Objective-To compare the anaesthetic properties of conventional intradermal 1% plain lignocaine with a topical gel preparation of adrenaline (1:2000) and cocaine (4-7%) for use in treatment of children's lacerations. Methods-Children aged 3-16 years with lacerations (not of the digits or mucous membranes) were consecutively assigned to receive either adrenaline and cocaine (AC) or lignocaine. P...

Eight cases of unstable fractures caused by sharp heavy weapons such as swords or machetes are presented. A modern approach to these injuries is described against the historical background.

OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...

PURPOSE We report a simple and effective method of identifying the medial cut end of lower canalicular laceration cases. METHODS Twenty-seven eyes with lower canalicular lacerations as a result of trauma were involved in the study. Surgery was performed within 48 hours after injury for canalicular reconstruction. Upper canalicular probing was utilized to identify the medial cut end of deep ca...

OBJECTIVE The purpose of this study was to show the hemostatic effect of spray, solution and tampon forms of Ankaferd Blood Stopper (ABS), a unique medicinal plant extract historically used as a hemostatic agent in Turkish folklore medicine, in a porcine bleeding model. MATERIALS AND METHODS Two 1-year-old pigs were used as bleeding models for superficial and deep skin lacerations, grade II l...

OBJECTIVE To determine the factors affecting the visual outcome in patients with open globe injuries of eye. MATERIALS AND METHODS In a prospective interventional study of consecutive patients with open globe injuries, the age, gender, place of injury, object causing injury and safety precautions taken were recorded. A detailed examination of the eye was done with a slit-lamp. X-rays of the o...

BACKGROUND Several sports medicine reviews have highlighted a 3- to 6-month time frame for return to play after splenic lacerations. These reviews are based on several well-defined grading scales for splenic injury based on computed tomography (CT). None of the articles suggest that serial CT scanning is necessary for follow-up; some even indicate that it has no role in the management of these ...

This study assessed the relation between perineal body length and the risk of perineal laceration extending into the anal sphincter during vaginal delivery in primigravid patients at an institution with a low utilization of episiotomy. This was a prospective study of primigravid patients in active labor. Primigravid women with singleton pregnancies who were in the first stage of labor at 37 wee...

REFERENCE/CITATION Farion K, Osmond MH, Hartling L, et al. Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev. 2001(4);CD003326. CLINICAL QUESTION What is the clinical evidence base for tissue adhesives in the management of simple traumatic lacerations? DATA SOURCES Studies were identified by searches of the following databases: Cochrane Wounds Gro...

third-degree perineal lacerations in 7 mares were repaired surgically by a one-stage method (goetz technique). primary healing occurred in all of them without any complication. the conception rate obtained after surgery was 70.1%. five horses out of seven got pregnant after surgery and no further injury was seen at subsequent foaling. three mares have produced several healthy foals without any ...