Compare and contrast literature regarding primary closure of surgical Essay

Compare and contrast literature regarding primary closure of surgical wounds and its effect in wound healing - Essay Example From February of 1996 to July of 1996, Singer et al (2002) examined 814 patients having 924 wounds. In this study, they suggested that wound infection was associated with the presence of extensive wounds and adjacent trauma in the skin. Suboptimal appearance of the wound was increased with its location in the extremity, the size of the wound, its apposition, associated trauma in the tissue, use of electrocautery, and the presence of infection. Singer et al (2002) suggested that minimizing electrocautery use and other surgical techniques traumatizing the skin as well as ensuring complete apposition of the wound with minimal tension during closure of the wound help achieve a cosmetically appealing scar. This study is limited due to its nature being a secondary prospective analysis study. Moreover, wound care was not standardized and only showed small number of poor outcome (12 infections being treated with systemic antibiotics, 9 of which belong to the adhesive group and 3 belongs to t he group that uses standard sutures). Another study done by Zeplin, et al (2007) on the comparison of various materials for treatment of lacerations of the skin by means of a pig experiment using OPTOCAT 3 – dimensional scanning technique with 10 Goettinger minipigs as experimental animals to examine wound healing process and development of scar in full incision of the skin. Suture materials used were skin adhesive, absorbing and nonabsorbing suture materials from the following companies: (1) Braun companies (Histaocryl, Monosyn, Safil, Premilene); and (2) Ethicon (Dermabond, Monocryl, Vicryl, Prolene). Zeplin et al (2007) reported that in all wounds that were treated, dehiscence occurred in about 2.5%. Histoacryl skin adhesive shared 15% of the wounds that were treated. From this research study, Zeplin et al (2007) concluded that with an increasing wound length,

Endotracheal intubation pros and cons of its use in the emergency Research Paper

Endotracheal intubation pros and cons of its use in the emergency medical services field - Research Paper Example ared towards the pros and cons of the application of endotracheal intubation during the different procedures of emergencies that are usually undertaken when issues of time and saving life is at stake. In the discussion that follows, a deeper understanding on the realities behind the process of applying endotracheal intubation shall be given way. It is through this that the characterization of the said process shall be well opened for criticism with regards the positive effects as well as the negative effects of the medical approach to the patients immediately treated through endotracheal intubation (Sengupta 8). A part of the context of this particular reading shall also present the necessary reasons behind the establishment of such process and how it has been approved for medical application; from this particular discussion, a path towards the revealing on how the entire medical approach is actually creation a major breakthrough as well as a major danger to some patients to whom the process is applied to. Basically, endotracheal intubation is the description as to how the use of a plastic tube is utilized as a means of protection for the trachea and a direct passage for air during a critical medical situations. With the aid of laryngoscope, the tube is passed towards a path that includes the nose, larynx, and the vocal cords. This process then aims to at least give a patient that chance to breathe especially in special cases that they are already unable to release and accept air for body circulation. A bulb is then lighted at the tip of the apparatus to secure the entire set up in place and avoid vomit and blood from getting through the set up. The application of the entire set up may seem to be easy to explain however, it is really hard to apply though. One applying such process needs to have a mastery of its actual practice. Particularly, this is required to assure that the patient undergoing such medical treatment does not undergo any complications along the