54,824 results match your criteria Wound Closure Technique


Implementing preoperative Botulinum toxin A and progressive pneumoperitoneum through the use of an algorithm in giant ventral hernia repair.

Hernia 2020 Jun 3. Epub 2020 Jun 3.

Department of General and HPB Surgery and Liver Transplantation, Ghent University Hospital, Ghent, Belgium.

Background: Repair of large ventral hernias with loss of domain can be facilitated by preoperative Botulinum toxin A (BTA) injections and preoperative progressive pneumoperitoneum (PPP). The aim of this study is to evaluate the outcomes of ventral hernioplasty using a standardized algorithm, including component separation techniques, preoperative BTA and PPP.

Methods: All patients between June 2014 and August 2018 with giant hernias (either primary or incisional) of more than 12 cm width were treated according to a previously developed standardized algorithm. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10029-020-02226-2DOI Listing

Smart wound closure: A novel technique for the surgical treatment of hidradenitis suppurativa.

Dermatol Ther 2020 May 16:e13596. Epub 2020 May 16.

Hidradenitis Suppurativa Clinic, Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/dth.13596DOI Listing

Reconstructive Techniques in Melanoma for the Surgical Oncologist.

Surg Oncol Clin N Am 2020 Jul;29(3):349-367

Department of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center, 1400 Pressler Street, Unit 1488, Houston, TX 77030, USA. Electronic address:

Wounds resulting from wide local excision of melanoma vary in size and complexity, and require individualized solutions to achieve satisfactory closure. Goals of reconstruction include restoration of form, function, and aesthetics while minimizing donor site morbidity without compromising the effectiveness and safety of oncologic melanoma treatment. Optimal reconstruction relies on an in-depth understanding of the defect, locoregional anatomy and vasculature, available donor tissues, and basic wound healing and surgical principles. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.soc.2020.02.003DOI Listing

A novel approach to resolve severe mediastinal and subcutaneous emphysema occurring in Pneumocystis jirovecii pneumonia using vacuum-assisted closure therapy.

SAGE Open Med Case Rep 2020 8;8:2050313X20918989. Epub 2020 May 8.

Department of Cardiothoracic Anesthesiology, Isala, Zwolle, The Netherlands.

A 50-year-old human immunodeficiency virus positive patient who was diagnosed with Pneumocystis jirovecii pneumonia developed severe subcutaneous and mediastinal emphysema, which was progressive despite low pressure mechanical ventilation. Infraclavicular skin incisions and vacuum-assisted closure therapy were used to resolve the emphysema. The subcutaneous emphysema decreased significantly, and after 1 week the vacuum-assisted closure therapy was ended successfully. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2050313X20918989DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233891PMC

Evidence-based adoption of purse-string skin closure for stoma wounds.

Med J Armed Forces India 2020 Apr 3;76(2):185-191. Epub 2019 Jun 3.

Classified Specialist ( (Surgery) & Gastro-intestinal Surgeon), Command Hospital (Central Command), Lucknow, India.

Background: Opinion is divided on the optimal technique of skin closure after stoma reversal as most conventional techniques compromise either on speed/neatness of wound apposition or on the incidence of surgical site infection (SSI). Evidence suggests that purse-string skin closure (PSSC) may achieve both objectives. This study aims to compare conventional primary closure (PC) with PSSC to determine the efficacious technique for stoma wound closure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.mjafi.2019.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244863PMC

Evaluation of Subtotal Petrosectomy Technique in Difficult Cases of Cochlear Implantation.

Audiol Neurootol 2020 May 29:1-13. Epub 2020 May 29.

Gruppo Otologico, Quaternary Referral Center for Otology, Neurotology and Skull Base Surgery, Piacenza, Italy.

Objectives: To assess the validity of the subtotal petrosectomy (STP) technique in problematic cases of cochlear implant (CI) surgery, and review indications, outcomes, and related controversies.

Study Design: This is a retrospective review of data from a private quaternary referral center of otology and skull base surgery.

Patients And Methods: A review of patients who underwent CI with STP (STP-CI) as the leading approach was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000507419DOI Listing

Keystone flap: a safe coverage option in the handling of salvage for myelomeningocele.

Childs Nerv Syst 2020 May 28. Epub 2020 May 28.

Universidad Nacional de Colombia, Hospital Universitario Nacional, Bogotá, D.C., Colombia.

Background: Myelomeningocele (MMC) is the most common and severe pathology of open spina bifida compatible with life. Its early closure is an urgent therapeutic objective to reduce the morbidity and mortality of neonates, being a surgical challenge with two major objectives: (1) achieve closure of the dural cerebrum-spinal fluid fistula and (2) ensure a stable and durable soft tissue coverage. The use of fasciocutaneous flaps in keystone design is shown as a safe and stable surgical option with excellent aesthetic results in patients with MMC and who presented failed primary closures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00381-020-04662-yDOI Listing

[Minimally invasive stand-alone fusion of the lumbosacral junction].

Oper Orthop Traumatol 2020 May 28. Epub 2020 May 28.

Wirbelsäulenzentrum, Schön Klinik München Harlaching, Akademisches Lehrkrankenhaus und Institut für Wirbelsäulenforschung der PMU Salzburg, Harlachinger Str. 51, 81547, München, Deutschland.

Objective: Stable interbody fusion of the lumbosacral segment via an anterior retroperitoneal approach using an interbody spacer as an anterior stand-alone device which is fixed with four locking screws.

Indications: Degenerative disc disease without instability or deformity; adjacent segment degeneration; pseudarthrosis.

Contraindications: Translational instabilities as in spondylolisthesis at the index segment; deformities; steep sacral slope. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00064-020-00661-zDOI Listing

Barbed Sutures in Total Knee Arthroplasty: A Meta-analysis of Randomized-Controlled Trials.

J Knee Surg 2020 May 27. Epub 2020 May 27.

Department of Orthopedic, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Changping District, Beijing, China.

Newer methods of wound closure such as barbed sutures hold the potential to reduce closure time and equivalent wound complications in various surgeries. However, few studies have compared barbed suture and conventional wound closure techniques in total knee arthroplasty (TKA). The purpose of this review was to appraise the efficacy and safety of the barbed suture in closure of TKA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0040-1710373DOI Listing

A Novel Method for Practicing Fascial Closure with Suture.

Cureus 2020 Apr 23;12(4):e7803. Epub 2020 Apr 23.

Neurosurgery, Aurora Medical Center, Summit, USA.

Closure of the fascial layer can be challenging to learn for junior level residents. Wound dehiscence involving the fascial layer can lead to complicated clinical courses for patients, including readmission to the hospital, wound vacuum placement, antibiotic regimens, and re-operation. Typical suturing techniques taught in medical school focus more on basic techniques of suture placement such as interrupted or running techniques. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7803DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243843PMC

[Clinical effect of Zhang's super tension-relieving suture for high-tension wound closure].

Authors:
J Chen Y X Zhang

Zhonghua Shao Shang Za Zhi 2020 May;36(5):339-345

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

To investigate the clinical effect of Zhang's super tension-relieving suture applied in high-tension wound closure. From January to August 2019, 19 eligible patients with scar or black hairy nevus were treated with Zhang's super tension-relieving suture for outpatient operation in the Department of Plastic and Reconstructive Surgery of Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. The patients were composed of 6 males and 13 females, aged 10-68 years, with 8 keloids, 3 hypertrophic scars, 5 atrophic scars, and 3 black hairy nevus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn501120-20200314-00163DOI Listing

Does Elective Sternal Plating in Morbidly Obese Patients Reduce Sternal Complication Rates?

Ann Thorac Surg 2020 May 23. Epub 2020 May 23.

Division of Cardiothoracic Surgery, Ochsner Medical Center, New Orleans, Louisiana.

Background: While literature shows rigid plate fixation has superior outcomes over wire cerclage techniques, a patient population clearly benefitting from initial sternal plating over standard closure has not been identified. Data on plating as primary sternal closure in the morbidly obese patient remains sparse.

Methods: A single-center retrospective study was performed on 564 consecutive patients undergoing complete median sternotomy from July 2014 to July 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.athoracsur.2020.04.027DOI Listing

Hyperosmolar potassium inhibits myofibroblast conversion and reduces scar tissue formation.

ACS Biomater Sci Eng 2019 Oct 18;5(10):5327-5336. Epub 2019 Sep 18.

Department of Biomedical Engineering, Tufts University, Medford, Massachusetts 02155.

Scar formation is a natural result of almost all wound healing in adult mammals. Unfortunately, scarring disrupts normal tissue function and can cause significant physical and psychological distress. In addition to improving surgical techniques to limit scar formation, several therapies are under development towards the same goal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1021/acsbiomaterials.9b00810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241611PMC
October 2019

Cyanoacrylate Dermal Closure in Spine Surgery: Systematic Review and Pooled Analysis.

Global Spine J 2020 Jun 10;10(4):493-498. Epub 2019 Jul 10.

The Alfred Hospital, Melbourne, Victoria, Australia.

Study Design: Systematic review.

Objectives: Cyanoacrylate glue closure has been utilized for dermal closure in surgical incisions. Its safety and efficacy in spine surgery are not established. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2192568219861619DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222684PMC

Use of Zipper Ratcheting Straps as a Bailout for Postoperative Cerebrospinal Fluid Leaks: Our Experience.

Global Spine J 2020 Jun 15;10(4):443-447. Epub 2019 Jul 15.

Lilavati Hospital, Mumbai, Maharashtra, India.

Study Design: Technical note.

Objectives: Management of postoperative cerebrospinal fluid (CSF) leaks is a challenge. Reexploration increases the morbidity risks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2192568219860463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222682PMC

Cosmetic outcomes and patient satisfaction compared between staples and subcuticular suture technique for wound closure after primary total knee arthroplasty: a randomized controlled trial.

Arch Orthop Trauma Surg 2020 May 18. Epub 2020 May 18.

Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Bangkok Noi, Bangkok, 10700, Thailand.

Introduction: Staples and subcuticular suture are commonly used wound closure techniques after total knee arthroplasty (TKA). To date, only a few studies have investigated the differences between these two wound closure methods in TKA. Accordingly, this study aimed to compare cosmetic outcome and patient satisfaction between staples and subcuticular suture for post-TKA wound closure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03479-3DOI Listing

[Laparoscopic gastroduodenostomy with manual suture for Billroth Ⅰ anastomosis: a report of 36 cases].

Zhonghua Wai Ke Za Zhi 2020 May;58(5):383-387

Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou 310014, China.

To examine the clinical efficiency of laparoscopic gastroduodenostomy with BillrothⅠanastomosis with manual suture. The clinic data of 36 patients with gastric cancer who underwent laparoscopic gastroduodenostomy with Billroth Ⅰ anastomosis from November 2017 to September 2019 in Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People's Hospital were analyzed retrospectively.There were 22 males and 14 females, aged (64. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn112139-20191119-00566DOI Listing

Open abdomen closure methods for severe abdominal sepsis: a retrospective cohort study.

Eur J Trauma Emerg Surg 2020 May 6. Epub 2020 May 6.

Department of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.

Purpose: The open abdomen (OA) procedure as part of damage control surgery represents a significant surgical advance in severe intra-abdominal infections. Major techniques used for OA are negative pressure wound therapy (NPWT) and non-NPWT. The aim of this retrospective study is to evaluate the effects of different abdominal closure methods and their outcomes in patients presenting with abdominal sepsis treated with OA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00068-020-01379-0DOI Listing

Robotic versus open primary ventral hernia repair: A randomized controlled trial (Robovent Trial).

Int J Surg Protoc 2020 4;21:27-31. Epub 2020 Apr 4.

Division of Digestive Surgery, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211 Genève 14, Switzerland.

Background: The objective of the present study is to compare the outcomes open PVHR and robotic PVHR.

Methods/design: The present study will be a randomized single-blinded controlled trial with intention-to-treat analysis comparing robotic PVHR to open PVHR in adult patients undergoing elective PVHR with a defect ranging between 1-5 cm. Patient refusing to participate, not able to give informed consent, with history of intra-abdominal surgery contraindicating a robotic surgical approach will be excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.isjp.2020.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186553PMC

Reducing the seroma volume by quilting suture after breast reconstruction with a latissimus dorsi flap: Single institutional experience.

Bull Cancer 2020 May 28;107(5):543-550. Epub 2020 Apr 28.

Centre Oscar Lambret, breast surgery unit, 3, rue Combemale, 59020 Lille cedex, France. Electronic address:

Introduction: After breast reconstruction (BR) with latissimus dorsi flap (LDF) postoperative seroma is a frequent source of functional discomfort. The aim of this study was to evaluate the quilting suture on reducing the seroma volume by reducing the dead space created by LDF harvest for BR.

Material And Methods: This retrospective monocenter study was designed to compare patients who underwent BR using LDF with or without quilting suture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bulcan.2020.03.006DOI Listing

Development of a polyvinyl alcohol/sodium alginate hydrogel-based scaffold incorporating bFGF-encapsulated microspheres for accelerated wound healing.

Sci Rep 2020 Apr 30;10(1):7342. Epub 2020 Apr 30.

Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran.

In the present study, a hybrid microsphere/hydrogel system, consisting of polyvinyl alcohol (PVA)/sodium alginate (SA) hydrogel incorporating PCL microspheres is introduced as a skin scaffold to accelerate wound healing. The hydrogel substrate was developed using the freeze-thawing method, and the proportion of the involved polymers in its structure was optimized based on the in-vitro assessments. The bFGF-encapsulated PCL microspheres were also fabricated utilizing the double-emulsion solvent evaporation technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41598-020-64480-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193649PMC

Treatment of Fournier's Gangrene With Vacuum-assisted Closure Therapy as Enhanced Recovery Treatment Modality.

In Vivo 2020 May-Jun;34(3):1499-1502

First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Background/aim: Fournier's gangrene is an uncommon, but extremely serious condition of necrotizing, soft tissue infection. There is a great debate regarding the management of larger defects and wound closure, with various techniques being described in the current literature. We aimed to present the surgical management of extensive Fournier's gangrene treated successfully with Vacuum-assisted closure (VAC) therapy, a novel approach to treatment algorithm that can lead to a paradigm shift. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21873/invivo.11936DOI Listing
January 2020

[Complex treatment of patients with pyo-necrotic complications of the neuropathic form of diabetic foot syndrome].

Khirurgiia (Mosk) 2020 (4):81-87

Kuban State Medical University of the Ministry of Health of Russia, Department of General Surgery, Krasnodar, Russia.

Objective: Of study is improving the results of treatment of patients with pyo-necrotic complications of diabetic foot syndrome by including the method of negative pressure wound treatment in the complex treatment program in combination with using of the combined antibacterial drug Cifran ST and immunocorrective therapy.

Material And Methods: The results of examination and treatment of 184 patients with pyo-necrotic complications of the neuropathic form of diabetic foot syndrome were analyzed. According to choice of treatment methods in the postoperative period all patients were divided into two groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia202004181DOI Listing

[Vac-therapy in the management of tension pneumomediastinum and subcutaneous emphysema].

Khirurgiia (Mosk) 2020 (4):77-80

Seredavin Samara Regional Clinical Hospital, Samara, Russia.

Pneumomediastinum and subcutaneous emphysema are the main manifestations of gas syndrome in patients with tracheal injury. Traditional mediastinal decompression in case of tension emphysema is carried out through different types of cervical or transpleural mediastinotomy and subsequent passive drainage. Clinical observation of the use of VAC-therapy in the patient with injury of the membranous part of trachea followed by tension pneumomediastinum is presented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia202004177DOI Listing

[Endoscopic treatment of gastroduodenal perforations].

Khirurgiia (Mosk) 2020 (4):61-64

Sklifosovsky Research Institute of Emergency Care of the Moscow Healthcare Department, Moscow, Russia.

A 93-year-old patient underwent endoscopic treatment of perforated duodenal ulcer after previous laparoscopic suturing complicated by failure of sutured defect. A self-expanding nitinol stent with partial polyurethane coating was used. Positive effect of the treatment was noted. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia202004161DOI Listing

[Comparison of efficiency and safety of laparoscopic manual esophagoenterostomy and esophagoenterostomy with mechanical anastomotic devices after laparoscopic gastrectomy for stomach cancer].

Khirurgiia (Mosk) 2020 (4):11-17

Lomonosov Moscow State University, Faculty of Fundamental Medicine, Moscow, Russia.

Objective: To compare laparoscopic manual esophagoenterostomy and esophagoenterostomy with mechanical stapling anastomotic devices after laparoscopic gastrectomy for stomach cancer.

Material And Methods: There were 34 patients who underwent laparoscopic gastrectomy for stomach in 2015-2018. Roux-en-Y esophagoenterostomy was used to reconstruct the gastrointestinal tract. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia202004111DOI Listing

A large anastomotic leakage after esophageal surgery treated with endoluminal vacuum-assisted closure: a case report.

J Surg Case Rep 2020 Apr 24;2020(4):rjaa071. Epub 2020 Apr 24.

Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

The treatment of anastomotic post-esophagectomy leaks and fistula is challenging. Endoluminal vacuum-assisted closure (EVAC) is an emerging technique that employs negative pressure wound therapy to treat anastomotic leaks endoscopically. Esosponge is specifically designed for esophageal EVAC therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjaa071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180323PMC

A Simplified Approach to Myelomeningocele Defect Repair.

Ann Plast Surg 2020 Apr 27. Epub 2020 Apr 27.

From the Section of Plastic Surgery.

Background: Repair of the soft tissue defect in myelomeningoceles remains challenging. The literature currently lacks a systematic approach, reporting high rates of complications. We present outcomes from the largest series to date and describe a simplified approach that minimizes morbidity and streamlines decision making. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000002374DOI Listing

Total Hip Arthroplasty for Ankylosis Requiring Rotational Rectus Femoris Flap and Skin Graft for Wound Closure.

Arthroplast Today 2020 Jun 23;6(2):141-145. Epub 2020 Apr 23.

Department of Orthopaedics & Sports Medicine, University of Washington, Seattle, WA, USA.

We present a case report of a 51-year-old Ghanaian immigrant who underwent total hip arthroplasty in the setting of spontaneous ankylosis of unknown etiology. The increase in offset of the patient's limb through reconstruction, in combination with severe soft-tissue atrophy of the lower extremity, resulted in a soft-tissue defect that could not be closed primarily. This ultimately required a rectus femoris rotational flap and skin grafting for coverage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.artd.2020.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183003PMC

Traumatic arteriovenous fistula with serious haemodynamic repercussions: endovascular treatment.

BMJ Case Rep 2020 Apr 27;13(4). Epub 2020 Apr 27.

Serviço de Angiologia e Cirurgia Endovascular, Hospital de Base, Sao Jose do Rio Preto, SP, Brazil.

Major abdominal arteriovenous fistula (AVF) is a rare clinical condition defined as an abnormal communication between the aorta or iliac arteries and the inferior vena cava or the iliac or renal veins. Penetrating trauma, including iatrogenic injuries, accounts for less than 20% of these AVFs. Endovascular techniques were useful in the management of vascular lesions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-234220DOI Listing

Palatal Wound Healing with Primary Intention in a Rat Model-Histology and Immunohistomorphometry.

Medicina (Kaunas) 2020 Apr 24;56(4). Epub 2020 Apr 24.

Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, School of Dental Medicine, Tel Aviv University, Tel-Aviv 69978, Israel.

Background And Objectives: Subepithelial connective tissue graft (SCTG) from the palate has been considered as the "gold standard" for the treatment of deep gingival recessions. A single-incision technique was reported to allow primary wound healing. A palatal single incision was performed in a rat model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/medicina56040200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230352PMC

Simulation training on bedside veno-arterial extracorporeal membrane oxygenation decannulation.

J Vasc Access 2020 Apr 28:1129729820913378. Epub 2020 Apr 28.

Department of Intensive Care, Queen Elizabeth Hospital, Kowloon, Hong Kong SAR.

Veno-arterial extracorporeal membrane oxygenation is a form of mechanical circulatory support for patients with refractory decompensated heart failure. Blood is drawn from a large vein and pumped back to a large artery, usually a femoral artery through large bore catheters. When the heart recovers, the extracorporeal membrane oxygenation support can be terminated and the catheters are decannulated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1129729820913378DOI Listing

Intraperitoneal onlay mesh repair (IPOM) plus technique using a hybrid procedure of open laparotomy and laparoscopic approach (hybrid IPOM plus) for incarceration of umbilical hernia in a severely obese patient: a case report.

Surg Case Rep 2020 Apr 26;6(1):83. Epub 2020 Apr 26.

Department of Surgery, Iwate Medical University School of Medicine, 1-1-1 Idaidori, Yahaba-cho, Shiwa-gun, Iwate, 028-3694, Japan.

Background: A standard procedure for the treatment of incarcerated umbilical hernia among severely obese patients has yet to be established. We used the hybrid intraperitoneal onlay mesh repair (IPOM) plus method, which combines open and laparoscopic surgery to treat incarcerated umbilical hernia in a severely obese patient.

Case Presentation: A 46-year-old man presented in our department with a chief complaint of a painful mass in the umbilical region. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-00845-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183571PMC

The effect of wound closure technique in proximal femoral fractures - a prospective cohort study.

J Orthop Trauma 2020 Apr 13. Epub 2020 Apr 13.

Department of Orthopaedic Surgery, Western Health, 160 Gordon St, Foootscray, Victoria 3011, Australia.

Objectives: To compare the effect of different wound closure techniques on wound drainage, postoperative length of stay and complications in patients with proximal femoral fractures including femoral neck fractures (31A fractures) and peritrochanteric fractures (31B fractures).

Design: Prospective cohort study SETTING:: Footscray Hospital, Western Health, Victoria, Australia, an acute teaching hospital.

Patients/participants: Between May 2016 and August 2017 all inpatients receiving surgery for proximal femoral fractures at our facility. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001781DOI Listing

Tissue fusion technology versus suture and staple in porcine bowel anastomosis: an in vivo study.

Braz J Med Biol Res 2020 17;53(5):e9305. Epub 2020 Apr 17.

Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.

The aim of this study was to make a comparison between the tissue fusion technique and conventional methods for sealing bowel anastomosis. Eighteen female domestic pigs (Suidae, Sus) were used in our study. Tissue-fused anastomoses (LigaSure groups) were made in 13 animals (5 anastomoses per animal), which were subdivided into 4 groups according to different manufacturing settings: "LigaSure-L-1" and "LigaSure-L-2", with low energy output level with 1 or 2 device-activated tissue sealing times, and "LigaSure-M" and "LigaSure-H", with medium or high energy output level. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1414-431X20209305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184961PMC

Neurosurgical Post-Operative Wound Infections: A retrospective study on surgical site infections for quality improvement.

Int Wound J 2020 Apr 21. Epub 2020 Apr 21.

Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, California, USA.

Despite efforts to maintain a meticulous aseptic environment, wound infection is one of the most common complications following surgery and may be related to dehiscence, haemorrhage, infection, and/or poor surgical technique. With the appearance of new wound closure techniques and suture materials, we felt compelled to perform a retrospective study on our institution's neurosurgical population to determine how our institution compared to others in terms of incidence of surgical site infection (SSI). A retrospective analysis was performed at our single institution for all patients that had cranial or spine surgery by a neurosurgeon for the past 15 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/iwj.13367DOI Listing

Comparison of 'Excision and Primary Repair' with 'Bascom's Technique' in the Surgical Treatment of Pilonidal Sinus.

Cureus 2020 Mar 20;12(3):e7338. Epub 2020 Mar 20.

General Surgery, Warwick Hospital, Warwick, GBR.

Introduction The management of the chronic pilonidal disease is variable and the principles of treatment are aimed to eradicate the sinus tract, promote wound healing, prevent disease recurrence, and improve the quality of life of the patient. This study aims to compare the effectiveness of excision and primary closure, and Bascom's technique in the management of pilonidal sinus disease. Methods  The study was performed at a tertiary hospital from April to October 2011. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164700PMC

Impact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial.

J Obstet Gynaecol 2020 Apr 21:1-5. Epub 2020 Apr 21.

Office of Biostatistics, Preventive Medicine and Community Health, The University of Texas Medical Branch at Galveston, TX, USA.

We compared wound dressing removal at 24 hours 48 hours following low-risk caesarean deliveries. This multicentre, randomised, controlled study included patients 18-44 years of age with low-risk term, singleton pregnancies. The randomisation was done weekly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/01443615.2020.1736015DOI Listing
April 2020
0.604 Impact Factor

Open abdomen treatment for complicated intra-abdominal infection patients with gastrointestinal fistula can reduce the mortality.

Medicine (Baltimore) 2020 Apr;99(16):e19692

State Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Xijing Hospital, Fourth Military Medical University.

To evaluate the effect of the open abdomen (OA) and closed abdomen (CA) approaches for treating intestinal fistula with complicated intra-abdominal infection (IFWCIAI), and analyze the risk factors in OA treatment.IFWCIAI is associated with high mortality rates and healthcare costs, as well as longer postoperative hospital stay. However, OA treatment has also been linked with increased mortality and development of secondary intestinal fistula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000019692DOI Listing

Complications following posterior cervical decompression and fusion: a review of incidence, risk factors, and prevention strategies.

J Spine Surg 2020 Mar;6(1):323-333

Department of Neurological Surgery, UCSF Medical Center, San Francisco, CA, USA.

Posterior cervical decompression and fusion (PCF) is a common surgical technique used to treat various cervical spine pathologies. However, there are various complications associated with PCF that can negatively impact patient outcome. We performed a comprehensive literature review to identify the most common complications following PCF using PubMed, Cochrane Database of Systematic Reviews, and Google Scholar. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/jss.2019.11.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154364PMC

Risk factors for wound-related complications after microvascular decompression.

Neurosurg Rev 2020 Apr 18. Epub 2020 Apr 18.

Department of Neurological Surgery, University of Alabama at Birmingham, 1057 Faculty Office Tower, 510 20th Street South, Birmingham, AL, 35294-3410, USA.

Retrosigmoid craniotomy for microvascular decompression (MVD) has been traditionally performed via craniectomy. Various closure techniques have been described, yet factors associated with wound-related complications remain undetermined. Accordingly, herein, we sought to identify risk factors associated with wound-related complications after such procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10143-020-01296-1DOI Listing

Closure of Persistent, Small, Posterior Elbow Soft Tissue Defects Using a Rotation Flap: A Retrospective Study.

Wound Manag Prev 2020 Mar;66(3):40-47

Chungbuk National University Hospital, Cheongju, Korea.

Treating soft tissue defects occurring over the posterior elbow is challenging.

Purpose: This study aimed to evaluate the long-term outcomes of using rotation flaps for soft tissue defects over the posterior elbow.

Methods: A retrospective study was conducted among patients who had sustained posterior elbow defects and underwent rotation flap under local anesthesia between January 2, 2011, and December 31, 2014. Read More

View Article

Download full-text PDF

Source

Efforts to Reduce Infections in Delayed Sternal Closure Patients: A Survey of Pediatric Practice.

World J Pediatr Congenit Heart Surg 2020 May;11(3):310-315

Pediatric Cardiothoracic Surgery, University of Utah Health/Primary Children's Hospital, Salt Lake City, UT, USA.

Background: Pediatric patients with sternum left open after cardiac surgery experience a higher risk for sternal wound infection (SWI). These infections are costly for programs, payers, and patients and their families. Despite efforts by individual programs to reduce infections in patients undergoing delayed sternal closure (DSC), there are no established guidelines that address preventive procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2150135120907372DOI Listing

Delayed Periorbital Reconstruction After War Injuries.

J Craniofac Surg 2020 Apr 10. Epub 2020 Apr 10.

Department of Plastic and Reconstructive Surgery.

Introduction: Syrian patients injured in the war frequently undergo rudimentary primary wound closure in combat zones. These patients are later transferred to Lebanon where their wounds need to be secondarily managed. This often leads to the creation of unorthodox approaches for reconstruction of orbital injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006410DOI Listing

Single-Incision 4-Compartment Fasciotomy of the Lower Leg: Safe, Effective, and Advantageous.

Orthopedics 2020 Apr 9:1-6. Epub 2020 Apr 9.

The optimal surgical approach for acute compartment syndrome (ACS) of the lower leg remains debatable. Although a majority of surgeons tend to use a 2-incision approach to 4-compartment fasciotomies, the authors have used a single-incision technique followed by protocolized, staged skin closure. The purpose of this study was to determine the safety, efficacy, and complication rate of this strategy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3928/01477447-20200404-03DOI Listing

[Comparison of laparoscopic and open suturing of perforated peptic ulcer complicated by advanced peritonitis].

Khirurgiia (Mosk) 2020 (3):13-21

Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Moscow, Russia.

Aim: To compare the results of open and laparoscopic interventions for PGDU complicated by advanced peritonitis.

Material And Methods: A retrospective analysis enrolled 172 patients with PGDU who underwent surgery for the period 2014-2016. The research was performed at the bases of the Department of Faculty-Based Surgery No. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia202003113DOI Listing

[Specific complications of liver resection and their prevention].

Khirurgiia (Mosk) 2020 (3):5-12

Botkin Municipal Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia.

Aim: To improve the results of treatment of patients with focal liver formations by preventing the development of postoperative complications after liver resections.

Methods: The study included 304 patients with benign and malignant liver lesions. In 196 (64. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia20200315DOI Listing

Comparison of early and delayed removal of dressing following primary closure of clean and contaminated surgical wounds: A systematic review and meta-analysis of randomized controlled trials.

Exp Ther Med 2020 May 11;19(5):3219-3226. Epub 2020 Mar 11.

Department of Nursing, Tianjin Fifth Central Hospital, Tianjin 300450, P.R. China.

The usefulness of dressing a surgical wound beyond the first 24-48 h of surgery is currently a controversial issue. The aim of this meta-analysis was to compare the early and delayed removal of dressing following primary closure in the management of clean and contaminated surgical wounds. Systematic searches were conducted in various databases including Medline, Cochrane Controlled Register of Trials (CENTRAL), Scopus, and Embase from January, 1964 until October, 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3892/etm.2020.8591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132221PMC

Latest Advances in Wound Debridement Techniques.

Surg Technol Int 2020 May;36:37-40

Wound Care Center University Hospital, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

The surgical surgical debridement of wounds has evolved over the past 250 years. At that time, the amputation of extremities was recognized as a life-saving procedure to treat major wounds suffered in combat. This continued until after World War I. Read More

View Article

Download full-text PDF

Source

Epicardial left atrial appendage occlusion with a new medical device: assessment of procedural feasibility, safety and efficacy in a large animal model.

J Cardiothorac Surg 2020 Apr 3;15(1):56. Epub 2020 Apr 3.

Department of Cardiovascular Surgery, Charité Universitätsmedizin Berlin, Berlin, Germany.

Background: Left atrial appendage occlusion (LAAO) represents a treatment alternative to anticoagulation in patients with atrial fibrillation. We evaluate a novel device for epicardial LAAO in a translational canine model.

Methods: Nine hounds (n = 9) were used to assess usability, safety, and efficacy of the TigerPaw Pro (TPP) device for epicardial LAAO. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13019-020-01096-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118967PMC