First case (appendicitis) inflamed without perforation -> contaminated Second case (total thyroid ectomy ) -> clean Third case (melanoma on RUE , excision and LN biopsy ) ->clean
Veterinary student here! very useful info application across many fields :) I enjoy being able to supplement the topics I don't fully grasp in lecture via your videos
This was a great video, and I loved the information. I would like to see what happens when the wound bed is dry throughout the healing process. This would be when wet-to-dry dressings are the only dressing used, and moist wound healing is not the primary thinking.
You're the best Dr. Eric i really love your explanation that easily comprehended love your videos i learned a lot take care and god bless you always🙏🙏🙏❤️
Thanks so much! Glad you liked it, what other topics would be helpful? SSI video coming next Tuesday, was going to put together one on gi hormones to follow
Hello Doctor. Excuse my ignorance. I'm reviewing the results of the gastroscopy I had yesterday, and one of the things it says is, Wound Classification: Contaminated. Is that normal in this type of procedures? or maybe they used equipment that was not previously sterilized?
A driveline infection is an infection that occurs at the exit site of a left ventricular assist device (LVAD) driveline. A surgical site infection is an infection that occurs at the incision site of any surgery. In the case of LVAD implantation, the surgical site infection could occur at the incision site where the pump is implanted, or at the incision site where the driveline is inserted. The main difference between a driveline infection and a surgical site infection is the location of the infection. Driveline infections occur at the exit site of the driveline, while surgical site infections occur at the incision site of the surgery. Driveline infections are more common than surgical site infections. The risk of developing a driveline infection is about 10%. The risk of developing a surgical site infection is about 2%.
First I would like to thank you for these valuable lectures and I would like to ask if the wound was associated with spillage of GI content to the skin in this case is it dirty or contaminated wound ?
Apologies for the delay! I would call this a class 3 or contaminates wound. Here is a good reference! www.ncbi.nlm.nih.gov/books/NBK554456/#:~:text=Class%202%20wounds%20are%20considered,these%20tracts%20under%20controlled%20conditions.
Hello, thanks for the excellent video. I have a question on what you had mentioned that classify the wound after the case. Are you saying that if there is a patient with pus on his wound ( which would be type 4). The drain or debridement we perform might reclassify the wound status after the procedure ?
Thanks for a great question. I think the best way to think about it is that the wound class can always get higher (more contaminated) but never better. If you start with a class IV wound it’s always a class IV no matter how pretty you make it with drainage and debridement. If you start with a class 2 wound it could become a class III with uncontrolled spillage or massive break in sterile technique. Does that make sense?
Contaminated can mean spillage, it can also mean operating on an inflamed or infected area such as appendicitis. Clean does mean without infection or inflammation but also is specific to whether you’re crossing or dividing an organ like small bowel which would be class 2 or clean contaminated. Check out this chart… images.app.goo.gl/BF6M2QvVNyPwaiVF9
Glad to hear your wound healed up! I just had a crazy wound after falling into a cactus while mountain biking, took two weeks to heal and now all good!
@@0bama12 absolutely, it’s a solo project so I usually find myself working on the videos in the twilight hours and it’s born out of the frustration of putting together a talk, giving it to a small group of people and then it’s gone, now they’re evergreen :)
@@citizensurgeon in that case, great job on the production... just may be a little bit more front lighting for the green screen.. unless it's Gilbert syndrome from twilight overwork.
The WHY u tell unlike many of my professors makes one interested in the topic more than anything💪🏽
Thanks so much! I appreciate that! Gets me inspired to make more content. Share it with your friends!
First case (appendicitis) inflamed without perforation -> contaminated
Second case (total thyroid ectomy ) -> clean
Third case (melanoma on RUE , excision and LN biopsy ) ->clean
Dr Pearson you are the best. Don’t forget about ABSITE’s Videos.
Veterinary student here! very useful info application across many fields :) I enjoy being able to supplement the topics I don't fully grasp in lecture via your videos
Love that you found this helpful!!
This is the simplest and most understanding video so ever
Awesome! So happy you enjoyed it!
This was a great video, and I loved the information. I would like to see what happens when the wound bed is dry throughout the healing process. This would be when wet-to-dry dressings are the only dressing used, and moist wound healing is not the primary thinking.
what a lecture!
simply, you've got a new fan
Dr Pearson you are the best. Don’t forget about ABSITE’s Videos.
Was thinking about doing some live videos for absite review? Whoever can tune in would be welcome and we can review topic by topic until the absite.
Awesome video! Thank you 👏🏻✨
Thank you, Dr Erick!
Absolutely! Happy to help! Thanks for watching!
Crushing it as always!
Awesome, glad you liked it!
You are amazing in these helpful topic
Thank you
Totally awesome! I’m happy to do it! GI Hormones coming this week
I hope you make make more videos about pre and post operative care in order to complete basic topic in general surgery
You're the best Dr. Eric i really love your explanation that easily comprehended love your videos i learned a lot take care and god bless you always🙏🙏🙏❤️
Wow
I have been looking for people like you
I always read and easily for get but am copping up
Thanks very much
Absolutely! Happy you enjoyed it!
Did your channel explain all the surgery?
Loved this. Prepping for my surgery exams in a month and this was beautiful
Thanks so much! Glad you liked it, what other topics would be helpful? SSI video coming next Tuesday, was going to put together one on gi hormones to follow
Thank you
Amazing explanation, thank you that your channel exists
Please keep doing
I really appreciate your hard works
Pumped that you are enjoying it. What do you want to learn?
@@citizensurgeon It would be great if you do a video about post-operative complications and post-operative fever
Sounds good, great topics! Post op fever would be super straight forward to do abs can have it out in the next couple of weeks
@@citizensurgeon looks forward to see that episode. Keep doing man
Thank you for helping me
Absolutely so pumped you enjoyed it! Small bowel obstruction coming out soon!
I like your videos, it´s a very good resource for my residency.
Congrats!!
Grettings from Mexico City!!
Totally awesome, will keep the good stuff coming, what topic would you like to see?
@@citizensurgeon Hernia!!!!
Thank you for your great lecture! I love your clear voice.
Absolutely, so happy you enjoyed it!
Thanks Dr. Pearson! Great topic
Glad you liked it, have an SSI video coming out next week should be good
Hello Doctor. Excuse my ignorance. I'm reviewing the results of the gastroscopy I had yesterday, and one of the things it says is, Wound Classification: Contaminated. Is that normal in this type of procedures? or maybe they used equipment that was not previously sterilized?
Loved it!
Thanks so much Maria! Post op fever coming up next!
great lecture, thank you. What is the difference between an SSI and a drive line infection? can you please make a video?
A driveline infection is an infection that occurs at the exit site of a left ventricular assist device (LVAD) driveline.
A surgical site infection is an infection that occurs at the incision site of any surgery. In the case of LVAD implantation, the surgical site infection could occur at the incision site where the pump is implanted, or at the incision site where the driveline is inserted.
The main difference between a driveline infection and a surgical site infection is the location of the infection. Driveline infections occur at the exit site of the driveline, while surgical site infections occur at the incision site of the surgery.
Driveline infections are more common than surgical site infections. The risk of developing a driveline infection is about 10%. The risk of developing a surgical site infection is about 2%.
Thank you for the great explanation!
Absolutely glad you enjoyed it
CST, AT nyc hospital, great and useful info.
Awesome thank you!
First I would like to thank you for these valuable lectures and I would like to ask if the wound was associated with spillage of GI content to the skin in this case is it dirty or contaminated wound ?
Apologies for the delay! I would call this a class 3 or contaminates wound. Here is a good reference!
www.ncbi.nlm.nih.gov/books/NBK554456/#:~:text=Class%202%20wounds%20are%20considered,these%20tracts%20under%20controlled%20conditions.
this was vey helpful...thank you so much!
So happy you liked it! Thanks for your support!
Thank You Very Much. Long Live!
So happy you enjoyed it, more on the way!
Thank you very much for all you do
Absolutely, thanks Dr Molina
Just perfect . Please can you make a video on Burns and it’s management . Thanks
Awesome, thanks Kelvin. I have three videos coming out on fever and then will get Burns on the list!
great Tx a lot
Thanks Dr really loved the video ad it was helpful at the same time 👍♥️
Rockin! Keep studying hard!
@@citizensurgeon sure Dr I'll do so 🙏♥️
Very thanks
Absolutely!
On 3rd postoperative day of rectal carcinoma surgery wound is tender and erythematos....wound is contaminated or dirty in this case?
Thanks 🙏
Absolutely! Have an awesome day!
How to do assesment of the wounds?
Great idea for a video! Thank you
Hello, thanks for the excellent video. I have a question on what you had mentioned that classify the wound after the case. Are you saying that if there is a patient with pus on his wound ( which would be type 4). The drain or debridement we perform might reclassify the wound status after the procedure ?
Thanks for a great question. I think the best way to think about it is that the wound class can always get higher (more contaminated) but never better. If you start with a class IV wound it’s always a class IV no matter how pretty you make it with drainage and debridement. If you start with a class 2 wound it could become a class III with uncontrolled spillage or massive break in sterile technique. Does that make sense?
@@citizensurgeon
To the points!! Yes, I got it! Thanks for your explanation.
Absolutely have a great week
U are great sir...
Pumped that you enjoyed it!
Does contaminated mean spillage?
And clean means without infection and inflammation?
Contaminated can mean spillage, it can also mean operating on an inflamed or infected area such as appendicitis. Clean does mean without infection or inflammation but also is specific to whether you’re crossing or dividing an organ like small bowel which would be class 2 or clean contaminated. Check out this chart…
images.app.goo.gl/BF6M2QvVNyPwaiVF9
Thank u doctor 😗
Absolutely, so happy you enjoy the content. If there is a video you would like to see definitely let me know!
@@citizensurgeon sure 🤝
Sur please advice how to heal a surgical site wound which is not debrived 1 inch deep ..its 5 cm below umbilical chord
Great!
Glad you enjoyed it! If there is another topic you’d like to hear let me know!
any chances for nurses
Yes! Are you in nursing? Welcome!
Sir why Herniorrhaphy is a clean wound and a cleam contaminated
🎉Group A Streptococcus
Mine became infected and I took care of it before it got out of hand
Glad to hear your wound healed up! I just had a crazy wound after falling into a cactus while mountain biking, took two weeks to heal and now all good!
👍🏻👍🏻
Awesome thank you!
You have spent 4 minutes in vain , and i am still waiting for hot point ,
when do you even have time to do this, do you even sleep bro?
Hahaha! Too funny! It’s a passion project for me so I steal time when I can!
@@citizensurgeon As long as time is not stollen from your family-time... I gladly appreciate your passion - project... I can't believe it's free...
@@0bama12 absolutely, it’s a solo project so I usually find myself working on the videos in the twilight hours and it’s born out of the frustration of putting together a talk, giving it to a small group of people and then it’s gone, now they’re evergreen :)
@@citizensurgeon in that case, great job on the production... just may be a little bit more front lighting for the green screen.. unless it's Gilbert syndrome from twilight overwork.
@@0bama12 thanks, one thing I’ve really struggled with is the coloring, will try more light! Really appreciate the feedback!
On 3rd postoperative day of rectal carcinoma surgery wound is tender and erythematos....wound is contaminated or dirty in this case?
On 3rd postoperative day of rectal carcinoma surgery wound is tender and erythematos....wound is contaminated or dirty in this case?