1 Sir: I reconstructive breast surgery, skin-flap quality is an important determinant of surgical outcome. Although the overall rate of complications is low in breast surgery,1 some patient cohorts may be associated with a significantly higher risk of wound complications.2,3 Lin et al2 found that breast reconstruction in irradiated wound beds has been associated with a greater than 3-fold incre...

backgrounds: the aim of this study was to determine if preemptive local anesthesia yields better postoperative pain control than infiltration of local anesthesia at the time of wound closure. methods: forty patients aged between 1 and 10 years were randomly allocated to one of the two groups by using a sealed envelope technique. group 1 received 0.5 mg/kg bupivacaine 20 minutes before the incis...

Aims: Surgical incisions have been performed by a scalpel for many years, and today the use of an alternative method, catheter incision, is increasing daily. This study aimed to evaluate the complications of use of electrocautery and scalpel in surgical incisions of the abdominal wall in hysterectomy surgery Materials and Methods: The present study is single-blind that was performed on 92 elig...

Acute appendicitis is a common indication for emergency abdominal surgery. An appendectomy with an open right lower quadrant incision is the “gold standard” of treatment for acute appendicitis. After an appendectomy procedure is completed, wound infection is the most common morbidity, and it may result in increased patient pain, longer hospital stay, poor cosmesis, and overall higher costs of t...

We report our experience with three patients who received NPWT over complex incisions following combined fleur-de-lis panniculectomy with ventral hernia repair. All patients received perioperative antibiotics. Panniculectomy was performed prior to components separation and underlay of biologic graft. Closure followed with drain placement to all undermined areas, with 3 French fry portals left o...

Ureterostomy: Under intravenous pentobarbitone (30mg/~g) anaesthesia the ureter is approached retroperitoneally through a paravertebral incision extending from the costovertebral angle to the iliac crest. The muscles of the abdominal wall are cut along the line of incision. The ureter is identified in the retroperitoneal tissue and is drawn out without disturbing its blood supply. A longitudina...

Wound healing effects of 50% ethanol extract of dried whole plant of Bacopa monniera (BME) was studied on wound models in rats. BME (25 mg/kg) was administered orally, once daily for 10 days (incision and dead space wound models) or for 21 days or more (excision wound model) in rats. BME was studied for its in vitro antimicrobial and in vivo wound breaking strength, WBS (incision model), rate o...

Surgical wounds in cancer patients have a relatively high dehiscence rate. Although cancer resections are performed so as to include macroscopically non-involved tissues, some cancer cells can be present in the line of transection or surrounding tissues (R1 and R2 resections). The local healing process may facilitate proliferation of these localized cancer cells, and the high cytokine concentra...

Abrus cantoniensis (Leguminosae sp.) is a traditionally used remedy for treating rheumatism, blood stasis, and internal injuries. In order to reveal a new insight of the utilization of the plant, solvent extraction by ethyl acetate (EA) was performed in order to evaluate the plant extracts' in vivo excision and incision-wound potentials with models. The contents of the EA fraction, wound healin...