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sterile procedures in surgery patients

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https://www.readbyqxmd.com/read/27905650/-aseptic-techniques-for-minor-surgical-procedures
#1
Marcela Concha-Rogazy, Catalina Andrighetti-Ferrada, Maximiliano Curi-Tuma
Aseptic techniques are those practices designed to reduce the risk of surgical site infection (SSI), defined as such, all those that occur within the first 30 days of the procedure. While the patient’s risk of developing an SSI in dermatologic surgery is low since many of the procedures are considered sterile, there are different factors associated with an increased or decreased risk of developing SSI. The characteristics of the surgical wound (such as involving infected or inflamed tissue or when breaks in the aseptic technique occur), patient characteristics (such as age, comorbidities, medication use and smoking) and procedure factors (such as setting, surgical technique, type of procedure, duration and body region involved)...
August 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27904839/noncardiac-thoracic-surgery-in-abidjan-from-1977-to-2015
#2
Yves Tanauh, Flavien Kendja, Hervé Yangni-Angate, Blaise Demine, Raphaël Ouédé, Maurice Kouacou
BACKGROUND: To report and analyze noncardiac thoracic operations performed at the Cardiology Institute of Abidjan (Institut de Cardiologie d'Abidjan) from 1977 to 2015. METHODS: This is a retrospective and descriptive study covering 39 years, from 1977 to 2015. This study period was divided into three periods of 13 years each: P1 from 1977 to 1989, P2 from 1990 to 2002 and P3 from 2003 to 2015. Medical records of 2014 operated patients were analyzed: 414 patients for P1, 464 patients for P2, 1,136 patients for P3...
October 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/27903338/-ultrasound-imaging-increases-first-attempt-success-rate-of-neuraxial-block-in-elderly-patients
#3
J Geng, X L Chen, X D Wang, X Y Guo, M Li
Objective: To verify whether preprocedural ultrasound of the lumbar spine could improve first-attempt success rate (defined as a successful neuraxial anesthesia with only one skin puncture) of neuraxial block in elderly patients. Methods: From septemble 2015 to February 2016, 200 elderly patients undergoing lower-limb surgery with neuraxial block at the Peking Universty Third Hospital were enrolled in this study.RandA 1.0 software was used to randomize patients into two groups: conventional surface landmark-guided group (group LM) and ultrasound-assisted group (group US)...
November 22, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27834965/clinical-outcomes-of-gamma-irradiated-sterile-cornea-in-aqueous-drainage-device-surgery-a-multicenter-retrospective-study
#4
Q Pan, H D Jampel, P Ramulu, G F Schwartz, F Cotter, D Cute, Y J Daoud, P Murakami, W J Stark
PurposeThe purpose of the study was to evaluate the safety and efficacy of gamma-irradiated sterile cornea (GISC) for covering the tube in aqueous drainage device (ADD) surgery in a retrospective, multicenter case series.Patients and methodsParticipants included 297 patients (321 procedures) who had undergone ADD surgery for the first time using GISC patch at three clinic centers in the United States between April 2009 and July 2012. The medical records of those consecutive patients were reviewed. Preoperative, intraoperative, and postoperative parameters about GISC were collected and analyzed...
November 11, 2016: Eye
https://www.readbyqxmd.com/read/27822350/surgical-excision-of-essure%C3%A2-devices-with-eshre-class-iib-uterine-malformation-sequential-hysteroscopic-laparoscopic-approach-to-the-septate-uterus
#5
E S Sills, G D Palermo
OBJECTIVE: While contraindications to Essure® placement have been provided by the manufacturer, there is no consensus on how best to remove these contraceptive devices. Here, we describe a non-hysterectomy removal of Essure® for a patient with a septate uterus (ESHRE Class IIb uterine malformation). CLINICAL CASE: A 35yr old G4 P2 presented for removal of Essure® implants after three years of gradually increasing pelvic pain, weight gain, headache, dizziness, lower extremity paresthesia, and fatigue which followed hysteroscopic sterilization (HS)...
March 28, 2016: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/27811635/systemic-allergic-response-in-the-setting-of-a-metallic-intraorbital-foreign-body-with-intraoperative-magnet-assisted-retrieval
#6
Scott C Cole, Kian Eftekhari, Richard L Anderson, Thomas J Oberg
A 12-year-old boy with a past medical history of nickel allergy was referred to our service after sustaining an air rifle injury with a retained BB in his left inferior orbit. On examination, he had a palpable orbital mass and systemic urticaria. Plain films demonstrated a spherical metallic foreign body adjacent to the left inferior orbital rim. Given his worsening systemic reaction despite oral antihistamine therapy, decision was made to remove the foreign body. In the operating room, the Allergan Magna Finder-a prepackaged, sterile device normally used for retrieval of a port used in tissue expansion surgery-was placed over the inferior conjunctiva of the lower eyelid...
November 2, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27800054/administration-of-mycobacterium-phlei-cell-wall-nucleic-acid-complex-in-the-immediate-postoperative-period-for-the-treatment-of-non-muscle-invasive-bladder-cancer
#7
Álvaro Morales
INTRODUCTION: This review sought to investigate the safety of intravesical administration of Mycobacterium phlei cell wall-nucleic acid (MCNA) in the immediate postoperative period after biopsy/resection for non-muscle-invasive bladder cancer (NMIBC). METHODS: Patients with NMIBC who failed bacillus Calmette-Guérin (BCG) therapy and at high risk of recurrence and progression participated in this study. Treatment involved an induction phase of six weeks and maintenance of three weekly instillations every six months for two years...
September 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27749446/tectonic-descemet-stripping-automated-endothelial-keratoplasty-for-the-management-of-sterile-corneal-perforations-in-decompensated-corneas
#8
Yoav Nahum, Irit Bahar, Massimo Busin
PURPOSE: To report the use of Descemet stripping automated endothelial keratoplasty (DSAEK) for treatment of sterile corneal perforations accompanying endothelial decompensation. METHODS: In this multicenter interventional case series, we reviewed the medical records of all tectonic DSAEK surgeries performed at Villa Serena-Villa Igea private Hospitals (Forlì, Italy) and Rabin Medical Center (Petach Tikva, Israel) between January 2014 and March 2016. RESULTS: Three patients with endothelial decompensation and sterile corneal perforation (n = 2) or impending corneal perforation (n = 1) underwent DSAEK between 2014 and 2015 at Villa Igea Hospital, Forlì, Italy, and Rabin Medical Center, Petach Tikva, Israel...
October 5, 2016: Cornea
https://www.readbyqxmd.com/read/27729595/a-review-of-wearable-technology-in-medicine
#9
Mohammed H Iqbal, Abdullatif Aydin, Oliver Brunckhorst, Prokar Dasgupta, Kamran Ahmed
With rapid advances in technology, wearable devices have evolved and been adopted for various uses, ranging from simple devices used in aiding fitness to more complex devices used in assisting surgery. Wearable technology is broadly divided into head-mounted displays and body sensors. A broad search of the current literature revealed a total of 13 different body sensors and 11 head-mounted display devices. The latter have been reported for use in surgery (n = 7), imaging (n = 3), simulation and education (n = 2) and as navigation tools (n = 1)...
October 2016: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/27688275/anterior-stromal-puncture-with-staining-a-modified-technique-for-preoperative-reference-corneal-marking-for-toric-lenses-and-its-retrospective-analyses
#10
Sahil Bhandari, Manas Nath
INTRODUCTION: Toric intraocular lenses (IOLs) are an effective way of compensating preexisting corneal astigmatism during cataract surgery. To achieve success, it is imperative to align the toric IOLs in desired position and preoperative reference marking is one among the three important steps for accurate alignment. To make the marking procedure simpler and effective, we have modified the conventional three-step slit lamp-based technique. MATERIALS AND METHODS: Patient is seated in front of the slit lamp and asked to keep the chin over chin rest...
August 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27620997/unused-sterile-instruments-for-closure-prevent-wound-surgical-site-infection-after-pancreatic-surgery
#11
Daisuke Hashimoto, Akira Chikamoto, Kota Arima, Katsunobu Taki, Risa Inoue, Katsunori Imai, Yoichi Yamashita, Hideo Baba
BACKGROUND: The incidence of incisional surgical site infection (SSI) after pancreatic surgery remains high. The aim of this study was to assess the effectiveness of the unused sterile instruments that were not used throughout the course of surgery and were opened exactly at the moment of wound closure to prevent incisional SSI after open pancreatic surgery. MATERIALS AND METHODS: We retrospectively evaluated the incidence of incisional SSI and the clinical course in 203 patients who underwent pancreatic resection in our institution between April 2012 and October 2015...
September 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27590202/successful-implementation-of-thirty-five-major-orthopaedic-procedures-under-poor-conditions-after-the-two-thousand-and-fifteen-nepal-earthquake
#12
Wei Zheng, Yonghe Hu, Hai Xin
BACKGROUND: After receiving the 25 April 2015 Nepal earthquake relief mission, a fully self-sufficient Rescue Center of Trauma set up quickly in downtown Kathmandu by Chengdu Military Medical Team of PLA P. R. China. METHODS: The medical team consisted of 68 members and 40 tons of supplies, which was equivalent to a small hospital. The medical area and living area were constructed with tents. Operating areas were converted from eight simple bungalows. The main purpose of the Rescue Center of Trauma was to save those earthquake survivors who needed surgery...
September 2, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27569594/does-essure-cause-significant-de-novo-pain-a-retrospective-review-of-indications-for-second-surgeries-following-essure-placement
#13
Huse Kamencic, Luke Thiel, Erwin Karreman, John Thiel
STUDY OBJECTIVES: To examine the surgical indications and pathologic findings in patients undergoing a second surgery following placement of the Essure permanent birth control system to determine the role of Essure in developing new onset pelvic pain. DESIGN: Retrospective cohort (Canadian Task Force classification II-2). SETTING: Tertiary level hospital. PATIENTS: Women who have had Essure placement and subsequent second surgery...
August 25, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27509459/calvarial-reconstruction-of-small-size-skull-defects-performing-8-cranioplasty-in-children-surgical-experience-clinical-results-and-treatment-algorithm
#14
İhsan Doğan, Gökmen Kahiloğullari, Haydar Sekmen, Ümit Eroğlu, Onur Özgüral, Ağahan Ünlü
AIM: The objective of this study was to report our clinical experience, surgical treatment algorithm and technique in reconstruction of uncomplicated and small-size calvarial defects by performing autolog split-bone grafting technique on anatomical findings and patients outcome. MATERIAL AND METHODS: In thirty-six patients (aged between 28 and 125 months; median age, 68.75 months, minimum follow-up 14 months), following the resection of pathological skull region, the defective calvarial zone without bone (area, 3...
March 28, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27492065/comparative-evaluation-of-microdttect-device-and-flocked-swabs-in-the-diagnosis-of-prosthetic-and-orthopaedic-infections
#15
Giorgio Maria Calori, Massimiliano Colombo, Paola Navone, Marta Nobile, Francesco Auxilia, Marco Toscano, Lorenzo Drago
The evolution of new prosthetic and osteosynthetic devices has led to more surgical indications, and this is accompanied by an increased incidence of septic complications in orthopaedic and trauma surgery in the general population. The strategy for choosing surgical or therapeutic (conservative) treatment is based on the identification of the pathogen: knowledge of the aetiological agents is an essential element in the decision-making process to ensure the most effective treatment is administered. The pathogen also needs to be considered in the challenging case of doubtful infection, where perhaps the only sign is inflammation, for a more accurate prediction of progression to either sepsis or healing...
August 1, 2016: Injury
https://www.readbyqxmd.com/read/27487033/comparison-of-sterile-vs-nonsterile-gloves-in-cutaneous-surgery-and-common-outpatient-dental-procedures-a-systematic-review-and-meta-analysis
#16
Jerry D Brewer, Alexandra B Gonzalez, Christian L Baum, Christopher J Arpey, Randall K Roenigk, Clark C Otley, Patricia J Erwin
IMPORTANCE: Whether the use of sterile vs nonsterile gloves in outpatient cutaneous procedures affects the rate of postoperative wound infection is unknown. OBJECTIVE: To explore rates of surgical site infection (SSI) with the use of sterile vs nonsterile gloves in outpatient cutaneous surgical procedures. DATA SOURCES: This systematic review and meta-analysis identified studies from Ovid MEDLINE (1946 to present), Ovid Cochrane Central Register of Controlled Trials (1991 to present), Ovid EMBASE (1988 to present), EBSCO Cumulative Index to Nursing and Allied Health Literature (1980 to present), Scopus (1996 to present), and Web of Science (1975 to present)...
September 1, 2016: JAMA Dermatology
https://www.readbyqxmd.com/read/27484072/-analysis-of-oxidative-damage-to-components-removed-from-beznoska-poldi-total-hip-replacements
#17
P Fulín, D Pokorný, M Šlouf, M Nevoralová, T Vacková, J Dybal, N Kaspříková, I Landor
UNLABELLED: PURPOSE OF THE STUDY Ultrahigh molecular weight polyethylene (UHMWPE) is today the most frequently used bearing surface in total joint replacements (TJR) because of its properties, i.e., excellent biocompatibility, good mechanical and tribological performance and high wear resistance. UHMWPE liners are the most loaded TJR components and, therefore, their properties are decisive for TJR longevity. This study had three objectives: 1) to evaluate the oxidative degradation of explanted UHMWPE components; 2) to look for a statistically significant relationship between the extent of oxidative degradation and the durability of joint replacements; and 3) to investigate whether the durability of a TJR was related to the type of sterilisation used in manufacture...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27466222/irradiated-hamstring-tendon-allograft-versus-autograft-for-anatomic-double-bundle-anterior-cruciate-ligament-reconstruction-midterm-clinical-outcomes
#18
Shaoqi Tian, Bin Wang, Lun Liu, Yuanhe Wang, Chengzhi Ha, Qicai Li, Xu Yang, Kang Sun
BACKGROUND: Most studies on grafts for anterior cruciate ligament (ACL) reconstruction (ACLR) have been of autografts or nonirradiated allografts with a single-bundle (SB) technique. Outcome reports evaluating anatomic double-bundle (DB) ACLR with a hamstring tendon autograft versus irradiated allograft are rare. PURPOSE: To compare the clinical outcomes of arthroscopic anatomic DB ACLR with a hamstring tendon autograft versus irradiated allograft. STUDY DESIGN: Randomized controlled trial; Level of evidence, 2...
October 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27446398/surgicel-%C3%A2-granuloma-mimicking-ovarian-cancer-a-case-report
#19
Luigi Cormio, Gennaro Cormio, Giuseppe Di Fino, Carmen Scavone, Francesca Sanguedolce, Vera Loizzi, Giuseppe Carrieri
Surgicel(®) is an absorbable sterile mesh composed of oxidized cellulose that is used to control intraoperative capillary or venous bleeding, due to its capacity to bind hemoglobin, thus allowing the formation of an artificial clot. In the present study, a large granuloma mimicking ovarian cancer, which developed following placement of a Surgicel(®) sponge during a combined pubovaginal sling procedure and cystocele repair, is reported. The aim of the present case report is to emphasize the fact that hemostatic measures should be removed following their use, and to alert surgeons to the risk of using and leaving in situ oxidized cellulose...
August 2016: Oncology Letters
https://www.readbyqxmd.com/read/27423279/study-of-microorganism-growth-pattern-in-nasal-pack-of-patients-visiting-the-department-of-ent-head-and-neck-surgery
#20
I Shrestha, M Pokharel, A Dhakal, R Cm Amatya, S Madhup, J B Sherchan
Background Nasal packs are utilized nearly by otorhinolaryngologists for controlling epistaxis and post nasal procedures. Complications have been reported due to them; therefore the use of antibiotics is a common practice among otorhinolaryngologists. Objective To detect microbiological flora associated with nasal packing and find evidence to support the benefit of systemic antibiotics with it. Method A prospective, analytical study was conducted on 51 patients presenting to the Department of ENT, KUSMS from June to September 2015 who required nasal packing...
October 2015: Kathmandu University Medical Journal (KUMJ)
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