Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
Infection occurring at the site of a surgical incision.
Restoration of integrity to traumatized tissue.
That portion of the body that lies between the THORAX and the PELVIS.
Incision into the side of the abdomen between the ribs and pelvis.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Making an incision in the STERNUM.
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
Invasion of the site of trauma by pathogenic microorganisms.
Material, usually gauze or absorbent cotton, used to cover and protect wounds, to seal them from contact with air or bacteria. (From Dorland, 27th ed)
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (from Stedman, 25th ed)
Operative procedures performed on the SKIN.
The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Agents, usually topical, that cause the contraction of tissues for the control of bleeding or secretions.
Opening or penetration through the wall of the INTESTINES.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
The application of a vacuum across the surface of a wound through a foam dressing cut to fit the wound. This removes wound exudates, reduces build-up of inflammatory mediators, and increases the flow of nutrients to the wound thus promoting healing.
First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.
Three long canals (anterior, posterior, and lateral) of the bony labyrinth. They are set at right angles to each other and are situated posterosuperior to the vestibule of the bony labyrinth (VESTIBULAR LABYRINTH). The semicircular canals have five openings into the vestibule with one shared by the anterior and the posterior canals. Within the canals are the SEMICIRCULAR DUCTS.
Material used for wrapping or binding any part of the body.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
A republic in western Africa, lying between GHANA on its west and BENIN on its east. Its capital is Lome.
The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)
Dressings comprised of a self-adhesive matrix to which hydrophilic absorbent particles are embedded. The particles consist of CELLULOSE derivatives; calcium ALGINATES; PECTINS; or GELS. The utility is based on providing a moist environment for WOUND HEALING.
Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.
Transmission of sound waves through vibration of bones in the SKULL to the inner ear (COCHLEA). By using bone conduction stimulation and by bypassing any OUTER EAR or MIDDLE EAR abnormalities, hearing thresholds of the cochlea can be determined. Bone conduction hearing differs from normal hearing which is based on air conduction stimulation via the EAR CANAL and the TYMPANIC MEMBRANE.
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)
Pathological processes of the ear, the hearing, and the equilibrium system of the body.
A semisynthetic cephalosporin analog with broad-spectrum antibiotic action due to inhibition of bacterial cell wall synthesis. It attains high serum levels and is excreted quickly via the urine.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A pathologic process consisting in the formation of pus.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
Exudates are fluids, CELLS, or other cellular substances that are slowly discharged from BLOOD VESSELS usually from inflamed tissues. Transudates are fluids that pass through a membrane or squeeze through tissue or into the EXTRACELLULAR SPACE of TISSUES. Transudates are thin and watery and contain few cells or PROTEINS.
Hearing loss due to interference with the mechanical reception or amplification of sound to the COCHLEA. The interference is in the outer or middle ear involving the EAR CANAL; TYMPANIC MEMBRANE; or EAR OSSICLES.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.
Using an INTERNET based personal journal which may consist of reflections, comments, and often hyperlinks.
The meal taken at midday.
A country spanning from central Asia to the Pacific Ocean.
A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.
Elements of limited time intervals, contributing to particular results or situations.

Soft tissue cover for the exposed knee prosthesis. (1/277)

This study assess the use of muscle flaps to cover exposed knee prostheses and emphasises the need for early plastic surgery consultation. In five of the six patients studied the wound was successfully covered and the knee prosthesis salvaged with a reasonable functional outcome.  (+info)

Spontaneous bilateral cornual uterine dehiscence early in the second trimester after bilateral laparoscopic salpingectomy and in-vitro fertilization: case report. (2/277)

A bilateral cornual uterine dehiscence is reported, which occurred 14 weeks after in-vitro fertilization (IVF) in a patient having a medical history of previous bilateral salpingectomy via laparoscopy. Uterine rupture is a rare obstetric complication usually occurring during the third trimester of pregnancy within a uterus which has previously undergone an operation. Ectopic pregnancy is a well known complication of IVF. Post-salpingectomy cornual localization with rupture has also been published. Possible causes are discussed and the attention of the counselling physician is directed to the necessary awareness of such a complication in this high risk population. The reported case is an extreme rarity: a similar case has not been previously published in the literature.  (+info)

The impairment of wound healing process is correlated with abnormalities of TNF-alpha production by peritoneal exudate cells in obstructive jaundiced rats. (3/277)

The wound healing process and production of tumour necrosis factor alpha (TNF-alpha) by peritoneal cells of 7-day and 14-day obstructive jaundice (OJ) and sham-operated rats were investigated. In the study the skin wound breaking strength was measured. In addition such histological and biochemical parameters as fibroblast and endothelial cell proliferation, inflammatory cell infiltration and hydroxyproline content were evaluated in polyurethane sponge discs implanted subcutaneously into rats. TNF-alpha production by peritoneal exudate cells (PEC), both spontaneous and lipopolysaccharide (LPS)-induced was determined by a bioassay. In OJ rats the process of both early as well as late phase of healing was impaired. The breaking strength of skin wound was decreased, the fibroblast and endothelial cell proliferation and collagen deposition, as well as hydroxyproline content were diminished. In 7 day OJ the numbers of inflammatory cells in the implants were lowered with a subsequent slight increase on day 14 of OJ. The spontaneous and LPS induced TNF-alpha production by PEC were significantly higher in 7 day OJ as compared with sham-operated controls. On day 14 of OJ the LPS-induced TNF-alpha level was, in contrast, much lower and did not differ much from the spontaneous TNF-alpha production. We conclude that the impairment of wound healing in OJ results from disturbances in functioning of the immune system caused by systemic endotoxaemia.  (+info)

Comparison of closure of subcutaneous tissue versus non-closure in relation to wound disruption after abdominal hysterectomy in obese patients. (4/277)

AIMS: To evaluate the role of subcutaneous tissue closure in relation to wound disruption after abdominal hysterectomy in obese patients. MATERIAL AND METHODS: In a prospective study at a tertiary referral centre in Mumbai, India, 60 obese patients with subcutaneous fat more than 2.5 cms were included in the study. In 30 patients, subcutaneous tissue was closed using synthetic suture (dexon) while in 30 control patients subcutaneous tissue was not closed. Average weight in the study and control groups were 69 -/+ 9.2 kg and 63.3 -/+ 11.2 kg respectively. RESULTS: The wound disruption occurred in 5 patients in non-closure group as compared to only one in the closure group. Incidence of seroma, haematoma formation and other wound complications were higher in the non-closure group. CONCLUSIONS: Closure of the subcutaneous tissue after abdominal hysterectomy of women with at least 2.5 cms of subcutaneous tissue lowers the overall rate of complications leading to disruption of the incision.  (+info)

Management of complications of tracheal surgery--a case of dehiscence. (5/277)

We report a case of tracheal stenosis in a patient with immune thrombocytopenia who presented 4 yr after splenectomy. The 20-yr progression of the stenosis and management, including resection, is charted. The period after resection was complicated by wound infection, surgical emphysema, mediastinitis and dehiscence of the anastomosis of the trachea. The management of patients with tracheal lesions is discussed, but concentrates on airway care after tracheal resection when complications developed. A laryngeal mask airway was used to stabilize an uncuffed tracheal tube at the site of dehiscence.  (+info)

Closure of abdominal wounds by adhesive strips: a clinical trial. (6/277)

In a randomized trial of wound closure in 512 abdominal wounds, wounds were closed with either reinforced Steristrip skin closures or interrupted silk sutures. Comparisons were made of wound pain and discomfort, wound infection, discharge, redness, width, and skin reaction. The causes of peeling of the tapes were assessed. The results showed that tapes were significantly more comfortable and that patients preferred them to sutures (P less than 0.01), but wide scars occurred more often. There was no difference in rates of wound infection and no case of allergy to the tapes was seen. Closure of abdominal wounds by these tapes is a satisfactory procedure that could be used more extensively.  (+info)

Photochemical keratodesmos for repair of lamellar corneal incisions. (7/277)

PURPOSE: To determine the efficacy of photochemical keratodesmos (PKD) for closing surgical incisions in the cornea of enucleated rabbit eyes compared with that achieved using sutures and self-sealing incisions. METHODS: A 3.5-mm incision, at an angle parallel to the iris, was made in the cornea of enucleated New Zealand White rabbit eyes. The intraocular pressure required to cause leakage (IOP(L)) from the untreated incision was then recorded. Photochemical keratodesmos treatment was then performed by application of a dye, Rose Bengal (RB), in saline solution to the surfaces of the incision wound, followed by laser irradiation at 514 nm from an argon ion laser. Immediately after treatment, the IOP(L) was measured. Both dose and laser irradiance dependencies were studied in five or more eyes for each condition and appropriate control eyes. The IOP(L)s were compared with those obtained using conventional interrupted 10-0 nylon sutures. Other dyes were tested in a similar fashion. RESULTS: The IOP(L) of 300 mm Hg was obtained using a fluence of 1270 J/cm(2) with an irradiance of 1.27 W/cm(2) (laser exposure time, 16 minutes 40 seconds). No sealing was observed using dye or light alone where control pressures of approximately 30 mm Hg were found. At higher dose (1524 J/cm(2)) and irradiance (3.82 W/cm(2); 6 minutes 35 seconds), PKD was less effective, which may be attributable to thermal effects. PKD produced IOP(L)s similar to those in closure by sutures. Other dyes such as riboflavin-5-phosphate and N:-hydroxy-pyridine thione also produced efficient bonding after PKD. Nonphotochemically active dyes did not produce significant increases in the IOP(L) at which leakage occurred. CONCLUSIONS: The increase in IOP(L) after PKD treatment, comparable with that with sutures, in enucleated rabbit eyes demonstrates the feasibility of this technique ex vivo.  (+info)

Prediction of uterine dehiscence by measuring lower uterine segment thickness prior to the onset of labor: evaluation by transvaginal ultrasonography. (8/277)

OBJECTIVE: Lower uterine segment thickness was measured by transvaginal ultrasound examination and its correlations with the occurrence of uterine dehiscence and rupture was examined. METHODS: The thickness of the muscular layer of the lower uterine segment was measured in 186 term gravidas with previous uterine scars and its correlation with uterine dehiscence/rupture was investigated. RESULTS: Uterine dehiscence was found in 9 cases or 4.7%. There were no cases of the uterine rupture. The thickness of the lower uterine segment among the gravidas with dehiscence was significantly less in than those without dehiscence (p< 0.01). The cut-off value for the thickness of the lower uterine segment was 1.6 mm as calculated by the receiver operating characteristic curve. The sensitivity was 77.8%; specificity 88.6%; positive predictive value 25.9%; negative predictive value 98.7%. CONCLUSION: Measurement of the lower uterine segment is useful in predicting the absence of dehiscence among gravidas with previous cesarean section. If the thickness of the lower uterine segment is more than 1.6 mm, the possibility of dehiscence during the subsequent trials of labor is very small.  (+info)

Surgical wound dehiscence is a medical condition that refers to the partial or complete separation of layers of a surgical incision after a surgical procedure, leading to the disruption of the wound closure. This can occur due to various factors such as infection, poor nutrition, increased tension on the sutures, hematoma or seroma formation, and patient's underlying health conditions like diabetes or immunodeficiency. Dehiscence may result in the exposure of internal tissues and organs, potentially causing severe complications such as infection, bleeding, or organ dysfunction. Immediate medical attention is required to manage this condition and prevent further complications.

A surgical wound infection, also known as a surgical site infection (SSI), is defined by the Centers for Disease Control and Prevention (CDC) as an infection that occurs within 30 days after surgery (or within one year if an implant is left in place) and involves either:

1. Purulent drainage from the incision;
2. Organisms isolated from an aseptically obtained culture of fluid or tissue from the incision;
3. At least one of the following signs or symptoms of infection: pain or tenderness, localized swelling, redness, or heat; and
4. Diagnosis of surgical site infection by the surgeon or attending physician.

SSIs can be classified as superficial incisional, deep incisional, or organ/space infections, depending on the depth and extent of tissue involvement. They are a common healthcare-associated infection and can lead to increased morbidity, mortality, and healthcare costs.

Wound healing is a complex and dynamic process that occurs after tissue injury, aiming to restore the integrity and functionality of the damaged tissue. It involves a series of overlapping phases: hemostasis, inflammation, proliferation, and remodeling.

1. Hemostasis: This initial phase begins immediately after injury and involves the activation of the coagulation cascade to form a clot, which stabilizes the wound and prevents excessive blood loss.
2. Inflammation: Activated inflammatory cells, such as neutrophils and monocytes/macrophages, infiltrate the wound site to eliminate pathogens, remove debris, and release growth factors that promote healing. This phase typically lasts for 2-5 days post-injury.
3. Proliferation: In this phase, various cell types, including fibroblasts, endothelial cells, and keratinocytes, proliferate and migrate to the wound site to synthesize extracellular matrix (ECM) components, form new blood vessels (angiogenesis), and re-epithelialize the wounded area. This phase can last up to several weeks depending on the size and severity of the wound.
4. Remodeling: The final phase of wound healing involves the maturation and realignment of collagen fibers, leading to the restoration of tensile strength in the healed tissue. This process can continue for months to years after injury, although the tissue may never fully regain its original structure and function.

It is important to note that wound healing can be compromised by several factors, including age, nutrition, comorbidities (e.g., diabetes, vascular disease), and infection, which can result in delayed healing or non-healing chronic wounds.

The abdomen refers to the portion of the body that lies between the thorax (chest) and the pelvis. It is a musculo-fascial cavity containing the digestive, urinary, and reproductive organs. The abdominal cavity is divided into several regions and quadrants for medical description and examination purposes. These include the upper and lower abdomen, as well as nine quadrants formed by the intersection of the midline and a horizontal line drawn at the level of the umbilicus (navel).

The major organs located within the abdominal cavity include:

1. Stomach - muscular organ responsible for initial digestion of food
2. Small intestine - long, coiled tube where most nutrient absorption occurs
3. Large intestine - consists of the colon and rectum; absorbs water and stores waste products
4. Liver - largest internal organ, involved in protein synthesis, detoxification, and metabolism
5. Pancreas - secretes digestive enzymes and hormones such as insulin
6. Spleen - filters blood and removes old red blood cells
7. Kidneys - pair of organs responsible for filtering waste products from the blood and producing urine
8. Adrenal glands - sit atop each kidney, produce hormones that regulate metabolism, immune response, and stress response

The abdomen is an essential part of the human body, playing a crucial role in digestion, absorption, and elimination of food and waste materials, as well as various metabolic processes.

A laparotomy is a surgical procedure that involves making an incision in the abdominal wall to gain access to the abdominal cavity. This procedure is typically performed to diagnose and treat various conditions such as abdominal trauma, tumors, infections, or inflammatory diseases. The size of the incision can vary depending on the reason for the surgery and the extent of the condition being treated. Once the procedure is complete, the incision is closed with sutures or staples.

The term "laparotomy" comes from the Greek words "lapara," which means "flank" or "side," and "tome," which means "to cut." Together, they describe the surgical procedure that involves cutting into the abdomen to examine its contents.

Suture techniques refer to the various methods used by surgeons to sew or stitch together tissues in the body after an injury, trauma, or surgical incision. The main goal of suturing is to approximate and hold the edges of the wound together, allowing for proper healing and minimizing scar formation.

There are several types of suture techniques, including:

1. Simple Interrupted Suture: This is one of the most basic suture techniques where the needle is passed through the tissue at a right angle, creating a loop that is then tightened to approximate the wound edges. Multiple stitches are placed along the length of the incision or wound.
2. Continuous Locking Suture: In this technique, the needle is passed continuously through the tissue in a zigzag pattern, with each stitch locking into the previous one. This creates a continuous line of sutures that provides strong tension and support to the wound edges.
3. Running Suture: Similar to the continuous locking suture, this technique involves passing the needle continuously through the tissue in a straight line. However, instead of locking each stitch, the needle is simply passed through the previous loop before being tightened. This creates a smooth and uninterrupted line of sutures that can be easily removed after healing.
4. Horizontal Mattress Suture: In this technique, two parallel stitches are placed horizontally across the wound edges, creating a "mattress" effect that provides additional support and tension to the wound. This is particularly useful in deep or irregularly shaped wounds.
5. Vertical Mattress Suture: Similar to the horizontal mattress suture, this technique involves placing two parallel stitches vertically across the wound edges. This creates a more pronounced "mattress" effect that can help reduce tension and minimize scarring.
6. Subcuticular Suture: In this technique, the needle is passed just below the surface of the skin, creating a smooth and barely visible line of sutures. This is particularly useful in cosmetic surgery or areas where minimizing scarring is important.

The choice of suture technique depends on various factors such as the location and size of the wound, the type of tissue involved, and the patient's individual needs and preferences. Proper suture placement and tension are crucial for optimal healing and aesthetic outcomes.

A sternotomy is a surgical procedure that involves making an incision through the sternum, also known as the breastbone. This type of incision allows surgeons to access the thoracic cavity, which contains the heart and lungs. Sternotomies are often performed during open-heart surgery or other procedures that require access to the heart or major blood vessels. After the procedure, the sternum is typically wired or stapled back together to allow for proper healing.

A surgical flap is a specialized type of surgical procedure where a section of living tissue (including skin, fat, muscle, and/or blood vessels) is lifted from its original site and moved to another location, while still maintaining a blood supply through its attached pedicle. This technique allows the surgeon to cover and reconstruct defects or wounds that cannot be closed easily with simple suturing or stapling.

Surgical flaps can be classified based on their vascularity, type of tissue involved, or method of transfer. The choice of using a specific type of surgical flap depends on the location and size of the defect, the patient's overall health, and the surgeon's expertise. Some common types of surgical flaps include:

1. Random-pattern flaps: These flaps are based on random blood vessels within the tissue and are typically used for smaller defects in areas with good vascularity, such as the face or scalp.
2. Axial pattern flaps: These flaps are designed based on a known major blood vessel and its branches, allowing them to cover larger defects or reach distant sites. Examples include the radial forearm flap and the anterolateral thigh flap.
3. Local flaps: These flaps involve tissue adjacent to the wound and can be further classified into advancement, rotation, transposition, and interpolation flaps based on their movement and orientation.
4. Distant flaps: These flaps are harvested from a distant site and then transferred to the defect after being tunneled beneath the skin or through a separate incision. Examples include the groin flap and the latissimus dorsi flap.
5. Free flaps: In these flaps, the tissue is completely detached from its original blood supply and then reattached at the new site using microvascular surgical techniques. This allows for greater flexibility in terms of reach and placement but requires specialized expertise and equipment.

Surgical flaps play a crucial role in reconstructive surgery, helping to restore form and function after trauma, tumor removal, or other conditions that result in tissue loss.

A wound infection is defined as the invasion and multiplication of microorganisms in a part of the body tissue, which has been damaged by a cut, blow, or other trauma, leading to inflammation, purulent discharge, and sometimes systemic toxicity. The symptoms may include redness, swelling, pain, warmth, and fever. Treatment typically involves the use of antibiotics and proper wound care. It's important to note that not all wounds will become infected, but those that are contaminated with bacteria, dirt, or other foreign substances, or those in which the skin's natural barrier has been significantly compromised, are at a higher risk for infection.

Occlusive dressings are specialized bandages or coverings that form a barrier over the skin, preventing air and moisture from passing through. They are designed to create a moist environment that promotes healing by increasing local blood flow, reducing wound desiccation, and encouraging the growth of new tissue. Occlusive dressings can also help to minimize pain, scarring, and the risk of infection in wounds. These dressings are often used for dry, necrotic, or hard-to-heal wounds, such as pressure ulcers, diabetic foot ulcers, and burns. It is important to monitor the wound closely while using occlusive dressings, as they can sometimes lead to skin irritation or maceration if left in place for too long.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

The abdominal muscles, also known as the abdominals or abs, are a group of muscles in the anterior (front) wall of the abdominopelvic cavity. They play a crucial role in maintaining posture, supporting the trunk, and facilitating movement of the torso. The main abdominal muscles include:

1. Rectus Abdominis: These are the pair of long, flat muscles that run vertically along the middle of the anterior abdominal wall. They are often referred to as the "six-pack" muscles due to their visible, segmented appearance in well-trained individuals. The primary function of the rectus abdominis is to flex the spine, allowing for actions such as sitting up from a lying down position or performing a crunch exercise.

2. External Obliques: These are the largest and most superficial of the oblique muscles, located on the lateral (side) aspects of the abdominal wall. They run diagonally downward and forward from the lower ribs to the iliac crest (the upper part of the pelvis) and the pubic tubercle (a bony prominence at the front of the pelvis). The external obliques help rotate and flex the trunk, as well as assist in side-bending and exhalation.

3. Internal Obliques: These muscles lie deep to the external obliques and run diagonally downward and backward from the lower ribs to the iliac crest, pubic tubercle, and linea alba (the strong band of connective tissue that runs vertically along the midline of the abdomen). The internal obliques help rotate and flex the trunk, as well as assist in forced exhalation and increasing intra-abdominal pressure during actions such as coughing or lifting heavy objects.

4. Transversus Abdominis: This is the deepest of the abdominal muscles, located inner to both the internal obliques and the rectus sheath (a strong, fibrous covering that surrounds the rectus abdominis). The transversus abdominis runs horizontally around the abdomen, attaching to the lower six ribs, the thoracolumbar fascia (a broad sheet of connective tissue spanning from the lower back to the pelvis), and the pubic crest (the front part of the pelvic bone). The transversus abdominis helps maintain core stability by compressing the abdominal contents and increasing intra-abdominal pressure.

Together, these muscles form the muscular "corset" of the abdomen, providing support, stability, and flexibility to the trunk. They also play a crucial role in respiration, posture, and various movements such as bending, twisting, and lifting.

Dermatologic surgical procedures refer to various types of surgeries performed by dermatologists, which are aimed at treating and managing conditions related to the skin, hair, nails, and mucous membranes. These procedures can be divided into several categories, including:

1. Excisional surgery: This involves removing a lesion or growth by cutting it out with a scalpel. The resulting wound is then closed with stitches, sutures, or left to heal on its own.
2. Incisional biopsy: This is a type of excisional surgery where only a portion of the lesion is removed for diagnostic purposes.
3. Cryosurgery: This involves using extreme cold (usually liquid nitrogen) to destroy abnormal tissue, such as warts or precancerous growths.
4. Electrosurgical procedures: These use heat generated by an electric current to remove or destroy skin lesions. Examples include electrodessication and curettage (ED&C), which involves scraping away the affected tissue with a sharp instrument and then applying heat to seal the wound.
5. Laser surgery: Dermatologic surgeons use various types of lasers to treat a wide range of conditions, such as removing tattoos, reducing wrinkles, or treating vascular lesions.
6. Mohs micrographic surgery: This is a specialized surgical technique used to treat certain types of skin cancer, particularly basal cell carcinomas and squamous cell carcinomas. It involves removing the tumor in thin layers and examining each layer under a microscope until no cancer cells remain.
7. Scar revision surgery: Dermatologic surgeons can perform procedures to improve the appearance of scars, such as excising the scar and reclosing the wound or using laser therapy to minimize redness and thickness.
8. Hair transplantation: This involves removing hair follicles from one area of the body (usually the back of the head) and transplanting them to another area where hair is thinning or absent, such as the scalp or eyebrows.
9. Flap surgery: In this procedure, a piece of tissue with its own blood supply is moved from one part of the body to another and then reattached. This can be used for reconstructive purposes after skin cancer removal or trauma.
10. Liposuction: Dermatologic surgeons may perform liposuction to remove excess fat from various areas of the body, such as the abdomen, thighs, or chin.

The abdominal wall refers to the group of muscles, fascia (sheaths of connective tissue), and skin that make up the front and sides of the abdomen, extending from the thorax (chest) to the pelvis. It provides protection to the abdominal organs, supports the trunk, and allows for movement of the torso.

The main muscles of the anterior abdominal wall include:

1. Rectus sheaths (Rectus Abdominis): paired vertical muscles running from the pubic symphysis to the xiphoid process and costal cartilages of ribs 5-7.
2. External obliques: thin, irregular muscles that lie over the lower part of the abdomen and run diagonally downward and forward from the lower ribs to the iliac crest (pelvic bone) and pubic tubercle.
3. Internal obliques: thicker muscles that lie under the external obliques, running diagonally upward and forward from the iliac crest to the lower ribs.
4. Transverse abdominis: deepest of the abdominal muscles, lying horizontally across the abdomen, attaching from the lower ribs to the pelvis.

These muscles are interconnected by various layers of fascia and aponeuroses (flat, broad tendons), forming a complex structure that allows for both stability and mobility. The linea alba, a fibrous band, runs down the midline of the anterior abdominal wall, connecting the rectus sheaths.

Damage to the abdominal wall can occur due to trauma, surgery, or various medical conditions, which may require surgical intervention for repair.

A wound is a type of injury that occurs when the skin or other tissues are cut, pierced, torn, or otherwise broken. Wounds can be caused by a variety of factors, including accidents, violence, surgery, or certain medical conditions. There are several different types of wounds, including:

* Incisions: These are cuts that are made deliberately, often during surgery. They are usually straight and clean.
* Lacerations: These are tears in the skin or other tissues. They can be irregular and jagged.
* Abrasions: These occur when the top layer of skin is scraped off. They may look like a bruise or a scab.
* Punctures: These are wounds that are caused by sharp objects, such as needles or knives. They are usually small and deep.
* Avulsions: These occur when tissue is forcibly torn away from the body. They can be very serious and require immediate medical attention.

Injuries refer to any harm or damage to the body, including wounds. Injuries can range from minor scrapes and bruises to more severe injuries such as fractures, dislocations, and head trauma. It is important to seek medical attention for any injury that is causing significant pain, swelling, or bleeding, or if there is a suspected bone fracture or head injury.

In general, wounds and injuries should be cleaned and covered with a sterile bandage to prevent infection. Depending on the severity of the wound or injury, additional medical treatment may be necessary. This may include stitches for deep cuts, immobilization for broken bones, or surgery for more serious injuries. It is important to follow your healthcare provider's instructions carefully to ensure proper healing and to prevent complications.

Astringents are substances that cause the contraction of body tissues, particularly the skin and mucous membranes. They have the ability to shrink or constrict proteins in the skin or mucous membrane, leading to a tightening effect. This is often used in various medical and cosmetic applications.

In a medical context, astringents are often used to:

1. Dry up weeping or oozing wounds or sores.
2. Reduce local inflammation.
3. Control bleeding from minor cuts or wounds by constricting the blood vessels.

Commonly used astringent substances include tannins, found in plants like oak bark and witch hazel, as well as aluminum salts, found in some antiperspirants. Astringents are often applied topically in the form of lotions, gels, or solutions. However, they can also be used systemically, although this is less common.

It's important to note that while astringents have therapeutic uses, they can also cause skin irritation and dryness if not used properly. Therefore, it's recommended to follow the instructions provided by a healthcare professional or as directed on the product label.

Intestinal perforation is a medical condition that refers to a hole or tear in the lining of the intestine. This can occur anywhere along the gastrointestinal tract, including the small intestine, large intestine (colon), or stomach. Intestinal perforation allows the contents of the intestines, such as digestive enzymes and bacteria, to leak into the abdominal cavity, which can lead to a serious inflammatory response known as peritonitis.

Intestinal perforation can be caused by various factors, including:

* Mechanical trauma (e.g., gunshot wounds, stab wounds)
* Inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis)
* Diverticulitis
* Appendicitis
* Intestinal obstruction
* Infections (e.g., typhoid fever, tuberculosis)
* Certain medications (e.g., nonsteroidal anti-inflammatory drugs, corticosteroids)
* Radiation therapy
* Ischemic bowel disease (lack of blood flow to the intestines)

Symptoms of intestinal perforation may include sudden abdominal pain, nausea, vomiting, fever, and decreased bowel movements. Treatment typically involves surgery to repair the perforation and remove any damaged tissue. Antibiotics are also administered to prevent infection. In severe cases, a temporary or permanent colostomy or ileostomy may be necessary.

Reconstructive surgical procedures are a type of surgery aimed at restoring the form and function of body parts that are defective or damaged due to various reasons such as congenital abnormalities, trauma, infection, tumors, or disease. These procedures can involve the transfer of tissue from one part of the body to another, manipulation of bones, muscles, and tendons, or use of prosthetic materials to reconstruct the affected area. The goal is to improve both the physical appearance and functionality of the body part, thereby enhancing the patient's quality of life. Examples include breast reconstruction after mastectomy, cleft lip and palate repair, and treatment of severe burns.

Negative-Pressure Wound Therapy (NPWT) is a medical treatment used to promote wound healing and prevent infection in acute or chronic wounds. It involves the application of controlled sub-atmospheric pressure to the surface of the wound, usually through the use of a vacuum-assisted device.

The negative pressure helps to remove excess fluid and infectious materials from the wound, while also promoting the growth of new tissue by increasing blood flow and stimulating cell proliferation. NPWT can be used in various types of wounds, including diabetic foot ulcers, pressure ulcers, surgical wounds, and traumatic injuries.

The therapy is typically administered through a sealed dressing that covers the wound and is connected to a vacuum pump. The negative pressure is applied continuously or intermittently, depending on the specific needs of the patient and the type of wound being treated. NPWT has been shown to be effective in reducing wound size, promoting healing, and improving overall clinical outcomes in many patients with complex wounds.

Emergency treatment refers to the urgent medical interventions and care provided to individuals who are experiencing a severe injury, illness, or life-threatening condition. The primary aim of emergency treatment is to stabilize the patient's condition, prevent further harm, and provide immediate medical attention to save the patient's life or limb.

Emergency treatment may include various medical procedures, such as cardiopulmonary resuscitation (CPR), airway management, administering medications, controlling bleeding, treating burns, immobilizing fractures, and providing pain relief. The specific emergency treatment provided will depend on the nature and severity of the patient's condition.

Emergency treatment is typically delivered in an emergency department (ED) or a similar setting, such as an urgent care center, ambulance, or helicopter transport. Healthcare professionals who provide emergency treatment include emergency physicians, nurses, paramedics, and other specialists trained in emergency medicine.

It's important to note that emergency treatment is different from routine medical care, which is usually provided on a scheduled basis and focuses on preventing, diagnosing, and managing chronic or ongoing health conditions. Emergency treatment, on the other hand, is provided in response to an acute event or crisis that requires immediate attention and action.

The semicircular canals are part of the vestibular system in the inner ear that contributes to the sense of balance and spatial orientation. They are composed of three fluid-filled tubes, each located in a different plane (anterior, posterior, and horizontal) and arranged at approximately right angles to each other. The semicircular canals detect rotational movements of the head, enabling us to maintain our equilibrium during movement.

When the head moves, the fluid within the semicircular canals moves in response to that motion. At the end of each canal is a structure called the ampulla, which contains hair cells with hair-like projections (stereocilia) embedded in a gelatinous substance. As the fluid moves, it bends the stereocilia, stimulating the hair cells and sending signals to the brain via the vestibular nerve. The brain then interprets these signals to determine the direction and speed of head movement, allowing us to maintain our balance and orientation in space.

A bandage is a medical dressing or covering applied to a wound, injury, or sore with the intention of promoting healing or preventing infection. Bandages can be made of a variety of materials such as gauze, cotton, elastic, or adhesive tape and come in different sizes and shapes to accommodate various body parts. They can also have additional features like fasteners, non-slip surfaces, or transparent windows for monitoring the condition of the wound.

Bandages serve several purposes, including:

1. Absorbing drainage or exudate from the wound
2. Protecting the wound from external contaminants and bacteria
3. Securing other medical devices such as catheters or splints in place
4. Reducing swelling or promoting immobilization of the affected area
5. Providing compression to control bleeding or prevent fluid accumulation
6. Relieving pain by reducing pressure on sensitive nerves or structures.

Proper application and care of bandages are essential for effective wound healing and prevention of complications such as infection or delayed recovery.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

I'm sorry for any confusion, but "Togo" is not a medical term. It is the name of a country in West Africa, known officially as the Togolese Republic. If you have any questions about medical terminology or health-related topics, please don't hesitate to ask!

Debridement is a medical procedure that involves the removal of dead, damaged, or infected tissue to improve the healing process or prevent further infection. This can be done through various methods such as surgical debridement (removal of tissue using scalpel or scissors), mechanical debridement (use of wound irrigation or high-pressure water jet), autolytic debridement (using the body's own enzymes to break down and reabsorb dead tissue), and enzymatic debridement (application of topical enzymes to dissolve necrotic tissue). The goal of debridement is to promote healthy tissue growth, reduce the risk of infection, and improve overall wound healing.

Hydrocolloid bandages are a type of dressing used in wound care. They consist of an outer waterproof layer and an inner hydrophilic layer made of materials such as gelatin, pectin, or carboxymethylcellulose. When the bandage comes into contact with moisture from the wound, it forms a gel that helps to maintain a moist environment, which can promote healing.

Hydrocolloid bandages are useful for managing a variety of wound types, including partial-thickness burns, pressure ulcers, and diabetic foot ulcers. They can help to protect the wound from external contaminants, reduce pain and discomfort, and provide sustained release of medications such as analgesics or antibiotics.

One advantage of hydrocolloid bandages is that they can be left in place for several days at a time, which can reduce the frequency of dressing changes and minimize trauma to the wound bed. However, it's important to monitor the wound regularly to ensure that it is healing properly and to check for signs of infection or other complications.

Surgical equipment refers to the specialized tools and instruments used by medical professionals during surgical procedures. These devices are designed to assist in various aspects of surgery, such as cutting, grasping, retraction, clamping, and suturing. Surgical equipment can be categorized into several types based on their function and use:

1. Cutting instruments: These include scalpels, scissors, and surgical blades designed to cut through tissues with precision and minimal trauma.

2. Grasping forceps: Forceps are used to hold, manipulate, or retrieve tissue, organs, or other surgical tools. Examples include Babcock forceps, Kelly forceps, and Allis tissue forceps.

3. Retractors: These devices help to expose deeper structures by holding open body cavities or tissues during surgery. Common retractors include Weitlaner retractors, Army-Navy retractors, and self-retaining retractors like the Bookwalter system.

4. Clamps: Used for occluding blood vessels, controlling bleeding, or approximating tissue edges before suturing. Examples of clamps are hemostats, bulldog clips, and Satinsky clamps.

5. Suction devices: These tools help remove fluids, debris, and smoke from the surgical site, improving visibility for the surgeon. Examples include Yankauer suctions and Frazier tip suctions.

6. Needle holders: Specialized forceps designed to hold suture needles securely during the process of suturing or approximating tissue edges.

7. Surgical staplers: Devices that place linear staple lines in tissues, used for quick and efficient closure of surgical incisions or anastomoses (joining two structures together).

8. Cautery devices: Electrosurgical units that use heat generated by electrical current to cut tissue and coagulate bleeding vessels.

9. Implants and prosthetics: Devices used to replace or reinforce damaged body parts, such as artificial joints, heart valves, or orthopedic implants.

10. Monitoring and navigation equipment: Advanced tools that provide real-time feedback on patient physiology, surgical site anatomy, or instrument positioning during minimally invasive procedures.

These are just a few examples of the diverse range of instruments and devices used in modern surgery. The choice of tools depends on various factors, including the type of procedure, patient characteristics, and surgeon preference.

Bone conduction is a type of hearing mechanism that involves the transmission of sound vibrations directly to the inner ear through the bones of the skull, bypassing the outer and middle ears. This occurs when sound waves cause the bones in the skull to vibrate, stimulating the cochlea (the spiral cavity of the inner ear) and its hair cells, which convert the mechanical energy of the vibrations into electrical signals that are sent to the brain and interpreted as sound.

Bone conduction is a natural part of the hearing process in humans, but it can also be used artificially through the use of bone-conduction devices, such as hearing aids or headphones, which transmit sound vibrations directly to the skull. This type of transmission can provide improved hearing for individuals with conductive hearing loss, mixed hearing loss, or single-sided deafness, as it bypasses damaged or obstructed outer and middle ears.

In medical terms, sutures are specialized surgical threads made from various materials such as absorbable synthetic or natural fibers, or non-absorbable materials like nylon or silk. They are used to approximate and hold together the edges of a wound or incision in the skin or other tissues during the healing process. Sutures come in different sizes, types, and shapes, each designed for specific uses and techniques depending on the location and type of tissue being sutured. Properly placed sutures help to promote optimal healing, minimize scarring, and reduce the risk of infection or other complications.

Ear diseases are medical conditions that affect the ear and its various components, including the outer ear, middle ear, and inner ear. These diseases can cause a range of symptoms, such as hearing loss, tinnitus (ringing in the ears), vertigo (dizziness), ear pain, and discharge. Some common ear diseases include:

1. Otitis externa (swimmer's ear) - an infection or inflammation of the outer ear and ear canal.
2. Otitis media - an infection or inflammation of the middle ear, often caused by a cold or flu.
3. Cholesteatoma - a skin growth that develops in the middle ear behind the eardrum.
4. Meniere's disease - a disorder of the inner ear that can cause vertigo, hearing loss, and tinnitus.
5. Temporomandibular joint (TMJ) disorders - problems with the joint that connects the jawbone to the skull, which can cause ear pain and other symptoms.
6. Acoustic neuroma - a noncancerous tumor that grows on the nerve that connects the inner ear to the brain.
7. Presbycusis - age-related hearing loss.

Treatment for ear diseases varies depending on the specific condition and its severity. It may include medication, surgery, or other therapies. If you are experiencing symptoms of an ear disease, it is important to seek medical attention from a healthcare professional, such as an otolaryngologist (ear, nose, and throat specialist).

Cefazolin is a type of antibiotic known as a cephalosporin, which is used to treat a variety of bacterial infections. It works by interfering with the bacteria's ability to form a cell wall, which is necessary for its survival. Without a functional cell wall, the bacteria are not able to grow and multiply, and are eventually destroyed by the body's immune system.

Cefazolin is commonly used to treat infections of the skin, bones, joints, heart, lungs, and urinary tract. It may also be used to prevent infection during surgery. Like all antibiotics, cefazolin is only effective against certain types of bacteria, so it is important to know the specific type of bacteria causing an infection before using this medication.

Cefazolin is usually given as an injection into a vein or muscle, and may be administered in a hospital setting or at home with proper training. The dosage and duration of treatment will depend on the severity and location of the infection, as well as the patient's overall health status.

As with any medication, cefazolin can cause side effects, including diarrhea, nausea, vomiting, headache, and rash. In rare cases, it may also cause serious side effects such as allergic reactions, kidney damage, or abnormal blood clotting. It is important to report any unusual symptoms to a healthcare provider promptly.

It is essential to complete the full course of treatment with cefazolin, even if symptoms improve, to ensure that the infection is fully treated and to reduce the risk of antibiotic resistance.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Suppuration is the process of forming or discharging pus. It is a condition that results from infection, tissue death (necrosis), or injury, where white blood cells (leukocytes) accumulate to combat the infection and subsequently die, forming pus. The pus consists of dead leukocytes, dead tissue, debris, and microbes (bacteria, fungi, or protozoa). Suppuration can occur in various body parts such as the lungs (empyema), brain (abscess), or skin (carbuncle, furuncle). Treatment typically involves draining the pus and administering appropriate antibiotics to eliminate the infection.

Operative surgical procedures refer to medical interventions that involve manual manipulation of tissues, structures, or organs in the body, typically performed in an operating room setting under sterile conditions. These procedures are carried out with the use of specialized instruments, such as scalpels, forceps, and scissors, and may require regional or general anesthesia to ensure patient comfort and safety.

Operative surgical procedures can range from relatively minor interventions, such as a biopsy or the removal of a small lesion, to more complex and extensive surgeries, such as open heart surgery or total joint replacement. The specific goals of operative surgical procedures may include the diagnosis and treatment of medical conditions, the repair or reconstruction of damaged tissues or organs, or the prevention of further disease progression.

Regardless of the type or complexity of the procedure, all operative surgical procedures require careful planning, execution, and postoperative management to ensure the best possible outcomes for patients.

Exudates and transudates are two types of bodily fluids that can accumulate in various body cavities or tissues as a result of injury, inflammation, or other medical conditions. Here are the medical definitions:

1. Exudates: These are fluids that accumulate due to an active inflammatory process. Exudates contain high levels of protein, white blood cells (such as neutrophils and macrophages), and sometimes other cells like red blood cells or cellular debris. They can be yellow, green, or brown in color and may have a foul odor due to the presence of dead cells and bacteria. Exudates are often seen in conditions such as abscesses, pneumonia, pleurisy, or wound infections.

Examples of exudative fluids include pus, purulent discharge, or inflammatory effusions.

2. Transudates: These are fluids that accumulate due to increased hydrostatic pressure or decreased oncotic pressure within the blood vessels. Transudates contain low levels of protein and cells compared to exudates. They are typically clear and pale yellow in color, with no odor. Transudates can be found in conditions such as congestive heart failure, liver cirrhosis, or nephrotic syndrome.

Examples of transudative fluids include ascites, pleural effusions, or pericardial effusions.

It is essential to differentiate between exudates and transudates because their underlying causes and treatment approaches may differ significantly. Medical professionals often use various tests, such as fluid analysis, to determine whether a fluid sample is an exudate or transudate.

Conductive hearing loss is a type of hearing loss that occurs when there is a problem with the outer or middle ear. Sound waves are not able to transmit efficiently through the ear canal to the eardrum and the small bones in the middle ear, resulting in a reduction of sound that reaches the inner ear. Causes of conductive hearing loss may include earwax buildup, fluid in the middle ear, a middle ear infection, a hole in the eardrum, or problems with the tiny bones in the middle ear. This type of hearing loss can often be treated through medical intervention or surgery.

Postoperative care refers to the comprehensive medical treatment and nursing attention provided to a patient following a surgical procedure. The goal of postoperative care is to facilitate the patient's recovery, prevent complications, manage pain, ensure proper healing of the incision site, and maintain overall health and well-being until the patient can resume their normal activities.

This type of care includes monitoring vital signs, managing pain through medication or other techniques, ensuring adequate hydration and nutrition, helping the patient with breathing exercises to prevent lung complications, encouraging mobility to prevent blood clots, monitoring for signs of infection or other complications, administering prescribed medications, providing wound care, and educating the patient about postoperative care instructions.

The duration of postoperative care can vary depending on the type and complexity of the surgical procedure, as well as the individual patient's needs and overall health status. It may be provided in a hospital setting, an outpatient surgery center, or in the patient's home, depending on the level of care required.

"Acute abdomen" is a medical term used to describe a sudden and severe abdominal pain that requires immediate medical attention. This condition can be caused by various factors such as inflammation, infection, obstruction, or perforation of the abdominal organs. Common causes of acute abdomen include appendicitis, cholecystitis, diverticulitis, intestinal obstruction, and perforated ulcers.

The symptoms of acute abdomen may include severe and localized or generalized abdominal pain, tenderness, rigidity, rebound tenderness, fever, nausea, vomiting, and loss of appetite. The diagnosis of acute abdomen is usually made based on the patient's history, physical examination, laboratory tests, and imaging studies such as X-rays, ultrasound, or CT scan.

Treatment of acute abdomen depends on the underlying cause and may include antibiotics, intravenous fluids, pain management, and surgery in severe cases. Delayed diagnosis and treatment of acute abdomen can lead to serious complications such as sepsis, peritonitis, and even death.

I am not a medical professional, but I can tell you that there is no specific medical definition for "blogging." Blogging is a general term used to describe the act of creating and maintaining a blog or weblog. A blog is a website that contains regularly updated entries, typically written in an informal or conversational style.

Blogging has become a popular way for people to share their thoughts, experiences, and expertise on various topics, including health and wellness. Some healthcare professionals also use blogs as a platform to provide medical information, advice, and updates to their patients and the general public. However, it is essential to note that any medical information obtained from blogs should not replace professional medical advice, diagnosis, or treatment.

I'm sorry for any confusion, but "Lunch" is not a medical term. It refers to a meal typically eaten in the middle of the day. If you have any questions about medical terminology or concepts, I'd be happy to help answer those!

I am not aware of a specific medical definition for the term "China." Generally, it is used to refer to:

1. The People's Republic of China (PRC), which is a country in East Asia. It is the most populous country in the world and the fourth largest by geographical area. Its capital city is Beijing.
2. In a historical context, "China" was used to refer to various dynasties and empires that existed in East Asia over thousands of years. The term "Middle Kingdom" or "Zhongguo" (中国) has been used by the Chinese people to refer to their country for centuries.
3. In a more general sense, "China" can also be used to describe products or goods that originate from or are associated with the People's Republic of China.

If you have a specific context in which you encountered the term "China" related to medicine, please provide it so I can give a more accurate response.

I'm sorry for any confusion, but "poverty" is not a medical condition or term. It is a social condition defined by the World Bank as "pronounced deprivation in well-being," and measured through indicators such as income, consumption, and access to basic services. Poverty can have significant impacts on health outcomes and healthcare access, but it is not considered a medical diagnosis. If you have any questions related to health or medicine, I'd be happy to try my best to help answer them!

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

"Wound Dehiscence (Surgical Wound Dehiscence; Operative Wound Dehiscence)". EBSCO Industries. 2010-09-01. Retrieved 2011-06-24. ... Wound dehiscence is a surgical complication in which a wound ruptures along a surgical incision. Risk factors include age, ... or the wound opening spontaneously. An internal surgical wound dehiscence can occur internally, as a consequence of ... Individuals with Ehlers-Danlos syndrome also commonly experience wound dehiscence. Risk factors for dehiscence can include any ...
"Impact of breastfeeding or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants: a systematic review ... For cleft palate, there is a high rate of surgical failure resulting in repeated surgeries. Surgical techniques for cleft ... Orthognathic surgery - surgical cutting of bone to realign the upper jaw (osteotomy). The bone is cut then re-positioned and ... However, combinations of surgical methods and repeated surgeries are often necessary as the child grows. One of the new ...
... is a serious complication of dehiscence (where a surgical wound reopens after the procedure), which can be ... Vaginal cuff dehiscence occurs in 0.24-0.39% of cases; of these, vaginal evisceration occurs in 35%-67%. When all surgical ... Abscesses and hematomas can be resolved after surgery with a surgical drain. Post-surgical treatment includes continuation of ... It is a surgical emergency. Vaginal evisceration is typically obvious upon presentation, as intestine (typically ileum) can be ...
... is no evidence on the risk of surgical site infection and wound dehiscence when using staples or sutures to close the wound ... Biancari, Fausto; Tiozzo, Valentina (2010-05-12). Cochrane Wounds Group (ed.). "Staples versus sutures for closing leg wounds ... In surgical practice it is common to use a form of heat or electrical energy to cauterize, or seal tissues in order to stop ... Endoscopic vessel harvesting (EVH) is a surgical technique that may be used in conjunction with coronary artery bypass surgery ...
Surgical factors that may lead to an increased risk of PJIs include wound dehiscence (unplanned opening of the surgical wound ... DAIR is contraindicated if there is a sinus tract, loosening of the prosthesis, or the surgical wound cannot be closed. The ... Negative pressure wound therapy is not recommended as the sponges used are often themselves colonized by the biofilm or by new ... A strategy of surgical debridement to decrease the bacterial load prior to starting systemic antibiotics is sometimes employed ...
... surgical wound dehiscence MeSH C23.550.767.925 - surgical wound infection MeSH C23.888.119.344 - fever MeSH C23.888.119.344.345 ... surgical MeSH C23.550.673.500.888 - shock, traumatic MeSH C23.550.717.182 - dental pulp necrosis MeSH C23.550.717.365 - fat ... surgical MeSH C23.550.414.625 - ecchymosis MeSH C23.550.414.712 - epistaxis MeSH C23.550.414.756 - eye hemorrhage MeSH C23.550. ... surgical MeSH C23.550.568.500 - amenorrhea MeSH C23.550.568.750 - dysmenorrhea MeSH C23.550.568.875 - menorrhagia MeSH C23.550. ...
... surgical-wound dehiscence that exposes the implant, revision surgery, rupture of the implant, seroma (a pocket of clear serous ... the therapeutic management of post-surgical pain (at the surgical-wound sites) and normal tissue-healing usually require a 4-6- ... The surgeon and the patient determine the location of the surgical-wound scars, and determine the best operative position, to ... The applicable techniques for surgical and correction include the surgical emplacement of gluteal implants; autologous tissue- ...
Wound dehiscence, the bursting of a surgical wound at the line of closure sutures, is a medical complication resulting from the ... Unless wound dehiscence aesthetically compromises the breast-lift outcome, it is managed conservatively. Breast contour ... For comfortable healing of the wounds, the woman wears a surgical brassière, and avoids wearing an underwire brassière until ... Wound closure The surgeon tests the closure tension of the wound sutures by in-folding the breast over the index finger, and ...
Higher rates of wound infection and Wound dehiscence in these countries was thought to be due to the nurses' poor surgical ... is involved in their training to increase their surgical skills through the Clinical Officers Surgical Training (COST) ... They perform routine surgical and obstetric operations as well as providing clinical care in hospitals. The College of Surgeons ... Martin S, Purkayastha S, Massey R, Paraskeva P, Tekkis P, Kneebone R, Darzi A (2007). "The surgical care practitioner: a ...
The woman also is instructed about post-operative matters such as convalescence and the proper care of the surgical wounds to ... Furthermore, wound dehiscence, epidermolysis, adipose tissue necrosis, and infection occur less among women who undergo Lejour- ... In the initial convalescence period, the surgical-incision wounds are inspected at 1-week post-operative, during which time the ... The post-operative complications occurred included seroma, wound dehiscence, hematoma; whereas partial NAC necrosis occurred in ...
... wound dehiscence, and wound infection. List of surgeries by type Wagman LD. "Principles of Surgical Oncology" in Pazdur R, ... It is almost always performed as part of the surgical management of cancer. In a regional lymph node dissection, some of the ... Lymphadenectomy, or lymph node dissection, is the surgical removal of one or more groups of lymph nodes. ... Thomson, David R; Sadideen, Hazim; Furniss, Dominic (2014-01-20), The Cochrane Collaboration (ed.), "Wound drainage following ...
Cochrane Wounds Group) (June 2015). "Negative pressure wound therapy for treating surgical wounds healing by secondary ... Results in wound dehiscence or rupture of the wound due to inadequate formation of granulation tissue. Excessive scar formation ... Cochrane Wounds Group) (2004-01-26). "Dressings and topical agents for surgical wounds healing by secondary intention". The ... The wound is purposely left open. Examples: healing of wounds by use of tissue grafts. If the wound edges are not ...
Finally, all instruments and trocars are removed before the surgical wound sites are repaired with stitches. Open approach: In ... Incomplete pyloromyotomy Perforated mucosa Wound infection Fascial dehiscence Incisional hernia Postoperative bleeding The ... Pyloromyotomy is a surgical procedure in which a portion of the muscle fibers of the pyloric muscle are cut. This is typically ... Finally, each of the surgical incisions are stitched closed and the patient is taken back to post-operative area for monitoring ...
Overgrowth of skin over the device Wound dehiscence (splitting apart of the wound) Bleeding or hematoma formation Persistent ... Sometimes, a second surgical procedure is required. Complications are less likely with good wound hygiene. Other drawbacks of ... No other ear surgical procedure is reversible like this.[citation needed] By bypassing the outer or middle ear, BAHA can ... The original surgical procedure has been described in detail by Tjellström et al. 2001. An area where skin is penetrated ...
Complications occurring after cranioplasty include bacterial infection, bone flap resorption, wound dehiscence, hematoma, ... Cranioplasty is a surgical operation on the repairing of cranial defects caused by previous injuries or operations, such as ... The wound is then sealed. Cranioplasty was closely related to trephination and the earliest operation is dated to 3000 BC. ... This may be explained by its larger scalp wound area, a higher volume of blood loss, and the higher complexity and duration of ...
Postoperative complications include wound dehiscence, hydrocephalus, infection, and a substantial proportion of patients may ... Surgical treatment of cerebral edema in the context of cerebellar or cerebral infarction is typically done by removing part of ... Yet their use is not without controversy and it is not clear whether barbiturates are favored over surgical decompression. In ... Due to the negative side effects (such as peptic ulcers, hyperglycemia, and impairment of wound healing), steroid use should be ...
Mannu GS, Farooq N, Down S, Burger A, Hussien MI (May 2013). "Avoiding back wound dehiscence in extended latissimus dorsi flap ... Breast reconstruction is the surgical process of rebuilding the shape and look of a breast, most commonly in women who have had ... simple and effective way of avoiding wound dehiscence at the donor site after extended latissimus dorsi flap reconstruction. ... The latissimus dorsi flap has a number of advantages, but despite the advances in surgical techniques, it has remained ...
Recipient-site complications include (total or partial) flap necrosis, wound infection, dehiscence, hematoma or skin graft ... Before surgical intervention this was the only option available, as used to treat Robert McGee in 1864.[citation needed] ... Sometimes the easiest way of closing the wound may not be the ideal or best way. The choice for a reconstruction depends on ... Scalp reconstruction is a surgical procedure for people with scalp defects. Scalp defects may be partial or full thickness and ...
STARR is a surgical procedure that is performed through the anus, requires no external incisions, and leaves no visible scars. ... However, the wounds created by the surgery are usually associated with considerable post-operative pain which necessitates a ... Severe postoperative pain could be caused by dehiscence of the anastomosis or due to the fact that the anastomosis is too near ... Using a surgical stapler, the procedure removes the excess tissue in the rectum, reducing the anatomical defects that can cause ...
... the serious complications seen were wound dehiscence, wound infection, tendon injury, and neurovascular injury. Serious ... Surgical planning seeks to localize the specific area of entrapment to improve surgical outcomes. Identifying the level of ... as surgical access is no longer a barrier. Surgical planning is distinct from diagnosis of entrapment. Diagnosis will focus on ... Guyuron B, Reed D, Kriegler JS, Davis J, Pashmini N, Amini S. A placebo-controlled surgical trial of the treatment of migraine ...
When bone grafting is used in conjunction with sound surgical technique, guided bone regeneration is a reliable and validated ... An added benefit of the membrane is that it provides protection of the wound from mechanical disruption and salivary ... There are several uses of bone regeneration: Fenestration and dehiscence Building up bone around implants placed in tooth ... Nyman S, Lindhe J, Karring T, Rylander H (July 1982). "New attachment following surgical treatment of human periodontal disease ...
... main advantage of VATS is that the smaller postoperative wounds drastically reduce the risk for wound infection and dehiscence ... Surgical Practice 2012;16(2):84-5 Ng CSH, Wan S, Wong RHL, Ho AMH, Yim APC. Angiogenic Response to Major Lung Resection for Non ... Paradigm shift in surgical approaches to spontaneous pneumothorax: VATS. Thorax 2004;59:357 Calvin SH Ng, Tak Wai Lee, Song Wan ... Asian Cardiovasc Thorac Annals 2013;21(1):114-115 Ng CSH, Lau KKW, Gonzalez-Rivas D, Rocco G. Evolution in Surgical Approach & ...
The wound is relatively smaller than the one in ECCE, but is still markedly larger than a phaco wound. Comparative trials of ... The prevalence of cataract and cataract surgical coverage also significantly varies by region. India's cataract-surgical rate ... Zonular dehiscence: Breaking of the fibrous strands (zonules) connecting the crystalline lens to the ciliary body. Dropped ... The STAAR Surgical Intraocular Lens was the first-such lens developed in the United States; it may correct up to 3.5 dioptres. ...
Traumatic injuries, whether blunt force such as car accidents or penetrating wounds such as gunshot wounds, or stabbings, may ... Surgical resection of tumors for staging and for curative purposes requires removal of local blood vessel and lymph nodes. ... Complications of the procedure may include anastomotic leak or dehiscence, hernias, or adhesions causing partial or complete ... These cases are surgical emergencies and often require bowel resection to remove the cause of obstruction. Adhesions are a ...
The need for a second surgical procedure hindered the utilization of the original barrier membranes, which led to the ... Simion M, Misitano U, Gionso L, Salvato A (1997). "Treatment of dehiscences and fenestrations around dental implants using ... Collagen membranes may also facilitate primary wound closure via fibroblast chemotactic properties, even after membrane ... They are gradually hydrolyzed or enzymatically degraded and therefore do not require a second surgical stage of membrane ...
The vaginal cuff is created by suturing together the edges of the surgical site where the cervix was attached to the vagina. ... A further complication that can accompany the dehiscence of the vaginal cuff is evisceration or the movement of intestines into ... Factors that are thought to affect wound healing are radiation treatments, age, pelvic organ prolapse, the use of ... Hur HC, Lightfoot M, McMillin MG, Kho KA (August 2016). "Vaginal cuff dehiscence and evisceration: a review of the literature ...
"Experience with Vacuum-Pack Temporary Abdominal Wound Closure in 258 Trauma and General and Vascular Surgical Patients". ... Finally fascial dehiscence has been shown to result in 9-25% of patients that have undergone damage control surgery. Jaunoo SS ... It is important to not only pack areas of injury but also pack areas of surgical dissection. There are various methods that can ... Damage control surgery (DCS) is surgical intervention to keep the patient alive rather than correct the anatomy. It addresses ...
"Surgical Design Corporation , Creating Vision Since 1968". www.surgicaldesign.com. "The Future of Phaco , Surgical Design". ... Excessive dust, wind, pollen or dirt should also be avoided. Sunglasses should be worn on bright days because the eyes will be ... This may occur in the event of posterior capsule rupture, zonular dehiscence, or a dropped nucleus with a nuclear fragment more ... The wound is then hydrated with BSS, which causes corneal epithelial cells to expand and compress each other and helps seal the ...
... wound infections, skin ulcerations, and dehiscence - were found in 5.2% of cases. Bone conduction products are usually ... Non-surgical devices only consist of the external audio processor. The processor simply vibrates, making both the skin and the ... Non-surgical devices are ideal for children, who may not be old enough for implantation surgery or who have temporary ... Surgical bone conduction devices consist of an internal implant and an external audio processor used to transmit sound. They ...
have equated the pathogenesis of OSF to an over-healing wound, to explain its evolution as well as malignant transformation. ... Khanna JN, Andrade NN (December 1995). "Oral submucous fibrosis: a new concept in surgical management. Report of 100 cases". ... submucosa and fibrotic tissue and suturing the gap or dehiscence so created by mucosal graft obtained from tongue and Z-plasty ... Sharma M, Shetty SS, Radhakrishnan R (2018-07-31). "Oral Submucous Fibrosis as an Overhealing Wound: Implications in Malignant ...
"Surgical Wound Dehiscence" by people in this website by year, and whether "Surgical Wound Dehiscence" was a major or minor ... "Surgical Wound Dehiscence" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical ... Surgical Wound Dehiscence*Surgical Wound Dehiscence. *Wound Dehiscence, Surgical. *Dehiscence, Surgical Wound ... Below are the most recent publications written about "Surgical Wound Dehiscence" by people in Profiles. ...
Wound dehiscence. "Wound Dehiscence (Surgical Wound Dehiscence; Operative Wound Dehiscence)". EBSCO Industries. 2010-09-01. ... Surgical Wound DehiscenceSurgical Wound InfectionWound HealingAbdomenLaparotomySuture TechniquesSternotomySurgical FlapsWound ... Surgical Wound DehiscenceSurgical Wound InfectionWound InfectionPostoperative ComplicationsWounds and InjuriesIntestinal ... Surgical Wound Dehiscence / complications * Surgical Wound Dehiscence / diagnostic imaging* ... Mitral prosthetic dehiscence ...
Wound Dehiscence. (Surgical Wound Dehiscence; Operative Wound Dehiscence). by Catherine Duffek, MLS, MS ... Wound dehiscence is the separation of the edges of a surgical wound. It may be just the surface layer or the whole wound. It ... Determining risk factors for surgical wound dehiscence: a literature review. Int Wound J. 2015 Jun;12(3):265-75. ... To help reduce your chance of wound dehiscence:. *Follow you care teams instructions which may include:*Antibiotics before ...
Wound dehiscence occurs when a surgical incision reopens. Discover risk factors, tips to ensure proper healing, serious ... Wound dehiscence occurs when a surgical incision reopens either internally or externally. Its also known simply as dehiscence. ... A to Z: Wound dehiscence. (n.d.).. https://kidshealth.org/Nemours/en/parents/az-wound-dehiscence.html. ... If your stitches, staples, or surgical glue have split apart, or if you see any holes forming in the wound, youre experiencing ...
"Wound Dehiscence (Surgical Wound Dehiscence; Operative Wound Dehiscence)". EBSCO Industries. 2010-09-01. Retrieved 2011-06-24. ... Wound dehiscence is a surgical complication in which a wound ruptures along a surgical incision. Risk factors include age, ... or the wound opening spontaneously. An internal surgical wound dehiscence can occur internally, as a consequence of ... Individuals with Ehlers-Danlos syndrome also commonly experience wound dehiscence. Risk factors for dehiscence can include any ...
The prosthetic dehiscence was not diagnosed using transthoracic echocardiography, but transesophageal echocardiography. The ... Surgical Wound Dehiscence / complications * Surgical Wound Dehiscence / diagnostic imaging* ... Mitral prosthetic dehiscence with laminar regurgitant flow signals assessed by transesophageal echocardiography Chest. 1993 Dec ... The prosthetic dehiscence was not diagnosed using transthoracic echocardiography, but transesophageal echocardiography. The ...
Closed-Incision Negative-Pressure Therapy Reduces Donor-Site Surgical Wound Dehiscence in DIEP Flap Breast Reconstructions: A ... Biofilm Management in Wound Care. Sen, Chandan K.; Roy, Sashwati; Mathew-Steiner, Shomita S.; More ... Surgical knee denervation for the treatment of pain due to primary osteoarthritis. Hustedt, Joshua W; Reichenbach, Rachel; ... Breast Reduction: Surgical Techniques with an Emphasis on Evidence-Based Practice and Outcomes. Colohan, Shannon M.; Massenburg ...
... although their early removal may lead to dehiscence of the wound margins9 and may negatively influence the surgical outcome of ... Post-surgical wound healing monitoring is mainly performed by wound inspection after careful food and plaque debridement. ... World Union of Wound Healing Societies (WUWHS). Wound exudate and the role of dressings. A consensus document. Medical ... Pippi, R. Post-Surgical Clinical Monitoring of Soft Tissue Wound Healing in Periodontal and Implant Surgery. Int. J. Med. Sci. ...
Noninfectious complications include blood clots, contour abnormalities after cosmetic surgery, and surgical wound dehiscence. ... All medical and surgical procedures carry some risk, and complications can occur regardless of where treatment is received. ... Complications, including infections and surgical revisions for unsatisfactory results, can compound initial costs. ... and wound infections. Moreover, the risk of acquiring antibiotic-resistant infections might be greater in certain countries or ...
What to do if a surgical wound starts to open?. Dehiscence After Surgery. When a surgical incision starts to open, a problem ... Many wounds cant heal without debridement.. What happens when you burn an open wound?. Burning an open wound is a shortcut to ... What does it mean to burn a wound?. Burning a wound, called cauterization, is a quick way to seal a wound and stop it from ... If compression and elevation of the wound site does not cause the wound to stop bleeding and stitching the wound would take too ...
DIC and wound dehiscence. Blood and blood products were replaced .The average time of surgery was 2.21hours and blood loss was ... Elective surgery were done in 14 with Ceasarean hysterectomy in almost 50%. Haemostatic surgical measures were taken in all ...
Other secondary outcomes included superficial surgical site infection, nonunion, and wound dehiscence. RESULTS: The analysis ... Within 182 days, deep surgical site infection was observed in 29 of 481 patients in the treatment group and 46 of 499 patients ... MAIN OUTCOMES AND MEASURES: The primary outcome was a deep surgical site infection within 182 days of definitive fracture ... OBJECTIVE: To examine the effect of intrawound vancomycin powder in reducing deep surgical site infections. DESIGN, SETTING, ...
Please describe any medical or surgical intervention provided to treat the blistering or the wound dehiscence? what was the ... The patient returned to the office two weeks post-op with a blister and some wound dehiscence at the central portion of the ... Was prineo/demabond or skin adhesive used on the patient in a previous surgery or wound closure?. ... angle of the knee during application? do you have any pictures of the reaction? size of dehiscence at central portion of ...
Surgical Wound Dehiscence *Varicose Ulcer *Wound Infection This medication may be prescribed for other uses. Ask your doctor or ...
Wound dehiscence (reopening of the surgical wounds). *Leaking from the colon. *Paralytic ileus (loss of muscle functioning of ... Left hemicolectomy (left colectomy) is the surgical removal of the left side of the colon along with the fat and the ...
Surgical complications may include bleeding, hematoma, infection, wound dehiscence, pain, and poor positioning of the tarsal ... Surgical Care. The correct surgical treatment of ectropion depends on the etiology. [9] Horizontal lid laxity is often seen ... This can be accomplished by engaging the inferior lip of the wound, then the superior lip of the wound; the needle is then ... The surgeon must be wary of the remote possibility of flash burns whenever oxygen is on the surgical field. Failure to do so ...
The syndrome consisted of microscopic wound breakdown, followed by a vitreous prolapse that developed into a vitreous wick, ... with unrecognized posterior capsular rupture or zonular dehiscence with vitreous prolapse and adhesion to the surgical wound ... whether the vitreous wick extends beyond the surgical wound or is merely adherent to the internal edge of the surgical wound. ... Once communication between the posterior wound gap and the anterior wound defect occurs (after tissue necrosis from tight ...
... break down of the tissue or suture at the surgical site (wound dehiscence); infections at the surgical site, which may extend ... Any surgical procedure can introduce complications, including potential anesthetic risks. Surgical procedures that involve the ... If the mass involves more than one-third of the eyelid margin, surgical reconstruction of the eyelid is usually necessary. This ... of the eyelid margin can often be removed by CO2 laser photoablation under local anesthetic to avoid the need for surgical ...
... surgical) wound.. Note the use of different diagnoses. ... of abdominal wall for evisceration or dehiscence with 998.32 ... Modifier 58 may be used during the global surgical period for the original procedure only. It may not be used for staged ... Therapy following a diagnostic surgical procedure.. A new global period begins with each subsequent procedure, and usually ... Examples include a post-surgical infection, debridement that requires a return to the OR, and hemorrhage after surgery. ...
Anyone have experience with surgical implants used during brow lift? I believe I have an Endotine implant that was supposed to ... Since last 6 days I have now wound dehiscence in the length of 4 cm snd split into around 1,5cm. My surgeon now ordered some ... Communities>Plastic and Reconstructive Surgery>4 weeks after breast reduction and massive wound dehiscence ... Anyone have experience with surgical implants used during brow lift? I believe I have an Endotine implant that was supposed to ...
Local complications include destruction of tissue, wound dehiscence, incisional and deep hernias, septic thrombophlebitis, ... separate stab wound rather than the primary surgical wound will reduce the risk of infection. For dirty wounds, delaying wound ... Clean Wounds. Clean-Contaminated Wounds. Contaminated Wounds. Dirty or Infected Wounds. CONTROL MEASURES. RECOMMENDATIONS. ... Until wound edges are sealed and the wound is healing (about 24 hours after the operation for most wounds), wounds are covered ...
Gregory Gary Caputy, MD, PhD, FICS Wound Healing Consultant, Advantage Surgical and Wound Care. Gregory Gary Caputy, MD, PhD, ... Early wound problems include hematoma, seroma, marginal necrosis, and dehiscence. Late wound problems include hypertrophic ... Surgical repair of the SFS has been claimed to increase wound strength and decrease seroma formation. In a porcine model, Song ... This could lead to a decrease in early and late wound dehiscence, less widening of the scars, and lasting aesthetic results. ...
This manual includes chapters on wound assessments, tissue types, wound dressings, pressure injury staging, cleansing and ... An essential guide to wound care for nurses and healthcare professionals. ... Dehiscence is defined as:. Separation of the layers of a surgical wound, it may be partial or only superficial, or complete ... Dehisced Surgical Wound. The dehisced surgical wound requires a thorough assessment of cavities or structures involved, as well ...
... wound dehiscence (reopening of surgical incision), infection, and/or pain (both acute and chronic) ... Surgical Technique: Some studies have shown that performing declaws with a surgical laser, as opposed to a scalpel blade or ... Declawing, or onychectomy, is an elective surgery that results in the amputation of a cats third phalanges. Surgical ... you may wish to explore other ways of managing scratching before committing to the surgical procedure. ...
Patients undergoing augmented closure demonstrated five instances of wound dehiscence and 20% limb loss compared with eight ... Conclusions: Augmented closure of surgical wounds after TMA using a synthetic hybrid-scale fiber matrix provided a unique means ... wound dehiscence (29%), number of procedures performed (39%), and rate of limb loss (20%). Augmented closure, therefore, offers ... instances of wound dehiscence and 40% limb loss in the control group. After TMA and augmented closure, patients required eight ...
Postoperative wound dehiscence. Reopening of a surgical incision or breakdown of an incision in the abdominal area. ... Death among surgical inpatients with treatable serious complications. Death of a patient who develops a treatable life- ... Accidental puncture or laceration. Accidental cut or wound during a procedure. *Central venous catheter-related bloodstream ... Foreign object left in during procedure. Unplanned sponge or equipment left in wound during a procedure. ...
The medical term for this is "postoperative wound dehiscence." An unplanned reopening of a surgical wound is a complication of ... Surgical Site Infections - OB/GYN. Surgical Site Infections - OB/GYN (Data Source: CDPH 01/01/2021 -- 12/31/2021). Surgical ... poor wound closing, and injury to the wound after closure. Signs of potential problems with a wound can include pain, bruising ... Unplanned Surgical Wound Reopening (Data Source: CMS Hospital Compare 07/01/2019 -- 06/30/2021). ...
The medical term for this is "postoperative wound dehiscence." An unplanned reopening of a surgical wound is a complication of ... Surgical Site Infections - OB/GYN. Surgical Site Infections - OB/GYN (Data Source: CDPH 01/01/2021 -- 12/31/2021). Surgical ... poor wound closing, and injury to the wound after closure. Signs of potential problems with a wound can include pain, bruising ... Unplanned Surgical Wound Reopening (Data Source: CMS Hospital Compare 07/01/2019 -- 06/30/2021). ...
9 The combination of these actions helps reduce the risk of surgical wound dehiscence1* and surgical site infections (SSIs)1*, ... 8. Selvaggi F et al., New Advances in Negative Pressure Wound Therapy (NPWT) for Surgical Wounds of Patients Affected with ... NICE Medtech Innovation briefing (MIB149), PICO negative pressure wound therapy for closed surgical incision wounds, published ... Cost-effectiveness analysis of single-use negative pressure wound therapy dressings (sNPWT) to reduce surgical site ...
Wound dehiscence occurred in 2 skin incisions, representing 3.4% of the 58 dogs that underwent bilateral orchiectomy. ... Surgical wound complications were treated by superficial wound debridement and resuturing, in contrast to zinc-gluconate ... injection-site reactions, which all required orchiectomy and extensive surgical debridement, including scrotal ablation in 2 ... Objective-To compare castration of dogs by use of intratesticular injection of zinc gluconate with traditional surgical ...
  • Madjarov JM, Katz MG, Fazal S, Kumar A, Madzharov S, Handa A, Madjarova SJ, Robicsek F. Use of longitudinal rigid sternal fixation in prevention and treatment of wound complications among high-risk patients after cardiac surgery. (jefferson.edu)
  • Which complications are associated with wound dehiscence? (healthline.com)
  • Telephone follow-up and patient self-assessment scales can also be used the days following surgery to monitor the most common surgical complications such as pain, swelling, bleeding, and bruising. (medsci.org)
  • Wound healing monitoring is an important concern in all surgical procedures since it allows to identify signs or/and symptoms possibly related to surgical complications. (medsci.org)
  • Complications, including infections and surgical revisions for unsatisfactory results, can compound initial costs. (cdc.gov)
  • Any surgical procedure can introduce complications, including potential anesthetic risks. (eyecareforanimals.com)
  • Surgical procedures that involve the eyelid or skin surrounding the eye rarely give rise to complications, which occur in less than two percent of these cases and are usually minor. (eyecareforanimals.com)
  • Death among surgical inpatients with treatable serious complications. (mayoclinic.org)
  • PICO 7 is designed for patients at risk of wound complications, and has been shown to help minimize the risk of infection and/or dehiscence 1* . (smith-nephew.com)
  • 6,7 This proprietary feature is designed to help reduce the risk of wound complications by reducing post-operative fluid, swelling and associated tension around a closed surgical incision compared with standard dressings. (smith-nephew.com)
  • 8,9 The combination of these actions helps reduce the risk of surgical wound dehiscence 1* and surgical site infections (SSIs) 1* , the two most common surgical site complications. (smith-nephew.com)
  • In June the UK's National Institute for Health and Care Excellence (NICE) issued a Medtech innovation briefing for the use of PICO in closed surgical incisions to reduce surgical site complications 10 . (smith-nephew.com)
  • The development of post-operative surgical site complications (SSCs), such as surgical wound dehiscence, are a substantial burden for patients and healthcare systems, globally 1 . (smith-nephew.com)
  • The PICO System, has been a game changer in managing closed incisions in my practice by helping to reduce the incidence of wound complications including drainage, seromas, and superficial infections. (smith-nephew.com)
  • helping to prevent surgical site complications. (smith-nephew.com)
  • A new study among patients undergoing surgery for chronic wounds related to diabetes, finds the risk of wound-related complications is affected by how well the patient's blood sugar levels are controlled before surgery. (medindia.net)
  • The risk of serious wound complications is more than three times higher for patients who have high blood glucose before and after surgery, and in those with poor long-term diabetes control, according to the study by ASPS Member Surgeons Drs. Matthew Endara and Christopher Attinger of the Center for Wound Healing at Georgetown University, Washington, DC. (medindia.net)
  • The researchers emphasize the need for "tight control" of glucose levels before surgery for diabetic patients at high risk of wound complications. (medindia.net)
  • High Blood Glucose Levels Linked to Higher Risk of Wound Complications The researchers analyzed rates of wound-related complications in 79 patients undergoing surgery for closure of chronic wounds a common and troublesome complication of diabetes. (medindia.net)
  • The results showed a higher risk of wound complications in patients who had high blood glucose levels either before or after surgery. (medindia.net)
  • Surprisingly, the new study is one of the first to look at how blood glucose levels affect the risk of complications in patients undergoing surgical treatment for chronic diabetes-related wounds. (medindia.net)
  • The results help to make the case for "tighter glycemic control" in diabetic patients undergoing surgery with a high risk of wound complications, Dr. Attinger and co-authors believe. (medindia.net)
  • However, more research will be needed to confirm whether tighter control of blood glucose levels around the time of surgery will actually reduce the rate of wound-related complications. (medindia.net)
  • The only person who can appropriately discuss the side effects and complications of a surgical procedure is a member of the surgical team. (froedtert.com)
  • The surgeon and surgical team will discuss many different risks and complications that are possible in your surgery. (froedtert.com)
  • We recorded data on pre- and post-operative urinary symptoms, surgical procedures, complications, adjuvant therapy, and follow-up of all patients who underwent surgery for vulvar cancer and had distal urethral resection and neomeatus reconstruction with the proposed technique. (bmj.com)
  • Title : Validation of ICD-9-CM Diagnosis Codes for Surgical Site Infection and Noninfectious Wound Complications after Mastectomy Personal Author(s) : Olsen, Margaret A.;Ball, Kelly E.;Nickel, Katelin B.;Wallace, Anna E.;Fraser, Victoria J. (cdc.gov)
  • Surgical complications. (medlineplus.gov)
  • Although children often have significantly better healing than adults, wound complications occur with dehiscence and infections in about 20-30%, with a need for medication and antibiotics and extended hospital stays. (lu.se)
  • The hypothesis is that high tissue tension during surgical reconstruction during infant surgery results in decreased blood perfusion, that may be associated with an increased risk of treatment-requiring postoperative complications with wound healing problems and stricture development, and that these can be avoided by perioperative monitoring. (lu.se)
  • [ 9 ] Over time, direct primary closure becomes difficult, if not impossible, and is often plagued by high rates of dehiscence and early complications. (medscape.com)
  • Registration and validity of surgical complications in colorectal cancer surgery. (cancercentrum.se)
  • Infection occurring at the site of a surgical incision. (lookformedical.com)
  • Surgical site infection-prevention. (epnet.com)
  • It's commonly associated with a surgical site infection . (healthline.com)
  • Wounds with an infection will take longer to heal, which makes you more susceptible to dehiscence. (healthline.com)
  • It's important to keep an eye on the healing progress of your wound, as any openings can lead to infection. (healthline.com)
  • Although it may only be a small opening or one suture that's broken, wound dehiscence can quickly escalate to infection or even evisceration. (healthline.com)
  • A primary cause of wound dehiscence is sub-acute infection, resulting from inadequate or imperfect aseptic technique. (wikipedia.org)
  • In the absence of other known metabolic factors which inhibit healing and may have contributed to suture dehiscence, subacute infection should be suspected, and the protocol for obtaining wound cultures followed. (wikipedia.org)
  • Furthermore, the term tertiary intention is used to define delayed healing which occurs in both types of healing after an infected wound is left open for days until the infection disappears and is completely covered by surgical closure of the overlying tissue 1 , 2 . (medsci.org)
  • An opened burn wound, as other open burns are prone to bacterial infection and may be contaminated by hazardous substances. (onteenstoday.com)
  • IMPORTANCE: Despite the widespread use of systemic antibiotics to prevent infections in surgically treated patients with fracture, high rates of surgical site infection persist. (healthpartners.com)
  • MAIN OUTCOMES AND MEASURES: The primary outcome was a deep surgical site infection within 182 days of definitive fracture fixation. (healthpartners.com)
  • Other secondary outcomes included superficial surgical site infection, nonunion, and wound dehiscence. (healthpartners.com)
  • Within 182 days, deep surgical site infection was observed in 29 of 481 patients in the treatment group and 46 of 499 patients in the control group. (healthpartners.com)
  • CONCLUSIONS AND RELEVANCE: Among patients with operatively treated tibial articular fractures at a high risk of infection, intrawound vancomycin powder at the time of definitive fracture fixation reduced the risk of a gram-positive deep surgical site infection, consistent with the activity of vancomycin. (healthpartners.com)
  • Examples include a post-surgical infection, debridement that requires a return to the OR, and hemorrhage after surgery. (aapc.com)
  • Antibiotics need to be prescribed when the wound is causing spreading and systemic infection. (ausmed.com.au)
  • Topical antibiotics may be used in specific circumstances - for more information, refer to Wound Infection in Clinical Practice: Principles of Best Practice . (ausmed.com.au)
  • The PICO System is demonstrated to be effective for up to 7 days for aiding in reducing the incidence of surgical site infection. (smith-nephew.com)
  • 14 Infection rates can be reduced by decreasing surgery duration and using appropriate surgical technique (eg, gentle tissue handling, closure of dead space). (cliniciansbrief.com)
  • SSIs occur in 2% to 4% of all patients undergoing surgical procedures, 2 and they are among the most expensive inpatient harms, adding approximately $30,000 to the total hospital cost per infection. (woundsource.com)
  • After the initial injury is repaired, the wound fills with blood that clots to protect the wound against infection and desiccation. (woundsource.com)
  • The presence of infection can further delay the process of healing, although surgical debridement of the necrotic tissue may improve healing conditions. (woundsource.com)
  • This type of healing is selected when there is a reason to postpone definitive wound closure, such as when there is poor circulation to the incision area, there is a need to allow for drainage, or there is excessive contamination or infection.5 Injuries such as dog bites, crush injuries, or lacerations with the presence of foreign bodies are frequently treated this way. (woundsource.com)
  • Tertiary intention healing allows the provider to clean and observe the wound for several days to ensure that the infection is treated successfully before staged surgical closure. (woundsource.com)
  • No evidence of differences was found between tissue adhesives and tapes for minimising dehiscence, infection, patients' assessment of cosmetic appearance, patient satisfaction or surgeon satisfaction. (cochrane.org)
  • Artificially created orifices or openings always present a risk of infection, wounds with secondary infections do not heal up correctly - and more. (plasmaderm.de)
  • This effectively prevents the subsequent infection of the wound. (plasmaderm.de)
  • Sutures of any type may be contraindicated for wounds that are contaminated, relatively old, or that would be at higher risk of infection if closed by sutures, such as small bites to hands or feet, puncture wounds, or high-velocity missile wounds. (msdmanuals.com)
  • Infection in the wound or chest bone. (medlineplus.gov)
  • Does tests of the skin and tissue in the wound to look for signs of infection. (medlineplus.gov)
  • It may take days, weeks, or even months for the wound to be clean, clear of infection, and finally heal. (medlineplus.gov)
  • ABSTRACT To determine the microbiology of wound infection following caesarean section and to evaluate the use of Gram stain for the predicton of subsequent microbiological culture results, 1319 surgical wounds were followed up. (who.int)
  • Organisms seen by Gram stain yielded a sensitivity of 96.6%, specificity of 88.9%, positive predictive value of 97.7% and negative predictive value of 84.2% when used to predict positive culture results for bacterial wound infection. (who.int)
  • Blood, chocolate (Diagnolab, We conducted this study to define the Barcelona, Spain) and MacConkey (MAST prevalence of pathogenic organisms in Diagnostics, Merseyside, United Kingdom) post-caesarean wound infection in our hos- agars were used to isolate Gram-positive pital and to evaluate the use of Gram stain and Gram-negative aerobic microorgan- to predict subsequent microbiological cul- isms. (who.int)
  • OBJECTIVE: To examine the effect of intrawound vancomycin powder in reducing deep surgical site infections. (healthpartners.com)
  • Blood glucose levels and diabetes control were analyzed as risk factors for wound dehiscence (a serious complication in which the surgical incision re-opens), wound infections and need for repeat surgery. (medindia.net)
  • Otherwise, blood glucose levels and hemoglobin A1c were unrelated to the risk of reoperation or wound infections. (medindia.net)
  • For patients with chronic skin ulcers occurring as a complication of diabetes, hyperglycemia has been linked to delayed wound healing and an increased risk of infections. (medindia.net)
  • 1 Although technological advances in surgical procedures have allowed some procedures to be performed using minimally invasive techniques, many operations still require incisions, which require special care to prevent dehiscence and surgical site infections (SSIs). (woundsource.com)
  • The purpose of this study is to determine whether the gentamicin-collagen sponge is safe and effective for preventing surgical wound infections in patients undergoing colorectal surgery. (stanford.edu)
  • Les micro-organismes mis en évidence par coloration de Gram ont donné une sensibilité de 96,6 %, une spécificité de 88,9 %, une valeur prédictive positive de 97,7 % et une valeur prédictive négative de 84,2 % lorsqu'ils étaient utilisés pour prévoir les résultats de culture positifs pour les infections bactériennes des plaies. (who.int)
  • Aspirates were obtained by from post-caesarean wound infections has preparing the wound area with alcohol, in- also been reported, however pathogenicity serting a sterile needle through the healing in this setting was not precisely known. (who.int)
  • The Usefulness of Closed Incision Negative Pressure Wound Therapy After Spinal Fusion: A Systematic Review and Meta-Analysis. (jefferson.edu)
  • Wound dehiscence occurs when a surgical incision reopens either internally or externally. (healthline.com)
  • In addition, an opening could lead to evisceration, which is a much more severe condition that occurs when your wound reopens and your internal organs come out through the incision . (healthline.com)
  • Wound dehiscence is a surgical complication in which a wound ruptures along a surgical incision. (wikipedia.org)
  • To cauterize is to seal off a wound or incision by burning it or freezing it, usually with a hot iron, electricity, or chemicals. (onteenstoday.com)
  • When a surgical incision starts to open, a problem called dehiscence, you need to closely monitor your incision for worsening of the condition. (onteenstoday.com)
  • size of dehiscence at central portion of incision? (fda.gov)
  • The patient returned to the office two weeks post-op with a blister and some wound dehiscence at the central portion of the incision that was closed with topical skin adhesive. (fda.gov)
  • On May 8, the patient is returned to the OR for treatment of partial dehiscence of the incision with secondary suturing of the abdominal wall. (aapc.com)
  • Reopening of a surgical incision or breakdown of an incision in the abdominal area. (mayoclinic.org)
  • The PICO dressing, including a proprietary AIRLOCKâ„¢ Technology layer, uniformly and consistently delivers NPWT across a surgical incision or chronic wound and the surrounding zone of injury. (smith-nephew.com)
  • The alternative is Maggie may literally be kicked out of the hospital with a big surgical incision in her stomach which isn't anywhere near healed, unable to walk (even to the kitchen or the bathroom) and sent home. (groupnewsblog.net)
  • Operating time, defined as the number of minutes from incision to closure of the surgical wound. (who.int)
  • Outcomes of Wound Dehiscence Post-Penetrating Keratoplasty. (jefferson.edu)
  • If best patient outcomes are to be achieved, applying evidence-based wound management knowledge and skills is essential. (ausmed.com.au)
  • Chronic and perioperative glucose management in high-risk patients undergoing surgical closure of their wounds is significantly associated with outcomes," Dr. Attinger and colleagues write. (medindia.net)
  • Understanding how these wounds heal at the cellular level is a crucial component in determining how to optimize the healing environment and promote better outcomes for surgical patients. (woundsource.com)
  • The main outcomes of interest were whether wounds stayed closed - and did not break down - and whether they became infected. (cochrane.org)
  • His academic interests include surgical innovation and patient-reported outcomes research in gender-affirming surgery. (ama-assn.org)
  • This study aimed to evaluate surgical, oncologic, and urinary outcomes of a new surgical technique based on vaginal flap to perform neomeatus reconstruction after distal urethral resection in radical surgery for vulvar cancer. (bmj.com)
  • While it could be debated whether the surgeon removed too much breast tissue or made an error at another point in the procedure, it's a fact that poor surgical outcomes happen. (medscape.com)
  • Impact of a surgical training programme on rectal cancer outcomes in Stockholm. (cancercentrum.se)
  • Death of a patient who develops a treatable life-threatening complication after a surgical procedure. (mayoclinic.org)
  • Conclusions Distal urethral resection and neomeatus reconstruction seem to be associated with adequate healing and low complication rates, such as dehiscence, stenosis, and flux deviation/dribbling. (bmj.com)
  • Pathologic processes that affect patients after a surgical procedure. (lookformedical.com)
  • Cauterization is a routine surgical procedure. (onteenstoday.com)
  • Therapy following a diagnostic surgical procedure. (aapc.com)
  • Modifier 58 may be used during the global surgical period for the original procedure only. (aapc.com)
  • Abdominoplasty was the fourth most common aesthetic surgical procedure performed in the United States in 2019, with over 140,000 of the operations carried out that year, according to the Aesthetic Plastic Surgery National Databank. (medscape.com)
  • Accidental cut or wound during a procedure. (mayoclinic.org)
  • Unplanned sponge or equipment left in wound during a procedure. (mayoclinic.org)
  • In addition, it is estimated that 5% of all patients undergoing a surgical procedure will develop an SSI 1 . (smith-nephew.com)
  • Surgical side effects will be discussed in detail prior to your surgical procedure by the surgeon. (froedtert.com)
  • Objective: Circumcision has been described as the most commonly performed surgical operation in the boys and is probably the oldest surgical procedure in man. (bvsalud.org)
  • METHODS: A standardized procedure of closing the midline laparotomy by using a "small steps" technique of continuous suturing with a slowly absorbable (polydioxanone) suture material in a wound-suture ratio of minimum 1 : 4 was introduced in June 2014. (regionh.dk)
  • CONCLUSION: The standardized procedure of closing the midline laparotomy by using a "small steps" technique of continuous suturing with a slowly absorbable (polydioxanone) suture material reduces the rate of fascial dehiscence. (regionh.dk)
  • Wound dehiscence is a condition where a cut made during a surgical procedure separates or ruptures after it has been stitched back together. (childrensdayton.org)
  • Understanding chest wall anatomy is paramount to any surgical procedure regarding the chest and is vital to any reconstructive intervention. (medscape.com)
  • Although instruments that touch the wound (eg, forceps, needles, suture) must be sterile, clean nonsterile gloves as well as clean but not sterile water may be used in immunocompetent patients. (msdmanuals.com)
  • Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES). (lookformedical.com)
  • Put new sutures in the wound. (epnet.com)
  • After the wound is deemed ready for closure, this may be done through the placement of sutures, skin grafts, or with a flap design. (woundsource.com)
  • Tissue adhesives or glues are increasingly used in place of stitches (sutures) or staples to close wounds. (cochrane.org)
  • It has been suggested that tissue adhesives may be quicker and easier to use than sutures for closing surgical wounds. (cochrane.org)
  • The results of the review showed clearly that fewer wounds broke down when sutures were used. (cochrane.org)
  • Sutures are significantly better than tissue adhesives for minimising dehiscence. (cochrane.org)
  • Although surgeons may consider the use of tissue adhesives as an alternative to other methods of surgical site closure in the operating theatre, they need to be aware that sutures minimise dehiscence. (cochrane.org)
  • Sutures (stitches), staples and adhesive tapes have been used for many years as methods of wound closure, but tissue adhesives have entered clinical practice more recently. (cochrane.org)
  • Closure of wounds with sutures enables the closure to be meticulous, but the sutures may show tissue reactivity and can require removal. (cochrane.org)
  • Deep dermal sutures (which begin and end at the bottom of the wound so that the knot is deeply buried) can be used to appose the dermis and hypodermis of wounds under tension in cosmetically important areas. (msdmanuals.com)
  • Because dermal sutures alone may not achieve perfect approximation of the vertical height of the wound edges, in cosmetic closures they are often followed by surface suturing (eg, running sutures). (msdmanuals.com)
  • Wound temporization with traction-assisted internal negative pressure wound therapy (NPWT), using bridging retention sutures, can minimize the effects of edema and elastic recoil that contribute to progressive tissue retraction over time. (medscape.com)
  • Use of a Continuous External Tissue Expander in Total Ankle Arthroplasty: A Novel Augment to Wound Closure. (jefferson.edu)
  • Dehiscence can be prevented through adequate tissue undermining to reduce stress on the wound edges, avoiding heavy lifting and speeding healing through adequate nutrition, controlling diabetes, and avoiding certain medications such as corticosteroids. (wikipedia.org)
  • Clinical features of surgical soft tissue wound healing in dentistry have been rarely discussed in the international literature. (medsci.org)
  • Secondary healing, on the other hand, occurs in areas which are not covered by normally epithelialized tissue due to intentional (extraction sockets, apically repositioned flaps) or accidental (wounds with full thickness loss of substance) exposure, or due to an insufficient amount of lining tissue to be used for coverage. (medsci.org)
  • Lastly, a fourth type of wound healing can also be considered when the overlying tissue is partially lost (abrasion) or intentionally removed (epithelialized free gingival graft donor site), so a de-epithelialized connective tissue layer is exposed and heals by re-epithelialization from the normal contiguous epithelium 2 . (medsci.org)
  • Although oral surgical wounds heal in a very similar way, soft tissue healing is somewhat conditioned by that of the underlying bone tissue. (medsci.org)
  • How do you remove dead tissue from a wound? (onteenstoday.com)
  • A structured approach is essential, as the most common error in wound care management is rushing in to select the latest and greatest new wound dressings without actually giving thought to wound aetiology, tissue type and immediate aim. (ausmed.com.au)
  • Without a doubt, removal of necrotic tissue and management of infective tissue are two priorities in wound care. (ausmed.com.au)
  • If the wound is locally infected, the clinician may choose to manage the infective tissue with debridement and topical antimicrobials (not topical antibiotics) (Lipsky & Hoey 2009). (ausmed.com.au)
  • There are three types of wound healing for surgical incisions, and they are distinguished based on how much skin and tissue has been lost. (woundsource.com)
  • Healing by secondary intention is indicated in wounds with edges that are not linear or do not approximate or wounds with a large tissue defect. (woundsource.com)
  • Once the wound is closed, the healing process often consists of a combination of primary and secondary intention healing activities, although these wounds may develop more scar tissue than wounds that heal by secondary intention. (woundsource.com)
  • p>The SorbaFixâ„¢ Absorbable Fixation System is indicated for the approximation of soft tissue and fixation of surgical mesh to tissues during laparoscopic surgical procedures, such as hernia repair. (bd.com)
  • Contraindications associated with laparoscopic surgical procedures relative to mesh fixation apply, including but not limited to: Fixation of vascular or neural structures, Fixation of bone and cartilage, Situations with insufficient in-growth of tissue into the mesh over time, which could result in inadequate fixation once the fastener is resorbed. (bd.com)
  • To prevent patient injury from the piloting tip, stay clear of vessels, nerves, bowel, and viscera when entering the surgical site, manipulating tissue, and fixating mesh. (bd.com)
  • The researchers searched the medical literature up to March 2014, and identified 33 medical studies that investigated the use of tissue adhesives for closure of wounds. (cochrane.org)
  • Initially, tissue adhesives were used primarily in emergency room settings, but this review looks at the use of tissue adhesives in the operating room/theatre where surgeons are using them increasingly for the closure of surgical skin incisions. (cochrane.org)
  • To determine the effects of various tissue adhesives compared with conventional skin closure techniques for the closure of surgical wounds. (cochrane.org)
  • As your wound improves, Mirragen is absorbed into the surrounding tissue so there's no need to have it removed. (engineeredtissue.com)
  • Removes dead or infected tissue in the wound (debride the wound). (medlineplus.gov)
  • When used as an adjunct in wound reconstruction, negative pressure wound therapy (NPWT) potentiates healing through increased local blood flow and granulation, reduced tissue edema, and controlled bacterial proliferation. (medscape.com)
  • Dehiscence usually takes place within 3 to 10 days of surgery. (healthline.com)
  • Surgery to treat cancers such as head and neck cancer or colorectal cancer may result in dehiscence. (healthline.com)
  • Risk factors include age, collagen disorder such as Ehlers-Danlos syndrome, diabetes, obesity, poor knotting or grabbing of stitches, and trauma to the wound after surgery. (wikipedia.org)
  • Dehiscence can also be caused by inadequate undermining (cutting the skin away from the underlying tissues) of the wound during surgery, excessive tension on the wound edges caused by the act of lifting or straining, or the wound being located on a highly mobile or high-tension area such as the back, shoulders or legs. (wikipedia.org)
  • Wound healing monitoring after surgery is an important concern in dentistry. (medsci.org)
  • Dehiscence After Surgery. (onteenstoday.com)
  • Was prineo/demabond or skin adhesive used on the patient in a previous surgery or wound closure? (fda.gov)
  • Vitreous wick syndrome, or vitreous touch syndrome, occurs after eye surgery or trauma and consists of microscopic wound breakdown accompanied by vitreous prolapse that develops into a vitreous wick. (medscape.com)
  • For example, wound dehiscence occurred in about 44 percent of patients who had high glucose levels before surgery, compared to 19 percent of those without preoperative hyperglycemia. (medindia.net)
  • The risk of wound dehiscence was also higher for patients with high blood glucose levels after surgery and for those with high hemoglobin A1c levels (that is, poor long-term diabetes control). (medindia.net)
  • With adjustment for other factors, the risk of wound dehiscence was more than three times higher for patients with hyperglycemia or elevated hemoglobin A1c around the time of surgery. (medindia.net)
  • Tolstrup, M-B , Watt, SK & Gögenur, I 2017, ' Reduced Rate of Dehiscence After Implementation of a Standardized Fascial Closure Technique in Patients Undergoing Emergency Laparotomy ', Annals of Surgery , bind 265, nr. 4, s. 821-826. (regionh.dk)
  • PlasmaDerm crucially improves wound healing after the surgery: the supply of nutrients and oxygen in the wound area is increased. (plasmaderm.de)
  • The best way to prevent dehiscence after your operation is to follow your doctor's instructions and surgical recovery best practices. (healthline.com)
  • The PICO System also reduced the odds of post-operative seroma and dehiscence. (smith-nephew.com)
  • Additionally, the PICO 7Y System, which treats two wounds simultaneously, was also cleared by the FDA to aid in the reduction of the incidence of superficial incisional SSIs for high risk patients in Class I wounds, post-operative seroma and dehiscence. (smith-nephew.com)
  • Wound inspection after careful food and plaque debridement is the essential part of wound healing monitoring. (medsci.org)
  • For many non-healing wounds, debridement is usually the first step necessary to begin the healing process. (onteenstoday.com)
  • Can a wound heal without debridement? (onteenstoday.com)
  • Many wounds can't heal without debridement. (onteenstoday.com)
  • This type of healing is also how chronic wounds such as pressure ulcers heal. (woundsource.com)
  • In some of the gastrointestinal or urinary tract reconstructions, the wounds heal with stricture, and the child must then undergo dilatations or other treatments in anesthesia, which is stressful and causes suffering for both the child and the family. (lu.se)
  • If the mass involves more than one-third of the eyelid margin, surgical reconstruction of the eyelid is usually necessary. (eyecareforanimals.com)
  • Traction-assisted internal NPWT provides a safe and effective alternative to reduce wound burden and facilitate definitive closure in cases where delayed reconstruction of high-tension wounds is planned. (medscape.com)
  • It is suitable for use across hospital, outpatient and post-acute settings and approved for a number of indications, including closed surgical incisions and chronic wounds. (smith-nephew.com)
  • A recently published meta-analysis, of over 1800 patients, demonstrated a 58% reduction in SSIs using PICO prophylactically in closed surgical incisions compared with standard care, across multiple surgical specialities 1* . (smith-nephew.com)
  • Eighteen wounds were treated with traction-assisted internal NPWT using the conventional (n = 11) or modified instillation (n = 7) technique. (medscape.com)
  • This removes wound exudates, reduces build-up of inflammatory mediators, and increases the flow of nutrients to the wound thus promoting healing. (lookformedical.com)
  • The utility is based on providing a moist environment for WOUND HEALING. (lookformedical.com)
  • Further test may only be needed if the wound is deep or not healing well. (epnet.com)
  • If you're concerned about possible dehiscence, check how your wound is healing . (healthline.com)
  • Adults over 65 years old are much more likely to have other conditions that slow the wound healing process. (healthline.com)
  • The use of steroid medications slows down wound healing. (healthline.com)
  • The aim of the present paper is to highlight both the main clinical findings of surgical wound healing, especially in periodontal and implant dentistry, and the wound healing monitoring procedures which should be followed. (medsci.org)
  • It has been extensively studied in the past, both in animals and in humans, and several studies have recently been carried out to review all knowledge about clinical and histological features of uncomplicated oral wound healing. (medsci.org)
  • However, no indications have been comprehensively reported on how wound healing monitoring should be performed after specific surgical procedures. (medsci.org)
  • Basically there are two different kinds of wound healing: primary and secondary intention healing 1 , 2 . (medsci.org)
  • First intention bone healing occurs in correctly repositioned and perfectly stabilized fractures, while secondary intention healing occurs when a bone defect has to be spontaneously filled, as in extraction sockets or in other post-surgical residual bone cavities or gaps 3 . (medsci.org)
  • The edges then sometimes appear "tucked in" and stop migrating any further, and stall the wound from healing. (onteenstoday.com)
  • The guiding principles of wound care have always been focused around defining the wound, identifying any associated factors that may influence the healing process, then selecting the appropriate wound dressing or treatment device to meet the aim and aid the healing process . (ausmed.com.au)
  • This healing method is selected when patients have substantial wound contamination, have overall poor condition (e.g., sepsis), or are at risk for wound dehiscence. (woundsource.com)
  • Healing of these wounds is often much slower and results in more scarring. (woundsource.com)
  • The main concern about pre-operative radiotherapy is the risk of increasing the rate of delayed wound healing when compared with postoperative radiation. (froedtert.com)
  • These trials should include people whose health may interfere with wound healing and surgical sites of high tension. (cochrane.org)
  • Verifiably activates wound healing. (plasmaderm.de)
  • Wound healing is accelerated. (plasmaderm.de)
  • PlasmaDerm is even verifiably suitable for treating delayed healing and wound dehiscence. (plasmaderm.de)
  • PlasmaDerm supports doctors and patients during treatment for delayed wound healing or wound dehiscence. (plasmaderm.de)
  • PlasmaDerm also promotes wound healing prophylactic for surgical wounds with indication-based risks and/or patients with individual wound-healing risks. (plasmaderm.de)
  • Accelerated wound healing in direct comparison. (plasmaderm.de)
  • Understanding the mechanisms that lead to impaired wound healing and healing without stricture, could lead to safer surgeries and aftercare, reduce the child's suffering and also save families time and financial losses. (lu.se)
  • In November 1983, a follow-up statement requested that users delete the portion of the Guideline that recommended specific generic antimicrobial ingredients for use in patient preoperative skin preparations, skin antiseptics, and surgical hand scrubs and announced that the entire Guideline would be revised. (cdc.gov)
  • Rather than recommending specific generic antimicrobial ingredients for skin antiseptics, patient preoperative skin preparations, and surgical hand scrubs, the Guideline indicates that hospitals may choose from appropriate products in categories defined by the U.S. Food and Drug Administration (FDA), since preparations used to inhibit or kill microorganisms on skin are categorized by an FDA advisory review panel for nonprescription (over the-counter {OTC}) antimicrobial drug products (3). (cdc.gov)
  • Wound dehiscence is the separation of the edges of a surgical wound. (epnet.com)
  • A clean wound will have minimal space between the edges of the wound and will commonly form a straight line. (healthline.com)
  • Once wound dehiscence occurs, it can be treated by allowing granulation, re-cutting and suturing the edges, and providing prophylactic antibiotics. (wikipedia.org)
  • Overall, twenty-five (25) studies enrolling 5,560 patients were included, spanning a variety of surgical specialties such as cesarean section, orthopedics and colorectal. (smith-nephew.com)
  • Risk factors for dehiscence can include any of the above, as well as obesity, smoking, previous scarring, surgical error, cancer, chronic use of corticosteroids and increased abdominal pressure. (wikipedia.org)
  • What are the symptoms of wound dehiscence? (healthline.com)
  • If you think your wound may be reopening, or if you notice any symptoms of dehiscence, contact your doctor or surgeon immediately. (healthline.com)
  • An internal surgical wound dehiscence can occur internally, as a consequence of hysterectomy, at the site of the vaginal cuff. (wikipedia.org)
  • The method may also be used when the wound has excessive tension, such as wounds that occur over articulating joints. (woundsource.com)
  • Wound contraction may also occur through proliferation of myofibroblasts, resulting in a wound that becomes only approximately one-third of its original size. (woundsource.com)
  • In March 1982, the Guideline for Prevention of Surgical Wounds was published (2), and copies were mailed to all U.S. acute-care hospitals. (cdc.gov)
  • Accepted surgical practices must be followed with respect to drainage and closure of infected or contaminated wounds. (bd.com)
  • [ 10 , 11 ] Modifications of this technology (including incisional internal vacuum-assisted therapy, which utilizes a partially buried sponge and closed suction drainage through a small skin opening) have been shown to expedite cavity collapse and facilitate delayed primary closure of large and/or contaminated wounds. (medscape.com)
  • [ 11 ] Its key features include limited direct undermining, increased lateral skin resection with high tension wound closure along lateral limbs, and 2-layer superficial fascial system (SFS) repair. (medscape.com)
  • Loss of domain often complicates attempts at delayed wound closure in regions of high tension. (medscape.com)
  • Loss of domain is a common problem associated with large open wounds in areas of increased tension. (medscape.com)
  • Smith & Nephew (LSE: SN, NYSE: SNN), the global medical technology business, is pleased to announce the US launch of the new PICO 7 Single Use Negative Pressure Wound Therapy System (sNPWT), which delivers clinical 1* and cost effectiveness benefits 2** , all the while supporting an improved patient experience 3*** . (smith-nephew.com)
  • With PICO and its proprietary dressing with the AIRLOCK technology layer, we revolutionized the use of negative pressure wound therapy, making a treatment previously predominantly used in a hospital inpatient setting available to a wider range of outpatients in a cost effective, portable solution," said Paolo Di Vincenzo, Smith & Nephew's Senior Vice President Global Marketing of Advanced Wound Management. (smith-nephew.com)
  • Smith+Nephew (LSE:SN, NYSE:SNN), the global medical technology business, is pleased to announce new indications for use for its PICO 7 and PICO 14 Single Use Negative Pressure Wound Therapy (sNPWT) Systems. (smith-nephew.com)
  • Men are more likely than women to experience dehiscence in certain types of surgeries, including some abdominal surgeries. (healthline.com)
  • If abdominal pressure increases unexpectedly, the force could be enough to reopen a wound. (healthline.com)
  • Sixteen patients (ten with one or more intestinal fistula) developed abdominal wall dehiscence were included in this study. (who.int)
  • Once this occurs, the surgeon may use wire to bring the bone back together then close the skin or use a muscle flap to cover and close the wound. (medlineplus.gov)
  • The first thing to do before addressing any wound is to perform an overall assessment of the patient. (ausmed.com.au)
  • So, with this in mind, and having completed a thorough overall assessment, a wound assessment can now be conducted. (ausmed.com.au)
  • Prognostic significance of both surgical and pathological assessment of curative resection for rectal cancer. (cancercentrum.se)
  • If compression and elevation of the wound site does not cause the wound to stop bleeding and stitching the wound would take too long, cauterization can be used as a way to stop the bleeding. (onteenstoday.com)
  • Users should be familiar with surgical procedures and techniques involving synthetic absorbable materials before employing SorbaFixâ„¢ Absorbable Fixation System fasteners for wound closure, as the risk of wound dehiscence may vary with the site of application and the material used. (bd.com)
  • No case of dehiscence was reported at the site of neomeatus. (bmj.com)
  • Treatment may also consist of serial surgical debridements or topical antimicrobial agents. (woundsource.com)
  • Instillation of antimicrobial solution was reserved for wounds containing infected/exposed hardware or prosthetic devices. (medscape.com)
  • Determining risk factors for surgical wound dehiscence: a literature review. (epnet.com)
  • Surgical wounds always represent risk factors. (plasmaderm.de)
  • Nonexpendable apparatus used during surgical procedures. (lookformedical.com)
  • Gonadectomy (ie, ovariohysterectomy [OHE] or neutering) is one of the most commonly performed veterinary surgical procedures. (cliniciansbrief.com)
  • The number of surgical procedures performed in the United States has been increasing annually by as much as 300% over a 10-year period. (woundsource.com)
  • Wound hygiene and closure techniques need not be sterile procedures. (msdmanuals.com)
  • We hope to optimize existing surgical procedures and strengthen the surgical aftercare. (lu.se)
  • Individuals with Ehlers-Danlos syndrome also commonly experience wound dehiscence. (wikipedia.org)
  • The prosthetic dehiscence was not diagnosed using transthoracic echocardiography, but transesophageal echocardiography. (nih.gov)
  • In patients with mitral prosthetic dehiscence with laminar flow pattern, transesophageal echocardiography can provide reliable diagnostic information. (nih.gov)
  • Postoperative inflammation and the germ load of the wound are reduced. (plasmaderm.de)
  • The correct surgical treatment of ectropion depends on the etiology. (medscape.com)
  • We did Gram stains and cultures on exudates from open wounds and on aspirates if the wounds had demonstrable fluid collection. (who.int)
  • Ten days later, wound cultures were positive for Pseudomonas aeruginosa . (medscape.com)
  • First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured. (lookformedical.com)
  • A valuable treatment of surgical wounds. (plasmaderm.de)
  • PlasmaDerm supports the treatment of surgical wounds preventively and peri- and postoperatively. (plasmaderm.de)
  • Treatment of rectal cancer often consists of surgical resection of the tumor. (stanford.edu)
  • You may have already been receiving wound care or treatment and antibiotics. (medlineplus.gov)
  • No differences were observed in surgical wound dehiscence, length of hospital stay, or survival to discharge between groups with a shorter versus longer time between discontinuation of anti-fibrotic therapy and transplant. (wustl.edu)
  • Therapy continued for 3 to 8 days (mean, 4.3 days), resulting in an average wound surface area reduction of 78% (149 cm 2 vs. 33 cm 2 ) at definitive closure. (medscape.com)
  • By performing meta-analyses on these studies, the PICO 7 sNPWT System demonstrated statistical efficacy when compared to conventional dressings, including the reduction of the incidence of superficial and deep incisional SSIs for class I and class II wounds. (smith-nephew.com)
  • [ 1 ] The syndrome consisted of microscopic wound breakdown, followed by a vitreous prolapse that developed into a vitreous wick seen externally. (medscape.com)
  • Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound. (jefferson.edu)
  • Surgical Wound Dehiscence" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (jefferson.edu)
  • Place a piece of mesh to help close the wound. (epnet.com)
  • Generally, the wound is covered within 48 hours by a layer of epithelium, which forms a scab to separate the underlying dermis from the fibrin clot above. (woundsource.com)
  • Although rare, here are two situations where cauterization may be used in wound care: Extreme loss of blood. (onteenstoday.com)
  • These are just some of the questions many first-time or novice clinicians may ask when faced with a complex instance of wound care. (ausmed.com.au)
  • This wound and dressings guide will identify some of the most common wound types and guide you in setting your aim of care and selecting the best dressing or product to achieve that aim. (ausmed.com.au)
  • Journal of wound care. (hud.ac.uk)
  • Wound care that offers peace of mind. (engineeredtissue.com)
  • Ask your doctor about Mirragen for wound care. (engineeredtissue.com)
  • Learn how Mirragen is transforming wound care. (engineeredtissue.com)
  • The patient was started on Levaquin and referred to a wound care specialist who started hyperbaric treatments. (medscape.com)
  • This case illustrates the legal dangers that can arise after an adverse surgical outcome. (medscape.com)
  • Effect of a surgical training programme on outcome of rectal cancer in the County of Stockholm. (cancercentrum.se)