BACKGROUND The exact risk that poor glucose control introduces to patients undergoing surgical closure has yet to be fully defined. METHODS The authors retrospectively analyzed a prospectively collected database of patients seen at their wound care center to evaluate the effects of chronic and perioperative glucose control in high-risk patients undergoing surgical wound closure. Hemoglobin A1...

BACKGROUND Certain postoperative wounds are recognised to be associated with more complications than others and may be termed high-risk. Wound healing can be particularly challenging following high-energy trauma where wound necrosis and infection rates are high. Surgical incision for joint arthrodesis can also be considered high-risk as it requires extensive and invasive surgery and postoperati...

Recently published randomized trials examining skin closure technique on postcesarean wound complications have produced conflicting results. We performed a metaanalysis of trials comparing staples and subcuticular sutures for skin closure at cesarean section (CS). Pooled outcome measures were calculated using random effects models. Primary outcomes were rates of wound dehiscence (separation) an...

BACKGROUND Collagen membranes have some benefits include promoting wound healing through isolation, clot stabilization, wound stability, and hemostasis, enhancing primary wound coverage through its chemotactic ability to attract fibroblasts, and augmenting flap thickness by providing a collagenous scaffold. The purpose of this study was to compare primary and secondary healing and collagen memb...

BACKGROUND Popularity of arm-contouring procedures, once coveted by the massive weight loss population, has grown among society at large. The technique has evolved with the goal of producing a predictable and thin scar in a location that is acceptable for interpersonal interaction. METHODS All consecutive brachioplasty patients from May of 2008 to May of 2013 were reviewed retrospectively at ...

Background: Different abdominal surgeries could benefit from early feeding. Aims: To compare early feeding with traditional postoperative dietary management for development of postoperative gastrointestinal (GI) symptoms. Settings and Design: A prospective randomized controlled study. Methods and Materials: This was a study of 110 patients who were randomly allocated to early feeding beginning ...

INTRODUCTION Pilonidal sinus disease (PSD) is a highly debatable disorder regarding its surgical management, despite an assortment of surgical techniques described in the medical literature. The aim of this report is to provide an alternate semi-closed surgical method for treatment of PSD, with early recovery and a satisfactory cosmetic result. METHODS In this retrospective study, 34 patients...

BACKGROUND In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. METHODS A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound ...

BACKGROUND We report the first meta-analysis on the impact of prophylactic use of a specific design of negative pressure wound therapy (NPWT) device on surgical site complications. METHODS Articles were identified in which the specific single-use NPWT device (PICO⋄, Smith & Nephew) was compared with standard care for surgical site infection (SSI), dehiscence, or length of stay (LOS). Risk rat...

Abstract The objective of this study is to compare Bianchi supra umbilical curvilinear incision with a right upper transverse in patients presenting infantile hypertrophic pyloric stenosis (IHPS) terms level difficulty faced during the procedure, operative time, postoperative cosmesis, wound infection and dehiscence. A prospective comparative was conducted at Department Paediatric Surgery, Chil...