Background/Objectives: Cleft lip and/or palate are common craniofacial anomalies whose surgical repair is classified as clean-contaminated and may be complicated by surgical site infection or palatal fistula. Despite widespread perioperative antibiotic use, there are no standardized, evidence-based recommendations, and rising antimicrobial resistance underlines the need for rational prescribing. This systematic scoping review aimed to map current evidence on prophylactic antibiotic therapy and related perioperative measures in cleft surgery. Methods: A scoping review was conducted using the Arksey and O’Malley framework and reported in line with PRISMA 2020. PubMed, Mendeley and Google Scholar were searched (January 2015–10 February 2025) for English-language retrospective studies, clinical trials, survey studies and systematic reviews concerning prophylactic antibiotics, bone grafting procedures, mouthwash use or oral microbiota in patients undergoing cleft lip and/or palate surgery. Six reviewers independently screened records; two experienced clinicians extracted data on study characteristics, antimicrobial regimens and infectious or microbiological outcomes. Given heterogeneity and the scoping aim, no formal risk-of-bias assessment or meta-analysis was performed. Results: A total of 40 studies met the inclusion criteria, including 21 original research articles. Considerable variation in antibiotic choice, timing and duration was observed, with no clear superiority of any regimen. Single-dose perioperative prophylaxis appeared non-inferior to prolonged courses in several settings. Oral microbiota studies highlighted colonization by resistant and opportunistic pathogens in cleft patients. Conclusions: Current evidence supports individualized, often short-course perioperative antibiotic strategies rather than routine prolonged therapy. High-quality randomized and microbiological studies are required to develop standardized, resistance-conscious guidelines.
Hydrometrocolpos as is a rare condition in female newborns which leads to the accumulation of fluid above the obstruction. Its most common causes are imperforated hymen or vaginal abnormalities. A premature baby born at 33+2 weeks was found to have generalized body oedema. Foetal MRI revealed...
1 May 2025 in Chirurgia Plastyczna i Oparzenia / Plastic Surgery and Burns
Urazy typu degloving stanowią poważne wyzwanie w chirurgii rekonstrukcyjnej, głównie ze względu na rozległość uszkodzeń i skomplikowany przebieg leczenia. Mechanizm urazu polega na oderwaniu skóry i tkanki podskórnej od powięzi i mięśni na skutek działania sił ścinających lub rotacyjnych, co zagraża ukrwieniu tkanek i sprzyja rozwojowi martwicy. Rozpoznanie kliniczne wspierane jest technikami obrazowymi, zwłaszcza rezonansem magnetycznym, który pozwala ocenić rozległość uszkodzenia. Postępowanie lecznicze obejmuje zarówno metody zachowawcze (opatrunki, drenaż, skleroterapię), jak i zabiegi chirurgiczne (rekonstrukcja tkanek, przeszczepy skóry, płaty miejscowe). W pracy przedstawiono najnowsze dane dotyczące epidemiologii, diagnostyki i terapii urazów, podkreślając potrzebę zindywidualizowanego podejścia terapeutycznego celem optymalizacji wyników funkcjonalnych i estetycznych.
BACKGROUND: Eye burns can be caused by heat or chemicals and require immediate medical attention. Effective treatment requires prompt first aid and the prevention of complications. The knowledge and skills of healthcare professionals in managing eye burns are crucial to improving patient outcomes. This study aimed to evaluate the knowledge and soft skills of medical and paramedical students regarding first aid for eye burns. MATERIAL AND METHODS: The study consisted of a survey with closed questions about the management of eye burns, competencies in dealing with emergencies, and the structure of courses on eye burns at universities. The survey was distributed through social media groups that unite students of the faculties mentioned above at Polish universities. The statements included in the study were rated on a Likert scale. RESULTS: The study included 151 medical and paramedical students from 10 Polish medical universities. Statistical analysis showed that students who had taken courses in ophthalmic emergencies performed better than those who had not. Medical students showed greater expertise than paramedics. Students who have completed ophthalmology courses and medical students focusing on emergency medicine or ophthalmology specialties rated their communication and soft skills in patient care the highest. CONCLUSIONS: Courses on ophthalmic emergencies are essential for the professional development of medical and emergency medicine students’ specialized knowledge. The study showed that these courses not only increase professional knowledge but also improve students’ competencies and soft skills in dealing with patients, thus reducing communication barriers between doctors and patients. Keywords: eye burns chemical ocular burns first aid medical education medical simulation
1 December 2025 in Journal of Pre-Clinical and Clinical Research
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is characterized by uterus and vagina aplasia with normal ovary function. The first symptom is primary amenorrhea. It is necessary to exclude potential causes, among which MRKH syndrome takes second place. A 15-year-old patient was first admitted to...