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March 2006–May 2007
Published in Kate Hayward, From Oncology Nursing to Coping with Breast Cancer, 2021
Didn’t sleep as well, drain sites leaking. I also thought drain 3 was a bit smelly when it was emptied. Got up earlier to get washed on my own as much as possible, legs a bit slimmer but still need help with the TED stockings. My left hand is less swollen too. Phil came in after work, seemed a long day without him. Phil Turton came in the evening, can’t have any of the drains out yet and he wants me to walk about a bit more. He was pleased with the fluid loss, can’t restart vitamin E yet and forgot to ask why. The night sweats and hot flushes seem worse without it. Dressings all replaced and Kirsty, one of the staff nurses, was quite worried about the steri-strips on my back wound as they are making the skin sore. I can’t see the extent of that wound but it feels weird, as I’ve got areas of hypersensitivity but also numbness. I can feel the sore bits though and it feels like a graze.
Local Anesthesia for Children
Published in Marwali Harahap, Adel R. Abadir, Anesthesia and Analgesia in Dermatologic Surgery, 2019
Thierry Pirotte, Francis Veyckemans
When facing the repair of a skin laceration in a child, we have first to answer the following questions: Does this lesion really need a surgical suture? Are alternative solutions usable such as application of biological glue or use of Steri-Strips®?If it has to be sutured, is the extent of tissue damage compatible with the use of a nontoxic dose of LA?Will the operating conditions be comfortable and safe for both the child and for the practitioner?
Complications
Published in J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, John M. Monaghan, An Atlas of Gynecologic Oncology, 2018
When a superficial wound separation is apparent, the extent of the defect in the subcutaneous tissue is assessed. If a significant portion of the defect tunnels under an intact area of the wound, particularly if access for debridement and packing is limited, the overlying skin is opened. In the occasional case where the wound surfaces are clean, immediate closure with permanent monofilament suture is performed. Mattress stitches are placed approximately 2 cm apart and tied tight enough to reapproximate but not necrose the tissue. Steri-Strips can be placed between sutures to further approximate the wound edges. It is important to close the deep subcutaneous space to avoid seroma development. We have successfully utilized a modification of the figure-of-eight closure described by Dodson et al. (1992) for patients with particularly deep wounds. Sutures are removed in 10 to 14 days. Antibiotics are used only when infection is present.
Safety assessment of the prophylactic use of silicone gel sheets (Lady Care®) for the prevention of hypertrophic scars following caesarean section
Published in Journal of Obstetrics and Gynaecology, 2021
Yuki Ito, Akiko Konishi, Miki Okubo, Takuma Sato, Akihiro Hasegawa, Keiko Yabuzaki, Tomona Matsuoka, Michihiro Yamamura, Momoko Inoue, Haruhiko Udagawa, Kazuhiro Kajiwara, Taizan Kamide, Hiroaki Aoki, Osamu Samura, Aikou Okamoto
Higuchi’s transverse incision was performed for CS in all study patients. Operative scars were sutured using a single ligature, dermis-buried suture (4-0PDS, Atom vet’s medical, Kyoto, Japan). A Steri strip® (3M, St. Paul, MN) was applied initially over the sutured surgical wound. A scar assessment was performed by the obstetrician after 30 postoperative days. If the scar was dry, and no external abnormal signs were observed, the patients started to use Lady Care® from the beginning of the second postoperative month. As instructed, the patients removed and washed the silicone sheet with soap daily while bathing. After bathing, the scar was dried, and the sheet was reapplied on the scar, by the patients themselves. All patients used Lady Care® for >12 hours each day. Every 2 weeks, a new Lady Care® sheet was substituted in place of the previous one. As depicted in Figure 1, the Lady Care® sheet was applied from 2nd to 6th postoperative months. In case of occurrence of adverse events, the surgical scar was assessed for the presence of eczema, flare and other negative signs and symptoms on their day of onset, and associated diagnoses and severity of these symptoms, were recorded. The symptoms were categorised as:
Randomised comparison of silicone gel and onion extract gel for post-surgical scars
Published in Journal of Obstetrics and Gynaecology, 2018
Taejong Song, Kye Hyun Kim, Kyo Won Lee
Four skin wounds resulted from laparoscopic surgery using four trocars: a single 12 mm trocar was inserted in the umbilicus and three ancillary 5 mm trocars were inserted in the lower abdomen (one in the suprapubic area and two bilaterally in the lower quadrant). Two-level wound closure was completed with a running subcutaneous suture with 3-0 Vicryl (Ethicon, Somerville, NJ, USA) and restraint of wound edges with skin tape (Steri-Strip; 3 M, Neuss, Germany). In the umbilical wound, the fascia and subcutaneous tissue were approximated and closed layer-by-layer with 1-0 Vicryl. After removal of the skin tape on the seventh postoperative day, 60 subjects in the silicone gel group and the onion extract gel group were instructed to apply gel two times daily for 12 weeks after cleansing and drying the skin, and 30 subjects in the no treatment group did not receive any topical scar emollients. During the study period, no additional treatment options for preventing or treating hypertrophic scars and keloids were used in either group. All subjects were scheduled for follow-up 12 weeks after initiation of treatment. At this visit, physicians and subjects independently evaluated the scars. Photographs were also taken to evaluate surgical scars by independent assessors, irrelevant to this study.
Comparison of wound closure techniques in median sternotomy scars in children: subcuticular suture versus Steri-Strip™ S
Published in Journal of Plastic Surgery and Hand Surgery, 2019
Annekatrien L. van de Kar, David R. Koolbergen, Janne P. H. van Avendonk, Chantal M. A. M. van der Horst
In Group 1, five patients (15.6%) developed a wound problem, which were all superficial wound infections. In Group 2 two patients (9.5%) developed a wound problem, one was a superficial infection as well and in one case the Steri-Strips™ came off early. Although there were more cases of wound infections in the subcuticular suture group than in the Steri-Strip™ S group, this difference was not statistically significant. The majority of wound problems occurred after >3 weeks post-surgery and were located at the cranial one-third of the scar. None of the children were readmitted to the hospital or needed reoperation due to their wound problem (Table 4).