Question: Examine about the Adult Literacy Programs in the Maldives. Answer: Contextual analysis: Adult Literacy Programs in the Ma...
Monday, August 12, 2019
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 Ã¢â¬â 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,