RESUMEN
The proximal femoral fracture patients in particular fractures in the trochanteric region of the femur could have treatment under the title proximal femoral nailing (PFN)-this operation is a less invasive type. The proximal femoral nail, an osteosynthetic implant, has been investigated to produce positive heeling to ensure a better fixation, several advantages of PFN include such as bleeding time during operation which leads to the need to perform reaming on the femoral canal during surgery. MATERIAL AND METHODS: The study was carried out at three teaching Hospitals in Mosul City from the period of January 2022 to December 2022, fourteen nurses from orthopaedic wards were subjected to this study, all the nurses were evaluated by the checklist, and they attended the training program which was taken from the Iraqi Ministry of Health guide for organizing nursing operations and practices inside the hospitals and medical departments. RESULTS AND DISCUSSION: More than (50%) of the study sample had a poor score in the initial evaluation for post-operative steps and after submitting the training program, the performance and practices of the nursing staff have improved significantly where the poor score decreased to approximately (25%) at P value (0.0001). CONCLUSION: The study concluded that there is a significant and clear weakness in the performance and practices of the nursing staff towards patients with upper femoral fractures in the fracture wards and that the training program that was given to them improved their performance and practices significantly and effectively.
Asunto(s)
Clavos Ortopédicos , Complicaciones Posoperatorias , Humanos , Complicaciones Posoperatorias/prevención & control , Fijación Intramedular de Fracturas/efectos adversos , Fijación Intramedular de Fracturas/métodos , Fracturas del Fémur/cirugía , Femenino , Masculino , AdultoRESUMEN
OBJECTIVES: To compare the effect of antibiotics prophylaxis within 30 mins before skin incision (A) and after umbilical cord clamping (C) on the incidence of postoperative infections in patients undergoing elective caesarean section at Farhat Hached university teaching hospital. MATERIALS AND METHODS: We conducted a randomised clinical trial evaluating 279 patients undergoing elective caesarean section. Patients were randomly assigned a group number that allocated them to either arm of the study. They received the same prophylactic antibiotic (cefazol® 2g) according to their allotment. They were followed up to detect infection up to 30 days postoperatively. The primary outcome was postoperative infection. The data collected were analysed with SPSS version 18.0 using univariate and bivariate analysis. RESULTS: The risk of overall postoperative infection was not significantly lower when prophylaxis was given before skin incision (4.37 % (A) vs 9.85 % (C); P=0.07; OR=0.42 [0.15-1.12]). We also found wound infections to be significantly reduced in the pre-incision group (2.2 % [A] vs 8.45 % [C]; P=0.03; OR=0.24 [0.06-0.88]). However, there was no difference in the endometritis infectious. On the other hand, there was no negative impact on the neonatal features. CONCLUSIONS: Giving prophylactic antibiotics before skin incision reduces risk of postoperative infection, in particular of wound infections.
Asunto(s)
Profilaxis Antibiótica/métodos , Cesárea/métodos , Endometritis/prevención & control , Complicaciones Posoperatorias/prevención & control , Adulto , Profilaxis Antibiótica/normas , Cesárea/normas , Femenino , Humanos , Infección de la Herida Quirúrgica/prevención & control , Factores de TiempoRESUMEN
OBJECTIVE: To investigate whether abdominal scar characteristics could predict the incidence and severity of intra-abdominal adhesions found at repeat cesarean delivery. PATIENTS AND METHODS: Prospective cohort study including 151pregnant women with at least one previous cesarean delivery and who delivered abdominally in the department of obstetrics and gynaecology of Farhat Hached teaching hospital-Sousse-Tunisia, during 6 months. Abdominal scar characteristics were studied. The main outcome measure(s) were the incidence and severity of intra-abdominal adhesions. Statistical analysis was performed using SPSS 18.0. RESULTS: Of 151 women enrolled into this trial, 111 (73.5%) had adhesions, 57 (37.8%) had dense adhesions. Of all the abdominal scar characteristics studied, a depressed scar was associated with an increased incidence of both dense and filmy intra-abdominal adhesions and frozen pelvis if compared of women who did not have a depressed scar (P<10(-4) ; RR=7.6; IC=2.98-19.45). A number of previous cesarean section equal or more than 2 was also correlated with an increased incidence of severe intra-abdominal adhesions and frozen pelvis if compared with women who had only one previous cesarean section (P=0.002; RR=2.53; IC=1.16-5.56). DISCUSSION AND CONCLUSION: A depressed abdominal scar of a previous cesarean delivery and a number of previous cesarean sections are significantly correlated with the incidence and severity of intra-abdominal adhesions.