Quaternary knot technique: suture knot burial without scleral flap or incision for trans-scleral fixation

Despite the introduction of novel sutureless posterior chamber intraocular lens (IOL) fixation techniques, some conditions still require suture-assisted scleral fixation. If the scleral fixation suture knot is left directly under the conjunctiva, it may become exposed, resulting in an increased risk of endophthalmitis. To avoid this problem, we offer a new alternative, simple, and safe way for burying the end of the suture using knots in this report.

Outcome of adjustable suspensory fixation for femoral graft in acl reconstruction

Background: The incidence of torn anterior cruciate ligament (ACL) has greatly increased, with today's increasing enthusiasm for sports activities. As a result, reconstruction of the torn anterior cruciate ligament became a common surgical procedure in orthopaedic surgery. Objective: To evaluate short term clinical outcome of adjustable suspensory fixation for femoral graft in ACL reconstruction. Methods: All patients treated for ACL reconstruction with an ipsilateral hamstring between March 2017 and March 2018 were evaluated. Subjects were assigned to TightRope™ (TR) femoral fixation. All patients were evaluated with the Lachman test, pivot-shift test, 2000 International Knee Documentation Committee (IKDC) knee examination. The subjective evaluation was performed using the Lysholm knee score. CT examination was performed to evaluate femoral and tibial tunnels enlargement at four different levels. All patients were assessed at a 12 month follow-up visit. Power analysis was performed a priori in accordance with the femoral and tibial tunnels enlargement values from the CT scans. Results: The group was homogenous at baseline with regard to age, gender, BMI, dominance and disease duration. At the final follow-up, no statistically significant differences were found according to subjective and objective clinical outcome measures. According to the femoral tunnel enlargement, no statistically significant difference was found between tunnel at operation and 12 months later. Conclusion: In transtibial ACL reconstruction, the use of adjustable-loop length device products, on the femoral side, led to better clinical and radiological results

An Assessment of Wound Dressing by Nursing Personnel at Olabisi Onabanjo University Teaching Hospital (O.O.U.T.H.) Shagamu; Ogun State; Nigeria

Introduction: A variety of effects may result in the occurrence of a wound which may result in immediate loss of all or part of organ functioning; sympathetic stress response; hemorrhage and blood clotting; bacterial contamination and death of cells. Careful asepsis is the most important factor in keeping these effects to a minimum and promoting the successful care of wounds which is dependent on the nurse's knowledge and understanding of normal wound healing physiology; method of closure and the optimal treatment of the wound and with this knowledge; nurses can provide a systematic and holistic patient assessment; and consider any potential wound related complications (Vuolo JC 2006). Aim: This investigation aimed to assess wound dressing performances among nursing personnel in the three surgical wards of Olabisi Onabanjo University Teaching Hospital (O.O.U.T.H.) Shagamu Ogun State Nigeria.Methodology:The investigators utilized the descriptive method of research. A total of sixty nursing personnel in the male; female; and paediatric surgical wards were randomly selected for the investigation. Performance of wound dressing was assessed through an investigators formulated questionnaire and evaluation checklist based on the concept of sterile wound dressing technique.Results: Nurses have a very good performance of wound dressing as they applied the concepts/principles of sterile technique in the performance of the procedure. There was no significant difference between nurses in the performance of wound dressing and their demographic variables such as age; gender; religion; and educational qualification. However; significant difference was found between length of clinical experience and practice of wound dressing.Conclusion: Findings suggests a relationship between length of clinical experience and practice of good wound dressing. Hence regular seminars on wound dressing should be organized to refresh nurses and keep them up to date in nursing practice