Arch Surg Chicago
-
To review the outcomes of patients with open pelvic fractures. ⋯ Management of open pelvic fractures requires a well-coordinated group using several techniques. Selected patients with open pelvic fractures do not require fecal diversion. Incisions for orthopedic surgery should be considered when decisions are made regarding fecal diversion.
-
To determine if patients with severe chronic obstructive pulmonary disease can tolerate thoracoscopic partial lung resection. ⋯ Patients with severe chronic obstructive pulmonary disease can tolerate thoracoscopic partial lung resection but an effort should be made to reduce local recurrence.
-
To determine if (1) lubricating starch glove powder contaminates surgical wounds even after powdered gloves have been washed and/or wiped: (2) starch powder can be eliminated from surgical wounds when the surgical team wears only powderless gloves; and (3) starch powder introduced into surgical wounds may increase scar formation. ⋯ Starch powder is introduced into wounds by the use of powdered gloves despite glove washing and wiping. It can be eliminated by the exclusive use of powderless gloves. The inflammatory reaction to starch is variable and can be severe.
-
To determine the incidence, severity, and outcomes of injury in patients treated in a rural-based level I trauma center and to compare the outcomes with a nationally indexed patient population--the Major Trauma Outcome Study. ⋯ Acceptable mortality rates compared with the Major Trauma Outcome Study can be achieved in a rural-community-based level I trauma center despite relatively small numbers of critically injured patients. Such outcomes may assist in justifying resource allocation for trauma centers in rural areas.
-
Comparative Study
Breast size as a risk factor for sternal wound complications following cardiac surgery.
To determine if macromastia is associated with risk for deep sternal wound infection following cardiac surgery via median sternotomy incision. ⋯ Large and medium bra cups sizes are associated with an increased risk for deep sternal wound infection after undergoing cardiac surgery via median sternotomy incision.