ABSTRACT
Perineal sinus is a troublesome complication after proctectomy for inflammatory bowel disease or rectal cancer. The results from treatment with simple dressings with or without surgical debridement are suboptimal. Definitive management may require complex operations with muscular or musculocutaneous flaps. Vacuum-assisted dressings have been used successfully for management of chronic wounds and soft tissue defects. This technique was successfully used in the management of a perineal sinus, which occurred after proctectomy for rectal cancer developing on a background of inflammatory bowel disease and preoperative radiotherapy.
Subject(s)
Bandages , Colectomy/adverse effects , Colitis, Ulcerative/surgery , Perineum/pathology , Postoperative Complications/therapy , Humans , Male , Middle Aged , Treatment Outcome , VacuumABSTRACT
A review of the literature on detecting wound infection revealed the need for an established definition and a consensus on the way of detecting infection. A unified approach would enable a clearer picture of wound infection in the UK to emerge.
Subject(s)
Surgical Wound Infection/diagnosis , Humans , Specimen Handling , Surgical Wound Infection/nursing , Surgical Wound Infection/therapyABSTRACT
Neospora caninum is a recently described coccidial parasite that was first isolated from a dog in 1988 and has subsequently been shown to infect a wide range of mammals. Neospora hughesi, a new species of this genus, has recently been isolated from the spinal cord of horses showing clinical signs of equine protozoal myeloencephalitis. The random amplified polymorphic DNA polymerase chain reaction technique is capable of differentiating between N. caninum and N. hughesi.
Subject(s)
Coccidiosis/veterinary , Encephalomyelitis/veterinary , Horse Diseases/parasitology , Neospora/classification , Random Amplified Polymorphic DNA Technique/veterinary , Animals , Coccidiosis/diagnosis , Coccidiosis/parasitology , DNA Primers/chemistry , DNA, Protozoan/analysis , Diagnosis, Differential , Dogs , Encephalomyelitis/diagnosis , Encephalomyelitis/parasitology , Horse Diseases/diagnosis , Horses , Neospora/genetics , Neospora/isolation & purification , Spinal Cord/parasitologyABSTRACT
A combination of physical measurement and clinical testing was used to evaluate a range of pressure-reducing replacement mattresses, which had met tender specifications, in order to reduce the number available for selection in the purchasing process. Factors considered included mattress price and expected life-span. The results presented have supported a purchasing decision to replace mattresses but care should be taken in adopting these findings in a different context from that of a district general hospital. Optimum performance was found in one mattress replacement (Pentaflex).
