Factors influencing Surgical Wound Infections (Part 1)

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The study was undertaken to analyse the various factors influencing surgical wound infections or SSI's. The results are discussed in the article. In view of the extent of the article, it is presented in two parts.

Gesundheit & Medizin

Factors influencing surgical wound
Infections (SSI)- Part 1

By

Dr. Ketan Vagholkar
MS, DNB, MRCS, FACS
Consultant General Surgeon
&
Professor of Surgery

Factors influencing Surgical Wound Infections (Part 1)

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Background: Fluid collection in a femoral hernia sac designated as a femorocele is an extremely uncommon surgical condition. Till date 9 cases of unilateral femorocele and one case of bilateral femorocele have been reported in English literature. Objective: Thus making the case presented the second case of bilateral femorocele in English literature. Case report: A case of bilateral femorocele in a patient suffering from rheumatic heat disease who had undergone dual valvular replacement with ascites due to cardiac cirrhosis is presented to highlight the surgical challenges in management of such a rare case. Discussion: Pathophysiology, clinical features, investigations and managemeny of femorocele are discussed. Conclusion: Contrast enhanced CT scan of the abdomen and scrotum is diagnostic. Open surgery in the form of dissection of sac with high ligation followed by obliteration of femoral ring is therapeutic. There is no scope of laparoscopy in such a case.

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