Search our Database of Scientific Publications and Authors

I’m looking for a

    406 results match your criteria Closure of Complicated Wounds

    1 OF 9

    Abdominal Catastrophe in Crohn's Disease Surgery.
    Wounds 2018 Jan;30(1):E1-E4
    General Surgery Department, Hospital de Braga, Braga, Portugal; and Surgical Sciences Research Domain, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
    Introduction: Performing surgery on patients with Crohn's disease is a true challenge due to the elevated risk of complications related to the chronic proinflammatory response. Stenosis is the leading cause of intestinal resection in these patients.

    Case Report: The authors present the case of a 50-year-old woman with inflammatory stenosis of the terminal ileum due to Crohn's disease. Read More

    Combing a novel device and negative pressure wound therapy for managing the wound around a colostomy in the open abdomen: A case report.
    Medicine (Baltimore) 2017 Dec;96(52):e9370
    Department of Dermatology.
    Rationale: An open abdomen complicated with small-bowel fistulae becomes a complex wound for local infection, systemic sepsis and persistent soiling irritation by intestinal content. While controlling the fistulae drainage, protecting surrounding skin, healing the wound maybe a challenge.

    Patient Concerns: In this paper we described a 68-year-old female was admitted to emergency surgery in general surgery department with severe abdomen pain. Read More

    Tissue expanders with a focus on extremity reconstruction.
    Expert Rev Med Devices 2018 Feb 18;15(2):145-155. Epub 2018 Jan 18.
    c Chairman, Division of Orthopaedic Surgery , Albany Medical Center , Albany , NY, USA.
    Introduction: Acute traumatic or surgical wounds that cannot be primarily closed often cause substantial morbidity and mortality. This often leads to increased costs from higher material expenses, more involved nursing care, and longer hospital stays. Advancements in soft tissue expansion has made it a popular alternative to facilitate early closure without the need for more complicated plastic surgical procedures. Read More

    Distal Syme Hallux Amputation for Tip of Toe Wounds and Gangrene Complicated by Osteomyelitis of the Distal Phalanx: Surgical Technique and Outcome in Consecutive Cases.
    J Foot Ankle Surg 2017 Dec 19. Epub 2017 Dec 19.
    Third-Year Resident, Foot and Ankle Surgery Residency Program, Regions Hospital/HealthPartners Institute for Education and Research, St. Paul, MN. Electronic address:
    Distal hallux gangrene and neuropathic ulceration associated with digit deformity frequently result in osteomyelitis of the distal phalanx. Ideal treatment would involve limited resection to preserve function. We describe our surgical technique and retrospective results for distal Syme hallux amputation with plantar flap closure. Read More

    Treatment of open upper limb injuries with infection prevention and negative pressure wound therapy: a systematic review.
    J Wound Care 2017 Dec;26(12):712-719
    Trauma and Orthopaedic Consultant, Broomfield Hospital, Chelmsford, UK.
    Objective: Open upper limb injuries requiring soft reconstruction can pose a dilemma for trauma surgeons when considering the treatment options. The British Orthopaedic Association and British Association of Plastic, Reconstructive and Aesthetic Surgeons Standard for Trauma (BOAST) have addressed the management of severe open lower limb fractures with the creation of the BOAST 4 guidelines. However, no such gold standard exists for the treatment of open injuries of the upper limb. Read More

    Clinical Outcome of Achilles Tendon Repair Using Viable Intact Cryopreserved Umbilical Tissue Versus Standard of Case.
    Wounds 2017 Nov;29(11):E111-E114
    Osiris Therapeutics, Inc, Columbia, MD.
    Introduction: Repair of acute Achilles tendon ruptures is complicated by the severity of the rupture, quality of the tendon, and length of the defect. The adjunct use of biologics (eg, viable umbilical tissue) may provide additional support and reduce postoperative inflammation, adhesions, and fibrosis.

    Objective: The aim of this study is to review the outcomes of Achilles tendon rupture open repairs with viable cryopreserved umbilical tissue (vCUT) compared with patients treated with standard of care only. Read More

    Surfactants and their role in wound cleansing and biofilm management.
    J Wound Care 2017 Nov;26(11):680-690
    Professor, Institute for Wound Research, Department Obstetrics and Gynaecology, University of Florida, Gainesville, US.
    Surfactants are widely used as detergents, emulsifiers, wetting agents, foaming agents and dispersants in the cosmetics, hygiene, food and oil industries. Their use in a clinical setting is also common, particularly within the field of wound care. Many wound cleansers contain surfactants and subsequently there is available data that shows the growing potential of these wound cleansers in the enhancement of wound closure. Read More

    Viability of permanent PMMA spacer with combined free fasciocutaneous tissue transfer for failed charcot reconstruction: A 38 month prospective case report.
    Int J Surg Case Rep 2017 4;41:174-179. Epub 2017 Oct 4.
    Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA. Electronic address:
    Introduction: Charcot Neuroarthropathy is a complex lower extremity pathology which predisposes the afflicted limb to ulcerations, osteomyelitis, and risk of major amputation. Charcot Neuroarthropathy often requires osseous reconstruction, which can be complicated with osteomyelitis and hardware infection. When soft tissue and osseous deficits must be concomitantly addressed, the use of PMMA spacers can be combined with free tissue transfers. Read More

    The feasibility of cold atmospheric plasma in the treatment of complicated wounds in cranio-maxillo-facial surgery.
    J Craniomaxillofac Surg 2017 Oct 27;45(10):1724-1730. Epub 2017 Jul 27.
    Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Germany.
    Background: Compromised wound healing in cranio-maxillo-facial surgery is a threat to the patient's rehabilitation. Therapy of chronic and/or infected wounds is time- and cost-consuming, burdensome and occasionally futile. Cold atmospheric plasma is a new approach that promises to overcome these limitations. Read More

    Anterior Lumbar Dural Tear: A Transthecal Route for Primary Closure After Iatrogenic Durotomy.
    World Neurosurg 2017 Nov 18;107:522-525. Epub 2017 Aug 18.
    Department of Neurological Surgery, Spine Research Group, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA. Electronic address:
    Background: Durotomies are not infrequent in spine surgery and have increased complication rates. Primary repair is the gold standard and is feasible when access is not limited by the anatomy. A patient who presented 1 week after spinal fusion with cerebrospinal fluid (CSF) leak underwent a novel transthecal approach to repair an anterior dural tear. Read More

    Negative Pressure Wound Therapy for Patients With Complex Abdominal Wounds.
    Wounds 2017 Jul;29(7):202-208
    Plastic & Aesthetic Surgery Center, Peking Union Medical College Hospital, Beijing, China.
    The combination of open abdominal wounds and intra-abdominal infections is challenging to treat and often results in critical illness associated with high mortality.

    Objective: The aim of this study is to evaluate the feasibility of using negative pressure wound therapy (NPWT) to manage complex abdominal wounds and summarize relevant treatment experiences.

    Materials And Methods: A retrospective analysis of records from April 2012 to May 2015 identified 13 hospitalized patients with open abdominal wounds complicated by intra-abdominal infections. Read More

    Vacuum-assisted closure therapy after resection of giant basal cell carcinoma of the scalp.
    J Surg Case Rep 2017 Jul 4;2017(7):rjx122. Epub 2017 Jul 4.
    General Surgery Service (Extradigestive Unit), Department of Surgery, Santo António Hospital-Oporto Hospital Centre, Oporto, Portugal.
    Management of complicated wounds is a challenge in head and neck reconstruction. Although the negative pressure wound therapy or wound vacuum-assisted closure has been widely used in complicated wounds and shows promising results, its application in the head and neck region after reconstruction for the head and neck cancer is rarely presented. A 77-year-old woman underwent a radical resection of an extensive basal cell carcinoma of the scalp and forehead involving the periosteum, where classic reconstruction was difficult, but successfully treated with negative pressure wound therapy. Read More

    Tympanoplasty following Blast Injury.
    Otolaryngol Head Neck Surg 2017 Dec 4;157(6):1025-1033. Epub 2017 Jul 4.
    2 Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center San Diego, San Diego, California, USA.
    Objectives To assess outcomes following tympanoplasty for blast-induced tympanic membrane perforations in a military population. Study Design Case series with chart review. Setting Tertiary care medical centers. Read More

    Negative Pressure Wound Therapy for a Complicated Abdominal Laparotomy in Neonatal Necrotizing Enterocolitis: A Case Report.
    Ostomy Wound Manage 2017 Jun;63(6):34-38
    Necrotizing enterocolitis (NEC) is the most common surgical emergency in neonatal intensive care units, and patients who require surgery have high mortality and morbidity rates. The utility of negative pressure in the management of adults with complicated abdominal wounds has been documented, but there are few reports describing the use of negative pressure wound therapy (NPWT) in children or following neonatal surgery. The case of a 6 day old, 5-weeks premature neonate with NEC is presented. Read More

    Komodo dragon-inspired synthetic peptide DRGN-1 promotes wound-healing of a mixed-biofilm infected wound.
    NPJ Biofilms Microbiomes 2017 11;3. Epub 2017 Apr 11.
    School of Systems Biology, George Mason University, Manassas, VA 20110 USA.
    Cationic antimicrobial peptides are multifunctional molecules that have a high potential as therapeutic agents. We have identified a histone H1-derived peptide from the Komodo dragon (, called VK25. Using this peptide as inspiration, we designed a synthetic peptide called DRGN-1. Read More

    Internal cyclopexy for complicated traumatic cyclodialysis cleft.
    Acta Ophthalmol 2017 Sep 20;95(6):639-642. Epub 2017 Jun 20.
    Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Ophthalmology and Visual Science Key Lab, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
    Purpose: To assess the surgical and functional outcome of internal direct cyclopexy as therapy of complicated traumatic cyclodialysis.

    Methods: The single-centre interventional case-series study included eyes with traumatic cyclodialysis who had consecutively been treated. Internal cyclopexy was performed using double-armed sutures introduced into the eye through the pars plana opposite to the cyclodialysis cleft and which were laid parallel to limbus. Read More

    Use of an epidermal growth factor-infused foam dressing in a complicated case of Adams-Oliver syndrome.
    J Wound Care 2017 Jun;26(6):342-345
    Koç University School of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, Turkey.
    Adams-Oliver syndrome is a rare disorder with varying degrees of scalp and cranial bone defects as well as limb anomalies, which can range from mild to more pronounced manifestations. In mild cases, closure of these defects can be achieved with a conservative approach. However, surgical closure is recommended in cases where the defect is extensive and includes cranial involvement. Read More

    Urinary bladder injury during cesarean delivery: Maternal outcome from a contemporary large case series.
    Eur J Obstet Gynecol Reprod Biol 2017 Jun 5;213:26-30. Epub 2017 Apr 5.
    Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel(2). Electronic address:
    Background: Urinary bladder injury is a rare complication during cesarean delivery. Little is known on maternal outcome following this injury.

    Objective: To evaluate short and long-term maternal outcome following bladder injury during cesarean delivery. Read More

    Postsurgical Pyoderma Gangrenosum Following Carpal Tunnel Release: A Rare Disease Following a Common Surgery.
    Eplasty 2017 21;17:e10. Epub 2017 Mar 21.
    Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL.
    Postsurgical pyoderma gangrenosum is a rare but potentially devastating condition for surgical patients. While pyoderma gangrenosum has 2 subtypes, typical and atypical, each can be further classified by its heralding features. These include ulcerative, pustular, bullous, and vegetative. Read More

    Left ventricular basal inferior pseudoaneurysm and left atrial dissection after myocardial infarction: Case report.
    Echocardiography 2017 Jun 31;34(6):939-941. Epub 2017 Mar 31.
    Cardiology Department, Hospital do Espirito Santo, Evora, Portugal.
    Left atrial dissection is a rare entity, mostly occurring after mitral valve surgery, with only a few cases described after myocardial infarction. The authors report a case of a 60-year-old man who presented with an inferior myocardial infarction, complicated with pseudoaneurysm of basal segment of left ventricular inferior wall, which expanded through the mitral ring to left atria, causing left atrial free wall dissection. The left ventriculo-atrial communication through the pseudoaneurysm caused major para-mitral regurgitation and the development of acute heart failure. Read More

    Upper lateral cartilage composite flap for closure of complicated septal perforations.
    Laryngoscope 2017 Aug 14;127(8):1767-1771. Epub 2017 Mar 14.
    Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A.
    Objectives/hypothesis: To present a novel technique for the repair of large complicated nasal septal perforations using an upper lateral cartilage composite flap.

    Study Design: This is a case series of five patients with large septal perforations seen at an academic tertiary care center, who have failed previous treatment measures and were selected to undergo this novel reconstruction for closure of their defects.

    Methods: Patients were followed clinically to determine the success of the repair. Read More

    Assessing and managing wounds of Buruli ulcer patients at the primary and secondary health care levels in Ghana.
    PLoS Negl Trop Dis 2017 Feb 28;11(2):e0005331. Epub 2017 Feb 28.
    Section Clinical Tropical Medicine, Heidelberg University Hospital, Heidelberg, Germany.
    Background: Beyond Mycobacterium ulcerans-specific therapy, sound general wound management is required for successful management of Buruli ulcer (BU) patients which places them among the large and diverse group of patients in poor countries with a broken skin barrier.

    Methods: Clinically BU suspicious patients were enrolled between October 2013 and August 2015 at a primary health care (PHC) center and a municipal hospital, secondary health care (SHC) center in Ghana. All patients were IS2404 PCR tested and divided into IS2404 PCR positive and negative groups. Read More

    An Innovative Solution to Complex Inguinal Defect: Deepithelialized SIEA Flap With Mini Abdominoplasty.
    Eplasty 2017 25;17:e2. Epub 2017 Jan 25.
    We describe a novel technique of contralateral pedicled deepithelialized superficial inferior epigastric artery flaps, followed by abdominal advancement coverage, as an alternative treatment of radiated complicated inguinal or lower abdominal defects, avoiding the donor-site defect typically seen with other methods of coverage. Two male patients with histories of liposarcoma after excision and radiation to one side of lower abdomen/inguinal area presented with complicated wounds that were reconstructed with this technique. Successful obliteration of dead space and wound closure were achieved with the combination of a superficial inferior epigastric artery flap with an abdominal advancement flap. Read More

    [Treatment of recurrent Dupuytren's disease].
    Orthopade 2017 Apr;46(4):342-352
    Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
    Background: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Read More

    [The choice of coating materials for vestibuloplasty and pre- and postoperative use of pain and sedative medications depending on patient emotional features].
    Stomatologiia (Mosk) 2016;95(6):36-39
    Central Research Institute of Dentistry and Maxillofacial Surgery, Ministry of Health, Moscow, Russia an Federation.
    The purpose of the message was the comparison of change in the width and quality of keratinized tissue created in the lower vestibuloplasty area. Preliminary results of the case-control study involving 71 patients showed that autotransplantation managed to create the necessary buffer zone with the desired thickness of the mucosa and is particularly justified in cases of «washing board effect». However, the method is technically complicated and more expensive and painfull for patients. Read More

    Surgical reconstruction of traumatic ciliary body dialysis: a case report.
    J Med Case Rep 2017 Jan 23;11(1):22. Epub 2017 Jan 23.
    Department of Ophthalmology, Military Institute of Medicine, 128 Szaserów St., 04-141, Warsaw, Poland.
    Background: A cyclodialysis cleft is a gap resulting from disruption of the longitudinal fibers constituting the ciliary body attachment to the scleral spur. The cyclodialysis cleft can be of traumatic or iatrogenic origin, and it may occur during intraocular surgery or as a result of a glaucoma operation. In this report we present a surgical technique to treat cyclodialysis: cyclopexy combined with phacoemulsification subluxation lens, transscleral suturing of Cionni ring, and intraocular lens implantation with iris cerclage suture. Read More

    Outcome of primary closure of abdominal wounds following laparotomy for peritonitis in children.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):185-188
    Department of Surgery, Division of Paediatric Surgery, National Hospital, Abuja, Nigeria.
    Background: Primary wound closure following laparotomy for peritonitis is generally believed to be associated with wound complications and long hospital stay. Open wound management has long been the most common practice after laparotomy for peritonitis. Primary closure (PC), however, has recently been advocated to reduce cost and morbidity. Read More

    Negative Pressure Wound Therapy with Instillation in a Chronic Non-Healing Right Hip Trochanteric Pressure Ulcer.
    Cureus 2016 Nov 14;8(11):e877. Epub 2016 Nov 14.
    Section of Plastic Surgery VA Healthcare - San Diego, Division of Plastic Surgery University of California San Diego.
    Complex pressure ulcer wound sites often present with a wide scope of barriers to healing ranging from high colonization of multi-drug-resistant pathogens to tortuous internal anatomy which make the wound recalcitrant to traditional wound care including standard negative pressure wound therapy (NPWT). Negative pressure wound therapy with instillation (NPWTi-d) provides an opportunity to manage and heal wounds with indications not met by standard NPWT such as cavitating wounds with complex undermining and tunneling. In this clinical case report, a patient who presented with a chronic, non-healing Stage IV pressure ulcer underwent a tensor fascia lata flap reconstruction that was complicated by a partial flap-tip nonadherence with associated partial dehiscence of the flap incision that proved unresolvable until application of adjunctive NPWTi-d which allowed the wound to experience a robust rate of granulation, contraction, and closure. Read More

    Complete Fifth Ray Amputation With Peroneal Tendon Transfer to the Cuboid: A Review of Consecutive Cases Involving Lateral Column Neuropathic Foot Ulceration and Osteomyelitis.
    J Foot Ankle Surg 2016 Nov - Dec;55(6):1148-1157. Epub 2016 Sep 1.
    Fellowship Trained Foot and Ankle Surgeon, Jamestown Regional Medical Center, Jamestown, ND.
    Nonhealing wounds along the fifth metatarsal associated with neuropathy and bone deformity frequently become complicated with osteomyelitis. Our surgical technique for complete fifth ray amputation with peroneal tendon transfer has been previously published. The present study evaluated the outcomes regarding success with initial healing and intermediate-term limb survival after this procedure, which is intended to resolve infection, remove bone deformity, heal and prevent recurrence of lateral column wounds, and maintain functional stability of the foot. Read More

    Evaluation of dermal wound healing and in vitro antioxidant efficiency of Bacillus subtilis SPB1 biosurfactant.
    Biomed Pharmacother 2016 Dec 14;84:878-891. Epub 2016 Oct 14.
    Enzymes and Bioconversion Research Unit, Department of biological engineering, National School of Engineers of Sfax (ENIS), BP W, 3038 Sfax, Tunisia; Higher Institute of Biotechnology of Sfax (ISBS), BP 261, 3000 Sfax, Tunisia. Electronic address:
    Background: Lipopeptide microbial surfactants are endowed with unique surface properties as well as antimicrobial, anti-wrinkle, moisturizing and free radical scavenging activities. They were introduced safely in dermatological products, as long as they present low cytotoxicity against human cells. The present study was undertaken to evaluate the in vitro antioxidant activities and the wound healing potential of Bacillus subtilis SPB1 lipopeptide biosurfactant on excision wounds induced in experimental rats. Read More

    Tectonic Descemet Stripping Automated Endothelial Keratoplasty for the Management of Sterile Corneal Perforations in Decompensated Corneas.
    Cornea 2016 Dec;35(12):1516-1519
    *Department of Ophthalmology, Rabin Medical Center, Petach Tikva, Israel;†Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;‡Department of Ophthalmology, "Villa Igea" Hospital, Forlì, Italy; and§Istituto internazionale per la Ricerca e Formazione in Oftalmologia (IRFO), Forlì, Italy.
    Purpose: To report the use of Descemet stripping automated endothelial keratoplasty (DSAEK) for treatment of sterile corneal perforations accompanying endothelial decompensation.

    Methods: In this multicenter interventional case series, we reviewed the medical records of all tectonic DSAEK surgeries performed at Villa Serena-Villa Igea private Hospitals (Forlì, Italy) and Rabin Medical Center (Petach Tikva, Israel) between January 2014 and March 2016.

    Results: Three patients with endothelial decompensation and sterile corneal perforation (n = 2) or impending corneal perforation (n = 1) underwent DSAEK between 2014 and 2015 at Villa Igea Hospital, Forlì, Italy, and Rabin Medical Center, Petach Tikva, Israel. Read More

    Thoracic Duct Chylous Fistula Following Severe Electric Injury Combined with Sulfuric Acid Burns: A Case Report.
    Am J Case Rep 2016 Oct 11;17:730-733. Epub 2016 Oct 11.
    Department of Burns, Changhai Hospital, Second Military Medical University, Shanghai, China (mainland).
    BACKGROUND As patients with thoracic duct injuries often suffer from severe local soft tissue defects, integrated surgical treatment is needed to achieve damage repair and wound closure. However, thoracic duct chylous fistula is rare in burn patients, although it typically involves severe soft tissue damage in the neck or chest. CASE REPORT A 32-year-old male patient fell after accidentally contacting an electric current (380 V) and knocked over a barrel of sulfuric acid. Read More

    Efficacy and Safety of a Novel Autologous Wound Matrix in the Management of Complicated, Chronic Wounds: A Pilot Study.
    Wounds 2016 Sep;28(9):317-327
    Homecare Service, Israel Cancer Association and Geriatric-Palliative Service, Wolfson Medical Center, Holon, Israel.
    Introduction: The objective of this pilot study was to evaluate the efficacy and safety of a novel method using an autologous whole blood clot formed with the RedDress Wound Care System (RD1, RedDress Ltd, Israel), a provisional whole blood clot matrix used in the treatment of chronic wounds of various etiologies.

    Methods And Materials: Patients were treated at the bedside with the whole blood clot matrix. Blood was withdrawn from each patient using citrate, mixed with a calcium gluconate/kaolin suspension, and injected into an RD1 clotting tray. Read More

    Development of a combined radiation and full thickness burn injury minipig model to study the effects of uncultured adipose-derived regenerative cell therapy in wound healing.
    Int J Radiat Biol 2017 03 21;93(3):340-350. Epub 2016 Oct 21.
    a Cytori Therapeutics Inc , San Diego , CA , USA.
    Purpose: To develop an approach that models the cutaneous healing that occurs in a patient with full thickness thermal burn injury complicated by total body radiation exposure sufficient to induce sub-lethal prodromal symptoms. An assessment of the effects of an autologous cell therapy on wound healing on thermal burn injury with concomitant radiation exposure was used to validate the utility of the model.

    Methods: Göttingen minipigs were subjected to a 1. Read More

    Central Forehead Reconstruction with a Simple Primary Vertical Linear Closure.
    J Clin Aesthet Dermatol 2016 Aug 1;9(8):47-9. Epub 2016 Aug 1.
    Webster Management, Inc. (Private Practice), Oakland, California.
    Objective: Following Mohs surgery, medium-to-large defects on the central forehead can often be complicated to surgically reconstruct. In this paper, the authors discuss possible central forehead reconstructions and report their successful experience employing a simple primary vertical linear closure with a special technique to demarcate forehead rhytides rather than performing an overly complicated flap or graft.

    Case Report: The patient was a 57-year-old man who presented with a broad superficial basal cell carcinoma that required treatment with Mohs surgery. Read More

    Clinical Experience With the Use of Negative Pressure Wound Therapy Combined With a Silver-impregnated Dressing in Mixed Wounds: A Retrospective Study of 50 Cases.
    Wounds 2016 Aug;28(8):255-63
    Department of Burns and Reconstructive Surgery, Comenius University and University Hospital Ružinov, Bratislava, Slovak Republic.
    Unlabelled: Although negative pressure wound therapy (NPWT) has been used for more than 20 years, as far as the authors are aware, there is little research aimed at the evaluation of the combination of NPWT with a silver-impregnated dressing.

    Objective: The aim of this study was to examine the effect, efficacy, and safety of NPWT in conjunction with a silver-impregnated dressing.

    Materials And Methods: The authors used a retrospective study of 54 acute and chronic wounds treated in 50 patients over a 2-year period. Read More

    Penetrating Injury of the Heart From a Chronically Migrating Foreign Body.
    Ann Thorac Surg 2016 Sep;102(3):e191-e192
    Cardiology Division, Internal Medicine Department, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain. Electronic address:
    A 46-year-old man experienced a remote unexpected lung injury with a sharp object. The object migrated over the years, penetrating the mediastinal structure, injuring the pericardium and the right-sided chambers of the heart. The injury was complicated by hemodynamic instability and pericardial tamponade. Read More

    Bilateral femoral neck fractures associated with complex pelvic ring injuries in a pediatric patient: a case report.
    J Pediatr Orthop B 2017 Jul;26(4):350-357
    Department of Orthopaedic Surgery, University of South Alabama, Mobile, Alabama, USA.
    Femoral neck and pelvic fractures are rarely encountered in the pediatric population secondary to the resilient nature of the immature skeleton. Both fracture types usually result from high-energy blunt trauma including motor vehicle collisions, motor vehicle-pedestrian accidents, and falls from height. Considerable studies have been published on the natural history, management, and complications of pediatric pelvis and femoral neck fractures. Read More

    On the significance of negative-pressure wound therapy with instillation in dermatology.
    J Dtsch Dermatol Ges 2016 Aug;14(8):786-95
    Department of Dermatology, Allergology, and Venereology, University Hospital of Saarland, Homburg/Saar, Germany.
    Methods used in the treatment of acute and chronic wounds undergo constant evolution, reevaluation, and innovation. While negative-pressure wound therapy (NPWT) is an established treatment modality, the combination of NPWT and instillation of normal saline as well as solutions with active antiseptic components for topical treatment of the wound bed represents a novel approach. The well-known effects of NPWT may thus be combined with those of local antisepsis. Read More

    Closed-incision negative-pressure therapy in high-risk general surgery patients following laparotomy: a retrospective study.
    Colorectal Dis 2017 Mar;19(3):283-287
    Surgery, Our Lady Of Lourdes, Drogheda, Louth, Ireland.
    Aim: Surgical site infection (SSI) and wound dehiscence are dreaded complications following laparotomy in general surgical patients, and can potentially occur more often in various comorbid states. Negative-pressure wound therapy (NPWT) has a positive effect of on open and complicated wounds and so has been used for at-risk surgical incisions with the aim of redistributing lateral tension and holding incision edges together. The aim of the present study was to compare the rate of wound complications following laparotomy in high-risk general surgical patients with a clean incision treated with closed-incision negative-pressure therapy (ciNPT) with those receiving conventional care. Read More

    Versatility of the Free Anterolateral Thigh Flap in the Reconstruction of Large Defects of the Weight-Bearing Foot: A Single-Center Experience with 20 Consecutive Cases.
    J Reconstr Microsurg 2016 Sep 21;32(7):562-70. Epub 2016 Jun 21.
    Department of Plastic Surgery, E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan.
    Background Reconstruction of the weight-bearing surface of the foot represents a challenging task. With very little scope to borrow glabrous tissue from adjacent areas means that achieving a "like for like" reconstruction is rarely possible. In this setting, alternative approaches need to be considered. Read More

    Tracheal rupture after intubation and placement of an endotracheal balloon catheter (A-view®) in cardiac surgery.
    Interact Cardiovasc Thorac Surg 2016 09 18;23(3):506-7. Epub 2016 May 18.
    Department of Cardio-thoracic Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
    The endotracheal balloon catheter (A-view®) is a device developed to locate atherosclerotic plaques of the ascending aorta (AA) in cardiac surgery to prevent stroke. The saline-filled balloon is located in the trachea and combines the advantages of transoesophageal echocardiography (e.g. Read More

    Heparin-Based Coacervate of FGF2 Improves Dermal Regeneration by Asserting a Synergistic Role with Cell Proliferation and Endogenous Facilitated VEGF for Cutaneous Wound Healing.
    Biomacromolecules 2016 06 26;17(6):2168-77. Epub 2016 May 26.
    School of Pharmaceutical Sciences Key Laboratory of Biotechnology and Pharmaceutical Engineering, Wenzhou Medical University , Wenzhou, Zhejiang 325035, China.
    Effective wound healing requires complicated, coordinated interactions and responses at protein, cellular, and tissue levels involving growth factor expression, cell proliferation, wound closure, granulation tissue formation, and vascularization. In this study, we develop a heparin-based coacervate consisting of poly(ethylene argininylaspartate digylceride) (PEAD) as a storage matrix, heparin as a bridge, and fibroblast growth factor-2 (FGF2) as a cargo (namely heparin-FGF2@PEAD) for wound healing. First, in vitro characterization demonstrates the loading efficiency and control release of FGF2 from the heparin-FGF2@PEAD coacervate. Read More

    Nanoparticles Encapsulated with LL37 and Serpin A1 Promotes Wound Healing and Synergistically Enhances Antibacterial Activity.
    Mol Pharm 2016 07 1;13(7):2318-31. Epub 2016 Jun 1.
    Laboratory for Drug Delivery and Biomaterials, College of Pharmacy, Faculty of Health Sciences, University of Manitoba , 750 McDermot Avenue, Winnipeg, Manitoba R3E 0T5, Canada.
    Wound care is a serious healthcare concern, often complicated by prolonged inflammation and bacterial infection, which contributes significantly to mortality and morbidity. Agents commonly used to treat chronic wound infections are limited due to toxicity of the therapy, multifactorial etiology of chronic wounds, deep skin infections, lack of sustained controlled delivery of drugs, and development of drug resistance. LL37 is an endogenous host defense peptide possessing antimicrobial activity and is involved in the modulation of wound healing. Read More

    Retrospective comparison of negative pressure wound therapy and silver-coated foam dressings in open-wound treatment in cats.
    J Feline Med Surg 2017 Jun 1;19(6):624-630. Epub 2016 Apr 1.
    1 Clinic for Small Animal Surgery and Reproduction, Ludwig-Maximilians University, Munich, Germany.
    Objectives The objective of this study was to evaluate negative pressure wound therapy (NPWT) for the treatment of complicated wounds in cats. Methods Twenty cats undergoing open-wound treatment in two clinics were classed according to treatment method: NPWT (group A, n = 10) and polyurethane foam dressing (group B, n = 10). Pairs of patients from each group were matched based on wound conformation, localisation and underlying cause. Read More

    [Vacuum-therapy for complicated anterior abdominal wall wounds and intestinal fistulas in children].
    Khirurgiia (Mosk) 2016 (2):39-44
    Chair of Pediatric Surgery of N.I. Pirogov Russian Research Medical University, Moscow.
    Aim: To present results of VAC application in children with complicated wounds of anterior abdominal wall combined with intestinal and/or biliary fistulas.

    Material And Methods: For the last 7 years 8 patients aged from 1.5 months to 15 years with infected postoperative wounds of anterior abdominal wall complicated by intestinal fistulas (6), biliary and intestinal fistulas (1) and biliary fistula (1) have been treated at the surgical department №2 of Russian Children's Clinical Hospital. Read More

    Vacuum-assisted wound closure in vascular surgery--clinical and cost benefits in a developing country.
    Vojnosanit Pregl 2016 Jan;73(1):9-15
    Unlabelled: BACKGROUND/AIM. Surgical and chronic wounds in vascular patients might contribute to limb loss and death. Vacuum-assisted closure (VAC)--Kinetic Concepts, Inc. Read More

    A simple external tissue expansion technique based on viscoelastic properties of skin to attain direct closure of a large scalp defect: A case report.
    Indian J Plast Surg 2015 Sep-Dec;48(3):309-12
    Department of Plastic Surgery, NMCS Hospital, Abu Dhabi, UAE.
    Background: Direct closure of large scalp defects is not an easy task. Complicated flap designs or staged surgeries over a period of 6 months are often required. A case of a large scalp defect that was closed directly in 3 months by applying a simple external tissue expansion technique is presented in this report. Read More

    Complicated Skin and Skin Structure Infection After Erysipelas: Urgent Need for Antibiosis and Surgery.
    Int J Low Extrem Wounds 2016 Mar;15(1):68-70
    Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
    Erysipelas are common soft tissue infections responding to first-line antibiosis. Because of factors of related to responsible bacteria and host, complications can occur that need extensive surgery in addition to intensified drug therapy. We report on a 65-year-old woman with leg ulcer who developed an absceding and necrotizing panniculitis of the affected leg complicating erysipelas. Read More

    1 OF 9