Efficacy Study of Delayed Primary Closure to Reduce Rate of Wound Infection in Complicated Appendicitis...
Surgical Site InfectionResearch hypothesis: Does delayed primary wound closure after appendectomy in adults with complicated appendicitis reduce postoperative superficial surgical site infection compare to primary wound closure. Study design: This study is a multicenter randomized controlled trial of delay versus primary wound closure in complicated appendicitis. Setting: Thammasat Hospital, Ramathibodi Hospital, Chonburi Hospital, Chonpratarn Hospital, Vachira Hospital, and Pathumthani Hospital Participants: Adult patients age 18 years or older and non-pregnant in women who have been diagnosed as gangrenous or ruptured appendicitis. Outcome: Superficial surgical site infection Period of study: August 2012 - August 2014
Pharmacokinetics of Preoperative Vancomycin
Surgical Site InfectionVancomycinA study of plasma and tissue vancomycin pharmacokinetics in pediatric surgical patients.
Pre-operative Aqueous Antiseptic Skin Solutions in Open Fractures
Surgical Site InfectionUnplanned Fracture-Related Reoperation1 moreThe prevention of infection is the single most important goal influencing peri-operative care of patients with open fractures. Standard practice in the management of open fractures includes sterile technique and pre-operative skin preparation with an antiseptic solution. The available solutions kill bacteria and decrease the quantity of native skin flora, thereby decreasing surgical site infection (SSI). While there is extensive guidance on specific procedures for prophylactic antibiotic use and standards for sterile technique, the evidence regarding the choice of antiseptic skin preparation solution is very limited for open fracture surgery.
Antimicrobial Dressing Versus Standard Dressing in Obese Women Undergoing Cesarean Delivery
Cesarean Section ComplicationsWound Breakdown3 moreThis will be an open label pilot randomized controlled clinical trial. Women undergoing cesarean delivery will be randomized to have standard wound dressing care or chlorohexidine gluconate (CHG) impregnated wound dressing (ReliaTect™ Post-Op Dressing).
Electrocautery Versus Scalpel for Skin Incisions
Wound ComplicationSurgical Wound Infection1 moreThe aim of this research project is to compare electrocautery to scalpel for laparotomy skin incisions, with the following objectives: To investigate whether electrocautery produces a cosmetically inferior surgical scar. To compare the rates of wound infection with each technique. To determine if electrocautery results in less postoperative pain. Our null hypothesis is that electrocautery is equivalent to scalpel for creating skin incisions; with respect to wound cosmesis, wound infection rate, and post-operative pain.
Triclosan Coated Suture Wound Closure for Peripheral Vascular Surgery: a Prospective Multicenter...
Surgical Wound InfectionThis is a prospective randomized multicenter study which purpose is to determine whether triclosan-coated sutures for wound closure after lower limb vascular surgery would reduce the incidence of surgical wound infections.
Prevention of Neurosurgical Wound Infections
Surgical Wound InfectionsThe goal of this study is to determine whether injecting the antibiotic vancomycin directly into surgical wounds can decrease the rate of infection following implantation of neurosurgical devices.
Supplemental Oxygen in Vascular Surgery
Surgical Wound InfectionVascular SurgeryThe purpose of this study was to test the hypothesis that supplemental postoperative oxygen reduces the risk of surgical wound infection in patients following lower limb vascular surgery.
Oral Antibiotic Bowel Preparation in Gynecologic Oncology Surgery
Surgical Site InfectionSurgical Complication1 moreThe purpose of this study is to investigate whether the use of a preoperative antibiotic bowel regimen is associated with a reduced risk of deep organ/space surgical site infection in gynecologic oncology surgery.
Surgical Site Infection Rates in Obese Patients After Cesarean Delivery
Surgical Site InfectionThe aim of this study is to determine the surgical site infection rate and patient satisfaction for subcuticular versus interrupted mattress suture in closure of skin at Cesarean delivery in obese patients.