Abstract：
:Surgical site infection (SSI) is disastrous in orthopedic practice as it is difficult to rid the bone and joint of the infection. This study was aimed to assess the prevalence of SSI in orthopedic practice and to identify risk factors associated with surgical site infections. All patients admitted to the orthopedic male and female wards between January 2006 and December 2011 were included in the study group. The data, which were collected from the medical charts and from the QuadraMed patient filing system, included age, sex, date of admission, type of admission (elective versus emergency), and classification of fractures. Analyses were made to find out the association between infection and risk factors, the χ (2) test was used. The strength of association of the single event with the variables was estimated using Relative Risk, with a 95% confidence interval and P < 0.05. A total of 79 of 3096 patients (2.55%) were included: 60 males and 19 females with the average age of 38.13 ± 19.1 years. Fifty-three patients were admitted directly to the orthopedic wards, 14 were transferred from the surgical intensive care unit, and 12 from other surgical wards. The most common infective organism was Staphylococcus species including Methicillin Resistant Staphylococcus aureus (MRSA), 23 patients (29.11%); Acinetobacter species, 17 patients (21.5%); Pseudomonas species, 15 patients (18.9%); and Enterococcus species, 14 patients (17.7%). Fifty-two (65.8%) had emergency procedures, and in 57 patients trauma surgery was performed. Three (3.78%) patients died as a result of uncontrolled septicemia. SSI was found to be common in our practice. Emergency surgical procedures carried the greatest risk with Staphylococcus species and Acinetobacter species being the most common infecting organisms. Proper measures need to be undertaken to control infection rates by every available method; antibiotics alone may not be sufficient to win this war.
journal_name
Int Surgjournal_title
International surgeryauthors
Al-Mulhim FA,Baragbah MA,Sadat-Ali M,Alomran AS,Azam MQdoi
10.9738/INTSURG-D-13-00251.1subject
Has Abstractpub_date
2014-05-01 00:00:00pages
264-8issue
3eissn
0020-8868issn
2520-2456journal_volume
99pub_type
杂志文章abstract：:A subcutaneously placed afferent jejunl loop pexis, which is often performed during a hepaticojejunostomy, opens a route to the biliary tract, through which appropriate instruments can be passed should postoperative complications arise, requiring a choledochoscopy, the removal of calculi, and for the dilatation of the...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essen...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00095.1
更新日期：2015-02-01 00:00:00
abstract：:A proper preoperative staging of rectal tumors is important for correct treatment planning. We included in our study 23 patients with rectal carcinoma in order to evaluate the diagnostic accuracy of endorectal MRI. This technique enabled us to show neoplasms as a hyperintense lesion as compared to the muscolaris. To b...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-10-01 00:00:00
abstract：:Trigger digits can be treated surgically using a percutaneous or an open technique. The aim of this study was to evaluate the long-term results of the percutaneous and open surgery for trigger digits. The long-term results of 266 percutaneously released trigger digits and 70 open released trigger digits were evaluated...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Bronchobiliary fistula (BBF) is a rare condition which occurs most commonly as a complication of hydatid cyst liver disease. The following report describes a patient who presented with biliptysis 6 months following decortication of an empyema that had occurred following partial hepatectomy of a colon cancer metastasis...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00095.1
更新日期：2014-07-01 00:00:00
abstract：:The prognosis of pancreatic duct carcinoma is determined mainly by the degree of local invasion, particularly of the portal system and/or associated arteries supplying the carcinoma. Intraoperative (25-36.5 Gy of betatron) and/or external (14.4-25.6 Gy, preoperatively, and 24-61.2 Gy, postoperatively, using lineac pho...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-07-01 00:00:00
abstract：:This study was performed in order to determine the value of assessing the volume of intraperitoneal fluid, the leucocyte count and the corrected leucocyte count in the peritoneal lavage in patients with acute abdominal pain of gynecological origin. Peritoneal lavage using the dye-dilution technique with Evans-Blue-Hum...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-04-01 00:00:00
abstract：:Fecoflowmetry (FFM) has been introduced to simulate natural anorectal evacuation. So far, few reports have described the effect of the herbal medicine Daikenchuto (DKT) on impaired anorectal motor function. The aim of this pilot study was to assess anorectal motor function by FFM in postoperatively impaired patients w...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：:Expanded polytetrafluoroethylene (Gore Tex) grafts were used for the replacement of the superior or inferior vena cava in dogs. When examined 2 weeks to 18 months after the replacement, the overall patency rate was 82%. If neither deformation nor narrowing of the graft on examination by cavagram had occurred within 14...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1981-07-01 00:00:00
abstract：:Sixteen cases of acute pyogenic pericarditis have been reviewed. Uncontrollable septic course, episodes of cardiac tamponade and failure of the nonsurgical regimen were the main indications for surgery. Medical management is often ineffective because of the relentless septic course, presence of thick, viscid pus and g...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-09-01 00:00:00
abstract：:Between April 1989 and November 1991, 500 consecutive patients (393 women and 107 men, aged 17 to 87 years) underwent laparoscopic cholecystectomy at our institution. The most common indication for surgery was chronic calculous cholecystitis. Twelve (2.4%) patients underwent emergency surgery, and the rest had electiv...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:The management of the stenosis of the pancreaticojejunostomy is dictated by the state of the anastomosis and the residual pancreas, endocrine, and exocrine pancreatic function. We report a case of a 23-year-old woman who presented with recurrent attacks of acute pancreatitis. Four years ago, she was diagnosed with pan...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-05-01 00:00:00
abstract：:It has been reported that avoidance of recurrences after laparoscopic ventral hernia repair (LVHR) depends on using sutures to secure the mesh. We developed a successful sutureless LVHR. The "Double Crown" LVHR using ePTFE mesh (overlap, 23 cm) was done in 140 cases. Tacks were placed 1 cm apart at the edge of the mes...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-07-01 00:00:00
abstract：:A case of cystic hamartoma of the liver is reported. The clinical presentation and management is discussed. A review of the origin of this rare tumor and its clinical and pathological characteristics is made. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-01-01 00:00:00
abstract：:Fifteen orthotopic liver transplants were performed from 23 April 1986 to June 1987 in 14 patients (age range 3-56 years). In 12 transplants, extracorporeal bypass was used. The installation was effected by suprahepatic and infrahepatic cava-caval and portaportal anastomoses. Arterial anastomosis was realized after re...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：:Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed reveal...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-12-00005.1
更新日期：2013-10-01 00:00:00
abstract：:Hürthle cell neoplasms (HNC) of the thyroid gland are uncommon, but potentially malignant lesions. Opinion is divided as to their most suitable surgical treatment. In the ten-year period between 1976 and 1986, 46 patients with Hürthle cell tumor underwent surgery in our Department. Preoperative diagnosis was made by f...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
abstract：:Benign tracheal stenosis is responsible for considerable morbidity, and it is difficult to treat. Our objective is to present the results of surgical treatment. This was a retrospective chart review from the tertiary care center on Head and Neck Surgery in Hospital Ana Costa. We performed a retrospective review of 19 ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
abstract：:Hydatid disease, which is caused by the parasite Echinococcus granulosis, is endemic in certain parts of the world in which humans and sheep live in proximity. Hydatid cysts occur most often in the liver, and affliction with multiple cysts is rare. We present the case of a 48-year-old woman with 55 hydatid cysts (47 i...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：:NO is an important mediator in the generalized inflammatory response of the body during sepsis and septic shock. We investigated the possible effects of L-arginine and aminoguanidine on plasma NO levels and the interaction between NO levels and lung tissue damage and blood gases in sepsis. Fifty Wistar male rats were ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-01-01 00:00:00
abstract：:We have analyzed 196 cases of pyloroduodenal obstruction due to peptic ulcer disease. Obstruction occurred in 19% of peptic ulcer patients. Males predominated five to one over females. Diagnosis could usually be made on clinical grounds alone. Air contrast x-ray studies were better than conventional barium meal x-rays...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-08-01 00:00:00
abstract：:To assess the possible role of truncal ligation of inferior thyroid arteries on post-thyroidectomy hypocalcemia, a prospective study was carried out on 80 patients. Bilateral subtotal thyroidectomy was performed for non-toxic nodular goiter in two groups. Inferior thyroid arteries were ligated bilaterally in 50 patien...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：:The diagnosis and management of ovarian hemorrhage complicating anticoagulant therapy is discussed and a case presented. The patient, who had undergone mitral valve replacement and was receiving chronic anticoagulation treatment, was admitted with signs of intraperitoneal bleeding from a ruptured ovarian hematoma. Thi...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：BACKGROUND:The surgical treatment of cancer of the cardia is controversial and results are often disappointing. Concern exists not only with regards to the surgical approach but also to the extent of the resection. The authors analyze their experience over a 20-year period adopting almost exclusively a "limited" esopha...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:An 85-year-old woman with no history of abdominal surgery complained of abdominal pain and vomiting and was referred to us with a diagnosis of intestinal obstruction a few days later. Upon admission to our facility, she presented with marked abdominal swelling and prominent kyphosis. Because of the kyphosis, most of t...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-12-00003
更新日期：2013-07-01 00:00:00
abstract：:A 61-year-old woman who had undergone total hysterectomy 16 years previously exhibited a pelvic tumor on computed tomography (CT). F-18 fluorodeoxyglucose (FDG) combined positron emission tomography (PET)/CT imaging revealed a solitary small focus of increased FDG activity in the pelvis. A gastrointestinal stromal tum...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00140.1
更新日期：2015-04-01 00:00:00
abstract：:The purpose of this study was to investigate prognostic significance of Dopamine and cAMP-Regulated neuronal Phosphoprotein 32 (DARPP-32) expression in primary colorectal cancer. The study material consisted of clinical and histopathological data of 100 patients operated for colorectal cancer between 1994 and 1997. Fo...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00022.1
更新日期：2015-02-01 00:00:00
abstract：:A follow-up examination was performed on 15 patients who had undergone esophagogastric resection or total gastrectomy for cancer an average of ten years earlier. Endoscopy was done in each case. None of the patients who had the esophagogastrostomy high in the esophagus had esophagitis. The diameter of the esophagogast...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-06-01 00:00:00
abstract：:The authors performed a total of 237 endolaser treatments for insufficiency of great and small saphenous veins and assessed 5-year results. It was found that this method, especially if performed with a 1470-nm-wavelength laser combined with instrumental removal of some lateral veins, was very effective. It was delicat...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:We operated on 138 patients for intestinal obstruction. The different causes are discussed and their pattern of occurrence is compared with that reported from England and other African countries. The 27.6% mortality rate was closely associated with the 28.2% incidence of gangrene. Factors which may lower this high mor...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-04-01 00:00:00
