Laparoscopic management of hydatid cysts using long ribbon gauze:An initial experience of 37 consecutive cases

Objective:The laparoscopic approach is becoming the standard of care for many surgical disorders.However,in the case of hydatid cysts,laparoscopic management is challenging due to the risk of spillage of hydatid fluid,which can cause an anaphylactic reaction and recurrence.Here,we report our initial experience with laparoscopic partial pericystectomy of hydatid cysts using long ribbon gauze to decrease intra-operative spillage.Method:This was a retrospective study(between January 2010 and December 2021)in the Department of Surgical Gastroenterology,Sanjay Gandhi Postgraduate Institute of Medical Science,a tertiary care referral center in northern India.Here,we have included 37 consecutive patients with hydatid cysts of the liver and spleen.Diagnosis was made by laboratory and imaging findings(abdominal sonography or contrast enhanced CT scans).All patients were managed with laparoscopic partial pericystectomy.Intraoperatively,a betadine-soaked long ribbon gauze,high-pressure suction canula,and an endo-bag were used in all patients.The collected data included patient demography,location,size,and number of cysts,WHO type,operative time,blood loss,postoperative complications,hospital stay and follow-up.Result:In our series,the mean age was 38.4±13.6 years,15(40.5%)were men and 22(59.5%)were women.The right lobe of the liver was the most commonly affected site(21,56.8%).The mean operative time was 80.0±32.0 min,and intraoperative blood loss was 23.6±11.5 mL.Bile leak was present in 6(16.2%)patients.There was no mortality.The hospital stay was 5(3,9)days,and no recurrence was observed at a median follow-up of 36 months.Conclusion:Laparoscopic partial pericystectomy using this technique is safe in the management of hydatid cysts.Simply,proper packing and safe removal of soaked gauzes can minimize the incidence of postoperative complications and recurrence.

The Application Value of Sanitary Wipes and Medical Alcohol+Gauze Disinfection Method in the Management and Use of Medical Equipment

Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surgery medical instruments and equipment were randomly sampled as observation samples,and they were grouped using the random number table method(40 instruments in each group).One group was managed with sanitary wipes and medical alcohol+gauze disinfection method(observation group),and the other group was managed with medical alcohol+gauze disinfection method(control group).The degree of contamination on the surface of instruments and equipment and the staff satisfaction of both groups was noted and compared.Results:After cleaning and disinfection,the relative luminescence luminosity(RLU)value of the surface contamination of the sample instruments and equipment decreased significantly(P<0.05);and after cleaning and disinfection,the relative luminescence luminosity(RLU)of the observation group’s instruments and equipment decreased significantly,and the value was lower than that of the control group,(P<0.05);the results of the nursing job satisfaction questionnaire showed that the scores of each survey item in the observation group were higher than those in the control group,(P<0.05).Conclusion:Integrating sanitary wipes and medical alcohol+gauze disinfection method into the management and use of medical equipment not only improves the disinfection of medical instruments but also improves the job satisfaction of nursing staff.Therefore,this method should be popularized.

Effect of uterine water bag + gauze packing on coagulation function and stress response of patients with postpartum hemorrhage

Objective:To study the effect of uterine water bag + gauze packing on coagulation function and stress response of patients with postpartum hemorrhage.Methods: Patients who gave birth and had postpartum hemorrhage in the hospital between June 2014 and May 2017 were chosen as the research subjects and divided into the combined group who received uterine water bag + gauze packing hemostasis, the control group 1 who received uterine water bag hemostasis and the control group 2 who received gauze packing hemostasis. The overall clinical efficacy was observed, and the serum levels of blood coagulation function indexes and stress response indexes were determined before treatment and after hemostatic treatment.Results: The intraoperative blood loss, postoperative blood loss and the change of hemoglobin before treatment and after hemostatic treatment of combined group were less than those of control group 1 and control group 2;compared with those of same group before treatment, serum APTT and PT levels as well as FDP, ET-1, ANG-II, ALD, NE, E, TNF-α, IL-6, ICAM1 and VCAM1 contents after hemostatic treatment were significantly lower whereas PAI-1 and AT-III contents were significantly higher, and serum APTT and PT levels as well as FDP, ET-1, ANG-II, ALD, NE, E, TNF-α, IL-6, ICAM1 and VCAM1 contents of combined group after hemostatic treatment were significantly lower than those of control group 1 and control group 2 whereas PAI-1 and AT-III contents were significantly higher than those of control group 1 and control group 2.Conclusion: uterine water bag + gauze packing treatment of postpartum hemorrhage can achieve better efficacy than monotherapy and improve the coagulation function and stress response.

Hometown of Gambiered Canton Gauze, Jin Hui＇s Fashion Show

On October 29,"Hometown of Gambiered Canton Gauze,Jinhui Fashion Show"was held during"Mercedes-Benz China International Fashion Week"(2018 Spr ing and Summer series).Made of Gambiered Canton Gauze that is unique in the Pearl River Delta in Guangdong and listedas national intangible cultural heritage,the dresses for the show were co-designed by

Comparison Effectiveness Breast Milk and Dry Sterile Gauze to Treatment Umbilical Cord

Infection of the umbilical cord has been the cause of illness and death constantly in different countries. Each year 500,000 infants die from neonatal tetanus and 460,000 infants die from bacterial infections. One way that is currently being developed is the use breast milk. Various kinds of content of nutrients and substances that exist in breast milk may reduce the risk of incidence of the infection so that the baby can avoid the incidence of umbilical cord infection. This type of research is quasy experiments with static group comparison. The research data are obtained by researchers using observation sheet, then the data are tabulated. Results of the observation of the time required in the treatment of breast milk and umbilical cord using dry Sterile gauze then compare and conclusions draw an average release time of each media. From the results, the average time of the release of the umbilical cord using breast milk is for 127.41 hours and the average time of the release of the umbilical cord using dry Sterile gauze is for 157.38 hours. From the results of correlation Mann Whitney test with significance level α = 0.05 is obtained significance value (p) of 0.00. It takes a more active research and in a greater scope to conduct more studies in the use of breast milk to use for umbilicard cord of the baby. That requires the active participation of various stakeholders to provide support in implementing it.

Effect of gauze combined with water bag packing on the coagulation function, RAS system and stress response of patients with placenta previa complicated with postpartum hemorrhage

Objective: To study the effect of gauze combined with water bag packing on the coagulation function, RAS system and stress response of patients with placenta previa complicated with postpartum hemorrhage. Methods: A total of 69 patients with placenta previa complicated with postpartum hemorrhage who were treated in the hospital between March 2013 and September 2016 were selected and randomly divided into the research group who accepted gauze combined with water bag packing, the control group A who accepted gauze packing and the control group B who accepted water bag packing. The coagulation function indexes, RAS system indexes and stress response indexes were measured 12 h after delivery. Results:D-D, FDP, REN, AT-II, ALD, NE, E, MDA and ET-1 contents as well as APTT, TT and PT levels of research group 12 hours after delivery were lower than those of control group A and control group B, and D-D, FDP, REN, AT-II, ALD, NE, E, MDA and ET-1 contents as well as APTT, TT and PT levels of control group A were not significantly different from those of control group B. Conclusion: Gauze combined with water bag packing for placenta previa complicated with postpartum hemorrhage can improve the coagulation function and inhibit the excessive activation of RAS system and stress response.

Gauze Dress and a Mummy

Silkworm raising and silk reeling is a great contribution of ancient Chinese women to the world civilization and progress. When the Silk Road opened in the Hah Dynasty more than 2,000 years ago, westerners used to call China the Kingdom of Silk. The gauze dress unearthed from the Mawangdui No. 1 Tomb of the Han Dynasty in Hunan’s Changsha, is as thin as cicada’s wings and only weighs 49 grams. Made of high quality silk, this dress is as soft and light as the dress made of georgette, revealing the ancient Chinese weaving workers’ high skill and talent. It is a silk dress, the earliest and best preserved in the world currently. Also excavated from the same tomb is a mummified woman’s body. The woman was the wife of a prime minister of a

Gossypiboma, the Never Event;a Case Report

Introduction and importance: In the surgical field, we utilize gauze and surgical instruments daily, and the complications can be divided into avoidable versus nonavoidable. The term Gossypioma in the literature indicates a retained surgical sponge or gauze. It can be there for years and be dormant or discovered within days as the patient starts to reveal symptoms. This makes diagnosing challenging pre-operatively as the radiological findings might not be as specific. Case presentation: A 75 male Moroccan patient with Normal Body mass index, Medically free. His main complaint was Abdominal pain in the epigastric area. His past surgical history was positive for a left open inguinal hernia repair with mesh three months ago that went uneventfully And an open appendectomy before 20 years. The Abdomen X-ray: multiple air-fluid levels with dilated small bowel as well as perfectly rounded calcifications at the right lower quadrant. Conclusion: It’s a devastating medical error, but it can be avoidable. Communication between the surgical team and operation staff is a crucial and straightforward tactic to prevent these complications. As the sequel will reveal itself at any time and the patient will pay the price.

The Values ＆ Benefits of Umicore＇s Process Excellence Model

We will highlight the values Umicore's unique Process Excellence Model is based upon and how these do correlate with the overall culture of Umicore. Besides, we are going to explain about the benefits for the target industries that come along with our approach. Here, we will not mainly focus on the usually mentioned cost saving potential, but how also other aspects do create substantial value for the industries.

Determination of Levels of Asbestos Fiber in Cosmetic and Non-Cosmetic Products Sold within Enugu Metropolis—Enugu State, Nigeria

Studies were carried out to determine asbestos fiber levels in cosmetic (talc powder) and non-cosmetic (gauze pad, plastic filler and ceiling tiles) products sold in market outlets within Enugu, metropolis, Enugu State, Nigeria, using standard established procedures. The samples were pretreated based on its physical make-up and the asbestos fiber levels determined using scanning electron microscopy (SEM) with energy dispersing spectroscopy techniques. The mean range of asbestos fiber was, 0.02 - 0.06;0.01 - 0.05;0.01 - 0.04 and 0.03 - 0.06 f/cc for talc powder, gauze pads, plastic filler and ceiling tile samples respectively. The mean levels of asbestos fibers in the studied samples were within the recommended permissible limits. The samples contain asbestos fiber in the following decreasing order: ceiling tiles > talc powders > gauze pads > plastic fillers. Asbestos fiber was found present in the investigated local and foreign items sold in market outlets within the metropolis. This study shows that despite the ban on the use of asbestos in the industry in the manufacture of items meant for human use, its enforcement appears weak and lethargic and this could portend health danger especially in the use of produced items with high asbestos fiber friability such as talc powder.

Flexible electrical stimulation device with Chitosan-Vaseline®dressing accelerates wound healing in diabetes

The healing process of diabetic wounds is typically disordered and prolonged and requires both angiogenesis and epithelialization.Disruptions of the endogenous electric fields(EFs)may lead to disordered cell migration.Electrical stimulation(ES)that mimics endogenous EFs is a promising method in treating diabetic wounds;however,a microenvironment that facilitates cell migration and a convenient means that can be used to apply ES are also required.Chitosan-Vaseline■gauze(CVG)has been identified to facilitate wound healing;it also promotes moisture retention and immune regulation and has antibacterial activity.For this study,we created a wound dressing using CVG together with a flexible ES device and further evaluated its potential as a treatment for diabetic wounds.We found that high voltage monophasic pulsed current(HVMPC)promoted healing of diabetic wounds in vivo.In studies carried out in vitro,we found that HVMPC promoted the proliferation and migration of human umbilical vein endothelial cells(HUVECs)by activating PI3K/Akt and ERK1/2 signaling.Overall,we determined that the flexible ES-chitosan dressing may promoted healing of diabetic wounds by accelerating angiogenesis,enhancing epithelialization,and inhibiting scar formation.These findings provide support for the ongoing development of this multidisciplinary product for the care and treatment of diabetic wounds.

超疏水石墨烯修饰纱布:通过大孔径毛细作用提高油与有机溶剂的回收能力（英文）

本论文采用浸渍涂覆和水热还原方法将还原氧化石墨烯沉积于棉纱布纤维表面,制备了一种新型可回收的超疏水、超亲油性石墨烯基织物吸附材料.该石墨烯基织物具有高效的油/水分离能力,其吸油量可达自身质量的11倍以上.约50(±5)%的吸附油可通过机械挤压方式回收,其中大部分来源于石墨烯纱布网格间的大孔径毛细作用.经过8次吸油/回收反复过程,石墨烯纱布仍然具有良好的吸油能力,表现出高稳定性.该方法可大规模制备石墨烯纱布,石墨烯活性材料用量少(0.6 gm^(-2)),特别适用于油污和有机污水的回收应用.