Surgical Techniques

Verwilghen, Denis

doi:10.1016/b978-0-323-48420-6.00012-0

Cited by 3 publications

(9 citation statements)

References 37 publications

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“…Depending on the surgical site, tourniquets can be applied if blood loss from the distal limb is anticipated [ 24 ]. Good anatomical knowledge of the intended surgical site is essential to identify and isolate major blood vessels in order to avoid iatrogenic damage to such vital structures which could result in hemorrhage, as well as employing best surgical practice in line with Halsted’s principles, which are the seven pillars of excellent surgical technique, including gentle tissue handling, meticulous hemostasis, obliteration of dead space, asepsis, preservation of blood supply, gentle tissue handling and accurate apposition of tissues [ 28 ]. Surgical preparedness is essential for responding to, and minimizing, hemorrhage where it occurs [ 28 ].…”

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

“…Good anatomical knowledge of the intended surgical site is essential to identify and isolate major blood vessels in order to avoid iatrogenic damage to such vital structures which could result in hemorrhage, as well as employing best surgical practice in line with Halsted’s principles, which are the seven pillars of excellent surgical technique, including gentle tissue handling, meticulous hemostasis, obliteration of dead space, asepsis, preservation of blood supply, gentle tissue handling and accurate apposition of tissues [ 28 ]. Surgical preparedness is essential for responding to, and minimizing, hemorrhage where it occurs [ 28 ]. Where intraoperative hemorrhage occurs, efforts should be made to record the volume of blood lost, to monitor on-going losses and facilitate later transfusion calculations if necessary.…”

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

“…Where intraoperative hemorrhage occurs, efforts should be made to record the volume of blood lost, to monitor on-going losses and facilitate later transfusion calculations if necessary. Where hemorrhage occurs, surgical hemostasis techniques can include mechanical hemostasis, such as the application of pressure and use of ligatures and vascular staples [ 28 ]. Thermal hemostasis using electrosurgery, and chemical hemostasis, such as use of topical epinephrine to achieve vasoconstriction, are commonly used.…”

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

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Blood Transfusion in Equids—A Practical Approach and Review

Jamieson

Baillie²,

Johnson³

2022

Animals

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Transfusion medicine is a crucial part of equine intensive and critical care. Blood transfusions can save lives in both acute and chronic cases of anemia, hemorrhage, and hemolysis. It is vital to have a comprehensive theoretical and practical understanding of the techniques, implications, risks, and complications. This review covers the physiology and pathophysiology of conditions requiring transfusion, as well as step by step guidance for practitioners of all experience levels. This review is designed to serve as a practical reference for those who are treating horses in either the field or hospital setting. It aims to provide both theoretical background and easy to locate formulae with guidance that is easy to refer to in a critical situation. When risks and benefits are well understood, these techniques can be confidently employed in critical situations to improve outcomes and save lives.

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Section: Disorders Requiring Transfusionmentioning

confidence: 99%

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

Section: Disorders Requiring Transfusionmentioning

confidence: 99%

See 1 more Smart Citation

Blood Transfusion in Equids—A Practical Approach and Review

Jamieson

Baillie²,

Johnson³

2022

Animals

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“…The incidence of SSI varies depending on field of practice, procedure, and definition of infection 4‐6 . With the emergence of multidrug‐resistant bacteria making SSI increasingly difficult to treat, 7 controlling SSI starts with implementation of proper aseptic technique and strict adherence to Halstead's principles 8 …”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6] With the emergence of multidrug-resistant bacteria making SSI increasingly difficult to treat, 7 controlling SSI starts with implementation of proper aseptic technique and strict adherence to Halstead's principles. 8 Although both the WHO guidelines for safe surgery and the current reference text for equine surgery recommend the use of sterile gloves during operations 9,10 ; the direct evidence-based link between sterile glove wearing and decreased SSI has not been demonstrated. 11,12 A randomized clinical study to demonstrate this link is unlikely to be feasible or ethical, given the risk for adverse impacts on patients, human, or animal, was performed.…”

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confidence: 99%

Perforations of tri‐layer nitrile‐latex and natural rubber latex gloves during ex‐vivo equine intestinal anastomoses

2021

Self Cite

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Objective: To compare perforation rates between tri-layer nitrile-latex and natural rubber latex surgical gloves after single-layer end-to-end jejunojejunal anastomoses in equine cadavers.Study Design: Prospective randomized ex-vivo study. Sample Population: Pairs of surgical gloves (n = 46) worn during jejunojejunal anastomoses.Methods: Tri-layer nitrile-latex and rubber latex pairs of gloves were equally but randomly allocated to a right-handed surgeon performing 46 single-layer end-to-end jejunojejunal anastomoses on cadaveric material. Number and location of perforations were determined with the water leak test after each procedure. Ten unused pairs of both glove types were tested as controls.Results: At least one perforation occurred in 41% (19/46) of the pairs of gloves.Glove perforations were present in 22% (5/23; 95% CI: 9-42) of tri-layer glove pairs and 61% (14/23; 95% CI: 41-78) of the rubber glove pairs. The odds of glove perforation were 5.6 times (p = .009, 95% CI: 1.5-20.5) lower when trilayer rather than rubber gloves were used. The duration of procedure did not affect the risk of glove perforation (p = .679). No perforations were observed in the unused gloves. Conclusion:Perforations were less common when the surgeon wore tri-layer nitrile-latex gloves rather than to the natural rubber latex gloves tested in this study. Clinical Relevance: Tri-layer nitrile-latex gloves were more resistant to perforations in experimental settings; further studies may confirm that they are also superior in a clinical setting. | INTRODUCTIONSurgical site infections (SSIs) are significant complications in both human and veterinary medicine, resulting in delayed wound healing, 1 prolonged hospitalization, increased use of antimicrobials, increased cost of The results of this report have been presented in poster format at the 2019 Bain Fallon Memorial Lectures from 21st -25th

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Surgical antimicrobial prophylaxis: Current standards of care

Southwood

2023

Equine Veterinary Education

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SummaryAntimicrobial drug resistance is a critical problem in human and veterinary medicine. Antimicrobial drug use and particularly overuse or misuse drive resistance. Surgical antimicrobial prophylaxis (SAP) is one area where misuse and overuse (particularly prolonged SAP) is documented to be at a high level. Infection‐related complications can be devastating to the patient, harm the client/patient–surgeon relationship and damage the reputation of the surgeon. Consequently, surgeons tend to be reluctant to change their antimicrobial prescribing behaviour. There is a plethora of data from human surgery and emerging data from veterinary surgery describing appropriate SAP and supporting the use of shorter duration of SAP. Antimicrobial stewardship programs (ASPs) have been developed and evaluated in human hospitals and this type of collaborative approach would likely have benefit in veterinary hospitals.

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Surgical Techniques

Cited by 3 publications

References 37 publications

Blood Transfusion in Equids—A Practical Approach and Review

Blood Transfusion in Equids—A Practical Approach and Review

Perforations of tri‐layer nitrile‐latex and natural rubber latex gloves during ex‐vivo equine intestinal anastomoses

Surgical antimicrobial prophylaxis: Current standards of care

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