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Abdominal AND wound infection

Narbada Upreti, Binod Rayamajhee, Samendra P Sherchan, Mahesh Kumar Choudhari, Megha Raj Banjara
Background: Treatment and prevention of wound infection continues to be a challenging issue in clinical settings of Nepal especially in the context of globally growing problem of antimicrobial resistance. Study on opportunistic pathogens and sensitivity to commonly prescribed local antimicrobial agents are cardinal to reduce the disease burden of wound infections. The aim of this study was to determine the prevalence and antimicrobial susceptibility pattern of methicillin resistant Staphylococcus aureus (MRSA) and extended spectrum β-lactamase (ESBL) producing bacteria from wound infections of patients at a tertiary care hospital in Nepal...
2018: Antimicrobial Resistance and Infection Control
Octavio Antonio Azevedo da Costa-Filho, Mario Augusto Cray da Costa, Ana Maria Waaga-Gasser, Luiz Fernando Kubrusly, Luciane Bugmann Moreira de Oliveira, Luiz Martins Collaço, Maria Angélica Baron Magalhães, Martin Gasser, Osvaldo Malafaia, Jurandir Marcondes Ribas-Filho
PURPOSE: To compare wound healing performed with cold blade (CSB) and ultrasonic harmonic scalpel (UHS) in the abdominal aponeurosis of rats. METHODS: Eighty Wistar rats divided into two groups and underwent midline incision in the linea alba with cold blade and harmonic ultrasonic scalpel. Analysis were performed in subgroups of 10 animals after 3, 7, 14 and 21 days. Macroscopically was observed the presence of hematoma, infection, wound dehiscence, fistula and adherences...
September 2018: Acta Cirúrgica Brasileira
Nicholas C Oleck, Farrah C Liu, Michael Conway, Eric Kalish, Joseph Belgrade, Peter Santoro, David Zabel
INTRODUCTION: Patients undergoing complex ventral hernia repair (VHR) often present with significant medical comorbidities, the most prevalent of which is obesity. Although recent advancements in abdominal wall reconstruction techniques have provided the general hernia patient population with markedly improved recurrence and postoperative complication rates, many patients have been precluded from these procedures owing to excessive body mass index (BMI). In this study, we investigate the viability of complex ventral hernia repair with epigastric artery perforator sparing skin incisions, component separation, and wide-spanning retrorectus mesh reinforcement for patients with BMI of greater than or equal to 40 kg/m (class III obesity)...
October 15, 2018: Annals of Plastic Surgery
Tracy Toliver-Kinsky, Weihua Cui, Gabor Törö, Seung-Jin Lee, Konstantin Shatalin, Evgeny Nudler, Csaba Szabo
The biological mediator hydrogen sulfide (H2 S) is produced by bacteria and has been shown to be cytoprotective against oxidative stress and to increase the sensitivity of various bacteria to a range of antibiotic drugs. Here we evaluated whether bacterial H2 S provides resistance against the immune response, using two bacterial species that are common sources of nosocomial infections, Escherichia coli and Staphylococcus aureus Elevations in H2 S increased the resistance of both species to immune-mediated killing...
October 15, 2018: Infection and Immunity
Katherine J Baxter, Heather L Short, Curtis D Travers, Kurt F Heiss, Mehul V Raval
PURPOSE: The purpose of this study was to implement a novel surgeon-reported categorization (SRC) for pediatric appendicitis severity and determine if SRC was associated with outcomes. METHODS: We conducted a retrospective review of appendectomies by 15 surgeons within a single center from January to December 2016. The SRC was defined as: simple (category 1), gangrenous or adherent (category 2A), perforation with localized abscess (category 2B), and perforation with gross contamination (category 2C)...
October 13, 2018: Pediatric Surgery International
Ammar A Javed, Jonathan Teinor, Michael Wright, Ding Ding, Richard A Burkhart, John Hundt, John L Cameron, Martin A Makary, Jin He, Frederic E Eckhauser, Christopher L Wolfgang, Matthew J Weiss
OBJECTIVE: This study seeks to evaluate the efficacy of negative pressure wound therapy for surgical-site infection (SSI) after open pancreaticoduodenectomy. BACKGROUND: Despite improvement in infection control, SSIs remain a common cause of morbidity after abdominal surgery. SSI has been associated with an increased risk of reoperation, prolonged hospitalization, readmission, and higher costs. Recent retrospective studies have suggested that the use of negative pressure wound therapy can potentially prevent this complication...
October 10, 2018: Annals of Surgery
Fatih Dal, Engin Hatipoğlu, Serkan Teksöz, Metin Ertem
Of all ingested foreign bodies, 2.4% comprise of sewing needles. Through perforation of gastrointestinal tract, which occurs in 1% of cases, they can migrate into the liver and pancreas. Foreign bodies in pancreas should be considered in the differential diagnosis of chronic abdominal pain. Computed tomography scans provide valuable information for the localization of the lesion, which guide the surgeon during the operation. Secondary to foreign bodies that migrate to the pancreas, complications with high mortality such as pancreatitis, pseudoaneurysm, and pancreas abscess can be seen...
2018: Turkish Journal of Surgery
Bastiaan P Vierhout, Robert A Pol, M Alewijn Ott, Maurice E N Pierie, Ties M G van Andringa de Kempenaer, Rutger J Hissink, O R Marald Wikkeling, Jan T Bottema, Mostafa El Moumni, Clark J Zeebregts
BACKGROUND: In endovascular valve and aortic repair, vascular access through a percutaneous approach has become the competing technique to an open surgical approach. The effect on postoperative complications and surgical site infections (SSIs) has been investigated, but randomized evidence is lacking. The objective was to investigate whether percutaneous access of the common femoral artery (CFA) with a percutaneous closure device would decrease the number of SSIs compared with open surgical access of the CFA in endovascular aneurysm repair (EVAR)...
October 3, 2018: Journal of Vascular Surgery
C San Miguel, D Melero, E Jiménez, P López, Á Robin, L A Blázquez, J López-Monclús, E González, C Jiménez, M Á García-Ureña
BACKGROUND: The prevalence of incisional hernias (IHs) is still high after midline laparotomy (ML). There is an increasing body of evidence that prophylactic mesh placement (PMP) can be safe and efficient in the short-term outcomes, but there still are some concerns about the potential long-term complications of these meshes. This study describes our long-term PMP experience. METHODS: Observational and prospective study including all patients undergoing the use of prophylactic onlay large-pore polypropylene meshes for the closure of ML since 2008 to 2014...
October 4, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
B E Zucker, C Simillis, P Tekkis, C Kontovounisios
BACKGROUND: There are many options and little guiding evidence when choosing suture types with which to close the abdominal wall fascia. This network meta-analysis investigated the effect of suture materials on surgical site infection, hernia, wound dehiscence and sinus/fistula occurrence after abdominal surgery. The aim was to provide clarity on whether previous recommendations on suture choice could be followed with confidence. METHODS AND METHODS: In February 2017, the Cochrane Central Register of Controlled Trials, Medline, EMBASE and Science Citation Index Expanded were searched for randomised controlled trials investigating the effect of suture choice on these four complications in closing the abdomen...
October 5, 2018: Annals of the Royal College of Surgeons of England
Di-Yu Huang, Long Pan, Ming-Yu Chen, Jing Fang
A lumbar hernia is a rare entity, and a bilateral lumbar hernia is much rarer. From May 2015 to October 2017, we treated only three patients with bilateral lumbar hernias. One patient came to the hospital presenting with right-sided abdominal pain, and the other two patients presented with bilateral lumbar masses. The previous bilateral lumbar hernia reported in the literature was repaired by open surgery. The laparoscopic approach via the transabdominal preperitoneal (TAPP) procedure with the self-gripping Parietex ProGrip™ mesh was performed at our center...
September 26, 2018: World Journal of Clinical Cases
Shaheel Mohammad Sahebally, Kevin McKevitt, Ian Stephens, Fidelma Fitzpatrick, Joseph Deasy, John Patrick Burke, Deborah McNamara
Importance: Surgical site infections (SSIs) are common after laparotomy wounds and are associated with a significant economic burden. The use of negative pressure wound therapy (NPWT) has recently been broadened to closed surgical incisions. Objective: To evaluate the association of prophylactic NPWT with SSI rates in closed laparotomy incisions performed for general and colorectal surgery in elective and emergency settings. Data Sources: The PubMed, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar databases were searched without language restrictions for relevant articles from inception until December 2017...
September 26, 2018: JAMA Surgery
Ismail Mahmood, Fuad Mustafa, Basil Younis, Khalid Ahmed, Ayman El-Menyar, Mohammad Asim, Ammar Al-Hassani, Ruben Peralta, Hassan Al-Thani
BACKGROUND: Intestinal disruption following blunt abdominal trauma (BAT) continues to be associated with significant morbidity and mortality despite the advances in resuscitation and management. We aim to analyze the management and postoperative outcomes of intestinal injuries secondary to blunt abdominal trauma. METHOD: We retrospectively reviewed all adult patients with intestinal injuries who underwent laparotomy for BAT between December 2008 and September 2015 at Level I trauma center...
September 24, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Deniz Atasoy, Afag Aghayeva, İsmail Ahmet Bilgin, Yusuf Erzin, İlknur Erenler Bayraktar, Bilgi Baca, Tayfun Karahasanoğlu, İsmail Hamzaoğlu
BACKGROUND/AIMS: Most of the patients with Crohn's disease (CD) may require at least one surgical procedure over their lifetime. However, these patients tend to have a high incidence of postoperative complications. The aim of this retrospective study was to investigate the predictive parameters of postoperative complications in CD. MATERIALS AND METHODS: All consecutive patients with CD between March 2001 and March 2016 who underwent bowel resection were included to this study...
July 2018: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
Jennifer Bordato Mitsuya, Raquel Gonzalez, Ron Thomas, Mohammad El-Baba
OBJECTIVES: There has been limited investigation of pediatric patients with inflammatory bowel disease (IBD) who have been treated with biologic agents and undergo operative management. Post-operative complications in the adult setting have been mixed and in the pediatric population the data has been limited. This study compares children with IBD treated with biologic agents to patients treated with non-biologic therapy prior to bowel resection. METHODS: This is a single center, retrospective chart review study of 62 children with IBD who underwent bowel resection between 2001 and 2017...
September 20, 2018: Journal of Pediatric Gastroenterology and Nutrition
Shun Wu, Ke Guo, Peng Xiao, Jie Yang, Jiaming Sun
BACKGROUND: Conjoined twinning is a rare congenital malformation, and the resultant huge body wall defects after separation of conjoined twins represent a real challenge to surgeons. METHODS: From 2004 to 2009, authors performed body wall reconstruction for 2 pairs of thoraco-omphalopagus twins and 1 pair of ischiopagus tetrapus twins. Before separation, the techniques of tissue expansion and tractive training were adopted to acquire sufficient skin for final coverage...
September 20, 2018: Annals of Plastic Surgery
Alissa S Chen, Lee Revere, Alissa Ratanatawan, Christopher L Beck, Julio A Allo
Academic hospitals contribute to health care through patient care, research, and teaching; however, their outcomes may not be equivalent to nonacademic hospitals. Multivariate analysis of variance is used to compare publicly reported data on patient satisfaction, readmission rates, mortality rates, and hospital-acquired injury scores between 1906 academic and nonacademic hospitals, while controlling for hospital-level covariates. Results show that academic hospitals have higher levels of patient satisfaction on 7 of the 11 measures and are equivalent to nonacademic hospitals on the remaining 4 measures...
September 23, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Martin Loos, Oliver Strobel, Matthias Legominski, Maximilian Dietrich, Ulf Hinz, Thorsten Brenner, Alexandra Heininger, Markus A Weigand, Markus W Büchler, Thilo Hackert
BACKGROUND: Postoperative pancreatic fistula is a dangerous complication in pancreatic surgery. This study assessed the impact of microbiologic pathogens detected in postoperative pancreatic fistula on clinical outcomes after partial pancreatoduodenectomy and distal pancreatectomy. METHODS: Microorganisms in postoperative pancreatic fistula were identified by microbiologic analyses from abdominal drains or intraoperative swabs during relaparotomy. Demographic, operative, and microbiologic data, as well as postoperative outcomes were examined...
September 11, 2018: Surgery
Nikita G Alexiades, Edward S Ahn, Jeffrey P Blount, Douglas L Brockmeyer, Samuel R Browd, Gerald A Grant, Gregory G Heuer, Todd C Hankinson, Bermans J Iskandar, Andrew Jea, Mark D Krieger, Jeffrey R Leonard, David D Limbrick, Cormac O Maher, Mark R Proctor, David I Sandberg, John C Wellons, Belinda Shao, Neil A Feldstein, Richard C E Anderson
OBJECTIVE Complications after complex tethered spinal cord (cTSC) surgery include infections and cerebrospinal fluid (CSF) leaks. With little empirical evidence to guide management, there is variability in the interventions undertaken to limit complications. Expert-based best practices may improve the care of patients undergoing cTSC surgery. Here, authors conducted a study to identify consensus-driven best practices. METHODS The Delphi method was employed to identify consensual best practices. A literature review regarding cTSC surgery together with a survey of current practices was distributed to 17 board-certified pediatric neurosurgeons...
September 14, 2018: Journal of Neurosurgery. Pediatrics
Mircea Muresan, Simona Muresan, Klara Brinzaniuc, Daniela Sala, Radu Neagoe
INTRODUCTION: Open abdomen is a concept that was developed especially in relation to abdominal compartment syndrome (ACS). OBJECTIVE: This study presents the evolution and complications related to the management of the open abdomen after decompressive laparotomy, using a standardized method based on negative pressure wound therapy (NPWT). MATERIALS AND METHODS: This observational prospective study conducted over a 9-month period included 19 patients who underwent decompressive laparotomies for ACS...
August 13, 2018: Wounds: a Compendium of Clinical Research and Practice
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