Introduction: The value of laparoscopy in appendicitis is not established. Our aim was to compare the efficacy and benefits of laparoscopic versus open appendectomy in a prospective randomized controlled trial. Objective: To compare the efficacy of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis in terms of post operative wound infection. MATERIAL AND METH...

abstract background: the incidence of early wound related complications is assessed in laparoscopic versus open abdominal surgeries. complications of surgical wounds (esp. wound infections) are considered as a major problem in surgery wards. complications of surgical wounds are classified as early and late. common and early complications are hematoma, seroma and wound infection. methods: the me...

Nowadays, laparoscopic cholecystectomy is the procedure of choice for cholelithiasis and a part of general surgical practice. Benefits of this approach include shorter hospital stay, less pain, quicker return to normal activities and improved cosmetic outcome. This study was done to evaluate the problems & complications faced during and after laparoscopic cholecystectomy like adhesions, sessile...

Background: Repeat caesarean sections are known to be a cause of significant morbidity in both intra and post-operative period. The challenges faced by the surgeon may include adhesions, difficulty delivery foetus, visceral injury bleeding. recovery marred problems such as post-partum haemorrhage, febrile morbidity, wound infections after effects intra-operative injury. It is these issues that ...

OBJECTIVE To compare the difference in the rate of surgical wound infection, patient's convenience and length of hospital stay between Primary Closure and Delayed Primary Closure in cases of complicated appendicitis in adults. METHODS This randomised control trial was conducted at the Combined Military Hospital, Kharian and Malir from June 5, 2006, to September 10, 2009. Patients > or = 15 ye...

A 55-year-old heterosexual male presented to the emergency department with a symptomatology consistent with urethritis and Fournier's gangrene. Urethral swab and operative tissue cultures were positive for coagulase-negative Staphylococcus and an intracellular Gram-negative diplococcus. The latter was initially thought to be Neisseria gonorrhea; however, DNA sequencing technique confirmed it to...

OBJECTIVE To quantify the oral cutaneous fistulae after surgery and to identify possible risk factors. METHODS A retrospective study, interesting patients that were submitted to surgery, with a two years minimum post-operative follow up. The considered variables were: sex, concomitant diseases, tabacco and alcohol use, the anesthesic and pulmonary risks, clinical stage, cervical linphadenecto...

Conclusion Thus, measures of prevention and infection control can be implemented that are related to the rigor of the completion of the enema, ensure the conduct, preparation and guidance of patients for diagnostic tests and specialized (CT, MRI and colonoscopy) , fitness and education on pre-operative surgery and its consequences, evaluation of patient outcome and the surgical wound and hospit...

During the five year period December 1980 to November 1985, 106 infants with hypertrophic pyloric stenosis were treated. There were no operative deaths, but two late deaths occurred from associated abnormalities. The combination of preoperative rehydration, skilled anaesthesia, and the use of the Fredet-Ramstedt operation (pyloromyotomy) have virtually eliminated mortality from uncomplicated in...

It is important to avoid underestimating the significance of wound complications following total knee arthroplasty (TKA). Expedient and aggressive care is recommended. Understanding the blood supply to the skin around the knee and measures to prevent wound complications are fundamental to preventing wound problems. A detailed patient history and physical examination will identify high-risk pati...