The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Bhuvaneswari Krishnamoorthy - One of the best experts on this subject based on the ideXlab platform.
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closed Suction Drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting
The Annals of Thoracic Surgery, 2012Co-Authors: Bhuvaneswari Krishnamoorthy, Othman S Alfagih, Mohammed I Madi, Osman Najam, Paul Waterworth, James E Fildes, N YonanAbstract:Background Endoscopic vein harvesting (EVH) is a widely accepted technique for coronary artery bypass grafting, with well-reported benefits. However, EVH is associated with severe hematoma formation at incision sites, resulting in postoperative pain. We hypothesized that the use of a leg wound drain at the incision site may reduce these comorbidities. Methods One hundred consecutive patients were prospectively randomly allocated into two groups of 50: group 1 with leg wound drains, and group 2 without drains. Group 1 patients underwent EVH followed by closure with a size 10 high vacuum leg wound drain (20 kPa), whereas group 2 underwent EVH followed by closure without a leg wound drain. Patients were assessed for postoperative pain, wound infection, and satisfaction using validated scoring systems immediately after surgery. Results Pain at rest ( p p p p p = 0.012) and the number of general practitioner visits (6% versus 26%, p = 0.012) were lower in the drain group compared with the no-drain group. However, there were no differences in the length of hospital stay between the two groups after surgery. Conclusions Our findings indicate that the use of a high vacuum leg drain after EVH for long saphenous vein is of clear therapeutic benefit in the early postoperative period. We also report that this technique may reduce antibiotic administration and general practitioner visits after patient discharge.
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closed Suction Drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting
The Annals of Thoracic Surgery, 2012Co-Authors: Bhuvaneswari Krishnamoorthy, Othman S Alfagih, Mohammed I Madi, Osman Najam, Paul Waterworth, James E Fildes, N YonanAbstract:Background Endoscopic vein harvesting (EVH) is a widely accepted technique for coronary artery bypass grafting, with well-reported benefits. However, EVH is associated with severe hematoma formation at incision sites, resulting in postoperative pain. We hypothesized that the use of a leg wound drain at the incision site may reduce these comorbidities. Methods One hundred consecutive patients were prospectively randomly allocated into two groups of 50: group 1 with leg wound drains, and group 2 without drains. Group 1 patients underwent EVH followed by closure with a size 10 high vacuum leg wound drain (20 kPa), whereas group 2 underwent EVH followed by closure without a leg wound drain. Patients were assessed for postoperative pain, wound infection, and satisfaction using validated scoring systems immediately after surgery. Results Pain at rest (p Conclusions Our findings indicate that the use of a high vacuum leg drain after EVH for long saphenous vein is of clear therapeutic benefit in the early postoperative period. We also report that this technique may reduce antibiotic administration and general practitioner visits after patient discharge.
N Yonan - One of the best experts on this subject based on the ideXlab platform.
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closed Suction Drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting
The Annals of Thoracic Surgery, 2012Co-Authors: Bhuvaneswari Krishnamoorthy, Othman S Alfagih, Mohammed I Madi, Osman Najam, Paul Waterworth, James E Fildes, N YonanAbstract:Background Endoscopic vein harvesting (EVH) is a widely accepted technique for coronary artery bypass grafting, with well-reported benefits. However, EVH is associated with severe hematoma formation at incision sites, resulting in postoperative pain. We hypothesized that the use of a leg wound drain at the incision site may reduce these comorbidities. Methods One hundred consecutive patients were prospectively randomly allocated into two groups of 50: group 1 with leg wound drains, and group 2 without drains. Group 1 patients underwent EVH followed by closure with a size 10 high vacuum leg wound drain (20 kPa), whereas group 2 underwent EVH followed by closure without a leg wound drain. Patients were assessed for postoperative pain, wound infection, and satisfaction using validated scoring systems immediately after surgery. Results Pain at rest ( p p p p p = 0.012) and the number of general practitioner visits (6% versus 26%, p = 0.012) were lower in the drain group compared with the no-drain group. However, there were no differences in the length of hospital stay between the two groups after surgery. Conclusions Our findings indicate that the use of a high vacuum leg drain after EVH for long saphenous vein is of clear therapeutic benefit in the early postoperative period. We also report that this technique may reduce antibiotic administration and general practitioner visits after patient discharge.
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closed Suction Drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting
The Annals of Thoracic Surgery, 2012Co-Authors: Bhuvaneswari Krishnamoorthy, Othman S Alfagih, Mohammed I Madi, Osman Najam, Paul Waterworth, James E Fildes, N YonanAbstract:Background Endoscopic vein harvesting (EVH) is a widely accepted technique for coronary artery bypass grafting, with well-reported benefits. However, EVH is associated with severe hematoma formation at incision sites, resulting in postoperative pain. We hypothesized that the use of a leg wound drain at the incision site may reduce these comorbidities. Methods One hundred consecutive patients were prospectively randomly allocated into two groups of 50: group 1 with leg wound drains, and group 2 without drains. Group 1 patients underwent EVH followed by closure with a size 10 high vacuum leg wound drain (20 kPa), whereas group 2 underwent EVH followed by closure without a leg wound drain. Patients were assessed for postoperative pain, wound infection, and satisfaction using validated scoring systems immediately after surgery. Results Pain at rest (p Conclusions Our findings indicate that the use of a high vacuum leg drain after EVH for long saphenous vein is of clear therapeutic benefit in the early postoperative period. We also report that this technique may reduce antibiotic administration and general practitioner visits after patient discharge.
James E Fildes - One of the best experts on this subject based on the ideXlab platform.
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closed Suction Drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting
The Annals of Thoracic Surgery, 2012Co-Authors: Bhuvaneswari Krishnamoorthy, Othman S Alfagih, Mohammed I Madi, Osman Najam, Paul Waterworth, James E Fildes, N YonanAbstract:Background Endoscopic vein harvesting (EVH) is a widely accepted technique for coronary artery bypass grafting, with well-reported benefits. However, EVH is associated with severe hematoma formation at incision sites, resulting in postoperative pain. We hypothesized that the use of a leg wound drain at the incision site may reduce these comorbidities. Methods One hundred consecutive patients were prospectively randomly allocated into two groups of 50: group 1 with leg wound drains, and group 2 without drains. Group 1 patients underwent EVH followed by closure with a size 10 high vacuum leg wound drain (20 kPa), whereas group 2 underwent EVH followed by closure without a leg wound drain. Patients were assessed for postoperative pain, wound infection, and satisfaction using validated scoring systems immediately after surgery. Results Pain at rest ( p p p p p = 0.012) and the number of general practitioner visits (6% versus 26%, p = 0.012) were lower in the drain group compared with the no-drain group. However, there were no differences in the length of hospital stay between the two groups after surgery. Conclusions Our findings indicate that the use of a high vacuum leg drain after EVH for long saphenous vein is of clear therapeutic benefit in the early postoperative period. We also report that this technique may reduce antibiotic administration and general practitioner visits after patient discharge.
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closed Suction Drainage improves clinical outcome in patients undergoing endoscopic vein harvesting for coronary artery bypass grafting
The Annals of Thoracic Surgery, 2012Co-Authors: Bhuvaneswari Krishnamoorthy, Othman S Alfagih, Mohammed I Madi, Osman Najam, Paul Waterworth, James E Fildes, N YonanAbstract:Background Endoscopic vein harvesting (EVH) is a widely accepted technique for coronary artery bypass grafting, with well-reported benefits. However, EVH is associated with severe hematoma formation at incision sites, resulting in postoperative pain. We hypothesized that the use of a leg wound drain at the incision site may reduce these comorbidities. Methods One hundred consecutive patients were prospectively randomly allocated into two groups of 50: group 1 with leg wound drains, and group 2 without drains. Group 1 patients underwent EVH followed by closure with a size 10 high vacuum leg wound drain (20 kPa), whereas group 2 underwent EVH followed by closure without a leg wound drain. Patients were assessed for postoperative pain, wound infection, and satisfaction using validated scoring systems immediately after surgery. Results Pain at rest (p Conclusions Our findings indicate that the use of a high vacuum leg drain after EVH for long saphenous vein is of clear therapeutic benefit in the early postoperative period. We also report that this technique may reduce antibiotic administration and general practitioner visits after patient discharge.
Keith Wanhang Chiu - One of the best experts on this subject based on the ideXlab platform.
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preperitoneal closed system Suction Drainage after totally extraperitoneal hernioplasty in the prevention of early seroma formation a prospective double blind randomised controlled trial
Hernia, 2018Co-Authors: Kejin Chen, Xuefei Yang, X Xu, H K Choi, F S Y Chan, Keith Wanhang Chiu, C M LoAbstract:Objectives Seroma is a virtually unavoidable early sequela after TEP hernioplasty. This randomised controlled trial evaluated the outcomes of preperitoneal closed-system Suction Drainage in laparoscopic totally extraperitoneal (TEP) hernioplasty for inguinal hernia.
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preperitoneal closed system Suction Drainage after totally extraperitoneal hernioplasty in the prevention of early seroma formation a prospective double blind randomised controlled trial
Hernia, 2018Co-Authors: Jkm Fan, Kejin Chen, Xuefei Yang, H K Choi, F S Y Chan, Keith Wanhang Chiu, Jian LiuAbstract:Seroma is a virtually unavoidable early sequela after TEP hernioplasty. This randomised controlled trial evaluated the outcomes of preperitoneal closed-system Suction Drainage in laparoscopic totally extraperitoneal (TEP) hernioplasty for inguinal hernia. Ninety patients aged 18–80 years who presented to our hospital between May 2016 and February 2017 with primary unilateral inguinal hernia were randomised into the preperitoneal drain and no-drain groups. The primary outcome was seroma size on postoperative day 6. Secondary outcomes included clinical seroma formation and seroma size on day 1, day 6, 1 and 7 months postoperatively, length of postoperative stay, pain score, and recurrence. There was no significant difference in age, sex, co-morbidities, hernia side, mean hernia size, operating time, fixation adjuncts, or postoperative stay. The overall incidence of clinical seroma formation was 25.6% on postoperative day 1, 60.3% on postoperative day 6, 13.2% 1 month and 0% 7 months postoperatively. The mean drain output was 57.9 ml. The drain group had significantly fewer patients with seroma on day 1 (6 vs 14, p = 0.022) and day 6 (17 vs 30, p = 0.000), and a smaller mean seroma size on days 1 and 6 (p = 0.000). Subgroup analysis showed that sac ligation versus reduction, peritoneal perforation, and fixation adjuncts had no significant effects on seroma formation or size. There is a trend of lower early post-operation VAS score and more urinary retention in drain group was observed but not reaching statistical significance. No differences in postoperative pain score or complications were observed at 1 and 7 months’ post operation. Preperitoneal Drainage for 23 h after laparoscopic TEP hernioplasty for inguinal hernia can effectively decrease seroma formation in the early postoperative period, and potentially improving postoperative pain. The benefit is short-term and no significant difference was demonstrated after 1-month post operations. This tradition technique applied to novel operative repair of inguinal hernia is safe and feasible with no significant morbidity demonstrated. Preperitoneal Drainage after TEP can be considered as an option to improve patient satisfactions and recovery in selected patient group for maximal benefit, especially for those with prolonged operation which may associate with higher chance of seroma formation.
Chong Bum Chang - One of the best experts on this subject based on the ideXlab platform.
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subcutaneous versus intraarticular indwelling closed Suction Drainage after tka a randomized controlled trial
Clinical Orthopaedics and Related Research, 2010Co-Authors: Su Won Yoon, Chong Bum ChangAbstract:Background TKA can involve substantial bleeding, and the issue regarding whether vacuum Drainage should be used during TKA continues to be debated as both methods have disadvantages.
