The usefulness of performing extensive debridement to prevent infections in open flexor tendon injuries of the hand / (Record no. 13)

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000 -LEADER
fixed length control field 02190nam a22002177a 4500
003 - CONTROL NUMBER IDENTIFIER
control field DOH
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20200806155442.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200227b ph ||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency DOH
Transcribing agency DOH
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Caro, Leo Daniel D.
245 04 - TITLE STATEMENT
Title The usefulness of performing extensive debridement to prevent infections in open flexor tendon injuries of the hand /
Statement of responsibility, etc. Leo Daniel D. Caro, Ernesto Carlo B. Arada and Nathaniel S. Orillas
520 3# - SUMMARY, ETC.
Summary, etc. BACKGROUND: Infection after flexor tendon repair in the hand is uncommon but may cause debilitating problems if not prevented. In centers where delayed presentation after injury happens often, early bacterial colonization is assumed and an initial debridement is indicated ensuring a clean environment for subsequent repair. Preference for the type of initial debridement differ from surgeon to surgeon.<br/><br/><br/>OBJECTIVE: This paper aims to compare limited and extensive initial debridement in preventing post-operative infection in patients treated more than 24 hours after open tendon injury.<br/><br/><br/>METHODS: A retrospective review of records for demographics, the type of debridement and occurrence of infection was performed. Statistical comparison of proportions of post-operative infection was done.<br/><br/><br/>RESULTS: Of thirty-one records included, twenty-four patients underwent extensive debridement while 7 had limited. Two patients from each group developed infections resulting to 8.3 % infection in the extensive group and 28.6 % in the limited group. The difference is not statistically significant.<br/><br/><br/>CONCLUSION: The trend for a higher infection rate in the limited group supports the need for aggressive debridement in managing delayed presenting patients with open tendon injuries. While the non-significant difference potentially supports the less cumbersome option, a better powered study is recommended to confirm.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note In: Acta Medica Philippina, 2016 vol. 50 (4) pages 326-329.
650 12 - SUBJECT ADDED ENTRY--TOPICAL TERM
Source of heading or term MeSH
Topical term or geographic name entry element Debridement
650 22 - SUBJECT ADDED ENTRY--TOPICAL TERM
Source of heading or term MeSH
Topical term or geographic name entry element Infections
653 ## - INDEX TERM--UNCONTROLLED
Uncontrolled term Tendon Transection
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Arada, Ernesto Carlo B.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Orillaza, Nathaniel S., Jr
786 0# - DATA SOURCE ENTRY
Main entry heading Acta Medica Philippina,
Edition 2016;
Qualifying information 50 (4)
Place, publisher, and date of publication 326-329
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article

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