- Situational low self-esteem nursing diagnosis in people with an ostomy: a diagnostic accuracy study. [Journal Article]Rev Esc Enferm USP 2019; 53:e03514RE
- CONCLUSIONS: It was observed that the situational low self-esteem nursing diagnosis can be identified in people with an ostomy, and that there are defining characteristics in this diagnosis which better predict and increase the chance of its occurrence. In this sense, the importance of nursing care in the adaptation process and self-esteem is emphasized.
- Italian guidelines for the surgical management of enteral stomas in adults. [Review]Tech Coloproctol 2019TC
- CONCLUSIONS: These guidelines are the first Italian guidelines on multidisciplinary management of enteral stomas with the aim of assisting surgeons during stoma management and care.
- Standardising the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel (ISTAP) Classification System in 44 countries. [Journal Article]Br J Dermatol 2019BJ
- CONCLUSIONS: The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for a systematic assessment and reporting of skin tears in clinical practice and research globally.
- 'Neck-only breather' is a better term than 'neck breather' in algorithms and bedhead signs for the management of tracheostomy emergencies. A reply. [Letter]Anaesthesia 2019; 74(11):1475A
- Response to new E-FONA devices - leading airway management off 'trach'. [Letter]Anaesthesia 2019; 74(11):1476A
- [Principles and parallels of prevention and repair of parastomal hernia with meshes]. [Review]Chirurg 2019C
- After formation of a permanent terminal stoma by enterostomy, parastomal hernia (PSH) occurs in up to 80% of cases and leads to a wide variety of symptoms and complications with a high rate of emergency operations due to incarceration (ca. 15%). Consequently, greater consideration should be given to PSH prevention even as early as the time of enterostomy and generously applied indications for ele…
After formation of a permanent terminal stoma by enterostomy, parastomal hernia (PSH) occurs in up to 80% of cases and leads to a wide variety of symptoms and complications with a high rate of emergency operations due to incarceration (ca. 15%). Consequently, greater consideration should be given to PSH prevention even as early as the time of enterostomy and generously applied indications for elective repair of manifest PSH. The aim of this article is to summarize and evaluate the current evidence for PSH repair and prevention. Poor postoperative results after attempted repair of manifest PSH with slit meshes in different layers of the abdominal wall shift the focus onto stoma lateralization (sandwich and Sugarbaker techniques) or 3‑dimensional tunnel-shaped implants with meshes to cover the stomal edges. To date, the best strategy for PSH prevention has still not been defined and techniques with slit meshes show different results. Nevertheless, 10 prospective randomized trials, meta-analyses, a Cochrane review and guidelines from the European Hernia Society (EHS) about various slit-mesh devices in sublay, onlay and intraperitoneal positions confirmed significantly reduced rates of PSH after mesh augmentation compared to conventionally sutured enterostomy without morbidity associated with the implanted material. Despite the positive data situation PSH prevention is seldom performed in daily practice, which is due to uncertainty surrounding the most suitable surgical strategy, the necessity to spend additional time at the end of a demanding operation, the aversion to implanting meshes into a contaminated operative field and the lack of remuneration of preventive surgical procedures. Future trials should, therefore, no longer compare standard enterostomy techniques with one prevention method in general but should have a new focus on techniques providing adequate results in PSH repair (Sugarbaker, sandwich and 3‑D tunnel meshes), probe the advantages and evaluate the differences in outcome between these strategies.
- Wound Care 101. [Journal Article]Nursing 2019; 49(10):32-39N
- The clinical nurse may be the first caregiver to assess changes in a patient's skin and initiate wound care. This article provides practical guidelines that any nurse can implement.
The clinical nurse may be the first caregiver to assess changes in a patient's skin and initiate wound care. This article provides practical guidelines that any nurse can implement.
- Robot-assisted repair of a urogenital sinus with an anorectal malformation in a patient with McKusick-Kaufman syndrome. [Journal Article]J Pediatr Urol 2019JP
- CONCLUSIONS: Robotic mobilization of the intra-abdominal vagina in a pediatric patient with US and ARM is technically feasible and can be accomplished safely. Further comparative studies to other approaches are lacking. In this case, the robot allowed for good visualization, intra-operative collaboration between multiple specialties for complex patients with aberrant anatomy, and easy dissection in a narrow pre-pubertal pelvis and would be an approach that the study group uses in future cases.
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- Mediastinal Pancreatic Pseudocyst: A Rare Cause of New Onset Dysphagia. [Case Reports]Am Surg 2019; 85(8):e400-e402AS