Research Article
Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea)
Kondano Saa Yawo*,
Oulare Ibrahima,
Koundouno Aly Mampan,
Balde Fatoumata Lamarana,
Kaba Mohamed,
Diallo Mariama Cire,
Camara Mariama,
Kourouma Mohamed,
Mbouemboue Nsa’a Aichetou Laila,
Soumaoro Labilé Togba,
Fofana Houssein,
Toure Aboubacar
Issue:
Volume 12, Issue 6, December 2024
Pages:
129-132
Received:
9 October 2024
Accepted:
29 October 2024
Published:
20 November 2024
Abstract: Introduction: The aim of the study was to evaluate the cost and results of prosthesis placement in hernia repairs in the general surgery department of university hospital centre CHU Ignace Deen. Material and methods: This was a prospective, descriptive cohort of 06 months' duration (June to December 2023) monitored in the general surgery department of university hospital centre (CHU) Ignace Deen. All patients operated on for hernias with placement of a drill bit who agreed to answer our questions were included in the study. The variables were sociodemographic, clinical, therapeutic and evolutionary. Results: We included 120 patients, representing 57.4% of all surgical procedures. The mean age was 58.1 ± 16.1 years, with extremes ranging from 20 to 91 years. The 60 to 69 age group was most affected (25.8%). The sex ratio was 3.2 in favor of men. The site of the hernias was dominated by the inguinal region (93%). The Liechtenstein technique was used for all patients. Only one type of mesh was used, polypropylene. Mean operating time was 89.9 ± 28 min. The average cost of treatment was 3,308,333.3 ± 56,9594.3 Guinean francs (GF). Pain was noted in 12 patients (10%), recurrence in 3 (2.5%) and delayed healing in 5 (4.2%). Average hospital stay was 1.8 ± 1.1 days. Conclusion: The results of our study show that the use of the wick in hernia repair is highly beneficial for the patient, as the post-operative outcome was favorable in the majority of cases.
Abstract: Introduction: The aim of the study was to evaluate the cost and results of prosthesis placement in hernia repairs in the general surgery department of university hospital centre CHU Ignace Deen. Material and methods: This was a prospective, descriptive cohort of 06 months' duration (June to December 2023) monitored in the general surgery department...
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Case Report
Partially Embedded Metal Rings on the Right Middle Finger and Entrapment of Rings on the Right Index and Ring Fingers in a Psychiatric Patient: A Case Study
Kumar Raj Ranjan*
Issue:
Volume 12, Issue 6, December 2024
Pages:
133-138
Received:
4 October 2024
Accepted:
28 October 2024
Published:
22 November 2024
Abstract: Rings are not only commonly worn as symbols of love and commitment, such as wedding rings, but they also serve as decorative pieces in various cultures. The finger rings are made up of materials of different grades (Soft or hard metals), influenced by availability and social customs. However, these accessories can sometimes become problematic when they get stuck on the fingers. This problem tends to occur more frequently in women and younger people. Most of patients present with distal digit swelling and pain, and sometimes present late with gangrene of the involved digits. In most cases, trapped rings do not cause any vascular or neurological damage, but timely removal is critical to prevent complications such as the tourniquet effect, where blood flow to the digit is compromised. The removal of rings is necessary under certain clinical conditions, especially in emergencies where swelling or trauma complicates the situation. Patients with psychological disorders or substance abuse problems may sometimes resist the removal of rings, making treatment more complicated. In this case report, we discuss the management of a psychiatric patient who presented with significant swelling in three digits due to embedded rings, highlighting the delayed treatment and the methods used for successful ring removal. In our case, we managed to remove entrapped and embedded finger rings by non-destructive and destructive methods with good outcomes.
Abstract: Rings are not only commonly worn as symbols of love and commitment, such as wedding rings, but they also serve as decorative pieces in various cultures. The finger rings are made up of materials of different grades (Soft or hard metals), influenced by availability and social customs. However, these accessories can sometimes become problematic when ...
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Research Article
Assessment of a Non-Absorbable Monofilament Suture for Skin Closure in Adults and Paediatrics – Skinda, an International, Bi-Centric, Prospective Cohort Study
Petra Baumann*,
Manuel Lopez,
Jessica Hoelderle,
Jan Ludolf Kewer
Issue:
Volume 12, Issue 6, December 2024
Pages:
139-154
Received:
28 October 2024
Accepted:
9 November 2024
Published:
10 December 2024
Abstract: Each surgical incision has to be closed after surgery. Suture materials are mostly applied which differ in their filament structure, material composition, as well as in their absorption profile, and the choice of the suture material used for skin closure is mainly based on the surgeon´s preference. We designed a prospective, international, multicentric, single-arm, observational study to assess the clinical outcome of a non-absorbable monofilament nylon-based suture for skin closure with a comparison to historic data from the literature. In total, 115 patients were enrolled with an equally distribution of adults and paediatrics receiving a nylon-based suture material to close the skin. Different safety (wound dehiscence, surgical site infections, and adverse events) and effectiveness parameters (pain, wound healing, patient satisfaction, cosmetic result, intraoperative suture handling) were selected to judge the performance of the suture material. The assessment of patient satisfaction, wound healing, and handling properties of the suture was done using a Likert scale, whereas the Patient and Observer Scar Assessment Scale (POSAS) was chosen for aesthetic scar rating. The primary endpoint was a combined rate of wound dehiscence and surgical site infection occurring until suture removal. After discharge, the patients were examined at suture removal and the paediatric population received a further routinely 1-month post-surgery follow-up. Until suture removal, 2 surgical site infections (1.75%) occurred and one wound dehiscence was seen until 30 days postoperatively, indicating significant lower rates compared to historical data. Furthermore, good handling properties of the suture material as well as a high patient satisfaction combined with an excellent wound healing and cosmetic appearance were reported. Based on our findings, it can be concluded that a monofilament nylon-based suture material is an optimal choice for skin closure in adults as well as in children, and it represents an appropriate alternative to other devices, which are currently in utilization.
Abstract: Each surgical incision has to be closed after surgery. Suture materials are mostly applied which differ in their filament structure, material composition, as well as in their absorption profile, and the choice of the suture material used for skin closure is mainly based on the surgeon´s preference. We designed a prospective, international, multicen...
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