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Operative wound dehiscence

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https://www.readbyqxmd.com/read/28228944/semi-closed-surgical-technique-for-treatment-of-pilonidal-sinus-disease
#1
Georgios Sahsamanis, Stavros Samaras, Georgios Mitsopoulos, Titos Deverakis, Georgios Dimitrakopoulos, Dionysios Pinialidis
INTRODUCTION: Pilonidal sinus disease (PSD) is a highly debatable disorder regarding its surgical management, despite an assortment of surgical techniques described in the medical literature. The aim of this report is to provide an alternate semi-closed surgical method for treatment of PSD, with early recovery and a satisfactory cosmetic result. METHODS: In this retrospective study, 34 patients underwent surgical treatment for primary PSD; 32 male and 2 female. Patients were suffering from primary PSD, with the cyst located in the gluteal midline...
March 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28222776/retrospective-review-of-risk-factors-for-surgical-wound-dehiscence-and-incisional-hernia
#2
Sofie Walming, Eva Angenete, Mattias Block, David Bock, Bodil Gessler, Eva Haglind
BACKGROUND: Several factors and patient characteristics influence the risk of surgical wound dehiscence and incisional hernia after midline laparotomy. The purpose of this study was to investigate whether a specified, or not specified, suture quota in the operative report affects the incidence of surgical wound complications and to describe the previously known risk factors for these complications. METHODS: Retrospective data collection from medical records of all vascular procedures and laparotomies engaging the small intestines, colon and rectum performed in 2010...
February 22, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28203494/flap-reconstruction-for-pressure-ulcers-an-outcomes-analysis
#3
Ravinder Bamba, James J Madden, Ashley N Hoffman, Justine S Kim, Wesley P Thayer, Lillian B Nanney, Marcia E Spear
BACKGROUND: Historically, complication rates after pressure ulcer reconstruction utilizing flap coverage have been high. Patients undergoing operations for pressure ulcer coverage typically have multiple risk factors for postoperative complications. The purpose of this study was to examine a large patient series in the pressure ulcer population to uncover objective evidence of the linkage between risk factors and outcomes after flap coverage. METHODS: This study was a retrospective chart review of patients who underwent flap reconstruction for a pressure ulcer between 1997 and 2015...
January 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28195893/functional-outcomes-and-complications-of-robot-assisted-free-flap-oropharyngeal-reconstruction
#4
Yueh-Chi Tsai, Shih-An Liu, Chih-Sheng Lai, Yen-Wei Chen, Chen-Te Lu, Jung-Hsing Yen, I-Chen Chen
BACKGROUND: Robotic surgical systems provide a clear, magnified 3-dimensional visualization as well as precise, stable instrumental movement, thereby minimizing technical difficulties that may be encountered in the surgical treatment of oropharyngeal tumors. This study assessed the outcomes of robotic-assisted free flap oropharyngeal reconstruction compared with those of conventional free flap reconstruction. MATERIALS AND METHODS: A retrospective review of 47 patients who underwent reconstructive operations using a free radial forearm fasciocutaneous flap for oropharyngeal defects was conducted over a 20-month period (May 2013-December 2014)...
February 14, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28179700/calvarial-remodelling-surgery-neurosurgical-experience-of-multidisciplinary-craniofacial-reconstruction
#5
Abdul Ghaffar, Zahid Hussain, Shahzad Ahmed Qasmi, Shahid Hameed Chaudhry
OBJECTIVE: To evaluate the safety, cosmetic and functional outcome of craniofacial reconstruction surgery for primary craniosynostosis and clefts. METHODS: This quasi-experimental study was conducted at the Combined Military Hospital, Rawalpindi, Pakistan, from June 2011 to December 2014, and comprised paediatric patients undergoing calvarial reconstructive procedures. Fronto-orbital advancement and reconstruction, total calvarial remodelling and box flap reconstruction techniques were used...
December 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28179178/cranioplasty-outcomes-and-analysis-of-the-factors-influencing-surgical-site-infection-a-retrospective-review-of-over-10-years-of-institutional-experience
#6
Keita Shibahashi, Hidenori Hoda, Yuichi Takasu, Kazuo Hanakawa, Takafumi Ide, Yuichi Hamabe
BACKGROUND: As a large amount of clinical evidence supports the effects of craniectomy, the frequency of subsequent cranioplasty is on the rise. Complication rates and risk factors of cranioplasty have been reported; however, they have been conflicting. We aimed to review over 10 years of institutional experience and identify the risk factors of surgical-site infection (SSI) after cranioplasty. METHODS: A retrospective review was conducted for patients who underwent primary cranioplasty...
February 4, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28166137/vascular-complications-and-free-flap-salvage-in-head-and-neck-reconstructive-surgery-analysis-of-150-cases-of-reexploration
#7
Yen-Hao Chiu, Dun-Hao Chang, Cherng-Kang Perng
INTRODUCTION: Despite the excellent reliability of free tissue transfer, flap failure is devastating, and in addition to patient morbidity, it may increase hospital stay and associated costs. Previous studies have evaluated factors related to flap salvage, regarding the operative strategy for flap salvage surgery. The present study aimed to share our experience of reexploration and describe operative standards dealing with vascular thrombosis. METHODS: We retrospectively reviewed 150 (of 1258) free flaps for head and neck reconstruction that showed signs of vascular compromise at our institution during a 13-year period between 2002 and 2015...
February 4, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28141655/an-analysis-of-independent-variables-affecting-surgical-outcomes-in-patients-undergoing-repair-of-maxillofacial-trauma-an-american-college-of-surgeons-national-surgical-quality-improvement-program-study
#8
Stephanie M Cohen, Brian E Rosett, David A Shifrin
INTRODUCTION: Facial fractures, from straightforward closed nasal reductions to complex pan facial fractures, are commonly encountered in the Plastic Surgical community. However, very little has been discussed in the literature regarding the outcomes of facial fractures relating to contributing factors. Our aim was to evaluate a battery of independent variables in order to identify, which, if any, factors correlate with suboptimal outcomes in patients who have undergone facial fracture surgery...
January 30, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28125535/calf-perforator-flaps-a-freestyle-solution-for-oral-cavity-reconstruction
#9
Alexandra R Molina, Isabelle Citron, Fungayi Chinaka, Luke Cascarini, William A Townley
BACKGROUND: Reconstruction of oral cavity defects requires a thin, pliable flap for optimal functional results. Traditional flap choices are imperfect: the anterolateral thigh flap is excessively thick, whereas the radial forearm flap has a poor donor site. The authors therefore favor calf perforator flaps such as the medial sural artery perforator flap to provide thin tissue with an acceptable donor site. This two-part study aims to demonstrate their suitability for intraoral reconstruction...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28111208/outcome-of-urethroplasty-after-parenteral-testosterone-in-children-with-distal-hypospadias
#10
P Menon, K L N Rao, A Handu, L Balan, N Kakkar
INTRODUCTION: Pre-operative testosterone use in hypospadias surgery is known to increase penile dimensions and vascularity, which should facilitate tension-less formation of the urethral tube and tissue healing. However, androgens can have a negative effect on wound healing. There are very few randomized studies on postoperative results after androgen use, and this study attempted to understand the utility of pre-operative testosterone in distal hypospadias. OBJECTIVE: To study the effect of parenteral testosterone in children undergoing single stage urethroplasty for distal hypospadias, especially the occurrence of urethrocutaneous fistula and wound dehiscence...
January 11, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28099464/laparoscopically-assisted-anorectal-pull-through-versus-posterior-sagittal-anorectoplasty-for-high-and-intermediate-anorectal-malformations-a-systematic-review-and-meta-analysis
#11
Yijiang Han, Zhaobo Xia, Shikun Guo, Xiangbo Yu, Zhongrong Li
OBJECTIVE: Anorectal malformations (ARMs) are one of the commonest anomalies in neonates. Both laparoscopically assisted anorectal pull-through (LAARP) and posterior sagittal anorectoplasty (PSARP) can be used for the treatment of ARMs. The aim of this systematic review and meta-analysis is to compare these two approaches in terms of intraoperative and postoperative outcomes. METHODS: MEDLINE, Embase, Web of Science and the Cochrane Library were searched from 2000 to August 2016...
2017: PloS One
https://www.readbyqxmd.com/read/28088939/complications-in-the-management-of-closed-high-energy-proximal-tibial-plateau-fractures
#12
Kavin Khatri, Vijay Sharma, Darsh Goyal, Kamran Farooque
PURPOSE: To report complications in the management of complex closed proximal tibial fractures. METHOD: A retrospective study was conducted to analyze the infectious and noninfectious complications encountered in the management of high-energy Schatzker type V and VI tibial plateau fractures. All patients were treated at the level 1 trauma centre between January 2011 and March 2014. Sixty two patients were included in the study. The mean patient age was (43.16 ± 11...
December 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28081317/hormone-therapy-in-hypospadias-surgery-a-survey-on-the-current-practice-in-turkey
#13
Gülnur Göllü Bahadır, Ergun Ergün, Onur Telli, Farid Khanmammadov, Ahmet Murat Çakmak
BACKGROUND/AIM: Nowadays surgical intervention is possible in smaller phalluses and younger children with hypospadias disease. Different hormone treatments with different doses, modalities, indications, and treatment times come along with some disputes. The aim of this study is to evaluate the management approaches in hypospadias surgery of surgeons in regards to hormone preparations. MATERIALS AND METHODS: Questionnaires were sent via e-mail to 110 actively working pediatric surgeons and urologists...
December 20, 2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/28069525/utilization-of-the-nsqip-pediatric-database-in-development-and-validation-of-a-new-predictive-model-of-pediatric-postoperative-wound-complications
#14
Ilan I Maizlin, David T Redden, Elizabeth A Beierle, Mike K Chen, Robert T Russell
BACKGROUND: Surgical wound classification, introduced in 1964, stratifies the risk of surgical site infection (SSI) based on a clinical estimate of the inoculum of bacteria encountered during the procedure. Recent literature has questioned the accuracy of predicting SSI risk based on wound classification. We hypothesized that a more specific model founded on specific patient and perioperative factors would more accurately predict the risk of SSI. STUDY DESIGN: Using all observations from the 2012 to 2014 pediatric National Surgical Quality Improvement Program-Pediatric (NSQIP-P) Participant Use File, patients were randomized into model creation and model validation datasets...
January 6, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28059916/does-hospital-transfer-impact-outcomes-after-colorectal-surgery
#15
Christopher J Chow, Wolfgang B Gaertner, Christine C Jensen, Bradford Sklow, Robert D Madoff, Mary R Kwaan
BACKGROUND: With increasing public reporting of outcomes and bundled payments, hospitals and providers are scrutinized for morbidity and mortality. The impact of patient transfer before colorectal surgery has not been well characterized in a risk-adjusted fashion. OBJECTIVE: We hypothesized that hospital-to-hospital transfer would independently predict morbidity and mortality beyond traditional predictor variables. DESIGN: We constructed a retrospective cohort of 158,446 patients who underwent colorectal surgery using the 2009-2013 American College of Surgeons National Surgical Quality Improvement Program database...
February 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28051050/our-experience-of-proximal-hypospadias-repair-using-the-cloutier-bracka-technique-at-the-gynaeco-obstetric-and-paediatric-hospital-yaounde-cameroon
#16
Mouafo Tambo Faustin Felicien, A S Nwaha Makon, C Kamadjou, G Fossi, C Le Coultre, O G Andze, M A Sosso, P Y Mure
BACKGROUND: In parts of Africa, routine circumcision is practised and sometimes even on children with hypospadias. The lack of preputial foreskin renders urethroplasty more difficult and often requires to use of a mucosal graft as described by Bracka. OBJECTIVE: The authors describe their experience of hypospadias repair using Bracka's technique. MATERIALS AND METHODS: Over a period of 5 years, 100 cases of proximal hypospadias were operated in our institution...
October 2016: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/28043785/tissue-sealants-may-reduce-haematoma-and-complications-in-face-lifts-a-meta-analysis-of-comparative-studies
#17
REVIEW
Salvatore Giordano, Ilkka Koskivuo, Erkki Suominen, Esko Veräjänkorva
: The use of tissue sealants has increased among different surgical specialities. Face-lift and rhytidoplasty may cause several complications such as haematoma, ecchymosis, oedema, seroma, skin necrosis, wound dehiscence and wound infection. However, administration of tissue sealants may prevent the occurrence of some complications. We performed a meta-analysis of studies that compared tissue sealant use with controls to evaluate the outcomes. A systematic literature search was performed...
December 15, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28027261/evidence-based-medicine-the-evaluation-and-treatment-of-pressure-injuries
#18
Joseph A Ricci, Lauren R Bayer, Dennis P Orgill
LEARNING OBJECTIVE: After studying this article, the participant should be able to: 1. Discuss the approach to and rationale for pressure injury management, including specific techniques for prevention and preoperative evaluation. 2. Develop a management algorithm for these wounds that includes operative and nonoperative modalities. 3. Understand how to identify and manage the complications of surgical intervention for pressure injuries, including recurrence. SUMMARY: Pressure injuries are a common problem associated with great morbidity and cost, often presenting as complex challenges for plastic surgeons...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28011967/reduced-wound-infection-in-colorectal-resection-by-using-a-wound-auto-retractor
#19
Juan J Arenal, Agustín Martínez, María V Maderuelo, Claudia Tinoco, César Benito, Miguel A Citores, José M Eiros
Surgical site infection (SSI) remains an important problem in colorectal surgery. The aim of this study is to determine whether the use of a wound protection system can be effective in reducing the incidence of wound infection after colorectal resection. Ninety-five consecutive patients underwent colorectal resection, carried out by one single surgeon during a six-year period (2009-2015). A laparotomy auto-retractor was used in all cases (Alexis Wound Retractor; Applied Medical, Rancho Santa Margarita, CA)...
1, 2016: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/28003170/impact-of-race-on-30-day-complication-rates-after-elective-complex-spinal-fusion-%C3%A2-5-levels-a-single-institutional-study-of-446-patients
#20
Aladine A Elsamadicy, Owoicho Adogwa, Amanda Sergesketter, Cassie Hobbs, Shay Behrens, Ankit I Mehta, Raul A Vasquez, Joseph Cheng, Carlos A Bagley, Isaac O Karikari
OBJECTIVE: Racial disparities have been demonstrated to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race impacts 30-day complication rates after elective complex spinal fusion (≥5 levels). METHODS: The medical records of 490 adult spinal deformity patients undergoing elective complex spinal fusion (≥5 levels) at a major academic institution from 2005 to 2015 were reviewed...
December 18, 2016: World Neurosurgery
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