BACKGROUND Postoperative infections contribute substantially to morbidity and mortality after congenital heart disease surgery and are often preventable. We sought to identify risk factors for postoperative infection and the impact on outcomes after congenital heart surgery, using data from the International Quality Improvement Collaborative for Congenital Heart Surgery in Developing World Coun...

Descending necrotizing mediastinitis a clinical entity formed by the spreading of cervical infection from dental and oropharyngeal structures through deep cavities between fascia on neck to mediastinum, pleural pericardial spaces with necrosis soft tissue has high mortality. Herein we present case 73-year-old admitted emergency department septic clinic. The patient was diagnosed descending due ...

OBJECTIVE To evaluate endoscopic plantar fasciotomy for the treatment of recalcitrant heel pain. METHOD We undertook a retrospective study of the use of endoscopic plantar fasciotomy in the treatment of chronic heel pain that was unresponsive to conservative treatment. Over a 10-year period, we reviewed the charts of 55 patients with a minimum 12-month history of heel pain that failed to resp...

BACKGROUND AND OBJECTIVES Besides the increase in hospital costs, surgical patients with nosocomial infection may not recover their previous condition and their condition can even evolve to death. Besides well-established patient-related risks, postoperative infection is also dependent on the surgical procedure, the hospital conditions and the surgeon. Despite several protocols to prevent nosoc...

The relationship between unsutured clear corneal tunnel incisions and an increased incidence of infection after cataract surgery remains uncertain; however, there is a growing concern and body of evidence regarding a potential causal association. Although 2 large recent studies from the Bascom Palmer Eye Institute report no greater incidence of endophthalmitis with corneal incisions than with s...

We explored the effects of different levels of compliance with an enhanced recovery after surgery (ERAS) protocol on the short-term prognosis of patients who underwent colorectal cancer surgery. We conducted a single-center prospective cohort study in which 254 patients who received surgical treatment in a teaching tertiary care hospital were enrolled from March 2016 to November 2016. The patie...

In an attempt to rationalize the use of intraperitoneal drainage of the subhepatic space after simple, elective cholecystectomy, a prospective study was designed to compare the post-operative course with and without drainage. There was a higher incidence of postoperative fever of unknown origin and wound infection in the drained group. In the group without drainage the hospital postoperative st...

PURPOSE To determine whether or not an extended regimen of prophylactic antibiotics following either open or closed reduction of mandibular fractures is beneficial in lowering the rate of infection in postoperative patients. PATIENTS AND METHODS This study is a retrospective chart review of 150 patients treated operatively for both complicated and uncomplicated mandibular fractures at Univers...

Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) has been described as a risk factor for postsurgical infection. The purpose of this study is to determine the prevalence of MRSA in pediatric orthopaedic patients and whether being a MRSA carrier is a predictor of postoperative infection. Six hundred and ninety-nine consecutive pediatric patients who underwent MRSA nasal scree...

Historically, the control of wound infection depended on antiseptic and aseptic techniques directed at coping with the infecting organism. In the 19th century and the early part of the 20th century, wound infections had devastating consequences and a measurable mortality. Even in the 1960s, before the correct use of antibiotics and the advent of modern preoperative and postoperative care, as mu...