devascularization along the first 2 cm at each anastomotic end), and ischemia plus alprostadil...
December 20, 2018: Journal of Surgical Research
T Seyfried, E Hansen
Cell salvage is an efficient method to reduce the transfusion of homologous banked blood, as documented by several meta-analyses detected in a systematic literature search. Cell salvage is widely used in orthopedics, trauma surgery, cardiovascular and abdominal transplantation surgery. The retransfusion of unwashed shed blood from wounds or drainage is not permitted according to German regulations. Following irradiation of wound blood, salvaged blood can also be used in tumor surgery. Cell salvage makes a valuable contribution to providing sufficient compatible blood for transfusions in cases of massive blood loss...
January 29, 2019: Der Anaesthesist
Adam S Baumgarten, Jonathan A Beilan, Bhavik B Shah, Aram Loeb, Michael Bickell, Justin Parker, Gerard D Henry, Rafael E Carrion
INTRODUCTION: Many men suffering from erectile dysfunction are overweight with generous suprapubic fat pads, which often contribute to a decrease in visible exophytic phallic length. AIM: To present a novel surgical concept of suprapubic fat pad excision with a concomitant placement of inflatable penile prosthesis. METHODS: A transverse incision begins slightly medial to the anterior superior iliac spine, with the superior edge crossing transversely to the contralateral anterior superior iliac spine...
January 25, 2019: Journal of Sexual Medicine
Bochao Zhao, Jingting Zhang, Jiale Zhang, Shihui Zou, Rui Luo, Huimian Xu, Baojun Huang
OBJECTIVE: In this study, we performed a systematic review and meta-analysis to evaluate the impact of preoperative underweight status on postoperative complications and survival outcome of gastric cancer (GC) patients. METHODS: The related studies were identified by searching PubMed and Embase databases. According to the body mass index (BMI), all patients were classified into underweight group (<18.5 kg/m2 ) and normal weight group (≥18.5 kg/m2 , <25 kg/m2 )...
January 26, 2019: Nutrition and Cancer
Jin-Ming Wu, Te-Wei Ho, Hung-Hsuan Yen, Chien-Hui Wu, Ting-Chun Kuo, Ching-Yao Yang, Yu-Wen Tien
BACKGROUND: Patients with periampullary cancer frequently suffer obstructive jaundice and commonly require preoperative biliary drainage (PBD) for relief and to avoid related complications. Although research has established a correlation between PBD and surgical wound infection, the impact of PBD on major infectious complications (intra-abdominal abscess [IAA]) and overall mortality remains debatable. We hypothesized that PBD could lead to IAA and mortality, and evaluated their correlation in patients undergoing pancreaticoduodenectomy (PD)...
January 23, 2019: Annals of Surgical Oncology
Angela M Kao, Michael R Arnold, Javier Otero, Li-Ching Huang, Tanushree Prasad, Amy E Lincourt, Vedra A Augenstein
OBJECTIVE: Evaluate outcomes of patients undergoing mesh explantation following partial mesh excision (PME) and complete mesh excision (CME). BACKGROUND: Ventral hernia repair (VHR) with mesh remains one of the most commonly performed procedures worldwide. Management of previously placed mesh during reexploration remains unclear. Studies describing PME as a feasible alternative have been limited. METHODS: The AHSQC registry was queried for VHR patients who underwent mesh excision...
January 17, 2019: Annals of Surgery
E Basuguy, M H Okur, H Zeytun, S Arslan, B Aydogdu, S Otcu, G Aydogdu
Aim: We report the results of the surgical treatment of symptomatic urachal cysts. Materials and Methods: The medical records of patients who underwent urachal cyst excision between 2012 and 2017 were reviewed retrospectively at our hospital. The age, sex, presenting complaint, method of diagnosis, average cyst diameter, surgical procedure, and postoperative complications of each patient were recorded. Results: Twenty-seven patients who had urachal cyst were included in this study; 5 out of 27 patients were treated conservatively and the rest of patients were treated surgically, made up of 16 males (72%) and 6 females (28%)...
January 2019: Nigerian Journal of Clinical Practice
Ngee-Soon Lau, Nima Ahmadi, Deborah Verran
BACKGROUND: Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negative pressure wound therapy (NPWT). The aim of this study was to determine if there were any preoperative, intraoperative and postoperative characteristics in our recipients' cohort which were associated with the requirement for such interventions. METHODS: A retrospective review of medical records was performed for all recipients who sustained abdominal wall complications following renal transplantation at our centre from 2006 to 2016...
January 21, 2019: BMC Surgery
N Baldan, G Munegato, A Di Leo, E Lauro, E Morpurgo, S Pianigiani, D Briscolini, R Ferrara, V Fiscon, A Brolese, G De Manzoni, G Baldazzi, D Snidero, S Merigliano, F Ricci, E Laterza, R Merenda, R Gianesini
PURPOSE: The advantages of biological meshes for ventral hernia repair are still under debate. Given the high financial cost, the proper indications for biological meshes should be clarified to restrict their use to properly selected patients. METHODS: A retrospective database was instituted to register all cases of abdominal wall defect treated with biological meshes from 1/2010 to 3/2016. RESULTS: A total of 227 patients (mean age: 64 years) whose ventral abdominal defects were reconstructed with a biological mesh were included in the study...
January 19, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Aleksandra Iljin, Bogusław Antoszewski, Tomasz Zieliński, Aleksander Skulimowski, Dariusz Szymański, Janusz Strzelczyk
PURPOSE: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Analysis of differences in quality of life (QL) changes in bariatric patients before RYGB, as well as before and after abdominal contouring operation.tion. MATERIAL AND METHODS: Clinical analysis involved 20 patients with abdominal disfigurement (following RYGB, and massive weight loss) who underwent one-time IHR using on-lay method together with abdominoplasty...
October 19, 2018: Polski Przeglad Chirurgiczny
Ying Xiong, Qian-Qian Chen, Ning-Li Chai, Shun-Chang Jiao, En-Qiang Ling Hu
AIM: To assess the efficiency of endoscopic trans-esophageal submucosal tunneling surgery (EESTS) technique for diseases located around the aorta ventralis. METHODS: Nine pigs were assigned to EESTs. The procedures were as follows: First, a long esophageal submucosal tunnel was established. Second, full-thickness myotomy was created. Third, an endoscope was entered into the abdominal cavity through a muscle incision and the endoscope was around the aorta ventralis...
January 7, 2019: World Journal of Gastroenterology: WJG
Charmaine Childs, Nicola Wright, Jon Willmott, Matthew Davies, Karen Kilner, Karen Ousey, Hora Soltani, Priya Madhuvrata, John Stephenson
Background: Prophylactic antibiotics are commonly prescribed intra-operatively after caesarean section birth, often at high doses. Even so, wound infections are not uncommon and obesity increases the risk. Currently, no independent wound assessment technology is available to stratify women to low or high risk of surgical site infection (SSI).Study Aim: to investigate the potential of non-invasive infrared thermography (IRT), performed at short times after surgery, to predict later SSI...
2019: Antimicrobial Resistance and Infection Control
Philipp Krauss, Markus Florian Oertel, Lennart Henning Stieglitz
OBJECTIVE: Ventriculoperitoneal shunt implantation is a common procedure in general neurosurgery. The patient population is often fragile, ranging from elderly to pediatric patients, and avoidance of perioperative complication is of utmost importance. Abdominal catheter dislocation has been found to be a common cause for early shunt dysfunction and needs to be avoided by optimal visualization of the abdominal catheter insertion zone. Here, we introduce a self-holding wound retractor system Alexis® and demonstrate its use for abdominal shunt surgery in a series of patients...
January 11, 2019: Acta Neurochirurgica
I Dimitriou, U Bultmann, M Niedergethmann
BACKGROUND: Whether an immediate surgical treatment or preoperative bile drainage (PBD) should be performed in cases of obstructive jaundice caused by a pancreatic carcinoma has been a matter of controversy for decades. The aim of this study based on in-house patient data was to evaluate both the influence of PBD on septic complications and to analyze intraoperative bile samples in patients with PBD in order to formulate current recommendations for antibiotic treatment. MATERIAL AND METHODS: Relevant data from all pancreatic resections performed in this hospital from January 2013 to December 2017 were collected in a prospective database and were retrospectively analyzed...
January 11, 2019: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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