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Omer Akturk, Kemal Kismet, Ahmet C Yasti, Serdar Kuru, Mehmet E Duymus, Feridun Kaya, Muzaffer Caydere, Sema Hucumenoglu, Dilek Keskin
In this study, nanocomposite collagen scaffolds incorporating gold nanoparticles (AuNPs) were prepared for wound healing applications. Initially, dose (<20 ppm) and size (>20 nm) of AuNPs that were not cytotoxic on HaCat keratinocytes and 3T3 fibroblasts were determined. Both collagen sponges and AuNP-incorporated nanocomposites (CS-Au) were cross-linked with glutaraldehyde (CS-X and CS-AuX). Incorporation of AuNPs into cross-linked scaffolds enhanced their stability against enzymatic degradation and increased the tensile strength...
August 2016: Journal of Biomaterials Applications
Jonida Bejko, Vincenzo Tarzia, Massimiliano Carrozzini, Michele Gallo, Giacomo Bortolussi, Marina Comisso, Luca Testolin, Cosimo Guglielmi, Marco De Franceschi, Roberto Bianco, Gino Gerosa, Tomaso Bottio
We sought to examine the efficacy in preventing surgical site infection (SSI) in cardiac surgery, using two different incise drapes (not iodine-impregnated and iodine-impregnated). A cost analysis was also considered. Between January 2008 and March 2015, 5100 consecutive cardiac surgery patients, who underwent surgery in our Institute, were prospectively collected. A total of 3320 patients received a standard not iodine-impregnated steri-drape (group A), and 1780 patients received Ioban(®) 2 drape (group B)...
October 2015: Journal of Cardiovascular Translational Research
Nikhil Tiwari, Gautam Ganguly, Anurag Garg
AIM: To devise a simple, cheap and effective improvised method of treating deep sternal wound infections (DSWI) by negative pressure obviating high cost of patented systems. METHOD: Records of ten post CABG patients operated via median sternotomy approach over a two and half year period and treated for DSWI were analysed. Sterile foam with drain was placed in the wound, which was covered with Ioban (Steridrape), the drain being connected to a suction unit maintaining 100mmHg pressure (<$12 cost)...
July 2013: Heart, Lung & Circulation
Sreeharsha V Nandyala, Richard M Schwend
STUDY DESIGN: Retrospective case control study. OBJECTIVE: To determine prevalence and risk factors for intraoperative bacterial contamination in posterior spinal deformity surgery. SUMMARY OF BACKGROUND DATA: The prevalence of deep surgical site infection in pediatric spinal deformity surgery varies from 1% to 14%. Little evidence exists about the incidence and role of intraoperative bacterial contamination. METHODS: A total of 114 cases of pediatric posterior instrumented deformity surgery were retrospectively identified...
April 15, 2013: Spine
So-Eun Han, Suk-Tae Ryoo, So Young Lim, Jai-Kyung Pyon, Sa-Ik Bang, Kap-Sung Oh, Goo-Hyun Mun
BACKGROUND: The current trend in minimally invasive surgery is to make a small surgical incision. However, the excessive tensile stress applied by the retractors to the skin surrounding the incision often results in a long wound healing time and extensive scarring. To minimize these types of wound problems, the authors evaluated a simple and cost-effective method to minimize surgical incision scars based on the use of a latex surgical glove. METHODS: The tunnel-shaped part of a powder-free latex surgical glove was applied to the incision and the dissection plane...
April 2013: Aesthetic Plastic Surgery
Maneesh K Verma, Jeff Bradley, Peter J L Jebson
Surgery involving the fingers can be technically challenging especially when utilizing fluoroscopic imaging. The surgical field is often obscured by the remaining fingers and attempts to position the hand may expose the surgeon and assistants to additional radiation exposure. This paper describes a simple and effective technique to remove the uninvolved fingers from the surgical field allowing for a more efficient operative procedure with less radiation exposure.
December 2012: Techniques in Hand & Upper Extremity Surgery
Axel Kramer, Ojan Assadian, Jürgen Lademann
The literature is used to analyse the significance of the use of iodine-impregnated incision drape (Ioban(®) 2) for the prevention of postoperative wound infections (SSI). The drape has a microbiocidal effect in vitro. Consequently an antiseptic effect also occurs under the incision drape when it is applied to the skin; at the same time, bacterial wound contamination is reduced. Overall, based on the efficacy strength of the antiseptic incision drape, a reduction of the SSI rate can, however, be confirmed only with a large sample size...
2010: GMS Krankenhaushygiene Interdisziplinär
Kingsley R Chin, Nikolas London, Albert O Gee, Henry H Bohlman
Cervical spine infections can have disastrous consequences, but techniques for minimizing infections should be evidence based. In this article, we report the incidence of spine infections in a large cohort of consecutive patients who underwent anterior cervical fusions without iodophor-impregnated incision drapes (3M Ioban; 3M Health Care, St. Paul, Minn) covering the surgical site. We reviewed the records of 581 consecutive patients (294 men, 287 women) who underwent 616 anterior cervical fusions without such drapes over the incision site and who were followed for 1 to 21 years after surgery...
August 2007: American Journal of Orthopedics
Cassie Jacobson, Douglas R Osmon, Arlen Hanssen, Robert T Trousdale, Mark W Pagnano, Janine Pyrek, Elie Berbari, James Naessens
The use of the preoperative skin preparation DuraPrep is thought to enhance the adhesion qualities of an incise drape. If there is less drape lift it was hypothesized that there may be a reduction in wound contamination. We did a single-center, randomized trial to determine if a preoperative skin preparation containing DuraPrep solution plus Ioban 2 drapes reduced wound contamination in total joint replacement surgery compared with a povidone iodine scrub and paint plus Ioban 2 drapes. Secondary research questions focused on comparisons of differences in drape lift and cost between the two groups...
October 2005: Clinical Orthopaedics and related Research
D A Lewis, D J Leaper, D C Speller
Forty-five patients undergoing clean elective inguinal surgery were randomly allocated to receive one of three skin preparations, (1) alcoholic povidone-iodine ('Betadine') alone, (2) the same covered with an incise drape ('Steri-Drape'), or (3) an iodine-containing incise drape ('Ioban') alone. The first two preparations were superior in reducing bacterial colony counts measured on skin with cotton swabs and impression cultures. There were no clinical postoperative wound infections in any group but it is suggested that although the use of an iodine-containing incise drape alone is attractive, its bactericidal action is inferior to conventional preparations...
December 1984: Journal of Hospital Infection
J A Fairclough, D Johnson, I Mackie
Prior to preparing the skin for surgery, samples for bacterial growth were taken from 107 patients. The same site was sampled after preparation with povidone-iodine and at the end of surgical procedure the deep part of the wound was also sampled. This demonstrated that the wounds of 15% of patients became contaminated by organisms present on the skin prior to disinfection. A comparison was made with a further 122 patients undergoing hip surgery in whom an iodophor impregnated plastic adhesive drape ('Ioban') was applied to the operation site 24 hours prior to surgery...
1986: Journal of International Medical Research
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