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https://www.readbyqxmd.com/read/29915483/anastomotic-failure-in-colorectal-surgery-where-are-we-at
#1
REVIEW
Vinna An, Raaj Chandra, Matthew Lawrence
Anastomotic leak (AL) can be a devastating complication in colorectal surgery. While it is less frequent in the modern era, it still results in significant morbidity and mortality, prolonged hospital stays and increases the costs and demands on health services. There is inevitable interplay between patient physiology and technical factors that predispose a patient to AL. Obesity, preoperative total proteins, male gender, ongoing anticoagulant treatment, intraoperative complication and number of hospital beds have been identified as independent risk factors...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29909646/unexpected-listeria-monocytogenes-detection-with-a-dithiothreitol-based-device-during-an-aseptic-hip-revision
#2
Giuliana Banche, Alessandro Bistolfi, Valeria Allizond, Claudia Galletta, Maria Rita Iannantuoni, Elisa Simona Marra, Chiara Merlino, Alessandro Massè, Anna Maria Cuffini
Prosthetic joint infection diagnosis is often difficult since biofilm-embedded microorganisms attach well to the prosthetic surfaces and resist their detection by conventional methods. DL-dithiothreitol has been described as a valid method for biofilm detachment on orthopedic devices. We report the case of an occasional detection of Listeria monocytogenes in a non immuno-compromised patient with a preoperative diagnosis of aseptic loosening. The infection diagnosis due to such rare bacteria was made postoperatively, thanks to a DL-dithiothreitol-based device...
June 18, 2018: Future Microbiology
https://www.readbyqxmd.com/read/29909445/centers-for-disease-control-and-prevention-2017-guidelines-for-prevention-of-surgical-site-infections-review-and-relevant-recommendations
#3
REVIEW
K Keely Boyle, Sridhar Rachala, Scott R Nodzo
PURPOSE OF REVIEW: The associated patient morbidity and resource-intensive nature of managing surgical site infections (SSI) has focused attention toward not only improving treatment protocols but also enhancing preventative measures. The purpose of this review was to summarize the relevant updated CDC guidelines for the prevention of SSI that were released in 2017. The CDC recommends the integration of the guidelines for improvement in quality metrics, reportable outcomes, and patient safety...
June 16, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29908354/optimal-timing-for-elective-total-hip-replacement-in-hiv-positive-patients
#4
Chun-Hung Chang, Shang-Wen Tsai, Cheng-Fong Chen, Po-Kuei Wu, Wing-Wai Wong, Ming-Chau Chang, Wei-Ming Chen
INTRODUCTION: Evidence about the optimal timing for total hip replacement (THR) in HIV-positive patients is scant. HYPOTHESIS: Preoperative criteria: cluster of differentiation 4 (CD4) counts>200 cells/mm3 and an undetectable HIV virus load before THR, improve infection rates, aseptic loosenings, and functional outcomes. MATERIALS AND METHODS: We recruited 16 HIV-positive patients who had undergone 25 THRs between 2003 and 2015. None had hemophilia, and none were intravenous drug users (IVDUs)...
June 13, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29906630/a-rare-occurrence-of-viability-of-both-small-and-large-bowel-in-ileosigmoid-knotting-a-case-report
#5
Simbarashe Gift Mungazi, Brightson Mutseyekwa, Mordecai Sachikonye
INTRODUCTION: Ileosigmoid knot is an uncommon cause of acute intestinal obstruction where the ileum wraps around the base of a redundant sigmoid colon. CASE PRESENTATION: We present an unusual case of a 45-year-old male patient who presented with signs and symptoms of intestinal obstruction. Exploratory laparotomy revealed an ileosigmoid knot. Both the small and large bowels were viable. The sigmoid colon was resected an end to end anastomosis was done. His post-operative period was uneventful...
June 8, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29901303/-percutaneous-nephrolithotripsy-in-a-patient-with-primary-immunodeficiency-a-case-report
#6
S I Kozachikhina, A G Martov, S V Dutov, A S Andronov, S K Yarovoi, O V Dzhalilov
This article presents a case study of a female patient with primary immunodeficiency, who underwent percutaneous nephrolithotripsy. The presence of a serious concomitant disease affects different aspects of preoperative and postoperative management of the patient. The choice of percutaneous nephrolithotripsy is necessitated by the need to render the patient stone free using a one-stage and the most effective surgical modality. The article describes the choice of antibacterial therapy to treat inflammatory complications in this category of patients...
May 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/29895119/-clinical-study-on-the-reduction-of-ocular-surface-bacteria-in-pre-operative-cataract-surgery-patients-by-cleansing-the-eyelid-margins
#7
H Y Cai, X Y Chen, J Hong
Objective: To explore the clinical significance of ocular surface bacteria inhibition by cleaning eyelid margins before surgery in cataract patients. Methods: Case-control study. Thirty-five patients (45 eyes) with age-related cataracts who were proposed to receive treatment of Phacoemulsification combined with cataract extraction and intraocular lens implantation at Peking University 3(rd) hospital were included. The experimental group consisted of 9 males and 15 females with the average age of (69.8±11.5)...
June 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29888991/what-interventions-are-performed-in-daily-practice-to-prevent-surgical-site-infections-in-neurosurgical-patients-findings-from-an-explorative-survey
#8
Renzo Moreale, Mara Doretto, Milena Maccherozzi, Rosj Marangone, Massimo Noacco, Alex Paiani, Cristina Razzini, Giulia Rizzi, Alessia Romano, Quinto Sbrizzai, Irene Simeoni, Alvisa Palese
Aim The primary aim of the study was to describe the perioperative care ensured on a daily basis to prevent surgical site infection in Italian neurosurgeries; the secondary aim was to explore surgical site infections 30 days after the surgical procedures. Methods Patients cared for in 16 neurosurgical units who (a) were ≥18 years of age, (b) underwent neurosurgical procedures, and (c) were willing to participate in the study were taken into account. Results A total of 383 patients were included. A preoperative shower was performed in 332 cases (86...
January 1, 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29886220/removal-of-non-infected-arteriovenous-fistulae-following-kidney-transplantation-is-a-safe-and-beneficial-management-strategy-for-unused-dialysis-access
#9
Charles D Fraser, Joshua C Grimm, Rui Han Liu, Russell N Wesson, Faris Azar, Robert J Beaulieu, Thomas Reifsnyder
INTRODUCTION: Renal transplant recipients often maintain their hemodialysis access in the event of future allograft failure. Patients may develop complications related to the unused dialysis access and it also limits vein availability for phlebotomy. Accordingly, a change in the current paradigm may be warranted. This study evaluates the indications for, and safety of, arteriovenous fistula (AVF) removal in patients following successful renal transplantation. METHODS: All patients that underwent AVF excision at a single institution from 2006-2016 were retrospectively reviewed...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29881916/transforaminal-thoracic-interbody-fusion-treatment-of-thoracic-myelopathy-caused-by-anterior-compression
#10
Ling-Jia Yu, Wen-Jing Li, Shi-Gong Guo, Yu Zhao
BACKGROUND: The aim of this study was to evaluate the early clinical safety and efficacy of transforaminal thoracic interbody fusion (TTIF) with interbody cage application for thoracic myelopathy caused by anterior compression (TMAC). METHODS: A total of 10 patients who underwent TTIF for TMAC from July 2009 to July 2014 were retrospectively reviewed. Thoracic spinal lesions included thoracic disc herniation, thoracic ossification of posterior longitudinal ligament, thoracic vertebral compression fracture, and thoracic spine fracture dislocation...
June 7, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29875091/relationship-between-staphylococcus-aureus-carriage-and-surgical-site-infections-following-total-hip-and-knee-arthroplasty-in-the-south-asian-population-protocol-for-a-prospective-cohort-study
#11
Syed H Mufarrih, Nada Q Qureshi, Anum Sadruddin, Pervaiz Hashmi, Syed Faisal Mahmood, Afia Zafar, Shahryar Noordin
BACKGROUND: Surgical site infections following total hip or knee arthroplasties have a reported rate of 0.49%-2.5% and can cause significant morbidity as well as tripling the cost of health care expenses. Both methicillin sensitive and methicillin resistant strains of Staphylococcus aureus surgical site infections have been established as a major risk factor for postoperative surgical site infections. S. aureus colonizes the nose, axillae, and perineal region in up to 20%-30% of individuals...
June 6, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29870447/preoperative-doxycycline-does-not-reduce-propionibacterium-acnes-in-shoulder-arthroplasty
#12
Allison J Rao, Peter N Chalmers, Gregory L Cvetanovich, Michael C O'Brien, Jon M Newgren, Brian J Cole, Nikhil N Verma, Gregory P Nicholson, Anthony A Romeo
BACKGROUND: Propionibacterium acnes (P. acnes) is the most common bacteria associated with infection after shoulder arthroplasty. These bacteria can be grown on culture of skin after standard preoperative skin preparation and antibiotics. The purpose of this study was to determine whether adding preoperative intravenous doxycycline reduces the prevalence of positive P. acnes cultures of skin and deep tissues at the time of prosthetic joint implantation during shoulder arthroplasty. METHODS: This was a randomized controlled trial...
June 6, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29869135/perioperative-and-modifiable-risk-factors-for-periprosthetic-joint-infections-pji-and-recommended-guidelines
#13
REVIEW
Vignesh K Alamanda, Bryan D Springer
PURPOSE OF REVIEW: Periprosthetic joint infection (PJI) remains a complication that is associated with high morbidity as well as high healthcare expenses. The purpose of this review is to examine patient and perioperative modifiable risk factors that can be altered to help improve rates of PJI. RECENT FINDINGS: Evidence-based review of literature shows that improved control of post-operative glycemia, appropriate management of obesity, malnutrition, metabolic syndrome, preoperative anemia, and smoking cessation can help minimize risk of PJI...
June 4, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29864545/an-empiric-analysis-of-5-counter-measures-against-surgical-site-infections-following-spine-surgery-a-pragmatic-approach-and-review-of-the-literature
#14
Marko Tomov, Nathan Wanderman, Elie Berbari, Bradford Currier, Michael Yaszemski, Ahmad Nassr, Paul Huddleston, Mohamad Bydon, Brett Freedman
BACKGROUND CONTEXT: Surgical site infections (SSI) following spine surgery are debilitating complications to patients and costly to the healthcare system. PURPOSE: Review the impact and cost effectiveness of five SSI prevention interventions on SSI rates in an orthopaedic spine surgery practice at a major quaternary healthcare system over a 10-year period. STUDY DESIGN: Retrospective observational study. PATIENT SAMPLE: All of the surgical patients of five spine surgeons in our department over a 10-year period were included in this study...
June 1, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29860406/nutrition-therapy-in-esophageal-cancer-consensus-statement-of-the-gastroenterological-society-of-taiwan
#15
M-J Chen, I-C Wu, Y-J Chen, T-E Wang, Y-F Chang, C-L Yang, W-C Huang, W-K Chang, B-S Sheu, M-S Wu, J-T Lin, C-H Chu
A number of clinical guidelines on nutrition therapy in cancer patients have been published by national and international societies; however, most of the reviewed data focused on gastrointestinal cancer or non-cancerous abdominal surgery. To collate the corresponding data for esophageal cancer (EC), a consensus panel was convened to aid specialists from different disciplines, who are involved in the clinical nutrition care of EC patients. The literature was searched using MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, and the ISI Web of Knowledge...
May 31, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29849968/the-efficacy-of-1-betadine-mouthwash-on-the-incidence-of-dry-socket-after-mandibular-third-molar-surgery
#16
Dariush Hasheminia, Amirhossein Moaddabi, Saeid Moradi, Parisa Soltani, Mahsa Moannaei, Maryam Issazadeh
Background: Dry socket or alveolar osteitis is a delayed healing of alveolar bone after exodontia causing moderate to severe pain 2-4 days after extraction of teeth. Antibacterial agents such as antibiotics and chlorhexidine have been previously proved to prevent or reduce the incidence of dry socket. Betadine is a mixture of iodine and povidone which has bactericidal, antifungal and antiviral effects. The aim of the present study was to evaluate the effect of preoperative povidone iodine 1% mouthwash before surgical extraction of impacted mandibular third molar, however age, gender and oral hygiene were also considered...
May 2018: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29847329/infections-complicating-cesarean-delivery
#17
Geeta Sood, Cynthia Argani, Khalil G Ghanem, Trish Perl, Jeanne S Sheffield
PURPOSE OF REVIEW: Cesarean sections are common surgical procedures performed in a healthy population and are unique because of a relatively high rate of postoperative infection. There have been many important advances in understanding the pathogenesis of infection and evaluation of interventions to prevent post cesarean section infections in the last few years. Our purpose in this review is to analyze these new data, discuss unanswered questions, and propose changes in standard of care...
May 29, 2018: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/29785991/all-india-ophthalmological-society-members-survey-results-cataract-surgery-antibiotic-prophylaxis-current-practice-pattern-2017
#18
Prafulla Kumar Maharana, Jay K Chhablani, Tara Prasad Das, Atul Kumar, Namrata Sharma
Purpose: The purpose of this article is to document the current practice pattern of Indian ophthalmologists for antibiotic prophylaxis in cataract surgery to prevent endophthalmitis. Methods: Fifteen structured questions were sent online to all ophthalmologists registered with the All India Ophthalmological Society. The questionnaire was divided into three main categories of prophylaxis - preoperative, intraoperative, and postoperative. A web-based anonymous survey was conducted, and a unique response link allowed completing the survey only once...
June 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29784621/endoscope-assisted-retrosigmoid-approach-in-hemifacial-spasm-our-experience
#19
Giampietro Ricci, Arianna Di Stadio, Luca D'Ascanio, Ruggero La Penna, Franco Trabalzini, Antonio Della Volpe, Jacques Magnan
INTRODUCTION: The use of surgical decompression of facial hemispasm due to the loop in the internal auditory canal is not always accepted due to the risk related to the surgical procedure. Currently a new surgical technique allows surgeons to work in safer conditions. OBJECTIVE: To report the results with endoscope-assisted retrosigmoid approach for facial nerve microvascular decompression in hemifacial spasm due to neurovascular conflict. The surgical technique is described...
May 9, 2018: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29779677/distinguishing-fecal-appendicular-peritonitis-from-purulent-appendicular-peritonitis
#20
M Mariage, C Sabbagh, T Yzet, H Dupont, A NTouba, J M Regimbeau
INTRODUCTION: Fecal appendicular peritonitis (FAP) is a poorly studied, rare form of acute appendicitis, corresponding to peritoneal inflammation with the presence of feces secondary to ruptured appendix. The purpose of this study was to describe FAP and to compare FAP with purulent appendicular peritonitis (PAP). PATIENTS AND METHODS: This single-center, retrospective study was conducted in consecutive patients to compare the FAP group and the PAP group. The primary endpoint was the 30-day postoperative morbidity and mortality according to the Clavien-Dindo classification...
April 9, 2018: American Journal of Emergency Medicine
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