scholarly journals The Use of an Arginine-Enriched Oral Nutrition Supplement to Enhance Wound Healing from a Cesarean Section

2018 ◽  
Vol 1 (1-3) ◽  
pp. 1-7
Author(s):  
Kristen Hicks-Roof
Keyword(s):  
Wound Healing ◽  
Cesarean Section ◽  
Therapeutic Intervention ◽  
Future Research ◽  
Postpartum Visit ◽  
Oral Nutrition ◽  
Scar Assessment ◽  
Surgical Wounds ◽  
Nutrition Supplement ◽  
Rapid Healing

Background: Surgical wounds can directly hinder daily activities and leave scars that can have long-term impacts on a patient. Cesarean sections account for over one-third of all baby deliveries, resulting in women faced with a wound needing rapid healing to take care of their baby. Case Presentation: The patient received an arginine-enriched oral nutrition supplement twice daily for 14 days as a therapeutic intervention to aid in wound healing and recovery. At the 2-week postpartum visit, validated scar assessment scales were completed to determine how the surgical wound was healing. It was shown that this therapeutic intervention improved wound healing as indicated by low scar assessments. Conclusion: This woman showed that consuming an arginine-enriched oral nutrition supplement could optimize healing following a cesarean section. Future research needs to be conducted on a larger sample size to determine whether these results can be generalized to the broader population.

scholarly journals The Role of an Oral Nutrition Supplement to Improve Cesarean Section Scar Appearance (A Case Report) (P12-049-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kristen Hicks-Roof
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Cesarean Section ◽  
Scale Score ◽  
Physical Characteristics ◽  
Dietary Guidelines ◽  
Oral Nutrition ◽  
Cesarean Section Delivery ◽  
Scar Assessment ◽  
Nutrition Supplement

Abstract Objectives Introduction: Scar assessment scales are used for a number of scars related to surgical procedures, burns and trauma. These objective and subjective scales help to assess the physical characteristics, pathological wound healing and overall esthetics related to scarring. Select nutrients play a vital role in tissue repair and wound healing. Methods Case Description: A 28-year old female underwent a cesarean section delivery due to a frank breech positioning of the baby. The patient was considered to be within a healthy BMI range pre-pregnancy (BMI = 23.5) and consumed an overall healthy diet, as determined by the Dietary Guidelines for Americans. After surgery, she consumed two packets of Juven© daily mixed with 500–1000 mL water, for two weeks, to aid in wound healing. This oral nutrition supplement is composed of L-arginine, L-glutamine, collagen protein, β-hydroxy-β -methylbutyrate and vitamins and minerals; each nutrient with evidence-based support to boost wound healing. An obstetrician performed scar evaluations at two-weeks postpartum to identify short-term wound outcomes. The Stony Brook Scar Evaluation Scale (score 5 of 5) and the Manchester Scar Scale (score 8 of 18) revealed positive measures. Results Discussion: Pathological scarring can be associated with substantial physical and psychological complications. Women who undergo cesarean sections are seeking ways to minimize the physical scar appearance and pathological wound healing. A twice daily supplementation of Juven© can assist in improvement in the visual cosmetic appearance and overall physical characteristics of scarring due to cesarean section. According to the results from scar scales utilized in this case, this surgical incision indicates “best possible scar”. Conclusions An oral nutrition supplement, used as an intervention post-cesarean section, can optimize scar appearance and overall wound healing. This case report gives insight as to how nutrition can play a role in revitalizing standard treatment after surgery. While this is just one case, there is an opportunity to enhance the physiological and psychological recovery from surgical scars, such as from a cesarean section. Funding Sources No funding to report.

Surgical wounds in reduction mammoplasty: a comparison of Monocryl and Prolene sutures on scars

2021 ◽  
Vol 30 (8) ◽  
pp. 626-630
Author(s):  
Ezzatollah Rezaei ◽  
Hamed Farhadi ◽  
Saeedeh Hajebi Khaniki ◽  
Hamzeh Zarei ◽  
Yavar Shams Hojjati
Keyword(s):  
Wound Healing ◽  
Suture Material ◽  
Reduction Mammoplasty ◽  
Suture Materials ◽  
Scar Assessment ◽  
Surgical Wounds ◽  
Significant Difference ◽  
Prolene Suture ◽  
Materials Used ◽  
The One

Objective: The type of suture material affects the quality of scars. The aim of this study was to find the superior suture material for reduction mammoplasty between Prolene and Monocryl based on the comparison of scars. Method: A prospective observational study was conducted at a university-based hospital in Mashhad, Iran between October 2015 and September 2017. Monocryl and Prolene suture materials, used for closing the outermost layer in mammoplasty, were compared. Patients' incision scars were assessed objectively according to the Patient and Observer Scar Assessment (POSAS) criteria. The relevant CONSORT guideline was used for reporting this study. Results: Seventy-eight women with a mean age of 36.8±9.5 years were entered into the study. The frequency of wound healing in both groups was 97.4% 1 month after surgery and by the third visit, 3 months after surgery, only one patient had a stretched scar. Moreover, wound inflammation in the first two visits was less frequent in the Prolene group that healed completely 3 months after surgery (after excluding the one patient with wide scar inflammation). The frequency of itching of the wound in the Monocryl group was 24.4%, 11.5% and 12.8% in the three follow-up visits, respectively, and the values for the Prolene group were 24.4%, 9.0% and 6.4%, respectively. No significant difference was seen between the two groups in terms of wound healing, inflammation and itching (p>0.05). Overall, 94.8% of patients were satisfied with the surgery. Conclusions: Our study revealed that there was no significant difference between Monocryl and Prolene. Hence, either of the two suture materials can be used for wound closure in reduction mammoplasty.

Use of Oral Nutrition Supplements In Long-term Care Facilities

2009 ◽  
Vol 70 (4) ◽  
pp. 194-198 ◽  
Author(s):  
Shanthi Johnson ◽  
Roseann Nasser ◽  
Tiffany Banow ◽  
Tanya Cockburn ◽  
Leah Voegeli ◽  
...  
Keyword(s):  
Wound Healing ◽  
Weight Gain ◽  
Well Being ◽  
The Elderly ◽  
Registered Dietitians ◽  
Term Care ◽  
Oral Nutrition ◽  
Nutrition Supplement ◽  
Nutritional Health ◽  
Evidence Based Guidelines

Purpose: Practices related to oral nutrition supplement (ONS) use were examined in elderly people living in longterm care (LTC) facilities. Methods: Thirteen LTC facilities within a large regional health authority participated, and 17 people responsible for prescribing ONS in their facilities were interviewed, using a key informant telephone survey. A survey on ONS practice wasmodified, pilot tested, and used. Results:Oral nutrition supplements were primarily prescribed by nursing staff (59%), followed by physicians, registered dietitians, or other staff; ONS use was prescribed for decreased intake, unintentional weight loss, or wound healing. Various ONS products (e.g., Ensure, Boost, or Resource 2.0) were prescribed. Only 18% of respondents reported using alternative food options first to supplement nutritional intake, before introducing ONS. In terms of follow-up and evaluation, the measures of improvement included weight gain, wound healing, or improved well-being; reasons for discontinuation included weight gain, increased intake, or death. Conclusions: Within LTC settings, the prescription and monitoring of ONS vary considerably. Evidence-based guidelines for the prescription and monitoring of ONS and for the use of a food-first strategy should be developed, implemented, and evaluated to optimize the nutritional health of the elderly in LTC facilities.

HUBUNGAN MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA POST OPERASI SECTIO CESARIA

2019 ◽  
Vol 2 (1) ◽  
pp. 14-17
Author(s):  
Nurul Aini Siagian ◽  
Syafira Nusaibah ◽  
Andayani Boang Manalu
Keyword(s):  
Wound Healing ◽  
Healing Process ◽  
Early Mobilization ◽  
Sectio Caesarea ◽  
Wound Healing Process ◽  
P Value ◽  
Cross Sectional ◽  
Care Services ◽  
Healing Wound ◽  
Rapid Healing

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.

scholarly journals Bioactive Agent-Loaded Electrospun Nanofiber Membranes for Accelerating Healing Process: A Review

Membranes ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 702
Author(s):  
Seyyed-Mojtaba Mousavi ◽  
Zohre Mousavi Nejad ◽  
Seyyed Alireza Hashemi ◽  
Marjan Salari ◽  
Ahmad Gholami ◽  
...  
Keyword(s):  
Wound Healing ◽  
Chronic Wounds ◽  
Therapeutic Potential ◽  
Healing Process ◽  
Wound Dressings ◽  
Future Research ◽  
Wound Healing Process ◽  
Nanofiber Membranes ◽  
Bioactive Agents ◽  
Bioactive Agent

Despite the advances that have been achieved in developing wound dressings to date, wound healing still remains a challenge in the healthcare system. None of the wound dressings currently used clinically can mimic all the properties of normal and healthy skin. Electrospinning has gained remarkable attention in wound healing applications because of its excellent ability to form nanostructures similar to natural extracellular matrix (ECM). Electrospun dressing accelerates the wound healing process by transferring drugs or active agents to the wound site sooner. This review provides a concise overview of the recent developments in bioactive electrospun dressings, which are effective in treating acute and chronic wounds and can successfully heal the wound. We also discuss bioactive agents used to incorporate electrospun wound dressings to improve their therapeutic potential in wound healing. In addition, here we present commercial dressings loaded with bioactive agents with a comparison between their features and capabilities. Furthermore, we discuss challenges and promises and offer suggestions for future research on bioactive agent-loaded nanofiber membranes to guide future researchers in designing more effective dressing for wound healing and skin regeneration.

scholarly journals Study protocol for an open labelled randomised controlled trial of perioperative oral nutrition supplement in breast and colorectal cancer patients undergoing elective surgery

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
T. X. Wong ◽  
S. T. Chen ◽  
S. H. Ong ◽  
S. Shyam ◽  
P. Kandasami ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Randomised Controlled Trial ◽  
Cancer Patients ◽  
Elective Surgery ◽  
Controlled Trial ◽  
Normal Diet ◽  
Oral Nutrition ◽  
Nutrition Supplement ◽  
Randomised Controlled ◽  
Colorectal Cancer Patients

Abstract Background While it is well established that perioperative use of oral nutrition supplement (ONS) improves nutrition status among severely malnourished surgical cancer patients, the evidence requires further substantiation for non-severely malnourished patients with cancer. This protocol paper presents the rationale and design of a randomised controlled trial to evaluate the effectiveness of preoperative as well as an extended 90-day postoperative use of ONS on nutritional and clinical outcomes among patients undergoing elective surgery for breast and colorectal cancer. Methods Patients with primary breast and colorectal cancer undergoing elective surgery are recruited from two tertiary hospitals. Eligible patients are assigned into one of the three intervention arms: (i) Group SS will receive ONS in addition to their normal diet up to 14 days preoperatively and postoperatively up to discharge; (ii) Group SS-E will receive ONS in addition to their normal diet up to 14 days preoperatively, postoperatively up to discharge and for an extended 90 days after discharge; and (iii) Group DS will receive ONS in addition to their normal diet postoperatively up to discharge from the hospital. The ONS is a standard formula fortified with lactium to aid in sleep for recovery. The primary endpoints include changes in weight, body mass index (BMI), serum albumin and prealbumin levels, while secondary endpoints are body composition (muscle and fat mass), muscle strength (handgrip strength), energy and protein intake, sleep quality, haemoglobin, inflammatory markers (transferrin, high sensitivity C-reactive protein, interleukin-6), stress marker (saliva cortisol), length of hospital stay and postoperative complication rate. Discussion This trial is expected to provide evidence on whether perioperative supplementation in breast and colorectal cancer patients presenting with high BMI and not severely malnourished but undergoing the stress of surgery would be beneficial in terms of nutritional and clinical outcomes. Trial registration ClinicalTrial.gov NCT04400552. Registered on 22 May 2020, retrospectively registered

scholarly journals Specialized High‐Protein Oral Nutrition Supplement Improves Home Nutrient Intake of Malnourished Older Adults Without Decreasing Usual Food Intake

2018 ◽  
Vol 43 (6) ◽  
pp. 794-802 ◽  
Author(s):  
Brett R. Loman ◽  
Menghua Luo ◽  
Geraldine E. Baggs ◽  
Diane C. Mitchell ◽  
Jeffrey L. Nelson ◽  
...  
Keyword(s):  
Older Adults ◽  
Food Intake ◽  
Nutrient Intake ◽  
High Protein ◽  
Oral Nutrition ◽  
Nutrition Supplement
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