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Abdominal AND wound infection

Hassan Fadel, Seong-Jin Moon, Neil V Klinger, Parthasarathi Chamiraju, Hazem A Eltahawy, Marc D Moisi, Murali Guthikonda
Candida parapsilosis is an incredibly rare cause of ventriculoperitoneal (VP) shunt infections, with only one adult case reported in the literature to date. We describe the case of a 45-year-old man admitted for a traumatic fall and subsequently treated with VP shunt placement for obstructive hydrocephalus secondary to a cerebellar contusion and intraventricular hemorrhage. Eight months following VP shunt placement, the patient presented with a two-month history of clear fluid leakage through a dehiscent surgical abdominal wound overlying the distal VP shunt...
August 13, 2018: World Neurosurgery
Zubaidah Nor Hanipah, Suriya Punchai, Arthur McCullough, Srinivasan Dasarathy, Stacy A Brethauer, Ali Aminian, Philip R Schauer
INTRODUCTION: Studies on bariatric patients with cirrhosis and portal hypertension are limited. The aim of this study was to review our experience in cirrhotic patients with portal hypertension who had bariatric surgery. METHOD: All cirrhotic patients with portal hypertension who underwent laparoscopic bariatric surgery, from 2007 to 2017, were retrospectively reviewed. RESULTS: Thirteen patients were included; eight (62%) were female. The median age was 54 years (interquartile range, IQR 49-60) and median BMI was 48 kg/m2 (IQR 43-55)...
August 14, 2018: Obesity Surgery
Gabriella F Pogorzelski, Taline Aal Silva, Thamara Piazza, Tomás M Lacerda, Fernando Ac Spencer Netto, Amaury Cesar Jorge, Péricles Ad Duarte
Background: Trauma is a major cause of hospital admissions and is associated with manifold complications and high mortality rates. However, data on intensive care unit (ICU) admissions are scarce in developing and low-income countries, where its incidence has been increasing. Objectives: To analyze epidemiological and clinical factors and outcomes in adult trauma patients admitted to the ICU of a public teaching hospital in a developing country as well as to identify risk factors for complications in the ICU...
2018: Open Access Emergency Medicine: OAEM
Sung Il Kang, Heung-Kwon Oh, Min Hyun Kim, Myung Jo Kim, Duck-Woo Kim, Hyung Jin Kim, Sung-Bum Kang
BACKGROUND: Surgical site infections are a common postoperative complication after abdominal surgery. Although impervious plastic wound protectors have been used in surgery to reduce surgical site infection rates, the effectiveness of impervious plastic wound protectors for reduction of surgical site infections remains unclear. This study aimed to determine the clinical effectiveness of impervious plastic wound protectors in reducing surgical site infection rates after abdominal surgery...
August 8, 2018: Surgery
Nisha A Lakhi, Katherine Williamson, Michael L Moretti
BACKGROUND: Obese patients are at an increased risk of cesarean delivery and its associated wound complications. We present an alternative incision technique for obese parturients that avoids making a Pfannenstiel incision under the panniculus while still providing access to the lower uterine segment. TECHNIQUE: For our technique, an assistant uses Allis clamps to exert caudal traction on the patient's panniculus and a transverse skin incision is made under the umbilicus, 3 cm below the line joining the anterosuperior iliac crests...
August 6, 2018: Obstetrics and Gynecology
Adel Elkbuli, Brandon Diaz, John D Ehrhardt, Shaikh Hai, Sean Kaufman, Mark McKenney, Dessy Boneva
INTRODUCTION: Clostridial toxic shock is a rare syndrome traditionally described in case studies and reviews as a uniformly fatal condition associated with post-partum and post-abortion. Clostridium sordellii was first mentioned in scientific literature as a human pathogen in 1922 when Argentinian microbiologist Alfredo Sordellii identified the organism in gangrenous wounds. Over the past century, there has been infrequent discussion and little awareness surrounding this serious condition...
July 29, 2018: International Journal of Surgery Case Reports
Toshikatsu Nitta, Takashi Kinoshita, Jun Kataoka, Masato Ohta, Kensuke Fujii, Takashi Ishibashi
INTRODUCTION: Currently, laparoscopic surgery (LS) is a widely accepted surgical treatment for inguinal hernias, and it has major advantages, especially for recurrent cases. PRESENTATION OF CASE: We diagnosed the recurrent inguinal hernia after wound infection and performed the laparosocopic approach. We would like to introduce our method. <First step: TAPP part> We distinguished between the presence and absence of bilateral inguinal hernia with an intra-abdominal scope using the transabdominal preperitoneal inguinal hernia repair (TAPP) technique, which we call laparoscopic examination...
July 7, 2018: International Journal of Surgery Case Reports
Guoxian Huang, Lili Ma, Yonglong Wu
The aim of this study was to discuss the curative effect of applying "capsule-reserved normal saline bag and self-made hemi-spherical cushion oppression" for treating giant omphaloceles. Twelve patients with giant omphaloceles who were admitted to our hospital between January 2008 and June 2016 were selected for treatment as follows: a capsule-reserved normal saline bag was used to promote the gradual return of the abdominal contents into the abdominal cavity in phase I, and a self-made hemi-spherical cushion was used for compression combined with a local dressing change in phase II to treat the giant omphaloceles without surgical treatment...
July 30, 2018: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
Hamidreza Abdi, Ehab Elzayat, Ilias Cagiannos, Luke T Lavallée, Sonya Cnossen, Anathea S Flaman, Ranjeeta Mallick, Chris Morash, Rodney H Breau
INTRODUCTION: Surgical site infections (SSI) are common after radical cystectomy. The objectives of this study were to evaluate if female sex is associated with postoperative SSI and if experiencing an SSI was associated with subsequent adverse events. METHODS: This was a historical cohort study of radical cystectomy patients from the American College of Surgeons' National Surgical Quality Improvement Program database between 2006 and 2016. The primary outcome was development of a SSI (superficial, deep, or organ/abdominal space) within 30 days of surgery...
July 28, 2018: Urologic Oncology
Lily Knight Fatula, Allison Nelson, Hamza Abbad, J Alex Ewing, Ben S Hancock, William S Cobb, Alfredo M Carbonell, Jeremy A Warren
Surgical site infections (SSI) are common complications after open ventral hernia repair (OVHR), potentially requiring further intervention. Antibiotic lavage before abdominal closure has been shown to lower the incidence in intra-abdominal and soft tissue SSI. A retrospective review of OVHR was performed with mesh at Greenville Health System Hernia Center between 2008 and 2017. Patients were divided into three groups, receiving no antibiotic irrigation (Grp 1, n = 260), gentamicin alone (Grp 2, n = 263), or gentamicin + clindamycin (G + C) irrigation (Grp 3, n = 299)...
July 1, 2018: American Surgeon
Yang Fei, Jiye Li, Wen Tian
OBJECTIVE: To evaluate the safety and feasibility of radical surgery for giant desmoid in abdominal wall accompanied with the repair of giant myofascial defect using synthetic prosthesis. METHODS: We analyzed the clinical and follow-up data of 31 patients with giant desmoid in abdominal wall undergoing radical resection and immediate abdominal wall reconstruction with synthetic prosthesis from January 2007 to January 2017 retrospectively. Patients were recruited at the Diagnostic and Therapeutic Center of Hernia and Abdominal Wall Diseases, the First Affiliated Hospital of Chinese PLA General Hospital and the Department of General Surgery, Chinese PLA General Hospital...
July 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Tharwat El Zahran, Mohammad El Warea, Rana Bachir, Eveline Hitti
OBJECTIVE: The aim of this study was to identify the most common diagnoses for pediatric emergency department (ED) visits at a tertiary care center in Lebanon. METHODS: A retrospective chart review of pediatric patients (aged ≤18 years) presenting to the American University of Beirut Medical Center ED during 2010-2011 was completed. The common diagnoses among 5 age groups (<1, 1-4, 5-9, 10-14, and 15-18 years) in 3 categories (all pediatric ED visits, treat and release, admitted visits) were assessed...
July 24, 2018: Pediatric Emergency Care
Sandra Bergquist-Beringer, Emily Cramer, Catima Potter, James X Stobinski, Diane K Boyle
OBJECTIVE: The aim of this study is to explore the relationship between nursing specialty certification and surgical site infections (SSIs) for colon (COLO) and abdominal hysterectomy (HYST) surgical procedures. BACKGROUND: SSI following COLO and HYST procedures is a preventable complication now included in the Centers for Medicare & Medicaid Services' Hospital Inpatient Quality Reporting Program. METHODS: Data from 69 hospitals, 346 units, and 6585 RNs participating in the National Database of Nursing Quality Indicators and SSI data on 22 188 patient COLO and HYST procedures from the National Healthcare Safety Network were examined in multivariate logistic regression analysis...
July 2018: Journal of Nursing Administration
R L Nelson, A Kravets, R Khateeb, M Raza, M Siddiqui, I Taha, A Tummala, R Epple, S Huang, M Wen
BACKGROUND: Among the techniques investigated to reduce the risk of surgical wound infection or surgical space infection (SSI) in patients having colorectal surgery are topical application of antimicrobials (antibiotics and antiseptics) to the open wound or immediately after closure. The aim of the present study was to perform a systematic review of the literature on those treatments, with the exception of antibiotic ointments applied to closed skin, which are adequately assessed elsewhere, and a meta-analysis...
July 17, 2018: Techniques in Coloproctology
Jeffrey D Howard, Mickey S Ising, Megan E Delisle, Robert C G Martin
BACKGROUND: Appropriate postoperative readmission rates and modifiable risk factors for readmission have yet to be defined for many operations. This systematic review and meta-analysis attempt to define these parameters for pancreaticoduodenectomy. MATERIALS AND METHODS: The main outcomes were readmission rate, risk factors, and reasons for readmission. Meta-analyses were performed when data was homogeneous, otherwise, a qualitative review was performed. RESULTS: The 30-day, 90-day, and overall readmission rates were 17...
July 13, 2018: American Journal of Surgery
Francesc Simo Alari, Israel Gutierrez
A 72-year-old woman with morbid obesity and history of psychosis attended the emergency room due to abdominal pain. CT scan revealed a mesenteric infiltration surrounding a thickened wall bowel agglomeration; inside, a dense 2 cm foreign body with no pneumoperitoneum or peritoneal effusion. Surgery revealed four contained bowel perforations due to a blister pill pack inside the ileum; consequently, a 30 cm bowel resection was performed. Ingestion was restarted on day 2, a superficial wound infection was evacuated on day 4 and the patient was discharged 6 days after surgery...
July 11, 2018: BMJ Case Reports
Aali J Sheen, J James Pilkington, Minas Baltatzis, Ahmed Tyurkylmaz, Panagiotis Stathakis, Saurabh Jamdar, Ajith K Siriwardena
BACKGROUND: Minimally invasive incisional hernia repair has been established as a safe and efficient surgical option in most centres worldwide. Laparoscopic technique includes the placement of an intraperitoneal onlay mesh with fixation achieved using spiral tacks or sutures. An additional step is the closure of the fascial defect depending upon its size. Key outcomes in the evaluation of ventral abdominal hernia surgery include postoperative pain, the presence of infection, seroma formation and hernia recurrence...
July 11, 2018: BMC Surgery
Hongda Bi, Junhui Li, Chunyu Xue, Malcolm Marks
Postoperative surgical site infections (SSIs) are one of the most common complications. SSIs after laparotomy have a high incidence and are complicated and expensive to heal. The aim of this study was to evaluate the safety and efficacy of a novel therapy of early closure of open abdominal SSIs wound combining wound irrigation with negative pressure wound therapy (NPWT). Open abdominal SSIs wounds were closed with sutures in 42 consecutive patients. Topical NPWT was applied over a closed wound with a deep drain to allow dynamic drainage and wound irrigation...
June 1, 2018: American Surgeon
Rami S Kantar, William J Rifkin, Stelios C Wilson, Joshua A David, J Rodrigo Diaz-Siso, Jamie P Levine, Alyssa R Golas, Daniel J Ceradini
BACKGROUND: The prevalence of Obesity along with bariatric surgery and massive weight loss requiring panniculectomy is increasing in the United States. The effect of Diabetes Mellitus (DM) on outcomes following panniculectomy remains poorly defined despite its prevalence. Our study aims to evaluate the impact of DM on complications following panniculectomy and determine risk factors for adverse events. METHODS: The American College of Surgeons National Surgical Quality Improvement (ACS NSQIP) database was used to identify patients undergoing panniculectomy between 2010 and 2015...
July 2, 2018: Plastic and Reconstructive Surgery
Francisco J Schneuer, Susan E Adams, Jason P Bentley, Andrew Ja Holland, Carmen Huckel Schneider, Leslie White, Natasha Nassar
OBJECTIVE: To assess and compare the post-operative outcomes of open and laparoscopic appendicectomy in children. DESIGN: Record linkage analysis of administrative hospital (Admitted Patient Data Collection) and emergency department (Emergency Department Data Collection) data.Participants, setting: Children under 16 years of age who underwent an appendicectomy in a public or private hospital in New South Wales between January 2002 and December 2013. MAIN OUTCOME MEASURES: Association between type of appendicectomy and post-operative complications within 28 days of discharge, adjusted for patient characteristics and type of hospital...
July 16, 2018: Medical Journal of Australia
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