Patients with secondary peritonitis who received a subcutaneous drain post-laparotomy had a significantly lower incidence of incisional surgical site infections (20% vs. 68%) and shorter hospital stays (8.96 days vs. 14.04 days) compared to those without the drain. Although not statistically significant, the drain also reduced the risk of wound dehiscence. Subcutaneous suction drainage is […]
Category: Wounds
Abdominal wound length impacts postoperative recovery in colorectal cancer patients
Abdominal wound length significantly affects the time of first flatus passage, hospital stay length, and cytokine levels among colorectal cancer patients. Smaller wounds and lower postoperative interleukin-6 levels are associated with quicker recovery and shorter hospital stays. This study highlights the intricate relationship between wound length, cytokine levels, and patient outcomes, emphasizing the importance of […]
Heart-shaped Tension-Reducing Suture Shows Promising Outcomes in Hypertrophic Scar Repair
Heart-shaped tension-reducing suture combined with lbd suturing technique led to improved scar quality in hypertrophic scar patients. Results showed reduction in scar width, significant enhancements in scar assessment scores, and higher levels of patient satisfaction postoperatively. This novel approach demonstrated better outcomes in color, stiffness, thickness, and overall scar opinion, highlighting its clinical efficacy and […]
Chlorhexidine Gluconate Reduces Incisional Infections
Subcutaneous wound soaking with chlorhexidine gluconate significantly reduces the incidence of incisional surgical site infections in patients undergoing gastroenterological surgery. A randomized controlled trial involving 363 patients showed a lower infection rate with chlorhexidine gluconate compared to the control group. This study highlights the effectiveness of chlorhexidine gluconate in preventing surgical site infections in gastroenterological […]
Prognostic Value of Lymphocyte-to-C-Reactive Protein Ratio in Fournier’s Gangrene
Younger patients with low lymphocyte-to-C-reactive protein ratio had better survival rates in Fournier’s gangrene. Higher hospital costs correlate with increased mortality risk. The Fournier’s Gangrene Severity Index, lymphocyte-to-C-reactive protein ratio, and neutrophil-lymphocyte ratio were effective at predicting patient outcomes. A low lymphocyte-to-C-reactive protein ratio was identified as a potential marker for assessing mortality and disease […]
Diet and Antibiotics Impact Anastomotic Healing in Mice
Mouse study reveals that a high-fat-low-fiber diet leads to poor survival, weight loss, and reduced microbiome diversity compared to a low-fat-high-fiber diet. Pre-operative antibiotics enhance anastomotic healing by reducing enterococcus faecalis growth and improving collagen levels. Dietary fiber promotes post-operative recovery and microbiome biodiversity, highlighting the importance of diet and antibiotics in gut health and […]
Telephone Questionnaire Efficiently Diagnoses Surgical Site Infections in Low-Resource Settings
Telephone questionnaire effectively diagnoses surgical site infections after abdominal surgery in low- and middle-income countries. The questionnaire discriminated between patients with and without infections, displaying high accuracy and consistent performance across different income levels. Cut-off score of ≥4 showed good sensitivity and specificity. Findings suggest that a telephone questionnaire could replace in-person assessments for diagnosing […]
Challenges in Caring for Patients with Enterocutaneous Fistulas
Exploring critical care nurses’ challenges in managing enterocutaneous fistulas reveals difficulties in nursing care and lack of resources. Collaborative multidisciplinary efforts can enhance patient management, nurse knowledge, and overall outcomes. Improved protocols are essential for quality patient care, focusing on fluid/electrolyte balance, nutrition, sepsis control, wound care, pain management, and emotional support. These efforts aim […]
Incisional Wound Irrigation with Antiseptic Solutions Reduces Surgical Site Infections
Researchers found that using antiseptic solutions for prophylactic intraoperative incisional wound irrigation significantly reduced surgical site infections (SSIs). In this systematic review and network meta-analysis involving 41 randomized clinical trials with 17,188 patients, antiseptic solutions showed a 40% relative risk reduction in SSIs compared to no irrigation. Antibiotic solutions also reduced SSIs but with lower […]
Plastic Wound Protectors Significantly Reduce Surgical Site Infections in Open GI Surgery
Researchers found that using a dual-ring plastic wound protector during open gastrointestinal surgery significantly reduced the rate of surgical site infections (SSIs) compared to conventional surgical gauze. In this randomized clinical trial with 457 patients, the SSI rate for the wound protector group was 10.9% versus 20.5% for the gauze group, resulting in a relative […]