Most Read Articles
Elvira Manzano, Yesterday
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
07 Oct 2017
Women who follow a low-fat dietary pattern appear to have reduced breast cancer mortality, according to data from the Earlier Women’s Health Initiative Dietary Modification trial.
Pearl Toh, 5 days ago
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.

Plastic wound protectors reduce infection rate after laparoscope-assisted colectomy

01 Oct 2017
Laparoscopy surgery in action

Plastic wound protectors, applied to the extraction incision, can reduce postoperative wound infection rates in laparoscope-assisted colectomy, a new cohort study has shown.

There were 109 colorectal cancer patients (median age 58.61±1.12 years) included in the study, all of whom underwent laparoscopic-assisted colectomy. Patients with severe cardiac and pulmonary dysfunction, insufficient bowel preparation, anaemia and diabetes were excluded.

Of the patients, those who received the wound protector (n=57) had significantly shorter postoperative hospital stay than those who did not receive the protector (n=52; 8.73±0.54 vs 7.47±0.24 days; p=0.03). The two groups were comparable in terms of operative time (p=0.37), blood loss (p=0.43) and postoperative exhaust time (p=0.15).

Wound infection rates were significantly lower in patients who received the wound protector than in those who did not (1.75 vs 13.46 percent; p=0.02). Adhesive intestinal obstruction (5.26 percent; n=3) and uroschesis (3.51 percent; n=2) were the most common infections in the wound protector group.

In contrast, wound infection was the most common complication in the nonwound protector group. This was followed by adhesive intestinal obstruction (5.77 percent; n=3) and uroschesis (3.85 percent; n=2). There were no significant differences between the two groups in the rates of other complications.

Surgical site infections are the most common types of complications in laparoscopic-assisted surgery and are known to play a substantial role in patient morbidity and mortality. In colorectal cancer surgery, infectious agents most often come from the skin or gastrointestinal tract.

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Most Read Articles
Elvira Manzano, Yesterday
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
07 Oct 2017
Women who follow a low-fat dietary pattern appear to have reduced breast cancer mortality, according to data from the Earlier Women’s Health Initiative Dietary Modification trial.
Pearl Toh, 5 days ago
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.