Journal articles: 'Periodontium 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 (September 30, 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 (August 29, 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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Gethin, G. "Occlusive dressings and gauze dressings did not differ for healing open wounds in surgical patients." Evidence-Based Nursing 12, no. 2 (April 1, 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 (October 20, 2008): 950. http://dx.doi.org/10.1001/archsurg.143.10.950.

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HIRATA, Ken, Tomoe KATO, Takaharu YAGI, Masataro HAYASHI, Kazuaki KAWANO, Atsushi SEYAMA, and Takayuki KUGA. "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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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 (March 2009): 15–16. http://dx.doi.org/10.1007/bf03080079.

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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 (March 2008): 593–601. http://dx.doi.org/10.1111/j.1365-2702.2007.02032.x.

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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 (August 19, 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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Sheilaadji, Maria Ulfa, Indropo Agusni, Linda Astari, Sylvia Anggraeni, Yuri Widia, and Evy Ervianti. "Cutaneous Aspergilosis Caused by Aspergillus Flavus: A Case Report." Berkala Ilmu Kesehatan Kulit dan Kelamin 33, no. 1 (March 31, 2021): 72. http://dx.doi.org/10.20473/bikk.v33.1.2021.72-77.

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Background: Cutaneous aspergillosis occurs relatively less frequent and therefore remains poorly characterized. Cutaneous aspergillosis can be as primary or secondary infection. Primary cutaneous aspergillosis usually involves sites of skin injury, intravenous catheter, traumatic inoculation, and associated with occlusive dressings. Secondary lesions result from contiguous extension from infected underlying structures or from widespread blood-borne seeding of the skin. Purpose: To know the skin manifestation, efflorence, examination and therapy of cutaneous aspergillosis. Case: A man complaint itchy redness macule and pimples on the right arm since 2 weeks. Initially just felt a little then expands. Patients with post operative brachial injury and uses a cast during one month. On examination there are erythematous macule unsharply marginated with papules. Potassium hydroxide examination, shows conidiophores, dichotomously branching and septate hyphae appropriate description with Aspergillosis Sp. Cultures found grow granular colonies, flat often with radial grooves, yellow at first but quickly becoming bright to dark yellow-green with age, For the identification microscope from the culture specimen there was conidia, phialde, conidiophore and vesicle that suitable with Aspergillus flavus. Patients received itraconazole 2 x 200 mg for 6 weeks and obtained satisfactory results. Discussion: Healthy hosts can develop cutaneous aspergillosis in surgical wounds, by traumatic inoculation, at sites associated with occlusive dressings. In some instances, a presumptive diagnosis of primary cutaneous aspergillosis can be made immediately by examining a potassium hydroxide preparation and culture. Conclusion: Diagnose of cutaneous aspergillosis can establish by potassium hydroxide and culture examination, therapy with itraconazole 2x 200mg give satisfactory results.

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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 (April 20, 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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Myers, Roseann B., Kathleen Moore, Gary D. Mulder, Rebecca A. Pike, and Michele T. Kissil. "Report of a multicenter clinical trial on the performance characteristics of two occlusive hydrocolloid dressings in the treatment of noninfected, partial-thickness wounds." Journal of Wound, Ostomy and Continence Nursing 15, no. 4 (July 1988): 158–61. http://dx.doi.org/10.1097/00152192-198807000-00016.

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Anthony, D. "Paraffin ointment or mupirocin ointment did not differ from no ointment under moist occlusive dressings on non-contaminated surgical wounds for wound infections." Evidence-Based Nursing 10, no. 1 (January 1, 2007): 20. http://dx.doi.org/10.1136/ebn.10.1.20.

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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 (August 1, 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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Epstein, Nancy E. "Review: Perspective on ocular toxicity of presurgical skin preparations utilizing Chlorhexidine Gluconate/Hibiclens/Chloraprep." Surgical Neurology International 12 (July 6, 2021): 335. http://dx.doi.org/10.25259/sni_566_2021.

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Background: Chlorhexidine Gluconate (CHG), Hibiclens (4% CHG with 4% Isopropyl Alcohol Detergent), and Chloraprep (i.e. labeled CHG-based solutions), utilized as preoperative surgical preparatory solutions may all cause severe oculotoxicity and ototoxicity. Alternatively, 10% Povidone-Iodine (PI) solutions without detergent demonstrate minimal toxic effects on the eyes and ears. Methods: Based on studies from 1984 to 2021, we compared the safety/efficacy of CHG-based versus PI-based solutions utilized for presurgical skin preparation near the cornea/eyes and ears (i.e., predominantly for cranial or cervical spine surgery). Results: Some studies documented that even minimal exposure (i.e., “splash risk”) during face/neck skin preparation with CHG-based solutions could result in irreversible corneal injury and ototoxicity. Within minutes to hours, CHG-based non-detergent solutions posed the risks of; corneal epithelial edema, anterior stromal edema, conjunctival chemosis, bullous keratopathy, and de-epithelialization. Notably, even occlusive dressings like Tegaderm could not protect against CHG penetration. Alternatively, PI-based solutions posed no to minimal ocular and/or ototoxicity, while often demonstrating comparable protection against surgical site infections (SSI). Conclusion: Chlorhexidine Gluconate (CHG), Hibiclens, and Chloraprep (i.e. CHG-based solutions) are often used as skin preparations near the face/eyes/spine (i.e., particularly anterior/posterior cervical procedures). However, if these solutions come in contact with the eyes, corneal irritation, abrasions, and even blindness may result. Alternatively, PI non-detergent solutions demonstrate safety/minimal oculotoxicity/ototoxicity, while frequently showing comparable efficacy against SSI.

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Gudgalytė, Ingrida. "Veninių trofinių opų priežastys ir gydymo ypatumai." Lietuvos chirurgija 1, no. 1 (January 1, 2003): 0. http://dx.doi.org/10.15388/lietchirur.2003.1.2447.

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Ingrida GudgalytėVilniaus universiteto Bendrosios ir kraujagyslių chirurgijos klinika Įvadas / tikslai Pateikti sergančių lėtiniu veniniu nepakankamumu ir trofine opa socialinę-ekonominę charakteristiką; išanalizuoti trofinių opų priežastis, ligos eigą, kliniką; pateikti veninės kilmės trofinių opų racionalaus gydymo rezultatus; palyginti juos su rezultatais, kai opa buvo gydoma neracionaliais metodais; apskaičiuoti neracionalaus gydymo išlaidas ir palyginti su išlaidomis, kai ligoniai buvo gydomi pagal šiuolaikinius reikalavimus ir Tarptautinį susitarimą; įdiegti Lietuvoje antirefliuksinio ir fiziologinio opos gydymo protokolus ir metodus. Metodai Buvo tiriami Vilniaus universiteto Kraujagyslių chirurgijos klinikoje 1999–2002 m. gydyti ir stebėti 164 ligoniai, sergantys veninės kilmės trofinėmis opomis. Rezultatai Nuo pirminės venų varikozės gydyta 147 (89,63 %) ligoniai, nuo potrombozinio sindromo – 17 (10,36 %). Ligonių amžius – 30–82 metai. Vyrų buvo 57 (35 %), moterų – 107 (65 %). Veninės kilmės trofinių opų trukmė – nuo 2 savaičių iki 48 metų (vid. 12 m.). Tyrimo metu 157 ligoniams (95,73 %) buvo odos pokyčių, būdingų aktyviai opai, 7 ligoniams (4,26 %) opos buvo užgijusios. Opų dydis svyravo nuo 0,5 cm iki 20 cm. Penki (3,06 %) ligoniai gydyti nuo žiedinių opų. Infekuotos trofinės opos gydytos 63 ligoniams (38,41 %), 101 ligoniui (61,59 %) opos buvo be infekcijos požymių. Analizuojant gydymą iki stacionaro nustatyta, jog opos buvo gydomos netinkamai: antirefliuksinis gydymas arba buvo visai netaikytas, arba buvo netinkamas; lokaliai opos buvo gydomos vaistais, stabdančiais opos gijimą – antibakteriniais tirpalais, tepalais, net 85 (52 %) ligoniai opas gydėsi pseudoliaudiškomis priemonėmis (maistiniu aliejumi, zuikio taukais ir t. t.). Kraujagyslių chirurgijos klinikoje opų priežasčiai nustatyti ligoniams buvo atliekamas dvigubas skenavimas; taikytas radikalus antirefliuksinis gydymas (flebektomija ir suprafascijinis perrišimas, flebektomija ir subfascijinis kiūrančių venų perrišimas, sub- ir suprafascijinis kiūrančių venų perrišimas), kompresinė terapija trumpo tempimo tvarsčiais, lokaliai opos gydytos hidrokoloidiniais tvarsčiais. Opos gydymas stacionare truko vidutiniškai 12 dienų. Po operacijos vidutinė opos gijimo trukmė – 2 savaitės (1 sav. – 6 mėn.). Po gydymo ligoniai stebėti 12 mėn., opos užgijo 145 (88 %) ligoniams, sumažėjo 10 (6,1 %), liko tokio paties dydžio 2 (1,22 %), padidėjo 7 (4,27 %). Opos gydymui per metus ligonis išleisdavo 600–3600 litų. Gydant racionaliai (operacija, kompresinė terapija, hidrokoloidiniai tvarsčiai), gydymo išlaidos sumažejo iki 240 litų. Išvados Dažniausia trofinių opų priežastis – paviršinių venų varikozė (89 %). Tyrimas ultragarsu leidžia tiksliai nustatyti refliukso priežastį. Opos gydytos kompleksiškai (radikalus chirurginis gydymas, kompresinė terapija, vietinis fiziologinis gydymas). Gydant racionaliais metodais 88 % ligonių opos užgijo per 1 mėnesį. Racionalus gydymas 7–10 kartų pigesnis. Prasminiai žodžiai: venos, lėtinis venų nepakankamumas, opos. Causes and management of venous ulcers Ingrida Gudgalytė Background / objective The aim is to create and introduce algorithms of treatment of venous leg ulcer in Lithuania. Venous leg ulcer is one of the most severe complications of chronic venous insufficiency. It affects 1% of the adult population. It could be about 8000 patients with leg ulcers in Lithuania.. Methods In the period 1999–2002, in the Department of Vascular Surgery of Vilnius University Hospital 164 patiens were operated on for venous leg ulcers. Results 147 (89%) patients were treated for primary venous varicose and 17 (11%) had posttrombose syndrom. The leg ulcer disease took the period from one month to 48 years. 72.56% of patiens spent 25% of income on treatment and medicines. The ulcers were diagnosed with ultrasound. The patients had a rational treatment: surgical, compressing therapy and occlusive dressings as the local treatment. Conclusions 37.2 % of ulcers were cured within 1–3 weeks, 88% of them were cured completely. In the rational treatment (operation, compressing therapy, occlusive dressings) the cost on treatment covers up to 240 Lt, while the expeditures on irrational treatment reach 1778–2376 Lt per year. The rational treatment is 7–10 times cheaper. Keywords: veins, chronic venous insufficiency, ulcers.

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Chowdhry, Madhav, Matthew Dipane, and Edward J. McPherson. "Bio-Occlusive Gauze with Tegaderm: A Dressing for Surgical Wounds in Primary THA and TKA." Reconstructive Review 7, no. 4 (January 15, 2018). http://dx.doi.org/10.15438/rr.7.4.197.

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Background: We introduce a simple, cost-effective bio-occlusive dressing to be used for primary total hip arthroplasty (THA) and primary total knee arthroplasty (TKA).Methods: The gauze-Tegaderm™ (GT) dressing consists of a 5cm wide 8-layered gauze covered by 3 to 5 medium-sized Tegaderm transparent films. We prospectively evaluated 100 consecutive primary THA’s and 107 consecutive primary TKA’s utilizing this dressing with a minimum of one-year follow-up.Results: In the primary THA group, there was one surgical site infection (SSI) requiring oral antibiotic treatment. There were no cases of periprosthetic joint infection (PJI). In the primary TKA group, there were two surgical site infections requiring oral antibiotic treatment and one case of chronic PJI requiring a two-stage exchange protocol.Discussion: Our SSI and PJI rates are comparable to published rates in the literature. The GT dressing is a simple, inexpensive dressing that can compete against the many proprietary bio-occlusive dressings that are more expensive and are not readily available worldwide. Our favorable review has merited a large volume randomized controlled study comparing the GT dressing to another proprietary bio-occlusive dressing.

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Grover, Anmol. "A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections." JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2015. http://dx.doi.org/10.7860/jcdr/2015/13431.6105.

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Pinto, Flavia Cristina Morone, and Márcia Oliveira. "Unha cirúrgica de biopolímero de cana de açúcar para preservação do leito ungueal após avulsão." Revista Enfermagem Atual In Derme 87, no. 25 (April 11, 2019). http://dx.doi.org/10.31011/reaid-2019-v.87-n.25-art.237.

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Objetivo: Desenvolver uma unha cirúrgica de BPCA com o propósito de produzir uma cobertura para o leito unguealimediatamente exposto após avulsão da lâmina ungueal. Método: A unha cirúrgica de BPCA foi produzida a partir dogel de BPCA, que tem propriedades viscoelásticas e é estável em concentrações de 0,6% e 0,8%. Resultados: A comprovada biocompatibilidade e a baixa toxicidade do polissacarídeo celulósico permitem idealizar a sua utilização comoum dispositivo médico, servindo como barreira mecânica, proteção do leito ungueal e remodelação da lâmina ungueal.As características físico-químicas do polissacarídeo permitem a produção de um modelo ungueal autoaderente e resistente, servindo temporariamente como substituto da lâmina ungueal. Além disso, o custo da unha cirúrgica de BPCA éacessível. Conclusão: A unha cirúrgica de BPCA parece ser uma alternativa promissora para manutenção e cicatrizaçãodo leito ungueal.Palavras-chave: Doenças da Unha; Biopolímeros; Saccharum; Curativos Oclusivos; Cicatrização. ABSTRACTObjective: Develop a surgical nail of BPCA with the purpose of producing a cover for the nail bed immediately exposedafter avulsion of the nail plate. Method: The surgical nail of BPCA was produced from the BPCA gel, which has viscoelastic properties and is stable at concentrations of 0.6% and 0.8%. Results: The biocompatibility and low toxicity of thecellulosic polysaccharide allow to idealize its use as a medical device, serving as a mechanical barrier, protection of thenail bed and remodeling of the nail plate. The physico-chemical characteristics of the polysaccharide allow the production of a self-adhesive and resistant nail model, serving temporarily as a substitute for the nail plate. In addition, the costof the surgical nail of BPCA is affordable. Conclusion: The surgical nail of BPCA appears to be a promising alternativefor maintenance and healing of the nail bed.Keywords: Nail Diseases; Biopolymers; Saccharum; Occlusive Dressings; Wound Healing.

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Journal articles on the topic 'Periodontium Occlusive surgical dressings'

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