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Deutsches Arzteblatt International Jun 2022
Topics: Humans; Lacerations; Liver; Resuscitation
PubMed: 36106875
DOI: 10.3238/arztebl.m2022.0018 -
BMJ (Clinical Research Ed.) Jan 2023
Topics: Humans; Lacerations
PubMed: 36639152
DOI: 10.1136/bmj-2021-067573 -
Hand Clinics May 2023In contrast to other zones of the hand, zone 1 flexor tendon injuries include laceration as well as avulsion mechanisms. Although zone 1 tendon lacerations are treated... (Review)
Review
In contrast to other zones of the hand, zone 1 flexor tendon injuries include laceration as well as avulsion mechanisms. Although zone 1 tendon lacerations are treated similarly to other zones, with various suture configurations and techniques, zone 1 avulsion injuries often require repair of tendon to bone. Proximity of the repair site to the distal interphalangeal joint often results in persistent flexion contracture and stiffness. Despite these differences in injury mechanism and location, zone 1 flexor tendon repairs are well tolerated and often lead to fair-high patient satisfaction.
Topics: Humans; Lacerations; Finger Injuries; Tendon Injuries; Tendons; Suture Techniques
PubMed: 37080655
DOI: 10.1016/j.hcl.2023.01.001 -
ANZ Journal of Surgery Apr 2021
Topics: Humans; Lacerations; Splenic Rupture
PubMed: 32956525
DOI: 10.1111/ans.16303 -
Intensive Care Medicine Apr 2019
Topics: Aged; Airway Extubation; Female; Humans; Intensive Care Units; Lacerations; Trachea; Tracheoesophageal Fistula
PubMed: 30421254
DOI: 10.1007/s00134-018-5450-z -
Gastroenterology Sep 2023
Topics: Humans; Lacerations; Esophageal Diseases; Deglutition Disorders; Esophagoscopy
PubMed: 36804604
DOI: 10.1053/j.gastro.2023.02.017 -
Primary Care Mar 2022Before repairing a laceration, consider the mechanism and severity of the injury. Gentle irrigation of the wound helps to remove microscopic infectious agents and larger... (Review)
Review
Before repairing a laceration, consider the mechanism and severity of the injury. Gentle irrigation of the wound helps to remove microscopic infectious agents and larger debris. Not all foreign bodies are visible in plain radiographs. Certain wounds may be allowed to heal without operative intervention, but most patients prefer an approach using suture thread or tissue adhesive. Prophylaxis against tetanus, rabies, and/or bacterial infection should be considered. Clinical assessment of each wound is important to guide decisions about technique, anesthetic, suture material, and the interval period before nonabsorbable equipment can be removed.
Topics: Humans; Lacerations; Suture Techniques; Sutures; Tissue Adhesives
PubMed: 35125156
DOI: 10.1016/j.pop.2021.10.008 -
Can pelvic floor muscle training prevent perineal laceration? A systematic review and meta-analysis.International Journal of Gynaecology... May 2022Pelvic floor muscle training (PFMT) is reportedly able to reduce risk factors for perineal trauma. However, the effects of these exercises on perineal injuries are... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Pelvic floor muscle training (PFMT) is reportedly able to reduce risk factors for perineal trauma. However, the effects of these exercises on perineal injuries are unclear.
OBJECTIVE
To investigate the effectiveness of PFMT in the prevention of perineal laceration.
SEARCH STRATEGY
Searches were conducted in PubMed/Medline, LILACS, Scopus, Cochrane Library, Web of Science, and CINAHL. For search strategies, we combined the terms PFMT, tear, laceration, perineum, and delivery.
SELECTION CRITERIA
We included randomized controlled trials that evaluated the effectiveness of PFMT for the prevention of perineal laceration during vaginal delivery. There were no period or language limitations.
DATA COLLECTION AND ANALYSIS
We conducted data extraction and synthesis. We performed a quality appraisal, a qualitative synthesis, and for meta-analysis we used the Software R.
MAIN RESULTS
Nine studies were included. In most studies, PFMT was performed daily, with a wide range of the number of contractions and sustainability. Prevalence of perineal laceration had a wide range and information on laceration degree was limited. Meta-analysis showed that PFMT was not effective to prevent perineal laceration.
CONCLUSION
Pelvic floor muscle training does not prevent perineal laceration. Further studies are needed to investigate different protocols and interventions.
Topics: Delivery, Obstetric; Exercise Therapy; Female; Humans; Lacerations; Pelvic Floor; Perineum; Pregnancy
PubMed: 34270799
DOI: 10.1002/ijgo.13826 -
Journal of General Internal Medicine Jun 2005
Topics: Emergency Service, Hospital; Humans; Lacerations; Male; Physician-Patient Relations
PubMed: 15987337
DOI: 10.1111/j.1525-1497.2005.01535_1.x -
JACC. Clinical Electrophysiology Feb 2021
Topics: Catheter Ablation; Coronary Vessels; Humans; Lacerations; Tachycardia, Ventricular
PubMed: 33602412
DOI: 10.1016/j.jacep.2020.11.011