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1
Lestari, Ni, and Ratri Istiqomah. "THE EFFECT OF PERINEAL LACERATIONS IN DEVELOPMENT OP POSTPARTUM DEPRESSION Ni Putu Yunita Sri Lestari1; Ratri Istiqomah2." Journal of Psychiatry Psychology and Behavioral Research 3, no. 1 (2022): 9–12. http://dx.doi.org/10.21776/ub.jppbr.2022.003.01.3.
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Spontaneous vaginal deliveries allows perineal lacerations. The level of resistance of a person to perineal lacerations varies widely. The risk of developing postpartum depression is experienced by different groups of women. In the early months after delivery, depression is the most common morbidity in postpartum women. The presence of perineal lacerations can be a factor in the development of postpartum depression. Stress and anxiety disorders can be caused by the occurrence of grade 3 and 4 perineal lacerations. This study looked at the potential effect of perineal laceration on the incidence of postpartum depression in women with vaginal delivery. This systematic review used study research that related to postpartum depression and perineal lacerations. Articles that are relevant are searched for by the author on Google Scholar, ScienceDirect, and Pubmed from the last 5 years (2015-2020). By 5 of the 77 studies were discussed in the review. The studies were conducted in United States, Taiwan, France, Brazil, and Sweden, total 4.966 women were included. Three of five studies showing that the presence of perineal lacerations increases the incidence of postpartum depression but along with the development, two research from the last 2 years, perineal lacerations did not increase risk of postpartum depression. However, severe perineal lacerations increase risk of postpartum depression among women with low resilience with 3rd- 4th degree of perineal laceration support development of postnatal depression in women. Keywords: perineal, lacerations, depression, postpartum.
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Lazuardi, Nizar Arif, and Trilaksana Nugroho. "CLINICAL CHARACTERISTICS, CAUSALITY, AND EVALUATION OF EYE LID LACERATION SURGERY IN KARIADI GENERAL HOSPITAL, SEMARANG." Ophthalmologica Indonesiana 49, S1 (2024): 151–56. http://dx.doi.org/10.35749/qz3k2644.
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Introduction and Objective: Eyelid lacerations appear to be understudied in terms of adequate epidemiological research among all injury sites. The aim of this study was to assess the etiological characteristics, and evaluation of eyelid laceration surgery in Kariadi General Hospital.
 Method: In a observational analytic study with retrospective design, 89 cases of isolated traumatic eyelid laceration were consecutively studied and its epidemiology, etiology and the surgery were evaluated. All patients who underwent lid surgery between March 2021 and March 2023 were included. The data is analyzed to determine the features and the connection between the resulting frequency and the variables that were collected.
 Result: This study enrolled 89 patients with 66 (74.2%) males and 23 (25.8%) females. The largest age group in this study was 16–50 years old, with 53 patients (59.6%). With respect to the regio of laceration, medial laceration regio was reported in 69 patients (77.5%), central laceration regio was reported in 8 patients (9%), and lateral laceration regio was reported in 12 patients (13.5%). Based on the grade, 68 patients (76.5%) had full-thickness lacerations, and 21 patients (23.6%) had lamellar lacerations.
 
 Conclusion: Male tend to have a higher incidence rate than female. The highest age range is among adolescents and young adults.
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Padmastrimaya, Aderiesta, and Raja Erinda. "Characteristics of Patients with Eyelid Laceration in Kariadi General Hospital Semarang." Ophthalmologica Indonesiana 49, S1 (2024): 137–42. http://dx.doi.org/10.35749/ycng1z64.
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Introduction and Objective: Eyelid laceration is one of the most common ocular injuries with complications. This study examines patient characteristics with eyelid lacerations at Kariadi General Hospital Semarang. Methods: An observational study used medical records data from April 2019 to January 2023. Age, gender, eyelids, grading, area of laceration, mechanism of trauma and injury, canthal and canalicular involvement, associated injury, and surgery were recorded. Results: From 75 patients, lacerations were more common in men (56, 75%) and ages 16-<50 years (43, 57%). Lacerations occurred in right lower (21, 28%), right upper (17, 23%), right upper and lower (16, 21%), left lower (9, 12%), left upper (8, 11%), and left upper and lower (4, 5%) eyelids. They were mainly medial (52, 69%), lateral (12, 16%), and central (7, 9%). Full-thickness lacerations (58, 77%) outnumbered lamellar thickness (17, 23%). Blunt trauma (63, 84%) was the main mechanism, with motor vehicle accidents leading 30 (40%). Canthal involvement was absent in 41 cases (55%), medial in 29 (39%), and lateral in 5 (7%). Canalicular involvement was absent in 39 cases (52%) and present in 36 (48%). The three most frequent of associated injury of the patients was 16 (21%) subconjunctival bleeding, 12 (16%) orbital hematom, 9 (12%) conjunctival laceration. All patients underwent surgery, with eyelid repair most common (32, 43%). Conclusion: Eyelid lacerations mainly involved right lower eyelid, medial region, and are full-thickness. Blunt trauma, particularly motor vehicle accidents, was the main cause. Most cases lack canthal or canalicular involvement. Eyelid repair was the most frequent choice of surgery.
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Gosal, Gledies Theresye, Trika Irianta, David Lotisna, Isharyah Sunarno, Imam Ahmadi Farid, and Nugraha Utama Pelupessy. "The association between postpartum perineal laceration with anatomy and pelvic floor muscle strength." Bali Medical Journal 12, no. 3 (2023): 3146–50. http://dx.doi.org/10.15562/bmj.v12i3.4724.
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Link of Video Abstract: https://youtu.be/lrnQiVZyH8Q Background: Perineal lacerations damage the tissues around the vagina and rectum and can cause disruption of the anatomy and function of the pelvic floor. The incidence of perineal lacerations after vaginal delivery ranges from 53-89%. This anatomical damage and muscle dysfunction can cause urinary incontinence, anal incontinence, and uterovaginal prolapse. This study aims to evaluate the effects of postpartum perineal lacerations on the anatomy and strength of the pelvic floor muscles. Methods: The sample of this study is primiparous women who experienced perineal lacerations. Sampling was carried out prospectively using the consecutive sampling method. Pelvic floor anatomy and strength were measured using a POP-Q system and a perineometer. The 1st and 2nd degree laceration group measurements will be compared using the chi-square, and Mann-Whitney tests will be carried out. Results: Of the 123 research samples that met the criteria, a significant difference was found in the strength of the pelvic floor muscles in the first-degree perineal laceration and second-degree perineal laceration groups at 1st day and 12 weeks postpartum (p = 0.000 and p = 0.042). The only significant difference found for pelvic floor muscle anatomy is in perineal body length at 12 weeks postpartum. Conclusion: The degree of perineal laceration is related to the strength of the pelvic floor muscles after delivery and the length of the perineal body 12 weeks postpartum.
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Turnip, Meria, Irma Nurianti, and Reni Aprinawaty Sirait. "The Effect Of Egg White On Perineum Wound Healing in Pospartum Mothers at the Pratama Nining Pelawati Clinic." JURNAL KEBIDANAN KESTRA (JKK) 5, no. 1 (2022): 117–22. http://dx.doi.org/10.35451/jkk.v5i1.1362.
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Perineal laceration is trauma to the perineum due to tearing of the birth canal or due to an episiotomy at the time of expulsion of the fetus from the uterus. One of the causes of infection and bleeding is perineal laceration. Old perineal laceration wound healing can increase the risk of infection so it is necessary to fulfill nutritional intake, especially protein which will help the growth of new cells in the perineal laceration wound so that the perineal laceration healing process can be accelerated. This study aims to determine whether the administration of boiled egg white has an effect on the healing of perineal lacerations in postpartum mothers at the Pratama Nining Pelawati Clinic. This type of research uses a quasi-experimental design with One Group Pretest and Posttest design. The population and sample in this study were all postpartum mothers on the first day at the Pratama Nining Pelawati Clinic, totaling 20 people with a total sampling technique. Data were collected using a check list sheet. The results showed that the majority of respondents who consumed boiled egg whites had fast perineal lacerations healing as many as 17 people (85%). Based on the results of data analysis with the independent Sample T-Test test, the p value = 0.000 (p <0.05) which means that there is an effect of boiled egg white on the healing of perineal lacerations in postpartum mothers. The results of this study indicate that there is a match between theory and facts in the field where the fulfillment of nutritional intake in postpartum mothers, especially foods rich in protein will help accelerate the healing of perineal lacerations. Protein from eggs is useful as a building block to replace damaged cells and help the formation of new tissue in accelerating the healing process of perineal laceration.
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Saxena, Amulya K., and Günter H. Willital. "Octylcyanoacrylate Tissue Adhesive in the Repair of Pediatric Extremity Lacerations." American Surgeon 65, no. 5 (1999): 470–72. http://dx.doi.org/10.1177/000313489906500520.
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Lacerations comprise a significant number of emergency department referrals for pediatric patients. Management of lacerations with sutures involves the use of needles and the injection of local anesthetic and represents a unique challenge in the wound management of an already distressed and frightened child. Octylcyanoacrylate, a new-generation, medical-grade tissue adhesive, has been found to be an effective alternative to replace skin sutures on virtually all facial lacerations and has been employed in low-skin tension wound management. Its use, however, has generally been avoided in the management of high-skin tension lacerations. Over the last 10 months, 32 children with high-skin tension (hand, feet, and over joints) lacerations were managed at our center by octylcyanoacrylate tissue adhesives. Skin closures and splints were applied to restrict movement of the affected area to overcome the limitation of adhesive application. Octylcyanoacrylate adhesive applied with optimal immobilization was found to be an effective method of skin closure in high-skin tension lacerations. Advantages of tissue adhesives for incision and laceration include quick application, excellent cosmetic results, patient preference, and cost effectiveness.
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Gurung, Gopal, and Mona Pokharel. "Pattern of Facial Laceration at Tertiary Care Centre in Eastern Nepal: A Descriptive Cross-sectional Study." Journal of Nepal Medical Association 62, no. 272 (2024): 238–41. http://dx.doi.org/10.31729/jnma.8537.
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Introduction: Facial lacerations are a source of concern as these can be life threatening at times due to extensive haemorrhage and also leave lifelong scars. The objective of this study was to find out the pattern of facial lacerations in the Nepalese population visiting a tertiary care centre in eastern Nepal.Methods: A descriptive cross-sectional study was conducted among the maxillofacial trauma patients visiting the Emergency department and department of Dental Surgery at a tertiary care centre from 1 October 2022 to 30 September 2023. Ethical approval was taken from the Institutional Review Committee . All patients attending the Dental outpatient department and Emergency department for the management of facial laceration in the study period were included in the study.Results: Out of 236 patients, there were 199 (84.32%) male and 37 (15.67%) female patients. The most common age group was of 21-30 years 88 (37.29%) and Road Traffic Accidents 183 (77.54%) was the main aetiology. Facial lacerations and maxillofacial fractures both were seen in 98 (41.53%) patients. There were a total of 358 facial laceration sites among 236 patients and chin region 76 (21.22%) was the most common followed by forehead region 54 (15.08%).Conclusions: Facial lacerations were mostly seen in males, younger adults and road traffic accidents were the main aetiology for these injuries. Facial lacerations showed predominant T-shaped distribution with chin being the most common site.
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Araújo, Natalúcia Matos, and Sonia Maria Junqueira Vasconcellos de Oliveira. "The use of liquid petroleum jelly in the prevention of perineal lacerations during birth." Revista Latino-Americana de Enfermagem 16, no. 3 (2008): 375–81. http://dx.doi.org/10.1590/s0104-11692008000300007.
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Most of vaginal births are accompanied by lacerations in the genital tract. This was a randomized study carried out in a Birth Center located in São Paulo city to evaluate the efficacy of liquid petroleum jelly in reducing perineal laceration. The sample was composed of 38 nulliparous women per group (experimental and control). In the experimental group was used 30 ml of the petroleum jelly in the perineal region during the expulsive period. The parturient were allowed to push spontaneously during the delivery and remained in the left side position. The frequency of perineal laceration was similar in both groups (experimental 63.2% versus control 60.5%). The posterior perineum region presented the highest frequency of trauma (53.2%). Of the total cases of perineal trauma, 72.3% were first-degree lacerations. The use of liquid petroleum jelly of perineal protection does not reduce the frequency neither the degree of lacerations in childbirth.
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Khamooshi, Parnia, Karthik Vijayan, Hiren J. Mehta, and Michael DiRico. "Cyanoacrylate glue topical adhesive for bronchoscopic repair of tracheal laceration." BMJ Case Reports 18, no. 4 (2025): e264524. https://doi.org/10.1136/bcr-2024-264524.
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Iatrogenic tracheal laceration (ITL) is a rare and potentially life-threatening complication of endotracheal intubation. The lacerations most commonly occur at the posterior membrane and in emergency and difficult intubations. There is no consensus regarding the optimal management of ITL. Small lacerations can be managed conservatively; however, surgical repair might be indicated for large lacerations, patients with progressive symptoms or those with haemodynamic instability. In this report, we present a case of a 3cm iatrogenic posterior membrane laceration following emergency intubation, which resulted in extensive subcutaneous emphysema and pneumomediastinum. This was successfully treated with cyanoacrylate glue (Histoacryl Topical Skin Adhesive, Tissue Seal) instilled via a flexible bronchoscope. The tear was completely sealed following the procedure. While cyanoacrylate glue (Histoacryl) has been successfully used for the management of bronchopleural fistulas in the past, to our knowledge, this is the first documented use of this adhesive for the management of ITL.
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Kimmich, Nina, Vera Grauwiler, Anne Richter, Roland Zimmermann, and Martina Kreft. "Birth Lacerations in Different Genital Compartments and their Effect on Maternal Subjective Outcome: A Prospective Observational Study." Zeitschrift für Geburtshilfe und Neonatologie 223, no. 06 (2019): 359–68. http://dx.doi.org/10.1055/a-0858-0138.
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Abstract Introduction Lacerations are common in vaginal births, but little is known about tears other than perineal tears and their association with maternal impairment. This study aimed to evaluate the frequency and distribution of birth lacerations and their association with maternal discomfort. Methods From 2/2015 to 12/2016, we conducted a prospective observational study on 140 women with singletons in vertex presentation at term, who gave birth vaginally in our center and were affected by a laceration. The lacerations were assigned objectively and subjectively to eight genital tract compartments. The presence and effect of lacerations on maternal health were assessed by questionnaires for the time before birth (T1), 1–4 days (T2), and 6–8 weeks postpartum (T3). Results The number of affected compartments was 1.33 objectively and 2.99 at T2 and 1.27 at T3 subjectively. The most affected compartment was the right perineum (73%) followed by the right inner posterior (21%) and the right outer anterior (14%) compartment. Subjective and objective assessment concurred in 83% at T2 and 69% of cases at T3. Overall, impairment of women was low, reversible, and not directly associated with the location of lacerations, although women were psychologically affected. Conclusion Birth lacerations predominantly appear at the right perineum. Physical impairment from these lacerations is generally low, reversible, and not directly associated with the location of lacerations, although psychological impairment is not negligible.
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Wagner, Tracey L., Michael W. Dunn, Maya S. Iyer, Don Buckingham, and Sandra P. Spencer. "A Quality Improvement Initiative to Increase the Number of Pediatric Resident Laceration Repairs." Journal of Graduate Medical Education 12, no. 1 (2020): 51–57. http://dx.doi.org/10.4300/jgme-d-19-00331.1.
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ABSTRACT Background Pediatric residents must demonstrate competence in several clinical procedures prior to graduation, including simple laceration repair. However, residents may lack opportunities to perform laceration repairs during training, affecting their ability and confidence to perform this procedure. Objective We implemented a quality improvement initiative to increase the number of laceration repairs logged by pediatric residents from a baseline mean of 6.75 per month to more than 30 repairs logged monthly. Methods We followed the Institute for Healthcare Improvement's Model for Improvement with rapid plan-do-study-act cycles. From July 2016 to February 2018, we increased the number of procedure shifts and added an education module on performing laceration repairs for residents in a pediatric emergency department at a large tertiary hospital. We used statistical process control charting to document improvement. Our outcome measure was the number of laceration repairs documented in resident procedure logs. We followed the percentage of lacerations repairs completed by residents as a process measure and length of stay as a balancing measure. Results Following the interventions, logged laceration repairs initially increased from 6.75 to 22.75 per month for the residency program. After the number of procedure shifts decreased, logged repairs decreased to 13.40 per month and the percentage of lacerations repaired by residents also decreased. We noted an increased length of stay for patients whose lacerations were repaired by residents. Conclusions While our objective was not met, our quality improvement initiative resulted in more logged laceration repairs. The most effective intervention was dedicated procedure shifts.
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Philips, Christina Daisy, and Modini Pandharpurkar. "A New Perspective on Eyelid Laceration Classification: Proposal Based on Study Conducted at a Tertiary Eye Care Centre in South India." Delhi Journal of Ophthalmology 32, no. 6 (2022): 24–28. https://doi.org/10.4103/dljo.dljo_57_23.
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Context and aim: Eyelid lacerations can result in morbid changes, both functionally and aesthetically. For meticulous repair and best outcome, a systematic and stratified approach is warranted. Hence we aimed at formulating and employing a simple classification for eyelid lacerations presenting at our emergency department which can also aid for research purposes. Methods: A single centre prospective study was conducted at our tertiary eye care centre from July 2018 to July 2020. We designed a classification system based on existing classifications and clinico-anatomical presentations. Sarojini devi eye Hospital Eyelid Laceration (SHEL) classification was then prospectively applied to the patients presenting to our hospital. Results: An uncomplicated and comprehensive classification was designed including two major types of laceration with relevant subtypes. Eyelid injuries in a total of 300 patients were evaluated in this study. Interobserver variation and bias was noticed to be reduced and a more universal approach was achieved in planning repairs timely and effectively. This classification was implemented in the lid repair protocol and used in other in-house studies based on eyelid lacerations. Conclusion: The classification appeared to be a dependable system to address and document various eyelid lacerations and would guide oculoplastic surgeons to provide optimal outcomes.
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Tobari, Ahmad Faiz, Tun Paksi Sareharto, Vannya Dewi Puspitasari, and Nurul Setiyorini. "How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?" DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) 10, no. 3 (2021): 214–18. http://dx.doi.org/10.14710/dmj.v10i3.29556.
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Background: Complications that often occur in vacuum extraction are third and fourth degree lacerations and neonatal asphyxia. In addition, asphyxia is the third leading cause of infant mortality in the world. Apart from being influenced by the existing vacuum extraction factors, the incidence of neonatal asphyxia and perineum laceration is also influenced by several maternal factors including maternal age and maternal parity.Objective: To prove the relationship between maternal age and parity number with perineum laceration and neonatal asphyxia after vacuum extraction at Dr. Kariadi General Hospital Medical CentreMethods: This study was an analytic observational study with a cross-sectional approach. The minimum sample required in this study is 26 patient data. The data used were data from the medical records of vacuum extraction patients at dr. Kariadi General Hospital Medical Centre Semarang which fit the inclusion and exclusion criteria by means of consecutive sampling. Then the data that has been collected is analyzed to find the relationship between variables.Results: Mothers who gave birth with the aid of vacuum extraction who suffered the most from third and fourth degree lacerations (31%) and neonatal asphyxia (15%) were women who were at risk (27%) and had the amount of parity at risk (23%). Chi-square test showed that there was a significant relationship between maternal age with perineum lacerations (p = 0.014), maternal age with neonatal asphyxia (p = 0.047), total parity with perineum lacerations (0.004), total parity with neonatal asphyxia (p = 0.028).Conclusion: There is a relationship between maternal age and parity with perineum lacerations and neonatal asphyxia after vacuum extraction in Dr. Kariadi General Hospital Medical Centre Semarang. The incidence of grade 3 and 4 perineum lacerations and neonatal asphyxia was most prevalent in women at risk age more than 35 years and at risk parity, namely primiparous The most influential risk factors for the occurrence of grade 3 and 4 perineum lacerations and neonatal asphyxia are primiparity.
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Ali, Rizvan, and Muhammad Umair Anjum. "Renal Laceration Management: A Case Report." Scholars Journal of Medical Case Reports 12, no. 05 (2024): 759–60. http://dx.doi.org/10.36347/sjmcr.2024.v12i05.047.
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Renal lacerations are infrequent but significant injuries that necessitate immediate and proper treatment to avoid complications including bleeding and renal failure. We report a case of a male patient, aged 15, who experienced a kidney laceration due to forceful abdominal trauma. The patient was successfully treated using a combination of conservative methods and surgery, leading to a successful outcome. This example underscores the significance of prompt identification, suitable imaging studies, and quick action in treating kidney lacerations.
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Rippel, Katharina, Hannes Ruhnke, Betram Jehs, et al. "Differences in Management and Outcomes in Atraumatic Splenic Rupture Compared to Traumatic Injury Following Blunt Abdominal Trauma." Journal of Clinical Medicine 13, no. 23 (2024): 7379. https://doi.org/10.3390/jcm13237379.
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Background/Objectives: To evaluate the differences in treatment and outcomes between traumatic and atraumatic splenic lacerations. Methods: This retrospective study included all patients with a diagnosis of splenic lacerations confirmed by computed tomography that presented from 01/2010 to 03/2023 at one tertiary hospital. The exclusion criteria included missing image data and death in the first 24 h due to extensive trauma. The etiology of the splenic laceration, demographic characteristics, and clinical parameters were recorded and evaluated as prognostic factors in therapy success and mortality. Subgroup analyses were undertaken according to the etiology of the splenic laceration and the primary treatment. The extent of splenic laceration was assessed by using the American Association for the Surgery of Trauma (AAST) score in its latest revision (2018). Results: Of all 291 enrolled patients (mean age 47 ± 21 years, 204 males), 50 presented with atraumatic splenic lacerations due to different underlying causes. The occurrence of moderate and high-grade laceration differed significantly between the atraumatic and traumatic study group (45/50 [90%] vs. 139/241 [58%], p < 0.001). Accordingly, the number of patients being treated conservatively differed greatly (20/50 [40%] vs. 164/241 [56%]), with a worse clinical success rate for atraumatic lacerations (75% vs. 94.5%). Atraumatic splenic injuries showed a higher conversion rate to surgery (2/20 [10%] vs. 2/164 [1%]). Despite the lower clinical success rate of splenic artery embolization (SAE) in atraumatic injuries (87% vs. 97%), the number of patients needing treatment for primary SAE in AAST 3 injuries was 14.1 in the traumatic population and only 4 in the atraumatic population. Conclusions: Atraumatic splenic injuries should not be treated as traumatic splenic injuries. An early upgrade to SAE or surgery should be considered for moderate splenic injuries, and they should be evaluated by an interdisciplinary team on a case-by-case basis. However, due to the underlying multimorbidity of patients with atraumatic splenic injuries, a higher mortality is to be expected.
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Sohal, Karpal Singh, and Jeremiah Robert Moshy. "Etiology, pattern and outcome of management of facial lacerations in Dar es Salaam, Tanzania." Tanzania Journal of Health Research 21, no. 2 (2020): 1–10. http://dx.doi.org/10.4314/thrb.v21i2.4.
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Background: Facial laceration is amongst the commonly encountered soft tissue injury in the care of the traumatized patients, and its optimal treatment is important for minimizing subsequent complications. This study aimed at determining the etiology, pattern, and outcome of management of facial lacerations among patients attended at Muhimbili National Hospital, Tanzania.
 Methods: This was a four months’ prospective study of all consecutive patients with facial lacerations who were attended in the department of oral and maxillofacial surgery of the Muhimbili National Hospital (MNH). The variables examined included socio-demographic characteristics, etiology of a facial laceration, prior management before referral to MNH, and the outcome of treatment. The data were analysed using IBM SPSS statistics for windows version 22 (Armonk, NY: IBM Corp) software.
 Results: Seventy-six patients with facial lacerations were included in the study. The male to female ratio was 8:1. The age of the patients ranged from 16 to 57 years, with a mean age of 31.63 ± 10.02 years. Motor traffic crashes (51, 67.1%), violence (18, 23.7%) and falls (7, 9.2%) were the etiological factors. The commonest affected facial esthetic zones were forehead (25, 32.9%), and the upper lip (24, 31.6%). The majority (60%) of wounds that were sutured/repaired in other health facilities prior to referral to MNH had a poor approximation of wound edges. Scarring was the commonest complication.
 Conclusion: Facial laceration affected males eight times more than females. Road traffic crash was the most common etiological factor. The forehead was the most frequently affected facial esthetic zone. The majority of patients treated in other health facilities prior to referral to a tertiary hospital had poorly approximated wound edges. Scarring was the most common complication of facial lacerations.
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Shamkin, S. S., S. N. Subbotina, A. B. Stepanyants, and D. V. Salov. "Advanced approach to primary microsurgical debridement of extensive scleral lacerations involving simultaneous vitrectomy and chorioretinal wound closure." Russian Journal of Clinical Ophthalmology 23, no. 3 (2023): 124–28. http://dx.doi.org/10.32364/2311-7729-2023-23-3-3.
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Background: the current strategy for managing extensive zone 3 scleral lacerations implies delayed subtotal vitrectomy. A high rate of poor treatment outcomes requires novel approaches to surgical debridement of lacerations given anatomical and pathogenic specifics. Aim: to assess the treatment results of extensive zone 3 scleral laceration surgery by simultaneous vitrectomy and chorioretinal wound debridement. Patients and Methods: 14 patients (14 eyes) diagnosed with extensive penetrating scleral/corneoscleral laceration and polymorphic intraocular lesions associated with grade 4–5 visual impairment were enrolled. All patients underwent primary microsurgical debridement using a technique that involved external debridement and suturing of scleral laceration, single-step subtotal vitrectomy, and internal debridement of the chorioretinal wound. The chorioretinal wound was filled with pure platelet-rich plasma (P-PRP). Endotamponade was performed using silicone oil (n=9) or air-gas mixture (n=5). Results: after 6 months, visual acuity (VA) was estimated to be 0.02–0.5 in 12 patients and light perception in 2 patients. During the follow- up, no phthisis bulbi was reported. The progression of proliferative vitreoretinopathy (formation of intraretinal adhesions or subretinal bands involving healthy retina) was reported in 3 patients (21.4%). Chorioretinal scars were characterized by local nonaggressive proliferation, no prominence in the vitreous cavity, or proliferation of tissue beyond the scars. Conclusion: our approach to severe eye injury management has demonstrated positive outcomes by providing a stable anatomical result, significant improvement in early and late postoperative VA. KEYWORDS: open globe injury, primary microsurgical debridement, proliferative vitreoretinopathy, scleral lacerations, vitrectomy, platelet- rich plasma. FOR CITATION: Shamkin S.S., Subbotina S.N., Stepanyants A.B., Salov D.V. Advanced approach to primary microsurgical debridement of extensive scleral lacerations involving simultaneous vitrectomy and chorioretinal wound closure. Russian Journal of Clinical Ophthalmology. 2023;23(3):124–128 (in Russ.). DOI: 10.32364/2311-7729-2023-23-3-3.
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Adibelli, Fatih Mehmet, and Sevim Soker Cakmak. "The repair of canalicular lacerations with an annular silicone tube and round-tipped pigtail probe." Asian Journal of Ophthalmology 17, no. 2 (2020): 188–95. http://dx.doi.org/10.35119/asjoo.v17i2.561.
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Purpose: To analyze the outcomes of surgical repair of canalicular lacerations with a round-tipped pigtail probe and silicone tube implantation.
 Methods: A retrospective review was conducted of the case records of 64 patients who presented to the Ophthalmology Department of Harran University between 2010 and 2015 and underwent surgical repair of canalicular lacerations. Each patient’s age, gender, nationality, mechanism of injury, injured canaliculi, and follow-up time were evaluated. In addition to the anatomical and functional results, complications were also analyzed.
 Results: A total of 64 patients, 51 (79.7%) males and 13 (20.3%) females, with a mean age at presentation of 14.6 years (range: 1-69 years) were enrolled. Forty-six patients were aged <15 years (71.9%). Forty-two patients (65.6%) had lower canalicular lacerations, and 19 patients had isolated upper canalicular lacerations (29.7%). At the final follow-up (mean: 33.7 months), anatomical success was observed in all patients.
 Conclusion: Silicone tube implantation using a round-tipped pigtail probe is an effective method that facilitates anatomical and functional success in cases of canalicular laceration.
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Sharma, Shreebindu, Bandana Koirala, Mamta Dali, and Sneha Shrestha. "Modified Band and Loop Appliance for Retention of Periodontal Dressing on Denuded Bone: A Case Report." Journal of Nepalese Association of Pediatric Dentistry 3, no. 1 (2022): 36–39. http://dx.doi.org/10.3126/jnapd.v3i1.50063.
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Intraoral lacerations without gape heal spontaneously, whereas lacerations gaping open need to be managed with primary closure or advancement flap. Fall injury leading to a laceration over the left maxillary vestibular region extending till the alveolar ridge with avulsed tooth where primary closure was not possible was planned for debridement followed by periodontal dressing. Due to the lack of retentive area, modified band and loop appliance with a T-loop was fabricated and used for the retention of periodontal dressing for the healing of denuded bone following trauma.
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Domenighi, Lauro Henrique Heinsch, Angela Regina Maciel Weinmann, Leris Salete Bonfanti Haeffner, and Marcelo Lorensi Feltrin. "Perineal Lacerations: A Retrospective Study in a Habitual-Risk Public Maternity." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 43, no. 08 (2021): 588–94. http://dx.doi.org/10.1055/s-0041-1735227.
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Abstract Objective In around 85% of vaginal births, the parturients undergo perineal lacerations and/or episiotomy. The present study aimed to determine the incidence of lacerations and episiotomies among parturients in 2018 in a habitual-risk public maternity hospital in southern Brazil, and to determine the risk and protective factors for such events. Methodology A retrospective cross-sectional study. Data were obtained from medical records and analyzed using the Stata software. Univariate and multivariate logistic regressions were performed. Values of p < 0.05 were considered significant. Results In 2018, there were 525 vaginal births, 27.8% of which were attended by obstetricians, 70.7% by obstetric nurses, and 1.5% evolved without assistance. Overall, 55.2% of the parturients had some degree of laceration. The professional who attended the birth was a significant variable: a greater number of first- and second-degree lacerations, as well as more severe cases, occurred in births attended by nurses (odds ratio [OR]: 2,95; 95% confidence interval [95%CI]: 1,74 to 5,03). Positions at birth that did not enable perineal protection techniques (expulsive period with the “hands-off” method), when analyzed in isolation, determined the risk; however, in the final regression model, this relationship was not confirmed. Although reported in the literature, there were no associations between the occurrence of laceration and age, skin color, or birth weight. In 24% of the births, episiotomy was performed, and doctors performed 63.5% of them. Conclusion Births attended by nurses resulted in an increased risk of perineal lacerations, of varying degrees. In turn, those assisted by physicians had a higher occurrence of episiotomy.
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Harahap, Hasanah Pratiwi, Winda Agustina, and Syahroni Damanik. "Cinnamon Decoction for Healing Perineal Lacerations in Postpartum Mothers." Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan 6, no. 1 (2023): 42–48. http://dx.doi.org/10.56013/jurnalmidz.v6i1.2126.
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Perineal laceration is one of the obstetrical complications that occurs during labour. As many as 2.7 million people in 2016 were found by mothers giving birth with perineal lacerations and it is estimated that by 2050 this will increase to 6.3 million. This study aims to determine the effectiveness of a decoction of cinnamon and binahong leaf tea in healing perineal lacerations in postpartum women at the Sunartik clinic. The research design used the pre-experimental design method with the pretest-posttest design. The population in this study were all spontaneous postpartum mothers who gave birth and experienced first and second degree perineal lacerations at the Pratama Sunartik Clinic, Sei Mencirim Village, as many as 15 people using purposive sampling techniques. Assessment of healing of perineal lacerations used the REEDA scale which was measured in 2 stages, namely the pretest was carried out before the intervention, and the posttest was carried out once a day after the last intervention was carried out or on the 8th day. The data analysis used was paired sample t test with a significance level of 95% (0.05). The results of the study obtained a sig value of 0.000 with a mean of 3.800 and CI (2.408-5.192). In conclusion, there is an effectiveness of cinnamon decoction which is shown in healing perineal lacerations. It is hoped that health workers, especially in primary facilities and clinics, will help and provide health education for postpartum women in an effort to heal perineal lacerations by empowering natural products.
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Rayzah, Musaed. "Adrenal gland laceration in adult trauma patients without severe concomitant abdominal organ injuries: Incidence, associated factors, and outcomes from a national trauma database study." Medicine 104, no. 10 (2025): e41756. https://doi.org/10.1097/md.0000000000041756.
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Adrenal gland lacerations are sporadic but hostile injuries. The purpose of this investigation was to ascertain the prevalence, contributing variables, and outcomes of adrenal gland laceration in adult trauma victims. A retrospective cohort study analyzed data from 649,696 adult patients in the National Trauma Data Bank to compare patient characteristics, injury severity, and outcomes between patients with and without adrenal gland injuries. Multivariate logistic regression was used to control for confounding variables and identify significant associations. The analysis excluded patients with severe liver, spleen, kidney, and gallbladder injuries to focus on the impact of adrenal gland injuries, while minimizing the confounding effects of other severe abdominal organ injuries. The frequency of adrenal gland injuries was 0.35%, with 1820 (0.3%) patients having adrenal contusions and 310 (0.05%) having adrenal lacerations. Compared to patients without adrenal gland injuries, those with adrenal gland injuries were younger and had higher injury severity scores. Obesity and severe abdominal trauma were more prevalent in patients with adrenal lacerations and contusions. The most common injury mechanism was motor vehicle accident. Patients with adrenal lacerations had a higher prevalence of severe injuries to the kidney, spleen, liver, pancreas, small intestine, colon, and rectum than those with adrenal contusions and those without adrenal gland injuries. Patients with lacerations of the adrenal gland had a significantly higher in-hospital mortality rate. Although adrenal gland lacerations are scarce, they are associated with severe injuries and higher fatality rates in adult trauma patients. Early recognition and prompt management of adrenal gland injuries can improve the outcomes in this vulnerable population.
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Pakpahan, Sulastry, and Elly Sianturi. "The Effectiveness of Coleus Amboinicus l. Leaves Extract Solution for Grade II Laceration of the Perineal Tears in Postpartum Mothers." Science Midwifery 10, no. 2 (2022): 1875–80. http://dx.doi.org/10.35335/midwifery.v10i2.564.
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Vaginal laceration (perineal tears) is one of the risks that often occurs in the process of vaginal delivery, because of the intense stretching and pressure in the birth canal when the mother pushes to deliver her baby, causing tears in the skin and muscle tissue around the birth canal. Treating birth perineal laceration is very important to accelerate healing and prevent infection of the birth canal and bladder in postpartum mothers. The leaves have a composition that can be used as an antimicrobial and antiseptic. This study aims to determine the effectiveness of a solution of extracts of the leaves of Coleus amboinicus on pain and healing of perineal lacerations in postpartum mothers. This type of quantitative research with experimental design. The research sample of postpartum mothers met the inclusion criteria, pain observation using the UPAT scale and wound healing using the REEDA scale, data analysis with the WMean Score. The results showed that postpartum pain decreased on the 5th day with an average of 1.97 (mild pain), and the healing time of perineal lacerations occurred on the 5th day, with a mean of 2.90 (good). Wax leaf extract solution is effective in reducing pain and healing time for second-degree perineal lacerations in postpartum mothers
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Hembah-Hilekaan, S. K., A. O. Ojabo, O. Audu, P. E. Onche, and M. T. Maanongun. "Prevalence of Episiotomy and Perineal Lacerations in a University Teaching Hospital, North-Central Nigeria." Journal of BioMedical Research and Clinical Practice 1, no. 2 (2018): 142–47. http://dx.doi.org/10.46912/jbrcp.49.
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Episiotomy is an incision on the introitus and the perineum to increase pelvic outlet to facilitate childbirth and prevent trauma to fetal and maternal tissues. Episiotomy and perineal laceration may predispose the woman to short and long term complications. The objective of this study was to determine the prevalence of episiotomy and perineal lacerations and their associated risks factors at Benue State University Teaching Hospital, Makurdi, Nigeria. Retrospective data of all women who had spontaneous vagina delivery over a 3 year period with perineal laceration/episiotomy were reviewed. Data was obtained from the records and information on the socio-demographic variables, episiotomies, lacerations and the birth weight of infants. The associated risk factors were recorded using Statistical Package for Social Sciences version 22.Of the 636 vaginal deliveries, 85(13.4%) had lacerations with 65(10.2%) first degree, 19(3.0%) second degree and 1(0.2%) major laceration. Episiotomy rate was 132(20.8%). The mean parity and birth weight of infants were 2.62(SD= ± 1.83) and 3.1 kg (SD= ± 0.767) respectively. The highest number of perineal tears 69(10.8%) were in the lower age group (≤ 30 years). A similar observation was noted in respect of episiotomies which rate however decreased with parity. The relationship between maternal age, parity, booking status, fetal weight and the perineal status at delivery was statistically significant (P≤ 0.05). Episiotomy and perineal laceration rates in our institution were low. The major risk factors were low parity, young maternal age and increasing fetal weight at birth and their presence should be an early warning sign. We advise perineal support for all women during delivery.
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Khrisnamurti, Sinta, Detty Siti Nurdiati, and Wahyu Ikka Setiyarini. "Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum." Jurnal Kesehatan Reproduksi 5, no. 2 (2018): 96. http://dx.doi.org/10.22146/jkr.38548.
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Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital.Results: Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629).Conclusion: Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. Keywords: striae gravidarum; perineal laceration; childbirth
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Fentri, Yuda Antika Eko Sari Ajiningtyas Dwi Astuti. "Teknik Relaksasi Nafas Dalam Pada Ny. M Untuk Menurunkan Skala Nyeri Post Partum Dengan Laserasi Perineum di PKD Kedungjati." Madani: Jurnal Ilmiah Multidisiplin 1, no. 7 (2023): 13–19. https://doi.org/10.5281/zenodo.8179958.
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<em>Background : Parineal lacerations usually accur during early or later labour in the next birth. In 2012, the World Health Organization (WHO) estimates that nearly 90% of parineal laceration accur in normal births. According to (Choirunissa et al., 2019 ). The prevelence of spontaneus child birth in purbalingga regency in 2015 was 92,91 percent compared to 2014 of 99,70 percent with a prevalence of 6,79 percent. 82,91 percent of the lands is owned by the Kutawis Health Center (Purbalingga Distcric Health Profile, 2015). Objectiv : Nursing Influeces With Deep Breathing Relaxtion Techniques To Reduce Pain Scale In Post Partum Patients With Parineal Lacerations at PKD Keungjati. Methods : The case study used a descriptive method, with G1P1A0 gestational age respondents with acute pain nursing problems so that it focused on providing deep breathing relaxation techniques to reduce post partum pain scale with parineal laceration. Result : Deep breathing relaxation techniques can reduce the pain scale by showing that the patient does not complain of pain anymore. Conclusion : The effect of deep breathing relaxation techniques can reduce the scale of spontaneous post partum pain with parineal laceration.</em>
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Choi, Youngwoong. "Effect of Ointment Containing Epithelial Growth Factor Compared with Antibacterial Ointment in Avulsive Laceration." Journal of Wound Management and Research 16, no. 1 (2020): 26–32. http://dx.doi.org/10.22467/jwmr.2019.00920.
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Background: Avulsive lacerations are more likely to cause complications such as necrosis and dehiscence than vertical lacerations. In laceration wounds, topical antimicrobials can be effective because of their antibacterial properties that help eliminate infection or biofilms from the wound bed. However, indiscriminate or habitual use of antibiotics may cause bacterial tolerance. The purpose of this study was to evaluate the effectiveness of an ointment containing epidermal growth factor (EGF), effective in healing wounds involving epithelial and skin cells, compared with an antibiotic ointment for avulsive lacerations.Methods: We recruited patients who visited the emergency department with avulsive lacerations on their faces. The selected patients were randomly prescribed for dressing either an ofloxacin ointment or EGF ointment after repair. Epidemiologic information of patients, wound assessment (size, depth, and location) and wound healing result assessments (necrosis/dehiscence) were evaluated.Results: Of the 119 participants, 42 were women and 77 were men. The average length of the lacerations was 2.15 cm and most lacerations were in the muscle layer. There was no difference in the incidence of dehiscence and necrosis after use of either ointment, but the ratio of the necrotic area was significantly lower in EGF ointment group (antibiotics ointment, 2.33% and EGF ointment, 0%; P=0.03).Conclusion: We conclude that the ointment containing EGF can be used to replace the antimicrobial-containing ointment often used to prevent infection, which is in turn followed by skin or soft tissue necrosis.
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Galinde, Jyotsna, and Ravi Jayant Khare. "Study of Pattern of Soft-tissue Lacerations of Maxillofacial Region in Relation to Etiology of Injury and its Management." Journal of Contemporary Dentistry 5, no. 2 (2015): 90–92. http://dx.doi.org/10.5005/jp-journals-10031-1114.
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ABSTRACT Laceration to the facial skin is commonly encountered in the care of the traumatized patient. They could occur in isolation, extend deep to involve the deeper soft-tissues and even deeper to involve the facial skeleton. The injury could be in association with other more pressing systemic injury. While attention is devoted to the bony injuries, there could be less attention to details in handling these facial lacerations leading to unsatisfactory scar. How to cite this article Khare RJ, Galinde J. Study of Pattern of Soft-tissue Lacerations of Maxillofacial Region in Relation to Etiology of Injury and its Management. J Contemp Dent 2015; 5(2):90-92.
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Meira Pazelli, Alexandre, Lauren Gates-Tanzer, Brooke E. Willborg, et al. "Epidemiology, Incidence of Infection, and Antibiotic Use in Pediatric Traumatic Ear Lacerations." Annals of Plastic Surgery 94, no. 6 (2025): 653–57. https://doi.org/10.1097/sap.0000000000004325.
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Background The management and use of antibiotics in pediatric ear lacerations lacks standardization. This study sought to provide a comprehensive review of these injuries and assess the impact of administering perioperative antibiotics on the incidence of infections after repair. Methods Retrospective review of all pediatric ear lacerations treated at our institution's emergency department (ED) between 1998 and 2024. Results A total of 246 patients (177 boys) were included. Patients aged 0–6 years were most affected (n = 117, 47.6%), with the peak between 2–5 years old (n = 78, 31.7%). Most lacerations were superficial (n = 145, 58.9%), followed by intermediate (n = 62, 25.2%), full thickness (n = 34, 13.9%), and split earlobe defects (n = 5, 2%). Most of the patients (n = 110, 54.7%) were managed by emergency medicine providers. Plastic and reconstructive surgery (n = 34, 16.9%) and otorhinolaryngology (n = 32, 15.9%) consultations were obtained when the lacerations affected cartilage (P < 0.001). Surgical repair included primary closure in 203 (82.5%), with 179 (88.2%) performed under local/topical anesthesia in the ED. Of patients with cartilage lacerations (n = 61), 48 had cartilage repair. Eight patients had preoperative intravenous antibiotics, while 105 (42.7%) received postoperative prophylactic oral antibiotics. Among those with intermediate and full-thickness injuries (n = 96), 67.7% were discharged on prophylactic oral antibiotics. Only 1 case of surgical site infection occurred in a patient with a superficial laceration. Conclusions Pediatric ear lacerations mostly affect boys aged 2–5 years and are usually repaired under local anesthesia in the ED. The incidence of infection is low, and the routine prescription of prophylactic oral antibiotics appears to have a limited impact on the overall incidence of surgical site infection. Further studies are needed to validate these findings.
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El-Shebly, A., M. El Fahar, H. Mohammed, and A. Bahaa Eldin. "Outcomes of repair of the lacerated A2 pulley with extensor retinaculum during primary flexor tendon repair." Journal of Hand Surgery (European Volume) 42, no. 9 (2017): 903–8. http://dx.doi.org/10.1177/1753193417711596.
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We report outcomes of repairing the lacerated A2 pulley with extensor retinaculum graft in ten patients (ten fingers) during primary flexor tendon repair in zone 2. Complete A2 pulley lacerations were found in eight fingers and partial A2 pulley laceration in two. We extended the laceration in the sheath to the middle of the A4 or A1 pulley to allow tendon repair with a four-strand core suture. The A2 pulley was reconstructed with an extensor retinaculum graft. All patients followed the early controlled active mobilization protocol and recovered active range of motion at the interphalangeal joints without major extension deficits. Using the Strickland and Glogovac criteria, there were four excellent, five good and one fair result. One finger was graded excellent, eight good, and one fair according to Tang’s criteria. No clinical bowstringing was observed. We conclude that extensive pulley lacerations reconstructed with extensor retinaculum primarily ensure functional recovery after tendon repair. Level of evidence: IV
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Beam, Joel W. "Tissue Adhesives for Simple Traumatic Lacerations." Journal of Athletic Training 43, no. 2 (2008): 222–24. http://dx.doi.org/10.4085/1062-6050-43.2.222.
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Abstract 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 Group Specialized Trials Register (September 2003), Cochrane Central Register of Controlled Trials (CENTRAL) (CDROM 2003, issue 3), MEDLINE (1966 to September 2003, week 1), EMBASE (1988 to 2003, week 36), Web of Science Science Citation Index (1975 to September 13, 2003) and various clinical trials registers (September 2003). Investigators and product manufacturers were contacted to identify additional eligible studies. The search terms included wounds and injuries, laceration, face injury, nose injury, tissue adhesives, and acrylates. Study Selection: Each study fulfilled the following criteria: (1) The study was a randomized controlled trial that compared tissue adhesives with standard wound closure (SWC) (sutures, staples, adhesive strips) or tissue adhesive with tissue adhesive. (2) The wounds were acute, linear lacerations less than 12 hours old, resulting from blunt or sharp trauma. (3) The wound length, width, and depth allowed for approximation of the edges with minimal tension after deep sutures were placed, if required. Studies were included with no language or publication status restriction, with participants of any age recruited in an emergency department, outpatient clinic, walk-in clinic, or other primary care setting. Studies were excluded if the wounds were stellate lacerations, puncture wounds, mammalian bites, infected, heavily contaminated or devitalized, crossing joints or mucocutaneous junctions, in hair-bearing areas, or in patients with keloid formation or chronic illness. Data Extraction: The characteristics of the study and participants, interventions, outcome measures, and findings were extracted by one author and verified by a second using a standard form. The primary measure was cosmetic outcome. Secondary measures were pain with the procedure, time to complete the procedure, and complications (erythema, infection, discharge, need for delayed closure, and dehiscence). Studies were divided into 2 groups as follows: group 1, comparisons among tissue adhesives with SWC, and group 2, comparisons among different tissue adhesives. All eligible studies were assessed for methodologic quality independently by 2 investigators using the Jadad Scale, which evaluates randomization, double blinding, withdrawals, and dropouts and is scored on a 5-point (maximum) scale. The data from the tissue adhesive and SWC studies were pooled and analyzed with a random-effects model. The I2 statistic was used to determine heterogeneity among the studies. χ2 analysis was performed to compare participant age, wound location, and type of tissue adhesive among the studies. The data from the studies comparing tissue adhesives were pooled and analyzed using a fixed-effects model. Main Results: The search criteria identified 39 eligible studies, of which 11 met the inclusion criteria. In 10 studies, a tissue adhesive was compared with SWC. Five groups used butylcyanoacrylate, and 5 used octylcyanoacrylate. For SWC, 6 groups used sutures, 2 used adhesive strips, and 2 used a combination of methods, although most used sutures. Six studies were limited to pediatric patients and 2 to adult patients; 2 included patients of any age. Wounds were limited to facial lacerations in 2 pediatric studies and 1 group with patients of any age. Lacerations requiring deep sutures were excluded in 4 studies. One group compared tissue adhesives (butylcyanoacrylate and octylcyanoacrylate) among pediatric patients with facial lacerations not requiring deep sutures. In the 11 included studies, authors of 9 randomized and evaluated 1 laceration per patient, whereas 2 groups included patients with more than 1 laceration. In 1 group, each laceration was independently randomized and evaluated, and the other group randomized the patient and assigned all lacerations to a treatment group (tissue adhesive with SWC or tissue adhesive with tissue adhesive). The sample sizes ranged between 60 and 163 lacerations, and all 11 studies were performed in emergency departments. The primary measure in all included studies was cosmetic outcome. The majority of groups used the Cosmetic Visual Analogue Scale, the Wound Evaluation Score, or a combination of these measures. Three groups measured cosmetic outcome with nonvalidated scoring systems. Assessment time periods were grouped and reported at (1) 5 to 14 days, (2) 1 to 3 months, and (3) 9 to 12 months after wound closure. Secondary outcomes were pain (as noted on visual analogue scale) and time to complete the procedure (as mean number of minutes). The 11 studies scored from 1 to 3 on the Jadad Scale. Adequate allocation concealment was reported in only 1 group. Examining cosmetic outcome, 8 groups (565 lacerations) used the Cosmetic Visual Analogue Scale to compare tissue adhesives and SWC. The authors reported no significant differences in scores at the time periods of 5 to 14 days, 1 to 3 months, and 9 to 12 months. A subgroup analysis showed a significant (P = .005) superiority of butylcyanoacrylate over SWC at 1 to 3 months. Using the Wound Evaluation Score, 4 studies (364 lacerations) compared tissue adhesives with SWC. No significant differences in cosmetic scores were found at 5 to 14 days, 1 to 3 months, or 9 to 12 months. One group (83 lacerations) compared butylcyanoacrylate with octylcyanoacrylate and reported no significant differences in cosmetic scores using the Cosmetic Visual Analogue Scale at 1 to 3 months and the Wound Evaluation Score at 5 to 14 days and 1 to 3 months. Examining secondary outcomes, 6 groups (570 lacerations) compared tissue adhesives with SWC using the visual analogue scale for pain. Scores reported by parents, patients, physicians, and nurses significantly favored tissue adhesives. In 6 studies (584 lacerations), tissue adhesives were significantly favored over SWC in time to complete the procedure. For complication outcomes, 8 groups (727 lacerations) demonstrated significantly fewer incidences of erythema and an increased risk of dehiscence with tissue adhesives compared with SWC. No significant differences were shown for infection, delayed closure, or discharge. Among 83 lacerations, 1 group compared butylcyanoacrylate with octylcyanoacrylate and reported no significant differences in combined patient-reported and parent-reported visual analogue pain scores, time to complete the procedure, dehiscence, or infection. Conclusions: This review provides evidence that tissue adhesives are an option to SWC (sutures, staples, adhesive strips) for the management of simple traumatic lacerations. Overall, no significant differences were found in cosmetic scores at the reported assessment periods between tissue adhesives and SWC. At 1 to 3 months, a subgroup analysis significantly favored butylcyanoacrylate over SWC. Tissue adhesives significantly lowered the time to complete the procedure, levels of pain, and rate of erythema. However, the data revealed a significant increase in the rate of dehiscence with the use of tissue adhesives when compared with SWC. The low methodologic quality of the evidence should be considered in the interpretation of the findings.
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Jaross, N. "Treatment of Extended Lid Lacerations with Dextranomer Beads." European Journal of Ophthalmology 3, no. 4 (1993): 223–25. http://dx.doi.org/10.1177/112067219300300409.
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The Author demonstrates the use of dextranomer beads (Debrisan) in an extended upper and lower lid laceration. He found the dextranomer beads helpful in the treatment of lid lacerations. The mechanism of action of dextranomer beads is described as well. He is not aware of any publications about the use of dextranomer beads in ophthalmology.
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Raudiyah Kusnadi and Erlin Novitasari. "Faktor-Faktor yang Berhubungan dengan Lama Penyembuhan Laserasi Perineum Ibu Nifas Di Puskesmas Singotrunan-Banyuwangi." Protein : Jurnal Ilmu Keperawatan dan Kebidanan. 1, no. 4 (2024): 1–11. http://dx.doi.org/10.61132/protein.v1i4.225.
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Perineal wound at the puerperium can be caused by episiotomy and lacerations during childbirth at the first labour or more. Factors that cause perineal lacerations are parity, birth spacing, breathing and pushing technique at giving birth, maternal age. fetal presentation and weight. The classification of wound healing perineum laceration is divided into 3 phases, firts is inflammatory phase (24 hours-48 hours), poliferation phase (48 hours-5 days), and the maturation phase (5 days and more). The purpose of this study was to analyze the factors associated with the healing time of perineal laceration wounds in puerperal mothers. This research method is quantitative with a cross sectional design of 34 respondents with total sampling techniques.This research was conducted at desember 2022-Januari 2023 at Singotrunuan Village, Subdistric Banyuwangi. Independent variables are patterns of nutritional fulfillment, personal hygiene, and early mobilization. The dependent variable is the healing of perineal laceration wounds. The collection data is using questionaire and analyzed using Chi Square statistical test. The results of the study found that there was a correlation between personal hyegiene, early mobilization, and nutritional fulfillment patterns with the duration of healing of perineal laceration wounds at the puerperal mother with p sig value of <0.005.It is hoped that this study can add insight and knowledge to postpartum mothers with perineal laceration wounds about factors that affect the healing time of perineal laceration wounds.
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Marida Isfaroh, Qomariyah Qomariyah, and Maya Cobalt Angio. "“PENGARUH PIJAT PERINEUM MENGGUNAKAN MINYAK VCO (VIRGIN COCONUT OIL) TERHADAP LASERASI JALAN LAHIR PADA PERSALINAN NORMAL DI WILAYAH KERJA PUSKESMAS MRANGGEN I DEMAK”." Midwifery Science Care Journal 1, no. 2 (2022): 67–73. https://doi.org/10.63520/mscj.v1i2.648.
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Birth canal laceration is the second cause of bleeding after uterine atony, which occurs in almost the first delivery and sometimes also in subsequent deliveries. In 2020 in the Maranggen 1 Health Center working area, there were 1013 deliveries, with 43.3% experiencing perineal lacerations. For this reason, an intervention is needed to prevent perineal lacerations, one of which is perineal massage which can increase perineal elasticity. The perineal massage can collaborate with VCO (Virgin Coconut Oil), where VCO contains variety of natural moisturizers and antioxidants that are important for skin care. In addition, it is relatively inexpensive and can be made at home. This study aims to determine the effectof perineal massage using VCO toward birth canal lacerations on mothers with normal delivery. This study used a quasi-experimental type using post-test only control group design. The study population was all pregnant women with gestational age starting at 37 weeks in the working area of the Mranggen I Health Center Demak. The sample was 60 respondents consisting of 30 control and 30 intervention groups. Meanwhile, the data was collected using observation. Data analysis consisted of univariate and bivariate analysis of the Chi-Square test technique. The results showed that perineal massage using VCO affected birth canal lacerations in normal delivery in the working area of the Mranggen 1 Health Center Demak (p-value 0.000 <0.05).
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Marifah, Umi. "Efektifitas Pijat Perineum Dalam Mencegah Terjadinya Laserasi Perineum dan Episiotomi Pada Persalinan Normal di BPM. Sri Wahyuni Surabaya." Jurnal Kebidanan Midwiferia 3, no. 1 (2017): 26–36. http://dx.doi.org/10.21070/mid.v3i1.1502.
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One of the fears that are often perceived by the third trimester pregnant women that their perineal laceration during delivery. The soft tissues and structures around the perineum will be damaged. The damage is usually more common in primipara. Results of a preliminary study on BPM. Sri Wahyu Surabaya primigravid there are 78 people who gave birth in January to March 2015, the number of mothers who undergo perineal laceration many as 64 people (82%). One effort to prevent perineal lacerations that massage the perineum. Perineal massage is a massage technique perineum start 34/35 weeks gestation until just before delivery to increase blood flow and increases the elasticity of the perineum. The study aims to analyze the effectiveness of perineal massage in preventing perineal lacerations and episiotomy in normal labor in BPM. Sri Wahyu Surabaya. The study was conducted for 8 months. The study design is Static-Group Comparison of design population is primigravida in BPM. Sri Wahyu Surabaya as many as 44 people. The research sample using techniques Quota sampling as many as 40 people consisting of a control group of 20 people and the treatment group of 20 people. The results of the analysis of Fisher's Exact test showed the value of p = 0.000 (<0.05), then massage the perineum affect the occurrence of perineal lacerations in normal labor between the intervention and control groups, so that perineal massage can be applied mainly on primigravidae to prevent episiotomy in normal labor.
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Thevi, T., Z. Mimiwati, and S. C. Reddy. "Visual outcome in open globe injuries." Nepalese Journal of Ophthalmology 4, no. 2 (2012): 263–70. http://dx.doi.org/10.3126/nepjoph.v4i2.6542.
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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 orbits were taken in order to determine the presence of a foreign body. The injuries were classified as simple or complicated depending on the involvement of the pupil/iris, lens and retina. Finally, post operative best-corrected visual acuity at last follow up was noted. Results: Fifty-two patients (52 eyes) were included in the study. The mean age of patients was 27.25±12.62 years (range 9-73 years). The majority of injuries occurred in the workplace (36.5%); nail (15.4%) and glass (15.4%) were the most common objects causing injury. Of those with good initial visual acuity, 90% maintained good visual outcome. Patients with corneal lacerations of less than 5 mm had significant good visual outcome. The number of corneal lacerations and visual axis involvement did not affect the visual outcome. Those with corneoscleral lacerations had significantly poor visual outcomes compared to those with corneal or scleral lacerations alone.Conclusion: Predictors of good visual outcome are good initial visual acuity, a corneal laceration wound of less than 5mm, a deep anterior chamber, and simple lacerations. Age, gender, place of injury, object causing injury, presence of hyphema or intraocular foreign body, and the use of safety precautions did not affect the visual outcome.DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6542 Nepal J Ophthalmol 2012; 4 (2): 263-270
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S, Villa Yulinar, Shinta Novelia, and Rumaini Rukmaini. "Pengaruh Pijat Perineum terhadap Laserasi Perineum pada Ibu Bersalin." Jurnal Akademika Baiturrahim Jambi 12, no. 2 (2023): 294. http://dx.doi.org/10.36565/jab.v12i2.621.
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Perineal laceration will cause bleeding during delivery, causing maternal death. A stiff perineum is an indication for an episiotomy. The occurrence of a very broad perineum can cause heavy bleeding in the mother during childbirth. Destination this study aims to determine the effect of perineal massage on perineal lacerations in women giving birth between the experimental group and the control group at the Sindang Jaya Public Health Center. This quasi-experimental research uses an Experiment and Control Group design. The population in this study were pregnant women in the third trimester with gestational age <34 weeks. The research instrument consisted of a checklist and a partograph as a measuring tool. Data were analyzed using normality test. Result a P Value of 0.000 (<0.05) meaning that there was a significant difference between lacerations in the experimental group and the control group.Conclusions and recommendation is perineal massage for pregnant womenable to prevent perineal laceration during labor. This perineal massage can be applied in private midwifery practices or carried out by patients themselves at home regardless of parity.
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Dr, Kawish shafqat Dr Rabia Murad Dr Kinza Anwar. "THE DESIGN OF LACERATIONS OF PERINEUM DURING VAGINAL DELIVERY." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES o6, no. 03 (2019): 5572–78. https://doi.org/10.5281/zenodo.2596597.
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<strong><em>Objective:</em></strong><em> The purpose of this research work is to conclude the design of the lacerations of perineum at the time of delivery through vagina in a specialized health care center.</em> <strong><em>Methodology:</em></strong><em> This study is an elaborate research work conducted in maternity department of Jinnah Hospital Lahore. The duration of the study was from September 2016 to August 2017. Females having a single child pregnancy either primi-gravida or multi-gravida in labor were the part of this research work. Every patient gave his willing to participate in the research work. Females having twins were not the part of this research work. Age of the patient, number of the child, degree of laceration, delivery method, and weight of the baby at the time of birth, dangerous aspects & problems were recorded. </em> <strong><em>Results:</em></strong><em> There were total two thousand five hundred and sixty-three deliveries; two hundred and fifty-six patients found some amount of lacerations to perineum providing a rate of about ten percent. Out of 256, one hundred selected for this research work in which thirty-seven were multiparous & sixty-three were prim parous. A high occurrence of 1<sup>st</sup> & 2<sup>nd</sup> degree laceration was recorded & occurrence was very high when the delivery from vagina carried out lacking episiotomy & the weight of fetal was greater than four kilograms. The period of labor, support to perineum and availability of edema of perineum were the significant risk features.</em> <strong><em>Conclusion:</em></strong><em> Lacerations of perineum at delivery time are very frequent as described by this case study. Deficiency in care of perineum, low economic conditions & no experience is some of the contributing elements in the increase of the perineal tears.</em> <strong>Key Words:</strong> <em>Perineum, laceration, vagina, delivery, risk, case, multiparous. </em>
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Thapa, Dinesh Kumar. "Scalp Reconstruction among Neurotrauma Patients: Presentation, Management and Outcome- Single Center Study." Eastern Green Neurosurgery 2, no. 2 (2020): 52–56. http://dx.doi.org/10.3126/egn.v2i2.29263.
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Background: Scalp laceration is common findings among patients with head injury. It may present with simple laceration, laceration with loss of tissue or degloving type of injury. This study was conducted to observe the different techniques or wound management and fate of thus reconstructed scalp lacerations.
 Methods and materials: This is a cross-sectional analytical study which was conducted in B&C Medical College Teaching Hospital, Jhapa, Nepal. Patients presented with major scalp lacerations needing repair in Operation Theatre between June 2017 to May 2019 were included. Age, gender, mode of injuries, severity of the injury, various types of management and complicationswere studied and thus collected data were analyzedin IBM SPSS version 23.
 Results: There were 53 cases of scalp injuries with male(75%) predominance and mean age of 31.51 (SD 15.218) yearsin this study. Road traffic accident was the major cause of injury 28(53%), followed by physical assault 16(30%), fall injury 7(13.2%) and burn injury 2(3.7%).Primary closure was possible in 29(54.7%), advancement flap in15(28.3%), flap rotation in 7(13.2%) and split thickness skin graft was in 2(3.8%) patients. Wound infection was seen among 6(11.3%) patients, wound break down in 2(3.7%) and flap failure with dehiscence was observed in 1(1.9%) patient needing secondary healing and closure.
 Conclusion: Scalp laceration is commonly seen in neurotrauma patients with or with-out intracranial injury. Road traffic accidents top the chart in our part of world.All kinds of scalp laceration can be managed well with different types of surgical techniques.
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Sobieray, Narcizo Leopoldo Eduardo Da Cunha, and Bruna Medeiros de Souza. "Prevalência de episiotomia e complicações perineais quando da sua realização ou não em uma maternidade de baixo risco do complexo HC/UFPR / Prevalence of episiotomy and perineal complications when executed or not in a low-risk maternity of the HC/UFPR hospital complex." Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo 64, no. 2 (2019): 93. http://dx.doi.org/10.26432/1809-3019.2019.64.2.093.
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Objetivo: Estudar a prevalência da episiotomia, associação das complicações perineais maternas quando da sua realização ou não, com características biométricas fetais e características maternas nos partos realizados em uma maternidade de baixo risco. Métodos: Estudo retrospectivo, transversal observacional, analítico, descritivo que avaliou 511 puérperas hígidas, de risco habitual da Maternidade Victor Ferreira do Amaral, que tiveram partos transpélvicos de 01 de janeiro à 30 de abril de 2018, referentes à realização ou não de episiotomia, lacerações, idade, paridade, peso do recém-nascido, Apgar de 1º e 5º minutos e posições do parto. Foram significativas as variáveis com p<0,05. Resultados: A episiotomia foi realizada em 32 (6,26%) das parturientes. No estudo 46 pacientes (9%) eram menores de idade e 298 (58,31%) eram primíparas. Não houve lacerações perineais em 240 partos (46,96%), houve lacerações de 1º grau em 180 partos (35,22%) e lacerações de 2º grau em 91 partos (17,80%). A média do Apgar 1º minuto foi 8 e 5º minuto foi 9. O peso médio ao nascer 3159g. Quanto às posições do parto: 84 (16,43%) foram partos em decúbito dorsal; 218 (42,66%) semi-sentados; 68 (13,30%) banco/ banqueta; 20 (3,91%) quatro apoios; 101 (19,76%) cócoras e 16 (3,13%) decúbito lateral. Correlacionaram-se primiparidade e episiotomia (p<0,001), peso do recém-nascido > 3000g e episiotomia (p=0,024), posição dorsal e episiotomia (p<0.001). Tiveram associação as variáveis primiparidade e lacerações (p<0,001). Correlacionando laceração e posições de parto, houve significância estatística entre laceração e posição dorsal (p=0,0409), posição parto no banco (p<0,001) e posição cócoras (p<0,001). Conclusões: A prevalência da episiotomia foi de 6,26%, considerada satisfatória. O peso fetal relacionou-se diretamente com os índices de lacerações perineais e de realizações de episiotomia. A primiparidade apresentou índices significativamente maiores de episiotomia e de lacerações perineais. As lacerações perineais predominaram significativamente nas posições verticais do parto (cócoras e banco). Enquanto episiotomias predominaram na posição de decúbito dorsal do parto.Descritores: Episiotomia, Lacerações, Períneo/lesões, Paridade, Peso fetalABSTRACT:Objective: To study the prevalence of episiotomy, the association of maternal perineal complications when it is carried out or not, with fetal biometric characteristics and maternal characteristics in deliveries performed at a low risk maternity hospital. Methods: Retrospective, observational, analytical, descriptive cross-sectional study that evaluated 511 healthy puerperal women at the usual risk of Victor Ferreira do Amaral Maternity, who had vaginal deliveries from January 1 to April 30, 2018, regarding episiotomy, lacerations, age, parity, newborn weight, 1st and 5th minute Apgar, and delivery positions. The variables with p <0.05 were significant. Results: Episiotomy was performed in 32 (6.26%) of parturients, 46 (9%) under age, 298 (58.31%) primiparous. There were no perineal lacerations in 240 births (46.96%), 1st degree lacerations in 180 births (35.22%) and 2nd degree lacerations in 91 births (17.80%). The average of the 1st minute Apgar was 8 and the 5th minute was 9. The average birth weight 3159g. Regarding the delivery positions: 84 (16.43%) delivery in the supine position; 218 (42.66%) semi-sitting; 68 (13,30%) bench / banquette; 20 (3.91%) four supports; 101 (19.76%) squatting and 16 (3.13%) lateral decubitus. Primiparity and episiotomy (p <0.001), birth weight> 3000g and episiotomy (p = 0.024), dorsal position and episiotomy (p <0.001) were correlated. The variables primiparity and lacerations were associated (p <0.001). Correlating laceration and delivery positions, there was statistical significance between laceration and dorsal position (p = 0.0409), birthing position in the bench (p <0.001) and squatting position (p <0.001). Conclusions: The prevalence of episiotomy was 6.26%, considered satisfactory. The fetal weight was directly related to the rates of perineal lacerations and episiotomy achievements. Primiparity had significantly higher rates of episiotomy and perineal lacerations. The perineal lacerations predominated significantly in the vertical positions of the childbirth (squatting and in the bench). While the episiotomies predominated in the position of dorsal decubitus of the childbirth.Keywords: Episiotomy, Lacerations, Perineum/injuries, Parity, Fetal weight
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Crahay, François-Xavier, Radhika Rampat, Martin Tonglet, and Jean-Marie Rakic. "Drones’ side effect: facial and ocular trauma caused by an aerial drone." BMJ Case Reports 14, no. 3 (2021): e238316. http://dx.doi.org/10.1136/bcr-2020-238316.
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An adult man was struck in the face by his own aerial drone. The propellers hit the upper face region leading to forehead and eyelid lacerations, a partial scleral laceration, conjunctival laceration, hyphaema, traumatic iritis and forward displacement of one haptic of the intraocular lens from a previous cataract surgery. In the last decade, drone use has significantly increased and drone-related injuries have become an emerging cause of trauma. Our case raises awareness of the risks and highlights the need for improvement in regulation of drone use.
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Hendriati, Hendriati. "LASERASI KANALIS LAKRIMALIS PADA LUKA ROBEK PALPEBRA DI RS. Dr. M. DJAMIL PADANG." Majalah Kedokteran Andalas 34, no. 2 (2015): 112. http://dx.doi.org/10.22338/mka.v34.i2.p112-120.2010.
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AbstrakMenentukan Epidemiologi laserasi kanalis lakrimalis pada luka robek palpebra di Rumah Sakit Dr. M. Djamil Padang.Studi Retrospektif mengenai laserasi kanalis lakrimalis pada luka robek palpebra di Rumah Sakit Dr. M. Djamil dari bulan Juli 2006 - Juni 2009. Data dikumpulkan dari Rekam Medik.Ada 29 orang pasien yang didiagnosa laserasi kanalis lakrimalis dari 229 kasus luka robek palpebra (12,66%), 23 orang pasien (79,31%) adalah laki-laki dan 6 orang lagi perempuan (20,69%). Berdasarkan usia, laserasi kanalis lakrimalis paling banyak terjadi pada pasien berusia 41-50 tahun (27,58%), paling sering terjadi di kanalis lakrimalis inferior, yaitu 18 kasus dari 29 (62.07%). Berdasarkan lokasi kejadian, yang terbanyak adalah karena kecelakaan di jalan raya, yaitu sebanyak 16 dari 29 kasus (55.18%). Berdasarkan penyebabnya, yang terbanyak adalah trauma tumpul. Sebanyak 23 dari 29 kasus tersebut dilakukan tindakan kanalisasi (79,31%).Trauma tumpul merupakan penyebab terbanyak laserasi kanalis lakrimalis, kanalikulus inferior lebih sering terjadi dari pada superior. Laki-laki lebih banyak dikenai dari pada perempuan, dan terbanyak di kelompok usia 41-50 tahun.Kata kunci : laserasi kanalis lakrimalis, luka robek palpebraAbstractTo determine the epidemiology of canalicular lacerations on eyelid injury at Dr. M. Djamil hospital.A retrospective study of canalicular lacerations on eyelid injury in Dr. M. Djamil Hospital between July 2006 - June 2009. Data were colleted from medical record.There were 29 patient with diagnosis canalicular lacerations of 229 eyelid injury (12.66%), twenty three patients (79.31%) were males and 6 were females (20.69%). Based on the age, canalicular lacerations was mostly found in the patient with aged 41-50 y o (27.58%), canalicular lacerations was mostly present in lower canaliculi, with the frequency of 18 cases out of 29 cases (62.07%). Based on place of injury, most of the patient get injury at high way, about 16 cases out of 29 cases (55.18%). Based on source of injury, the most source of injury were blunt objects, canalization was the most common therapy 23 cases out of 29 cases (79.31%).ARTIKEL PENELITIAN113Blunt injury was the most common source of canalicular lacerations, the lower was more than upper. Male was more than Female, and mostly was found on age 41-50.Key word : canalicular laceration, eyelid injury
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Kasashima, Toshihiko, Hiroyuki Kato, and Akio Minami. "FACTORS INFLUENCING PROGNOSIS AFTER DIRECT REPAIR OF THE FLEXOR POLLICIS LONGUS TENDON: MULTIVARIATE REGRESSION MODEL ANALYSIS." Hand Surgery 07, no. 02 (2002): 171–76. http://dx.doi.org/10.1142/s0218810402001126.
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Few studies have focused on the relevance of early motion exercise on repair of the flexor pollicis longus tendon. We evaluated 29 patients with flexor pollicis longus tendon lacerations treated by direct end-to-end suture, and statistically assessed the clinical factors that influenced the results by using a multivariate logistic regression model. Association with age, vascular damage and timing of repair did not affect the results. Patients with flexor pollicis longus tendon lacerations in zone II or with the tendon stumps retracted proximally had a significantly high risk of unsatisfactory results. Postoperative passive flexion and active extension exercise using rubber bands significantly decreased the risk of unsatisfactory results in these conditions. Results of this study indicate that early postoperative motion is useful after every FPL tendon repair, particularly in patients with zone II laceration or retraction of the proximal tendon stump.
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Hansen, Lane A., Kurt M. Hazenfield, Francisco Olea-Popelka, and Dan D. Smeak. "Distribution, Complications, and Outcome of Footpad Injuries in Pet and Military Working Dogs*." Journal of the American Animal Hospital Association 51, no. 4 (2015): 222–30. http://dx.doi.org/10.5326/jaaha-ms-6193.
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This study reports the findings of 120 traumatic pad injuries in pet and military dogs. Most dogs (68%) presented with a laceration to a thoracic limb footpad, and one-third of dogs were middle-aged castrated males. Metacarpal pads were most commonly injured. Short-term complications were noted in 27% of dogs. No long-term complications were identified. No disability from pad injury was present at the completion of healing. Concurrent injuries to adjacent structures were uncommon and did not affect outcome. Dogs with full-thickness pad lacerations were at greater risk for major short-term complications compared to dogs with partial-thickness pad lacerations (odds ratio, 7.27; P = .001). Military working dogs with full-thickness pad lacerations were at greater risk for major short-term complications than pet dogs with a similar injury. When major complications developed in dogs with full-thickness pad injuries, time to final healing was significantly longer (by a median of 12 days). The partial-thickness pad lesions healed uneventfully regardless of whether they were bandaged, surgically repaired, or left to heal by second intention. Suture repair and bandaging of full-thickness lesions could not be shown to either decrease the risk for complications or improve healing. Future work should focus on establishing standards for footpad treatment to reduce complications.
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Han, Shaolei, Tingting Wang, Jinchen Jia, Suhuan Sun, and Yiming Fan. "Bicanalicular Lacerations." Journal of Craniofacial Surgery 30, no. 7 (2019): 2261–64. http://dx.doi.org/10.1097/scs.0000000000005990.
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Alterescu, Victor. "Stoma lacerations." Journal of Wound, Ostomy and Continence Nursing 12, no. 6 (1985): 217–19. http://dx.doi.org/10.1097/00152192-198511000-00043.
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Strauss, Richard H. "Fixing Lacerations." Physician and Sportsmedicine 21, no. 2 (1993): 3. http://dx.doi.org/10.1080/00913847.1993.11947547.
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Parikh, Reshma, Sue Brotzman, and James N. Anasti. "Cervical Lacerations." Obstetrics & Gynecology 107, Supplement (2006): 65S. http://dx.doi.org/10.1097/00006250-200604001-00153.
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Bertone, Alicia L. "Tendon Lacerations." Veterinary Clinics of North America: Equine Practice 11, no. 2 (1995): 293–314. http://dx.doi.org/10.1016/s0749-0739(17)30323-1.
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PATEL, J., R. COULL, P. A. HARRIS, and N. J. PERCIVAL. "Hand Lacerations." Journal of Hand Surgery 23, no. 4 (1998): 482–84. http://dx.doi.org/10.1016/s0266-7681(98)80127-7.
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Over a 6-month period 147 consecutive deep hand lacerations referred to a plastic surgery department were explored in 136 adult patients. At operation 121 complete tendon divisions, and 72 nerve injuries were found. Accident and emergency (A&E) officers diagnosed only 64% of tendon divisions compared with 84% for the admitting hand surgeons. Nerve injuries were more accurately diagnosed, 87% by A&E officers compared with 94% by hand surgeons. These findings support the view that significant palmar hand lacerations should be referred for a hand surgery opinion.