background: wound complications following open repair for acute achilles tendon ruptures (aatr) remain the subject of significant debate. the aim of this study is to investigate the effects of covering repaired aatr using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair.   methods: in this case series study, open repair was performed for 32 ...

reconstruction of breast with transverse rectus abdominis myocutaneous (tram) flap is the standard for reconstruction of breast following mastectomy. in this article, authors report their experience with pedicled tram flap reconstruction of the breast. records for the patients who had undergone breast reconstruction with pedicled tram flap were retrieved. records of outpatient follow-ups were a...

IMPORTANCE Previous studies of checklist-based quality improvement interventions have reported mixed results. OBJECTIVE To evaluate whether implementation of a checklist-based quality improvement intervention--Keystone Surgery--was associated with improved outcomes in patients in a large statewide population undergoing general surgery. DESIGN, SETTING, AND EXPOSURES A retrospective longitud...

Repair of huge ventral hernias is technically challenging for the surgeon and a major operation for the patient and should be performed by experienced surgeons in centers that are used to caring for patients who are commonly massively obese with significant comorbidities. Preoperative medical optimization of patients is an important part in the overall management of these large hernias. Convent...

PURPOSE To compare 2 methods of wound closure-metallic staples or 3-0 undyed vicryl-according to postoperative wound complication rates. METHODS Patients who underwent surgery for proximal femoral fractures were randomised to have wound closure with metallic staples or with subcuticular vicryl suture. Wounds were regularly examined postoperatively and only those with positive wound swabs were...

OBJECTIVE We wished to determine the reduction in the rate of wound complications that would render the use of prophylactic negative pressure wound vacuum therapy (NPWT) cost saving compared to routine incision care (RC) following laparotomy for gynecologic malignancy. METHODS A decision tree was designed from a payer perspective to compare strategies for incision management following laparot...

introduction: postoperative wound infection is a complication that occurs after coronary artery bypass graft surgery. the aim of this study was to examine the incidence of wound infections after coronary artery bypass graft surgery among the patients operated in ghaem hospital in the city of mashhad from 2009-2011. methods: this cross-sectional study was performed in the years 2009 to 2011 on 3...

OBJECTIVES The aim of the study was to investigate the effects of age and/or surgical approach on perioperative wound complication following ovariohysterectomy (OHE). METHODS A retrospective search of perioperative monitoring records from a shelter desexing program was conducted to identify cats that underwent OHE between 1 June 2010 and 31 December 2012 inclusive. A wound complication was de...

Background Wound closure is highly associated with wound complications and the best wound closure method was controversial in total hip arthroplasty. Methods We performed a retrospective study of primary hip arthroplasty and compared three types of closure method. Results 155 cases were closed using continuous subcuticular sutures then with staples, 111 using staples, 141 using interrupted ...