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Relevant bibliographies by topics / Occlusive surgical dressings

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Academic literature on the topic 'Occlusive surgical dressings'

Author: Grafiati

Published: 4 June 2021

Last updated: 8 February 2022

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Journal articles on the topic "Occlusive surgical dressings"

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Srivastava, Arvind, and Prakshi Solanki. "COMPARATIVE ANALYSIS OF OCCLUSIVE DRESSING AND OPEN WOUND TREATMENT IN PREVENTION OF SURGICAL SITE INFECTIONS." International Journal of Research -GRANTHAALAYAH 7, no. 9 (2019): 88–91. http://dx.doi.org/10.29121/granthaalayah.v7.i9.2019.563.

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Surgical site infections (SSIs) are defined as infections of the tissues, organs, or spaces exposed by surgeons during performance of an invasive procedure. Motivation/Background: A lot of expense both with regards to nursing time and dressing material costs is invested in prevention of SSI using occlusive surgical incision site dressing. But to what extent is this beneficial over open wound treatment? In the present study, we have compared the incidence of SSIs in surgical wounds treated with occlusive dressings versus those treated with open wound treatment to find out the same. Method: The study was conducted on 860 patients of General Surgery wards. Patients were categorized under two groups of cases where (1) Dressing was opened after 24 hours and then only open wound treatment by cleaning with Betadine 12 hourly was done till stitch removal and (2) Dressing was opened after 48 hours and then again after every 2 days occlusive dressing was done until stitch removal. Result: A Chi-Square Test was performed to understand if Occlusive dressings have an added advantage over Open Wound Treatment in prevention of SSIs. Conclusion: Occlusive Dressings have no added advantage over Open Wound Treatment in the prevention of SSIs and hence Open wound treatment can be taken as an alternative for occlusive dressings.

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Ezzelarab, Moushira Hosny, Omar Nouh, Ahmed Nabil Ahmed, Mervat Gaber Anany, Nevine Gamal El Rachidi, and Ahmed Safwat Salem. "A Randomized Control Trial Comparing Transparent Film Dressings and Conventional Occlusive Dressings for Elective Surgical Procedures." Open Access Macedonian Journal of Medical Sciences 7, no. 17 (2019): 2844–50. http://dx.doi.org/10.3889/oamjms.2019.809.

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BACKGROUND: Surgical site infection is one of the major health-care-associated problems causing substantial morbidity and mortality and constituting a financial burden on hospitals as well. The wound management is one of the crucial evidence-based strategies in the reduction of surgical site infection rates AIM: To study the impact of standardisation of transparent semipermeable dressing procedure on the rate of surgical site infection in comparison with conventional dressing in clean and clean-contaminated surgeries. METHODS: The study included 100 patients who were admitted to surgical wards in Cairo university hospitals, for clean and clean-contaminated operations, in the period from February 2017 to August 2017. Immunocompromised and uncontrolled diabetic patients were excluded. Patients were randomly allocated into two groups; in the first group, patients wounds were covered using transparent semipermeable dressing, while the second group patients’ wounds were covered using conventional occlusive gauze dressing. Patients were followed up for criteria of infection every other day during the first week then at two weeks, three weeks and four weeks. RESULTS: In clean and clean-contaminated operations, the transparent dressing group showed a significantly lesser rate of surgical site infection at (2%), compared with the conventional occlusive gauze dressing group with a surgical site infection rate of (14%) (p-value of 0.02). CONCLUSION: The transparent semipermeable dressing is effective in reducing surgical site infection rate in clean and clean-contaminated operations.

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3

Gethin, G. "Occlusive dressings and gauze dressings did not differ for healing open wounds in surgical patients." Evidence-Based Nursing 12, no. 2 (2009): 52. http://dx.doi.org/10.1136/ebn.12.2.52.

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Ubbink, Dirk T. "Occlusive vs Gauze Dressings for Local Wound Care in Surgical Patients." Archives of Surgery 143, no. 10 (2008): 950. http://dx.doi.org/10.1001/archsurg.143.10.950.

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HIRATA, Ken, Tomoe KATO, Takaharu YAGI, et al. "CLINICAL COMPARISON BETWEEN OCCLUSIVE DRESSINGS AND CONVENTIONAL GAUZE DRESSINGS IN THE MANAGEMENT OF SURGICAL INCISIONAL WOUNDS." Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 66, no. 4 (2005): 805–9. http://dx.doi.org/10.3919/jjsa.66.805.

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6

Ng, Hannah Jia Hui, Jane Sim, Vanessa Hwee Ting Tey, Sellakuddy Selvaganesh, Cheyenne Kate Pueblos Rebosura, and Vaikunthan Rajaratnam. "Experience with the Use of Splint Caps for the Management of Fingertip Amputation Injuries." Journal of Hand Surgery (Asian-Pacific Volume) 25, no. 02 (2020): 199–205. http://dx.doi.org/10.1142/s242483552050023x.

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Background: Fingertip amputation injuries are common hand injuries amongst all ages. If occurring as a result of workplace accidents, these injuries has the potential to lead to significant socioeconomic costs. Non-surgical techniques can treat these injuries with the potential to alleviate the burden of these socioeconomic costs. The aim of our study is to describe an alternative, cost-effective device to manage fingertip amputation injuries, and to present our short-term outcomes with this treatment modality. Methods: A retrospective study of patients with isolated fingertip amputation injuries who received treatment with semi-occlusive dressing and splint cap from 1 February 2018–21 December 2018 was conducted. The semi-occlusive dressing used was UrgoTul. The splint cap is a 3-dimensional thermoplastic splint to cover the semi-occlusive dressing of the injured finger. Results: There were 28 patients and 31 digits. The average age was 39.9 ± 12.7 years. 89.3% were male, 75% were foreign workers, 96.4% were blue-collared workers, 40% had dominant hand injuries and 25.8% had nailbed involvement. The average duration of follow-up was 66 ± 37.4 days and the average duration of hospital leave was 6.5 ± 4 weeks. The splint cap was applied for an average of 18.1 ± 6.2 days. The total time for tissue regrowth was 27.5 ± 8.8 days. 14.8% had residual nail deformities and return of sensation took 31.5 ± 11 days. Grip strength was 82.5% of unaffected hand. The mean range of motion at the distal interphalangeal, proximal interphalangeal and metacarpophalangeal joint was 58.8 ± 21.3°, 86.9 ± 15.5°, 81.4 ± 6.0° respectively, and 63.9 ± 23.6° and 66.3 ± 17.3° at the interphalangeal and metacarpophalangeal joint of the thumb respectively. Cost analysis will be further elaborated in the paper. Conclusions: Fingertip amputation injuries have a potential for regeneration through healing by secondary intention under semi-occlusive dressing conditions. The splint cap provides an easy to fashion, cost-efficient and comfortable addition to semi-occlusive dressings for fingertip injuries.

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Pfaff, Barbara, Teresa Heithaus, and Madeline Emanuelsen. "Use of a 1-Piece Chlorhexidine Gluconate Transparent Dressing on Critically Ill Patients." Critical Care Nurse 32, no. 4 (2012): 35–40. http://dx.doi.org/10.4037/ccn2012956.

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Background New transparent dressings with chlorhexidine gluconate in the dressing are available. Objectives To compare the effectiveness of a new 1-piece occlusive dressing that incorporates chlorhexidine gluconate with that of a dressing plus a chlorhexidine gluconate patch in maintaining the low rate of catheter-related bloodstream infections in the intensive care unit and to evaluate nurses’ satisfaction with and cost of the new dressing. Methods A quality improvement observational study was done in an adult medical-surgical intensive care unit. All patients with a central venous catheter had initial and/or subsequent dressing changes done with the new dressing. The central catheter bundle elements of the Institute for Healthcare Improvement were followed. Patients were monitored for catheter-related bloodstream infections, and the rate of infection was calculated. Results During the study period of 1881 device days, the infection rate was 0.051 per 1000 device days, compared with a rate of 0.052 in 2008. Nurses preferred the new dressing. Cost savings were $3807. Conclusion A low rate of catheter-related bloodstream infections can be maintained, nurses’ satisfaction achieved, and cost savings realized with the new dressing.

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Vermeulen, Hester. "Occlusive vs gauze dressings for local wound care in surgical patients: a randomized clinical trial1)." Nederlands Tijdschrift voor Evidence Based Practice 7, no. 1 (2009): 15–16. http://dx.doi.org/10.1007/bf03080079.

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Pino, Paula A., Javier A. Román, and Felipe Fernández. "Delayed Surgical Debridement and Use of Semiocclusive Dressings for Salvage of Fingers After Purpura Fulminans." HAND 11, no. 4 (2016): NP34—NP37. http://dx.doi.org/10.1177/1558944716661996.

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Background: Purpura fulminans is a condition characterized by rapidly evolving skin necrosis and disseminated intravascular coagulation. Early recognition and aggressive supportive management has led to a decrease in its mortality rate, but most of these patients must undergo extensive soft tissue debridement and partial or total limb amputation. There is controversial evidence about the timing of surgery, suggesting that some patients may benefit from delayed debridement with limb preservation. Methods: We present a case of an 86-year-old patient who developed skin necrosis of his four limbs after infectious purpura fulminans. He was treated in the ICU with supportive measures and antibiotic treatment. Surgical debridement was delayed for 4 weeks until necrosis delimitation. Results: Only upper extremity debridement was necessary. Four fingers, including one thumb, were salvaged and successfully treated with semi-occlusive dressing without complications. Conclusion: Early recognition of infectious PF and timely supportive management are important pillars of its treatment. Delayed surgical debridement allows for less aggressive resection and good functional outcome.

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Ubbink, Dirk Th, Hester Vermeulen, and Jarne van Hattem. "Comparison of homecare costs of local wound care in surgical patients randomized between occlusive and gauze dressings." Journal of Clinical Nursing 17, no. 5 (2008): 593–601. http://dx.doi.org/10.1111/j.1365-2702.2007.02032.x.

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Dissertations / Theses on the topic "Occlusive surgical dressings"

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Dominguez, Buena Liza E. "New attachment formation by guided tissue regeneration in dogs a thesis submitted in partial fulfillment ... in periodontics ... /." 1989. http://books.google.com/books?id=FE0_AAAAMAAJ.

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Books on the topic "Occlusive surgical dressings"

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J, Ryan Terence, and Squibb Surgicare Ltd, eds. An Environment for healing: The role of occlusion. Royal Society of Medicine, 1985.

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2

A comparison of healing for abrasions dressed with Duoderm or non-adherent gauze. 1989.

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Greco, Francesco, and Paolo Fornara. Inflammation. Edited by Rob Pickard. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0009.

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Fournier’s gangrene (FG) defines a life-threatening necrotizing fasciitis of the external genitalia and perineum with a peak incidence at 50 years of age. It is associated with a mixed bacterial infection with Escherichia coli and Bacteroides spp. predominating. The diagnosis is made clinically with symptoms of skin necrosis, swelling, pain, crepitus, and feculent odour, and local and systemic signs of severe sepsis. Initial resuscitation with fluid replacement, oxygen therapy, and broad-spectrum empirical antibiotics should be rapidly followed by complete and aggressive surgical debridement with postoperative placement of an occlusive dressing. Urinary and faecal diversions are often required. Debridement should be repeated until all necrotic tissue has been excised, allowing later reconstruction. Early diagnosis and immediate therapy is crucial to improve survival in patients with FG.

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Book chapters on the topic "Occlusive surgical dressings"

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"4 Surgical Wound Dressings after Treating Orthopaedic Infections." In Management of Orthopaedic Infections, edited by Antonia F. Chen. Thieme Medical Publishers, Inc., 2021. http://dx.doi.org/10.1055/b-0041-181979.

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The postoperative dressing functions as an important barrier to prevent orthopaedic infections and reinfections. Preoperative assessment of patient factors and intraoperative evaluation of the soft tissue and wound serve as key elements to determining the right dressing for individual patients when treating orthopaedic infections. This chapter explores characteristics of the ideal dressing and fundamental features of different dressing options available to surgeons, including standard nonocclusive dressings, occlusive dressings with or without antimicrobial impregnated materials, negative pressure wound therapy, and closed incision negative pressure wound therapy. Advantages and disadvantages of each dressing type are discussed with literature evidence. Finally, this chapter provides surgeons with an algorithmic approach to dressing selection for patients undergoing treatment for orthopaedic infections.

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Biggs, Katherine. "Penetrating Chest Trauma." In Acute Care Casebook, edited by Leslie V. Simon. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190865412.003.0073.

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This case describes the management of penetrating trauma to the abdomen and thorax caused by a rocket-propelled grenade. The patient presents with an open pneumothorax, which should be initially managed in the field with a 3-sided occlusive dressing or, ideally, with an Asherman chest seal. Definitive management includes placement of a chest tube drain and possibly surgical exploration and repair.

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