Wound dehiscence is a surgical complication caused by the application of opposing and distracting forces tending to pull apart the suture line. In recent years, a novel negative pressure surgical management system has been developed to prevent surgical wound complications. This system creates a closed environment that removes exudates and other potentially infectious material, protects the surg...

APRIL 2010 I CATARACT & REFRACTIVE SURGERY TODAY EUROPE I 31 T he incidence of wound gape or iris prolapse after cataract extraction reportedly ranges from 0% to 1.6% with phacoemulsification and 0% to 3% with extracapsular cataract extraction.1 Contemporary cataract surgery is most commonly performed through sutureless clear corneal incisions with a wound width of 3.2 mm or less. These small w...

The goals of emergency wound treatment are to restore function, repair tissue integrity with strength and optimal cosmetic appearance, and minimize risk of infection. Risk of infection depends on the location, mechanism, host, and care. The risk for a clean facial wound produced by incision is less than 1%, whereas a dirty crush injury to the lower extremity may have more than a 20% risk. Wound...

BACKGROUND The perceived difficulty of steps of manual small incision cataract surgery among trainees in rural China was assessed. DESIGN Cohort study. PARTICIPANTS Fifty-two trainees at the end of a manual small incision cataract surgery training programme. METHODS Participants rated the difficulty of 14 surgical steps using a 5-point scale, 1 (very easy) to 5 (very difficult). Demograph...

BACKGROUND The method of midline laparotomy incision and closure remains a complex surgical problem. OBJECTIVE To compare the mechanical properties at the interface of midline laparotomy incision made by scalpel versus electrocuting current in rats. METHODS A sharp midline laparotomy incision was made in 60 Wistar female rats using a scalpel or electrocautery to open the fascia. The fascial...

OBJECTIVES A 2-3-cm blowhole incision in the supraclavicular or infraclavicular area is widely used to eliminate the presence of subcutaneous air in cases of life-threatening subcutaneous emphysema (SE). However, when the patient is supported by mechanical ventilation, it is difficult to eliminate completely such air because mechanical ventilation leads consistently to the formation of large am...

Aim: The aim is to shift the 5 mm port from the right upper abdomen to the umbilicus in threeport laparoscopic cholecystectomy to obtain better cosmetic results. Methods: The three ports in conventional three-port laparoscopic cholecystectomy were placed in a 10 mm epigastric incision, a 5 mm umbilical incision and a 5 mm right upper abdominal incision. Our modified method involved movement of ...

Propolis is a resinous, sticky substance that bees collect from conifer buds and use to repair cracks in their hives. Propolis was used in folk medicine as early as 300 BC as an anti-inflammatory drug and wound healing agent. We studied the effect of Propolis on wound healing in albino rats. Twenty male albino rats had a linear 3 cm incision made over skin of back. The animals were randomly div...

Propolis is a resinous, sticky substance that bees collect from conifer buds and use to repair cracks in their hives. Propolis was used in folk medicine as early as 300 BC as an anti-inflammatory drug and wound healing agent. We studied the effect of Propolis on wound healing in albino rats. Twenty male albino rats had a linear 3 cm incision made over skin of back. The animals were randomly div...

The development of modern suture material offers the dermatologic surgeon an important choice in would closure. This review, although prejudiced in some instances by the author's experience, likes, and dislikes, is an attempt to clarify the difference between various absorbable and nonabsorbable sutures. Properties of suture material are discussed in detail. Guidelines for choice in regard to w...