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Ten-millimeter ports are often used in laparoscopic surgery. Closure of these port sites can be difficult. In this article, we describe two novel methods of closing 10-mm laparoscopic port-site wounds, which are simple, effective, easy, and do not require any special instruments.
Active drains, which work from negative pressure effect, are commonly used to drain closed airtight wounds. Higher negative pressure is used in vacuum-assisted wound closure (VAC®) (usually −125 mmHg) dressings and in Redivac® system (usually −300 mmHg). As far as we know, combinations of Redivac® and VAC® have not been used. The authors describe a novel… (More)
High- and low-pressure vacuum drains are commonly used after surgical procedures. High-pressure vacuum drains (ie, sealed, closed-circuit systems) are efficient and allow for easy monitoring and safe disposal of the drainage. Low-pressure vacuum drains use gentle pressure to evacuate excess fluid and air, and are easy for patients to manage at home because… (More)
Drains have been used in surgery for several years to remove body fluids thereby preventing the accumulation of serous fluid and improving wound healing. Drains may be classified as closed or open systems, and active or passive depending on their intended function. Closed vacuum drains apply negative suction in a sealed environment, producing apposition of… (More)
This is the first in a two-part unit on nasogastric tube management. It discusses the indications, patient preparation, insertion technique and various methods of confirming the tube's position. According to the National Patient Safety Agency, 11 deaths and one case of serious harm occurred due to misplaced nasogastric feeding tubes over a two-year period.… (More)
This is the second of a two-part unit on nasogastric tube management. Part 1 explored the indications, patient preparation, insertion technique and methods of verifying correct intragastric position. This focuses on complications related to nasogastric tubes.
Methicillin-resistant Staphylococcus aureus (MRSA) is a serious threat to patients in health care facilities and the community. A MRSA infection can be much more severe than other bacterial infections and can be life-threatening. Resistance to common antibiotics makes treating MRSA costly and difficult. Prolonged hospitalization requiring specialized IV… (More)
Dear Editor: Pseudo obstruction and colonic volvulus are common in elderly patients. Sometimes, it may be difficult to distinguish one from the other. Insertion of a blind flatus tube is an easy, readily available, low-cost, first-line treatment for both of them. Flexible sigmoidoscopy may be required in difficult cases particularly when the flatus tube… (More)
Long appendices and gallbladders may be difficult to remove during laparoscopy. In this report, we describe a novel technique by which the gallbladder or appendix is held at the tip with a grasper and rolled on to it like "spaghetti." We found this technique very useful in improving the traction and stability of the organs in order to facilitate dissection.