ABSTRACT
Background: every year several million women have to undergo gynecological surgery. As a result of that they acquire an abdominal scar. Nowadays women of all ages place extreme importance on the appearance of the scar in addition to the symptoms of pain, tenderness and itching. An aesthetically poor scar can have a negative impact on the overall quality of life causing considerable distress, loss of self-esteem and unhappiness. The appearance of the scar is of significant importance and is often the only reminder of surgery
Aim of the Study: to compare between skin adhesive tape [steri-strips] and non-absorbable suture in closure of abdominal laparoscopic port sites
Patients and methods: the current prospective case control study was conducted at Ain Shams University maternity hospital .the participating women were randomly allocated into two arms .Arm [A]: women had laparoscopic port sites closed with skin adhesive tape. Arm [B]: women had laparoscopic port sites closed with non- absorbable sutures
Results: a total of 142 women were included. The overall incidence of pain was 0.1%and 0.2%, redness was 8.5% and 23.9%, hotness was 2.8% and 12.7%, discharge was 1.4% and 4.2%, impaired healing was 1.4% and 5.6% and satisfaction was 94.4%and 63.4% in arm A and B respectively
Conclusion: using skin adhesive tape [Steri Strep[registered sign]] in closure of abdominal laparoscopic port sites is associated with a decreased risk of wound complications and increased rate of patient satisfaction
ABSTRACT
Pharyngeal infection with Group A Beta-Haemolytic Streptococci [GABHS] is a common threat to the paediatric and young population. The control of this alarming infection can possibly reduce the risk of contraction of rheumatic heart disease [RHD]. One hundred RHD patients [Group I] were studied together with 200" heart free, throat free" low risk patients [Group II] and 100 patients with GABHS pharyngo-tonsillitis [Group III]. Group I showed high susceptibility to carry GABHS than Group II. Tonsillectomy lowered the risk of contracting GABHS by 2.5 - 2.6 times as compared to Long Acting Penicillin [LAP]. In Group III 76% of GABHS were resistant to penicillin due to the presence of beta-lactamase producing organisms [BLPO]. In the absence of BLPO, LAP was found to be as effective as tonsillectomy in protecting from GABHS. Anti-BLPO combination therapy or cefuroxime ought to be the drugs of choice in the treatment of acute bacterial pharyngitis and tonsillitis. Repeated cultures of BLPO after acute pharyngo-tonsillitis is suggested as a new indication for tonsillectomy