11,834 results match your criteria Surgical Dressings


Cost-effectiveness of a bacterial-binding dressing to prevent surgical site infection following caesarean section.

J Wound Care 2019 Apr;28(4):222-228

Health Economist.

Objective: A randomised controlled trial (RCT) recruited women undergoing caesarean section (CS) in Poland. The aim of the trial was to assess the efficacy of a dialkylcarbamoyl chloride (DACC)-impregnated surgical dressing (bacterial-binding dressings) compared with standard of care (SoC) in preventing surgical site infection (SSI). The aim of the present analysis was to evaluate the cost-effectiveness of the bacterial-binding dressings in the context of the UK National Health Service (NHS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/jowc.2019.28.4.222DOI Listing

A 6-year trends analysis of infections after revision total hip arthroplasty.

Ann Transl Med 2019 Feb;7(4):76

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Background: Substantial efforts have been made to reduce the risk of infection after total hip arthroplasty (THA), including pre-operative patient optimization, skin preparation with alcohol-based solutions, perioperative antibiotics, and minimizing wound drainage with novel sutures and dressings. While these approaches have been effective in primary THA, their effects on revision THA to improve surgical site infection (SSI) rates are less clear. Therefore, the purpose of this study was to identify the annual rates and trends of: (I) overall; (II) deep; and (III) superficial SSIs following revision THA using the most recent results (2011 to 2016) from a large, nationwide database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/atm.2019.01.48DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409237PMC
February 2019
1 Read

Comparative efficacy of 13 antimicrobial dressings and different securement devices in reducing catheter-related bloodstream infections: A Bayesian network meta-analysis.

Medicine (Baltimore) 2019 Apr;98(14):e14940

School of Nursing of Lanzhou University.

Purpose: The purpose of our study is to carry out a Bayesian network meta-analysis comparing the efficacy of different antimicrobial dressings for prevention of catheter-related blood infections (CRBSI) and rank these antimicrobial dressings for practical consideration.

Methods: We searched the PubMed, Cochrane library, Embase, earlier relevant meta-analysis and reference lists of included studies for randomized controlled trials (RCTs) that compared dressings for prevention of CRBSI. Two authors independently extracted data from each included RCT according to a predesigned Excel spreadsheet and assessed the methodological quality of included RCTs using the Cochrane risk of bias tool. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014940DOI Listing
April 2019
2 Reads

Tamponade dressings versus no tamponade after hemorrhoidectomy: study protocol for a randomized controlled trial.

Trials 2019 Apr 2;20(1):188. Epub 2019 Apr 2.

Institut für Forschung in der Operativen Medizin (IFOM), Universität Witten/Herdecke, Ostmerheimerstraße 200 Haus 38, 51109, Köln, Germany.

Background: Symptomatic hemorrhoids are one of the most common anorectal disorders. Many surgeons use tamponades after open hemorrhoidectomy to manage postoperative bleeding. The question of whether a tamponade is necessary and beneficial after hemorrhoidectomy has not yet been conclusively answered. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-019-3280-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444871PMC
April 2019
4 Reads

In Vitro Assessment of Microbial Barrier Properties of Cyanoacrylate Tissue Adhesives and Pressure-Sensitive Adhesives.

Surg Infect (Larchmt) 2019 Mar 30. Epub 2019 Mar 30.

1 Division of Infectious Diseases, University of Kansas Health System, Kansas City, Kansas.

Background: Despite advances in incision care and surgical dressings, surgical site infections remain a common complication. Post-operative contamination of a surgical site is believed to play a role in many of these infections. Most surgical dressings adhere to the skin with pressure-sensitive adhesives. Read More

View Article

Download full-text PDF

Source
https://www.liebertpub.com/doi/10.1089/sur.2018.280
Publisher Site
http://dx.doi.org/10.1089/sur.2018.280DOI Listing
March 2019
3 Reads

Acute surgical wound-dressing procedure: Description of the steps involved in the development and validation of an observational metric.

Int Wound J 2019 Apr 1. Epub 2019 Apr 1.

Catherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.

The aim of this study was to develop an observational metric that could be used to assess the performance of a practitioner in completing an acute surgical wound-dressing procedure using aseptic non-touch technique (ANTT). A team of clinicians, academics, and researchers came together to develop an observational metric using an iterative six-stage process, culminating in a Delphi panel meeting. A scoping review of the literature provided a background empirical perspective relating to wound-dressing procedure performance. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/iwj.13072
Publisher Site
http://dx.doi.org/10.1111/iwj.13072DOI Listing
April 2019
8 Reads
2.023 Impact Factor

A Comparative Evaluation of the Effectiveness of Chitosan-Based Dressing and Conventional Method of Hemostasis in Patients on Oral Antithrombotic Therapy without Therapy Interruption.

J Pharm Bioallied Sci 2019 Feb;11(Suppl 1):S18-S23

Department of Oral and Maxillofacial Surgery, CKS Theja Dental College and Hospital, Tirupati, Andhra Pradesh, India.

Aims And Objectives: To assess the effectiveness of chitosan-based dressing after extraction in individuals on antithrombotics, without modification of their treatment schedule.

Materials And Methods: A randomized comparative study was carried out on 40 subjects who had two extraction sites, in dissimilar quadrants. The surgical site was chosen at random and post-extraction hemostasis was achieved by a custom-cut chitosan dressing (study site) and sterile cotton gauze dressing (suturing if required) at control site. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/jpbs.JPBS_229_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398305PMC
February 2019
1 Read

Wound Healing In Surgery for Trauma (WHIST): statistical analysis plan for a randomised controlled trial comparing standard wound management with negative pressure wound therapy.

Trials 2019 Mar 28;20(1):186. Epub 2019 Mar 28.

Oxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Windmill Road, Oxford, OX3 7LD, UK.

Background: In the context of major trauma, the rate of wound infection in surgical incisions created during fracture fixation amongst patients with closed high-energy injuries is high. One of the factors which may reduce the risk of surgical site infection is the type of dressing applied over the closed incision. The WHIST trial evaluates the effects of negative-pressure wound therapy (NPWT) compared with standard dressings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-019-3282-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438006PMC

Management of hard-to-heal wounds arising as a result of surgical oncology treatment- usage of the modern wound dressings.

Pol Przegl Chir 2019 Jan;91(1):10-13

Uniwerystet Medyczny w Łodzi Klinika Chirurgii Onkologicznej.

The problem of hard-to-heal wounds concerns 1-1.5% of the total population and about 3% of the population above 60 years of age. The risk factors associated with impaired wound healing are diabetes, arterial and venous insufficiency, advanced atherosclerosis, obesity, and inadequate wound supply. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5604/01.3001.0012.8304DOI Listing
January 2019
2 Reads

Negative pressure wound therapy for surgical wounds healing by primary closure.

Cochrane Database Syst Rev 2019 03 26;3:CD009261. Epub 2019 Mar 26.

National Centre of Research Excellence in Nursing, Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, 170 Kessels Road, Brisbane, Queensland, Australia, 4111.

Background: Indications for the use of negative pressure wound therapy (NPWT) are broad and include prophylaxis for surgical site infections (SSIs). While existing evidence for the effectiveness of NPWT remains uncertain, new trials necessitated an updated review of the evidence for the effects of NPWT on postoperative wounds healing by primary closure.

Objectives: To assess the effects of negative pressure wound therapy for preventing surgical site infection in wounds healing through primary closure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD009261.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434581PMC

Honey-Based Salve and Burdock Leaf Dressings as an Alternative to Surgical Debridement of a Traumatic Wound Eschar.

Adv Wound Care (New Rochelle) 2019 Mar 5;8(3):101-107. Epub 2019 Mar 5.

Department of Orthopaedics, Case Western Reserve University, Cleveland, Ohio.

Nonviable necrotic eschar is an impedance to wound healing and can ultimately lead to failure of soft tissue coverage in traumatic or high-risk wounds. Topical therapeutic agents can provide a less invasive management alternative to surgical debridement of eschar. The case of a 40-year-old male with a traumatic right lower extremity amputation complicated by surgical incision ischemic eschar formation is reported. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/wound.2018.0806DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430982PMC

Surgical Experience With Genital and Perineal Extramammary Paget's Disease.

Urology 2019 Mar 19. Epub 2019 Mar 19.

Department of Urology, University of Washington Medical Center, Seattle, WA.

Objective: To describe our surgical experience for the treatment and management of extramammary Paget's disease (EMPD).

Methods: Our surgical approach involves excising a 2-cm margin of normal appearing skin around the EMPD-suspicious lesion. Prior to excision, the tissue is oriented and demarcated into predefined segments in coordination with a pathologist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2019.03.006DOI Listing
March 2019
4 Reads

Reliable Head Bandage.

J Am Acad Dermatol 2019 Mar 15. Epub 2019 Mar 15.

Department of Dermatology - Hospital Santa Casa de Curitiba, Praça Rui Barbosa, 694. Curitiba - Paraná State - Brazil, 80010-030.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jaad.2019.03.018DOI Listing

[The Swollen Leg in Vascular Medical Practice].

Dtsch Med Wochenschr 2019 Mar 14;144(6):398-410. Epub 2019 Mar 14.

In case of an acute leg swelling a deep leg vein thrombosis needs to be excluded. In order to do this, compression sonography and the D-dimer-test are applied in the framework of an established diagnostic algorithm. The ensuing therapy consists in anticoagulation and compression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-0379-9997DOI Listing
March 2019
6 Reads

A pilot feasibility randomised clinical trial comparing dialkylcarbamoylchloride-coated dressings versus standard care for the primary prevention of surgical site infection.

Int Wound J 2019 Mar 14. Epub 2019 Mar 14.

Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, UK.

A surgical site infection (SSI) may occur in up to 30% of procedures and results in significant morbidity and mortality. We aimed to assess the feasibility of conducting a randomised controlled trial (RCT) examining the use of dialkylcarbamoylchloride (DACC)-impregnated dressings, which bind bacteria at the wound bed, in the prevention of SSI in primarily closed incisional wounds. This pilot RCT recruited patients undergoing clean or clean-contaminated vascular surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/iwj.13113DOI Listing
March 2019
1 Read

Negative pressure dressings are no better than standard dressings for open fractures.

BMJ 2019 03 13;364:k4411. Epub 2019 Mar 13.

Bazian, Economist Intelligence Unit healthcare, London, UK.

The studyEffect of negative pressure wound therapy vs standard wound management on 12-month disability among adults with severe open fracture of the lower limb: the WOLLF randomised clinical trial.Costa ML, Achten J, Bruce J, et al; UK WOLLF CollaborationPublished on 9 October 2018 2018;319:2280-8.This project was funded by the National Institute for Health Research Health Technology Assessment Programme (project number 10/57/20). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmj.k4411DOI Listing
March 2019
1 Read

Comparing Negative Pressure Wound Therapy with Instillation and Conventional Dressings for Sternal Wound Reconstructions.

Plast Reconstr Surg Glob Open 2019 Jan 4;7(1):e2087. Epub 2019 Jan 4.

Division of Plastic and Reconstructive Surgery, University of Louisville School of Medicine, Louisville, Ky.

Background: Muscle flap reconstruction has become a mainstay of therapy following treatment of sternal wound complications; however, success depends on removing wound exudate and infectious material from the wound before reconstruction and closure. Importantly, time to closure is a key factor affecting morbidity/mortality and cost-to-treat for this wound type.

Methods: A retrospective analysis of 30 patients who were treated for sternal wound complications between June 2015 and October 2017 was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382248PMC
January 2019
14 Reads

Use of Native Type I Collagen Matrix Plus Polyhexamethylene Biguanide for Chronic Wound Treatment.

Plast Reconstr Surg Glob Open 2019 Jan 15;7(1):e2047. Epub 2019 Jan 15.

Department of Surgery, Northwell Health, Lake Success, N.Y.

Background: Chronic wounds represent a significant financial burden to the healthcare system and a quality-of-life burden to patients. Many chronic wounds have elevated bioburden in the form of biofilm, which has been associated with delayed wound healing. This study examined the use of a native type I collagen matrix with the antimicrobial polyhexamethylene biguanide (PCMP) in the management of bioburden and treatment of chronic, nonhealing wounds over 12 weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382242PMC
January 2019
2 Reads

Incisional Negative Pressure Wound Therapy Augments Perfusion and Improves Wound Healing in a Swine Model Pilot Study.

Ann Plast Surg 2019 Apr;82(4S Suppl 3):S222-S227

Department of Plastic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA.

Background: A commonly used treatment for open wounds, negative pressure wound therapy (NPWT) has recently been used to optimize wound healing in the setting of surgically closed wounds; however, the specific mechanisms of action by which NPWT may benefit patients after surgery remain unknown. Using a swine wound healing model, the current study investigates angiogenesis as a candidate mechanism.

Methods: Multiple excisional wounds were created on the dorsa of 10 male Yorkshire pigs and closed by primary suture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000001842DOI Listing
April 2019
1 Read

Deployment of the Surgical Life-saving Module (SLM) in 2017: Lessons learned in setting up and training operational surgical units.

Injury 2019 Mar 4. Epub 2019 Mar 4.

Department of Gastrointestinal Surgery, Saint-Anne Military Teaching Hospital, Toulon, France.

Introduction: The military operations carried out by the French armed forces, occasionally require the use of the Surgical Life-saving Module (SLM), to ensure the surgical support of its soldiers. Due to its extreme mobility and capacity of fast deployment, SLM is particularly useful in small-scale military operations, such as Special Forces missions. In 2017, the French SLM was for the first time used to ensure surgical support of allied forces, which were lacking forward surgical capabilities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.03.001DOI Listing
March 2019
3 Reads

Effect of using silver nylon dressings to prevent superficial surgical site infection after cesarean delivery: a randomized clinical trial.

Am J Obstet Gynecol 2019 Mar 5. Epub 2019 Mar 5.

Department of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL. Electronic address:

Background: Surgical site infections are associated with significant healthcare cost and burden. Silver-impregnated dressings have been associated with a decrease in surgical site infections in select populations, but it is unknown whether the benefit can be observed after cesarean deliveries.

Objective: We sought to evaluate the impact of silver nylon dressings in reducing superficial surgical site infections after cesarean delivery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajog.2019.02.053DOI Listing
March 2019
2 Reads

Feasibility of a disposable canister-free negative-pressure wound therapy (NPWT) device for treating open wounds in horses.

BMC Vet Res 2019 Mar 6;15(1):78. Epub 2019 Mar 6.

Département de biomédecine vétérinaire, Université de Montréal, 3200 rue Sicotte, St-Hyacinthe, QC, J2S 2M2, Canada.

Background: Wounds are among the most common medical conditions affecting horses and have a major economic impact on the horse industry. Wound healing in horses is distinct to that documented in other species, and often results in delayed healing and extensive scarring, with compromised functional and aesthetic outcomes. To date, there is no conventional method objectively proven to accelerate healing or to successfully prevent complications associated with second intention healing. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12917-019-1829-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404353PMC
March 2019
1 Read

Dressings cut to shape alleviate facial tissue loads while using an oxygen mask.

Int Wound J 2019 Mar 5. Epub 2019 Mar 5.

Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel.

Non-invasive ventilation (NIV) masks are commonly used for respiratory support where intubation or a surgical procedure can be avoided. However, prolonged use of NIV masks involves risk to facial tissues, which are subjected to sustained deformations caused by tightening of the mask and microclimate conditions. The risk of developing such medical device-related pressure ulcers can be reduced by providing additional cushioning at the mask-face interface. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/iwj.13101DOI Listing
March 2019
3 Reads

Hidradenitis Suppurativa (Hurley I/II): Serial Excisions with Primary Wound Closure Under Local Anesthesia As Most Adequate Treatment Approach.

Open Access Maced J Med Sci 2019 Feb 11;7(3):400-402. Epub 2019 Feb 11.

Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic surgery, General Skobelev 79, 1606 Sofia.

Background: Acne inversa as a chronic inflammatory disorder can be divided into three stages according to Hurley's classification. It affects the axillary and anogenital region predominantly, and its chronic course of development is associated with a major negative impact on quality of life, especially in young patients. We discuss the different types of treatment in patients with acne inversa and the benefits of two-stage surgical treatment by serial excisions with primary wound closure under local anaesthesia. Read More

View Article

Download full-text PDF

Source
https://www.id-press.eu/mjms/article/view/oamjms.2019.148
Publisher Site
http://dx.doi.org/10.3889/oamjms.2019.148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390150PMC
February 2019
6 Reads

Subfascial endoscopic perforator surgery (SEPS) for treating venous leg ulcers.

Cochrane Database Syst Rev 2019 03 3;3:CD012164. Epub 2019 Mar 3.

Surgical Services, The Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, Australia, 3004.

Background: Venous leg ulcers are complex, costly, and their prevalence is expected to increase as populations age. Venous congestion is a possible cause of venous leg ulcers, which subfascial endoscopic perforator surgery (SEPS) attempts to address by removing the connection between deep and superficial veins (perforator veins). The effectiveness of SEPS in the treatment of venous leg ulcers, however, is unclear. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD012164.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397791PMC

Synthesis, Characterization, and Bacterial Fouling-Resistance Properties of Polyethylene Glycol-Grafted Polyurethane Elastomers.

Int J Mol Sci 2019 Feb 25;20(4). Epub 2019 Feb 25.

Department of Chemistry, Sapienza University of Rome, 00185 Rome, Italy.

Despite advances in material sciences and clinical procedures for surgical hygiene, medical device implantation still exposes patients to the risk of developing local or systemic infections. The development of efficacious antimicrobial/antifouling materials may help with addressing such an issue. In this framework, polyethylene glycol (PEG)-grafted segmented polyurethanes were synthesized, physico-chemically characterized, and evaluated with respect to their bacterial fouling-resistance properties. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/ijms20041001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412681PMC
February 2019
3 Reads

Use of negative pressure wound therapy with instillation and a reticulated open cell foam dressing with through holes in the acute care setting.

Int Wound J 2019 Feb 19. Epub 2019 Feb 19.

Reading Hospital, Tower Health System, West Reading, Pennsylvania.

Negative pressure wound therapy with instillation and dwell time (NPWTi-d) is an automated system used to deliver, dwell, and remove topical solutions from the wound bed. Recently, a reticulated open cell foam dressing with through holes (ROCF-CC) was developed, which assists with wound cleansing by removing thick exudate and infectious materials. We present our experience using NPWTi-d with ROCF-CC on complex wounds when complete surgical debridement was inappropriate because of medical instability, recurrent non-viable tissue, or palliative treatment plan. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/iwj.13097
Publisher Site
http://dx.doi.org/10.1111/iwj.13097DOI Listing
February 2019
17 Reads

Standardized care protocol and modifications to electronic medical records to facilitate venous ulcer healing.

J Vasc Surg Venous Lymphat Disord 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Division of Vascular Surgery, Duke University Health System, Durham, NC. Electronic address:

Background: Venous ulcers are painful, recurrent, and difficult to heal. Electronic medical records (EMRs) are often not optimized to track wounds. Specialized wound care programs may not interface with office-based records, creating a need to standardize the process of venous ulcer measurement and dressing documentation within existing systems. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvsv.2018.11.009DOI Listing
February 2019
1 Read

Using animal-derived constituents in anaesthesia and surgery: the case for disclosing to patients.

BMC Med Ethics 2019 02 18;20(1):14. Epub 2019 Feb 18.

Department of Philosophy, School of Philosophy, Theology and Religion, University of Birmingham, Birmingham, England.

Background: Animal-derived constituents are frequently used in anaesthesia and surgery, and patients are seldom informed of this. This is problematic for a growing minority of patients who may have religious or secular concerns about their use in their care. It is not currently common practice to inform patients about the use of animal-derived constituents, yet what little empirical data does exist indicates that many patients want the opportunity to give their informed consent. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12910-019-0351-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379939PMC
February 2019
1 Read

Excision of Os Trigonum in Dancers via an Open Posteromedial Approach.

JBJS Essent Surg Tech 2018 Dec 12;8(4):e31. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

An os trigonum is a potential source of posterior ankle pain in dancers, often associated with flexor hallucis longus (FHL) pathology. Surgical excision is indicated on failure of nonoperative management. Options for surgical excision include open excision (via a posterolateral or posteromedial approach), subtalar arthroscopy, and posterior endoscopy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.ST.18.00015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358335PMC
December 2018
1 Read

Meta-analysis of negative pressure wound therapy of closed groin incisions in arterial surgery.

Br J Surg 2019 Mar 6;106(4):310-318. Epub 2019 Feb 6.

Vascular Centre, Skane University Hospital, Malmö, Sweden.

Background: Surgical-site infection (SSI) after groin incisions for arterial surgery is common and may lead to amputation or death. Incisional negative pressure wound therapy (NPWT) dressings have been suggested to reduce SSIs. The aim of this systematic review with meta-analysis was to assess the effects of incisional NPWT on the incidence of SSI in closed groin incisions after arterial surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/bjs.11100DOI Listing

Successful treatment of mixed depth flame burns using enzymatic debridement with Nexobrid™ in a patient with aggressive systemic sclerosis (scleroderma).

Scars Burn Heal 2019 Jan-Dec;5:2059513118821563. Epub 2019 Jan 14.

Nottingham University Hospitals NHS Trust, Nottingham, UK.

Introduction: Enzymatic debridement for mixed depth and full thickness burns is gaining recognition as an important technique available to the burns surgeon. Reductions in blood loss, the need for autologous skin grafting and the number of wounds requiring surgical excision are among the benefits of this evolving treatment modality. We present a case of successful treatment using enzymatic debridement of mixed depth flame burns in a young patient with systemic sclerosis (scleroderma). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2059513118821563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348547PMC
January 2019
3 Reads

Evaluation of Skin Colonisation And Placement of vascular access device Exit sites (ESCAPE Study).

J Infect Prev 2019 Jan 9;20(1):51-59. Epub 2018 Nov 9.

AVATAR, MHIQ, Griffith University, Brisbane, Australia.

Background: Skin microorganisms may contribute to the development of vascular access device (VAD) infections. Baseline skin microorganism type and quantity vary between body sites, yet there is little evidence to inform choice of VAD site selection.

Objective: To compare microorganisms present at different body sites used for VAD insertions and understand the effect of transparent dressings on skin microflora. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1757177418805836DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346323PMC
January 2019
11 Reads

Potential of Biocellulose Carrier Impregnated with Essential Oils to Fight Against Biofilms Formed on Hydroxyapatite.

Sci Rep 2019 Feb 4;9(1):1256. Epub 2019 Feb 4.

Department of Immunology, Microbiology and Physiological Chemistry, Faculty of Biotechnology and Animal Husbandry, West Pomeranian University of Technology, Szczecin, Piastów 45, 70-311, Szczecin, Poland.

In this research, bacterial cellulose (BC), one of the most promising biopolymers of the recent years, was saturated with thyme, eucalyptus and clove essential oils (EOs) and applied against staphylococcal and pseudomonal biofilms formed on hydroxyapatite (HA). BC dressings were thoroughly analyzed with regard to their physical properties. Moreover, the exact composition and ability of particular EO molecules to adhere to HA was assessed. Read More

View Article

Download full-text PDF

Source
http://www.nature.com/articles/s41598-018-37628-x
Publisher Site
http://dx.doi.org/10.1038/s41598-018-37628-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362291PMC
February 2019
23 Reads

Systematic review of prehospital haemostatic dressings.

J R Army Med Corps 2019 Feb 2. Epub 2019 Feb 2.

Emergency Department, St Mary's Hospital Foundation Trust, London, UK.

Introduction: Haemorrhage is one of the leading causes of battlefield and prehospital death. Haemostatic dressings are an effective method of limiting the extent of bleeding and are used by military forces extensively. A systematic review was conducted with the aim of collating the evidence on current haemostatic products and to assess whether one product was more effective than others. Read More

View Article

Download full-text PDF

Source
http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001066
Publisher Site
http://dx.doi.org/10.1136/jramc-2018-001066DOI Listing
February 2019
3 Reads

Role of Early Application of Pressure Garments following Burn Injury and Autografting.

Plast Reconstr Surg 2019 02;143(2):310e-321e

Columbus and Cincinnati, Ohio From the Department of Materials Science and Engineering, the Department of Biomedical Engineering, and the Department of Surgery and Division of Critical Care, Trauma and Burns, The Ohio State University; the Research Department, Shriners Hospitals for Children-Cincinnati; and the Department of Surgery, University of Cincinnati College of Medicine.

Background: Pressure garment therapy, used for reduction of postburn scarring, is commonly initiated after complete healing of the wound or autograft. Although some clinicians have suggested that earlier treatment may improve outcomes, the effect of early initiation of therapy has not been studied in a controlled environment.

Methods: Full-thickness burns were created on red Duroc pigs, burn eschar was excised, and the wound bed was grafted with split-thickness autografts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000005270DOI Listing
February 2019
6 Reads

Nail bed defect reconstruction using a thenar fascial flap and subsequent nail bed grafting.

Arch Plast Surg 2019 Jan 15;46(1):57-62. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.

Background: Full-thickness nail bed defects with significant exposure of the distal phalanx are typically challenging to reconstruct. We describe a novel method of nail bed defect reconstruction using a thenar fascial flap combined with nail bed grafting.

Methods: Full-thickness nail bed defects were reconstructed in a 2-stage operation involving the placement of a thenar fascial flap and subsequent nail bed grafting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5999/aps.2018.00227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369052PMC
January 2019
2 Reads

Assessing the effectiveness of dialkylcarbamoylchloride (DACC)-coated post-operative dressings versus standard care in the prevention of surgical site infection in clean or clean-contaminated, vascular surgery (the DRESSINg trial): study protocol for a pilot feasibility randomised controlled trial.

Pilot Feasibility Stud 2019 18;5:11. Epub 2019 Jan 18.

Academic Vascular Surgical Unit, Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ UK.

Background: Surgical site infection in vascular surgery has a reported incidence of up to 19%. A novel method of reducing this rate of infection is dressings coated with dialkylcarbamoylchloride (DACC), a hydrophobic wound contact layer that binds bacteria and removes them from the wound bed. Early research has suggested that DACC-coated wound dressings are effective in reducing surgical site infection when applied to wounds healing by primary intention post-operatively, therefore this trial aims to assess the feasibility of producing high-quality evidence assessing this theory. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40814-019-0400-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337832PMC
January 2019
3 Reads

Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.

Cochrane Database Syst Rev 2019 01 22;1:CD009363. Epub 2019 Jan 22.

Orthopaedic Department and School of Medicine, Faculdade Israelita de Ciencias da Saude Albert Einstein and Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, São Paulo, São Paulo, Brazil, CEP 05651-901.

Background: Clavicle fractures are common, accounting for 2.6% to 4% of all fractures. Eighty per cent of clavicle fractures are located in the middle third of the clavicle. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/14651858.CD009363.pub3
Publisher Site
http://dx.doi.org/10.1002/14651858.CD009363.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373576PMC
January 2019
5 Reads

Prospective Evaluation of Surgical Wound Dressings and the Incidence of Surgical Site Infections in Dogs Undergoing a Tibial Plateau Levelling Osteotomy.

Vet Comp Orthop Traumatol 2019 Jan 15;32(1):18-25. Epub 2019 Jan 15.

Virginia Veterinary Surgical Associates, a BluePearl Partner, Richmond, Virginia, United States.

Objective:  The main aim of this study was to evaluate the efficacy of a topical 2-octyl cyanoacrylate (2OC) tissue adhesive and an adhesive barrier dressing (BD) in minimizing the incidence of surgical site infections (SSI) in dogs undergoing a tibial plateau levelling osteotomy (TPLO).

Materials And Methods:  In a prospective clinical study, 437 client-owned dogs undergoing a TPLO as treatment for cranial cruciate ligament disease with or without concurrent patellar luxations from July 2015 to September 2016 were included. In each dog, the type of postoperative wound dressing was randomly selected as either no dressing (ND), a 2OC tissue adhesive or an adhesive BD. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676352
Publisher Site
http://dx.doi.org/10.1055/s-0038-1676352DOI Listing
January 2019
7 Reads

Medical interventions for traumatic hyphema.

Cochrane Database Syst Rev 2019 01 14;1:CD005431. Epub 2019 Jan 14.

Department of Special Surgery-Ophthalmology, Faculty of Medicine, The University of Jordan, P.O. Box 13046, Amman, Jordan.

Background: Traumatic hyphema is the entry of blood into the anterior chamber (the space between the cornea and iris) subsequent to a blow or a projectile striking the eye. Hyphema uncommonly causes permanent loss of vision. Associated trauma (e. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/14651858.CD005431.pub4
Publisher Site
http://dx.doi.org/10.1002/14651858.CD005431.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353164PMC
January 2019
13 Reads

Analgesic effect of trigger point injection and EMLA for shoulder pain in patients undergoing total laparoscopic hysterectomy: A randomized controlled study.

Medicine (Baltimore) 2019 Jan;98(2):e14087

Department of Anesthesiology and Pain Medicine, Severance Hospital, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul.

Backgroud: The purpose of this study was to evaluate the effects of trigger point injection (TPI) and eutectic mixture local anesthetics (EMLA) cream on the postoperative shoulder pain in patients undergoing total laparoscopic hysterectomy.

Methods: In this randomized, single-blinded, and controlled study, total 75 patients were randomly allocated to TPI group (n = 25), EMLA group (n = 25), and control group (n = 25). TPI group received TPIs with 2 mL of 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336620PMC
January 2019
5 Reads

A case report of successful treatment of necrotizing fasciitis using negative pressure wound therapy.

Medicine (Baltimore) 2019 Jan;98(2):e13283

Residência Multiprofissional em Cuidados Continuados Integrados.

Rationale: Necrotizing fasciitis is a destructive tissue infection with rapid progression and high mortality. Thus, it is necessary that high-performance dressings be introduced as possibilities of treatment.

Patient Concerns: Female patient, 44 years of age, admitted to hospital unit complaining of lesion in the gluteal region and drainage of purulent secretion in large quantity followed by necrosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336608PMC
January 2019
2 Reads

Efficacy of an ocular bandage contact lens for the treatment of dry eye after phacoemulsification.

BMC Ophthalmol 2019 Jan 9;19(1):13. Epub 2019 Jan 9.

Department of Ophthalmology, Research Institute of Surgery & Daping Hospital, Army Medical University, Chongqing, 400042, China.

Background: To evaluate the safety and efficacy of a bandage contact lens for alleviating dry eye discomfort after phacoemulsification.

Methods: In this prospective, controlled study, 60 age-related cataract patients with mild Meibomian gland dysfunction (MGD) were randomized to treatment with an ocular bandage contact lens (BCL) (n = 30) or to an untreated control group (n = 30) after phacoemulsification and intraocular lens implantation. The Ocular Surface Disease Index (OSDI) questionnaire, evaluation of subjective symptoms and evaluation of the best-corrected visual acuity (BCVA) were conducted preoperatively and postoperatively on days 1, 7, 14, 30 and 90. Read More

View Article

Download full-text PDF

Source
https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12886-018-1023-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327462PMC
January 2019
15 Reads

Standardized Musculocutaneous Flap for the Coverage of Deep Sternal Wounds After Cardiac Surgery.

Ann Thorac Surg 2019 Mar 26;107(3):802-808. Epub 2018 Oct 26.

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.

Background: Deep sternal wound infection remains a serious complication after cardiac surgery, leading to increased morbidity, mortality, and cost. The goal of our study was to develop a standardized, reproducible method to safely cover deep sternal wounds and ensure improved healing rates.

Methods: The study was developed as a retrospective cohort study. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00034975183153
Publisher Site
http://dx.doi.org/10.1016/j.athoracsur.2018.09.017DOI Listing
March 2019
13 Reads

[Postoperative course after immediate breast reconstruction: Comparison between five surgical techniques].

Ann Chir Plast Esthet 2019 Apr 2;64(2):165-177. Epub 2019 Jan 2.

Service de chirurgie plastique, hôpital civil Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France.

Introduction: This study analyzes postoperative course of different immediate breast reconstruction techniques: deep inferior epigastric perforator flap (DIEP), gracilis, latissimus dorsi flap, expander implants and definitive implants.

Methods: All women operated on IBR between 2012 and 2017 in the CHU Strasbourg were included in this retrospective study. The main data collected were healing time, complications, surgical revisions and failure rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anplas.2018.12.001DOI Listing
April 2019
4 Reads

Effects of Elastic Band Exercise on Lower Limb Rehabilitation of Elderly Patients Undergoing Total Knee Arthroplasty.

Rehabil Nurs 2019 Jan/Feb;44(1):60-66

Department of Respiratory Care, Chang Gung University of Science and Technology, Puzi City, Chiayi, Taiwan.

Purpose: The aim of the study was to investigate the effect of elastic band exercise activities on lower extremity rehabilitation in elderly patients subjected to an elastic band exercise intervention 2 and 4 weeks after total knee arthroplasty.

Design: A quasiexperimental study was conducted. Participants were recruited from southern Taiwan who were over 65 years old and had a first unilateral total knee arthroplasty for osteoarthritis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/rnj.0000000000000109DOI Listing
March 2019
2 Reads

Retrospective Evaluation of Microbicidal Polymer Dressing for Reduction of Infection Following Post Deformity Correction Surgery

Authors:
Shital Pema

J Drugs Dermatol 2018 12;17(12):1322-1324

Pin site infections are a very common complication of external fixation, and unfortunately, no standard of care exists to effectively minimize the risk of infection. Various pin site care regimens with different methods of cleaning and dressing orthopedic percutaneous pin sites can be found. Little evidence exists as to which pin site care regimen best reduces infection rates. Read More

View Article

Download full-text PDF

Source
December 2018
3 Reads

Meta-Analysis of Comparative Trials Evaluating a Single-Use Closed-Incision Negative-Pressure Therapy System.

Plast Reconstr Surg 2019 01;143(1S Management of Surgical Incisions Utilizing Closed-Incision Negative-Pressure Therapy):41S-46S

Annapolis, Md.; Vancouver, Wash.; Philadelphia, Pa.; Redwood City, Calif.; and Winston-Salem, N.C. From the Anne Arundel Medical Center; Jefferson Medical College, Thomas Jefferson University; Stanford University School of Medicine; and Wake Forest School of Medicine.

Background: Surgical site infections (SSIs) pose a significant surgical complication. Application of closed-incision negative-pressure therapy (ciNPT) has been associated with reduced SSI rates in published literature. This meta-analysis examines the effect of ciNPT use over closed incisions in reducing SSIs versus traditional dressings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000005312DOI Listing
January 2019
2 Reads

Use of Closed-Incision Negative-Pressure Therapy: Cardiothoracic and Vascular Surgery.

Plast Reconstr Surg 2019 01;143(1S Management of Surgical Incisions Utilizing Closed-Incision Negative-Pressure Therapy):31S-35S

New Haven, Conn. From the Department of Surgery, Section of Vascular Surgery, Yale University School of Medicine.

Vascular groin wound and median sternotomy infections are challenging complications that may lead to serious sequela. Traditional gauze dressings have poor bacteria barrier properties, and so there has been a recent enthusiasm for the use of closed-incision negative-pressure therapy as an effective closed environment, which controls exudate and helps hold the incision edges together. Studies suggest that it may reduce surgical site infection in cardiothoracic and vascular surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000005310DOI Listing
January 2019
22 Reads