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QUICK TIPS (--THIS SECTION DOES NOT PRINT--) This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly.

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Presentation on theme: "QUICK TIPS (--THIS SECTION DOES NOT PRINT--) This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly."— Presentation transcript:

1 QUICK TIPS (--THIS SECTION DOES NOT PRINT--) This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly asked questions specific to this template. If you are using an older version of PowerPoint some template features may not work properly. Using the template Verifying the quality of your graphics Go to the VIEW menu and click on ZOOM to set your preferred magnification. This template is at 100% the size of the final poster. All text and graphics will be printed at 100% their size. To see what your poster will look like when printed, set the zoom to 100% and evaluate the quality of all your graphics before you submit your poster for printing. Using the placeholders To add text to this template click inside a placeholder and type in or paste your text. To move a placeholder, click on it once (to select it), place your cursor on its frame and your cursor will change to this symbol: Then, click once and drag it to its new location where you can resize it as needed. Additional placeholders can be found on the left side of this template. Modifying the layout This template has four different column layouts. Right-click your mouse on the background and click on “Layout” to see the layout options. The columns in the provided layouts are fixed and cannot be moved but advanced users can modify any layout by going to VIEW and then SLIDE MASTER. Importing text and graphics from external sources TEXT: Paste or type your text into a pre-existing placeholder or drag in a new placeholder from the left side of the template. Move it anywhere as needed. PHOTOS: Drag in a picture placeholder, size it first, click in it and insert a photo from the menu. TABLES: You can copy and paste a table from an external document onto this poster template. To adjust the way the text fits within the cells of a table that has been pasted, right-click on the table, click FORMAT SHAPE then click on TEXT BOX and change the INTERNAL MARGIN values to 0.25 Modifying the color scheme To change the color scheme of this template go to the “Design” menu and click on “Colors”. You can choose from the provide color combinations or you can create your own. QUICK DESIGN GUIDE (--THIS SECTION DOES NOT PRINT--) This PowerPoint 2007 template produces a 36”x48” professional poster. It will save you valuable time placing titles, subtitles, text, and graphics. Use it to create your presentation. Then send it to PosterPresentations.com for premium quality, same day affordable printing. We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. View our online tutorials at: http://bit.ly/Poster_creation_help (copy and paste the link into your web browser). For assistance and to order your printed poster call PosterPresentations.com at 1.866.649.3004 Object Placeholders Use the placeholders provided below to add new elements to your poster: Drag a placeholder onto the poster area, size it, and click it to edit. Section Header placeholder Move this preformatted section header placeholder to the poster area to add another section header. Use section headers to separate topics or concepts within your presentation. Text placeholder Move this preformatted text placeholder to the poster to add a new body of text. Picture placeholder Move this graphic placeholder onto your poster, size it first, and then click it to add a picture to the poster. RESEARCH POSTER PRESENTATION DESIGN © 2011 www.PosterPresentations.com © 2011 PosterPresentations.com 2117 Fourth Street, Unit C Berkeley CA 94710 posterpresenter@gmail.com Student discounts are available on our Facebook page. Go to PosterPresentations.com and click on the FB icon. Kaolin Impregnated Gauze in Oculoplastic Surgery Perioperative bleeding is a complication of any invasive surgical procedure and is associated with increased morbidity and mortality in the postoperative period. Frequently, uncontrolled perioperative bleeding requires exploration of the wound, evacuating any hemorrhage, and identifying the bleeding vessels. Surgical hemostasis is typically accomplished by cauterizing the bleeding vessel with an electrical current, forming a clot. However, cautery has been shown to cause thermal damage to surrounding tissues, and excessive use may result in tissue necrosis. Other methods to control intraoperative bleeding include application of direct pressure or ligating the bleeding vessel with a suture, both can significantly increase operative time. Kaolin, a naturally occurring mineral that is known to promote clotting in vitro. Kaolin is a naturally occurring silicate mineral derived from clay. It has been widely used and anecdotally noted to promote wound healing and reduce scar formation. In fact, some patients use china clay, a kaolin concentrated earth product, for homeopathic management of wounds. Kaolin activates clotting factors XI and XII when exposed to plasma, accelerating the clotting cascade. It also fosters platelet adhesion and adsorbs water from blood. Numerous studies from trauma and emergency medicine show Kaolin impregnated gauze to be safe and effective in controlling hemorrhage in extremity and abdominal sites. In addition, the United States Military provides a kaolin impregnated gauze, called QuickClot ®Combat Gauze ™ (Z-Medica, ), in the first aid packs of frontline soldiers. Our study will look at the application of kaolin to control perioperative bleeding and promote wound healing in eyelid surgeries. To examine the benefit, if any, of kaolin-impregnated gauze in oculoplastic surgery. Note if kaolin-impregnated gauze limits the use of electrocautery intraoperatively Investigate if kaolin-impregnated gauze provides any subjective benefit in the wound appearance and pain in the post-operative period to the patient Examine kaolin-impregnated gauze benefit in wound healing in the post-operative period via postoperative pictures Introduction Combat Gauze Side Non-Combat Gauze Side Total number of Bleeders in 49 patients 230231 Average number of bleeders 4.7 P-value0.96 This prospective, randomized, double blinded study recruited patients who underwent bilateral functional or cosmetic blepharoplasty or ptosis repair. After the initial incisions were performed, and skin was removed, a 4x4 piece of sterilized of kaolin impregnated gauze was placed on one side and moistened cotton gauze on the other. Each gauze was left in place with gentle finger pressure for four and a half minutes. After the time duration, the gauze was removed. Individual areas of bleeding were noted, recorded, and addressed with electrocautery. The remainder of the surgery proceeded in a standard fashion. Methods Standardized postoperative photographs were obtained on day one, three and seven. The photographs were graded for edema and ecchymosis by four blinded oculoplastic surgeons. The data was analyzed using the appropriate statistical tests for data type. Patients also completed self-assessment questionnaire at each visit asking them to compare which side was more bruised, painful and swollen. The data was analyzed using the appropriate statistical tests for data type. Forty-six patients were enrolled after IRB approved consent was obtained. Three patients had Bilateral direct brow procedure in addition to bilateral upper lid blepharoplasty. Three patients underwent bilateral external levator advancement. The remainder of patients underwent bilateral upper blepharoplasty. Five patients were lost in follow-up. Methods cont. Results cont. Conclusions The use of kaolin for hemostasis and wound healing in eyelid surgery showed no benefit to either the surgeon of patient. Intraoperative hemostasis, graded on the number of “bleeders,” was not reduced by kaolin-impregnated gauze. In evaluating post- operative edema and ecchymosis, neither patients nor blinded oculoplastic surgeons noted improvement in wounds treated with kaolin-impregnated gauze. Of note, none of the forty-six patients had any recorded adverse side effects. The contrasting usefulness of kaolin in other anatomical locations highlights the importance of dedicated research on wound healing of periocular tissues. Contact Srinivas Sai A. Kondapalli The Eye Center of Columbus skondap@gmail.com Total CG Side Superior Total CG Side Inferior p-value Pain POD 19170.17 Pain POD 49110.82 Pain POD 78110.65 Edema POD 111220.08 Edema POD 410260.01 Edema POD 715180.73 Bruising POD 111180.26 Bruising POD 417180.99 Bruising POD 720180.87 The Eye Center of Columbus, Columbus, Ohio Srinivas Sai A. Kondapalli, Craig N. Czyz, Kenneth V. Cahill, Jill A. Foster, Robert H. Hill Objectives Results Table 2. Patient self grading results. Total CG Side Superior Total CG Side Inferior p-value Bruising POD 137310.54 Bruising POD 448310.07 Bruising POD 753390.18 Edema POD 121310.21 Edema POD 421200.99 Edema POD 720320.13 Table 3. Gradings of post-operative photographs. Table 1. Number of intraoperative “bleeders.” Fig 3. Example of post-operative day 1 photographs Fig 2. “Bleeder” (arrow) Fig. 1. Initial skin incisions made (top), cotton gauze (left) and kaolin impregnated gauze (right) in place for 4.5 minutes


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