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Role of oral antibiotics for prophylaxis against surgical site infections after elective colorectal surgery

World Journal of Gastrointestinal Surgery 2017年第12期9卷 246-255页

作者： Shamir O Cawich Sachin Teelucksingh samara hassranah Vijay Naraynsingh Department of Clinical Surgical Sciences University of the West IndiesSt.Augustine CampusTrinidad and TobagoWest Indies

Over the past few decades, surgeons have made many attempts to reduce the incidence of surgical site infections(SSI) after elective colorectal surgery. Routine faecal diversion is no longer practiced in elective colonic surgery and mechanical bowel preparation is on the verge of being eliminated altogether. Intravenous antibiotics have become the standard of care as prophylaxis against SSI for elective colorectal operations. However, the role of oral antibiotics is still being debated. We review the available data evaluating the role of oral antibiotics as prophylaxis for SSI in colorectal surgery.

关键词： Colorectal Anastomosis Leak Antibiotics Bowel preparation

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Alternative to mesh repair for ventral hernias: Modified rectus muscle repair

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World Journal of Surgical Procedures 2023年第3期13卷 14-21页

作者： Vijay Naraynsingh Shamir O Cawich samara hassranah Department of Surgery Port of Spain General HospitalPort of SpainTrinidad and Tobago Department of Surgery University of the West IndiesSt.AugustineTrinidad and Tobago Department of Surgery Medical Associate HospitalSt.JosephTrinidad and Tobago

BACKGROUND Mesh utilization for ventral hernia repair is associated with potential complications such as mesh infections,adhesions,seromas,fistula formation and significant postoperative *** modified rectus muscle repair(RMR)is as an option to repair midline ventral hernias without *** To evaluate the short term outcomes when the modified RMR was used to repair ventral *** This was a 5-year prospective study that examined the outcome of all consecutive patients with ventral abdominal wall hernias>5 cm in maximal diameter who underwent repair using the modified RMR technique in a single surgeon *** were reviewed in an outpatient clinic at 3,6 and 12 mo and evaluated for hernia recurrence on clinical *** patient’s abdominal wall was also assessed with using ultrasonography at 24 mo to detect *** data were examined with SPSS ver *** Over the 5-year study period,there were 52 patients treated for ventral hernias at this *** patients were excluded and there were 48 in the final study sample,at a mean age of 56 years(range 28-80).The mean maximal diameter of the hernia defect was 7 cm(range 5-12 cm).There were 5(10.4%)seromas and 1 recurrence(2.1%)at a mean of 36 mo *** The authors recommend the modified RMR as an acceptable alternative to mesh repair of ventral *** seroma rate can be further reduced with routine use of *** modified RMR also has the benefit of eliminating all mesh-specific complications.

关键词： Ventral Hernia Mesh Complication Recurrence

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