12,847 results match your criteria Surgical Dressings


Examining the effect of wound cleansing on the microbiome of venous stasis ulcers.

Wound Repair Regen 2021 May 15. Epub 2021 May 15.

Department of Research and Exploratory Development, Johns Hopkins Applied Physics Laboratory, Laurel, Maryland, USA.

Common treatment for venous leg wounds includes topical wound dressings with compression. At each dressing change, wounds are debrided and washed; however, the effect of the washing procedure on the wound microbiome has not been studied. We hypothesized that wound washing may alter the wound microbiome. Read More

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Technique for inguino-femoral lymph node dissection in vulvar cancer: an international survey.

Int J Gynecol Cancer 2021 May 14. Epub 2021 May 14.

Department of Obstetrics and Gynaecology, University Hospital of Wales, Cardiff, UK.

Background: Vulvar cancer is a rare disease and despite broad adoption of sentinel lymph node mapping to assess groin metastases, inguino-femoral lymph node dissection still plays a role in the management of this disease. Inguino-femoral lymph node dissection is associated with high morbidity, and limited research exists to guide the best surgical approach.

Objective: To determine international practice patterns in key aspects of the inguino-femoral lymph node dissection technique and provide data to guide future research. Read More

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Ozone therapy as an alternative method for the treatment of diabetic foot ulcer: a case report.

J Med Case Rep 2021 May 13;15(1):234. Epub 2021 May 13.

Department of Medical-Surgical Nursing, Nursing and Midwifery Faculty, School of Nursing and Midwifery, Urmia University of Medical Sciences, Campus Nazlu, 11 KM Road Seru, 575611-5111, Urmia, West Azerbaijan, Iran.

Background: Diabetic foot ulcer (DFU) is one of the most important complications of diabetes that can lead to amputation. Treatment of DFUs is a major challenge and places a heavy economic and social burden on patients and their families.

Case Presentation: The present case report is of a 52-year-old kurdish male patient with a 7-year history of type 2 diabetes. Read More

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The perils of dressings: a cautionary tale of ischaemia.

J Wound Care 2021 May;30(5):420-422

Queen Victoria Hospital, East Grinstead, UK.

A cohort of patients presented to Queen Victoria Hospital, UK, with iatrogenic toe ischaemia following application of a different, newly available post-procedure dressing with different properties to those usually used. This resulted in ischaemia with extensive skin and soft tissue damage, requiring debridement surgery and, in some cases, skin grafting. We aim to highlight the risk of morbidity from dressing application to the digits. Read More

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Closed Incisional Negative Pressure Therapy Significantly Reduces Early Wound Dehiscence after Reduction Mammaplasty.

Plast Reconstr Surg Glob Open 2021 Mar 22;9(3):e3496. Epub 2021 Mar 22.

Department of Surgery, William Beaumont Army Medical Center, El Paso, Tex.

Background: Closed incisional negative pressure therapy (ciNPT) has been shown to improve surgical outcomes. Functional reduction mammaplasty has a wound dehiscence rate of 25% and higher in most series, requiring extra care and delayed secondary healing. We aimed to determine if shifting from standard care dressings to ciNPT reduced early dehiscence after breast reduction. Read More

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Assessment of Commercial Off-the-Shelf Tissue Adhesives for Sealing Military-Relevant Corneal Perforation Injuries.

Mil Med 2021 May 7. Epub 2021 May 7.

Department of Sensory Trauma, United States Army Institute of Surgical Research, Fort Sam Houston, TX 78234, USA.

Introduction: Open-globe ocular injuries have increased in frequency in recent combat operations due to increased use of explosive weaponry. Unfortunately, open-globe injuries have one of the worst visual outcomes for the injured warfighter, often resulting in permanent loss of vision. To improve visual recovery, injuries need to be stabilized quickly following trauma, in order to restore intraocular pressure and create a watertight seal. Read More

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Closed incision negative pressure wound therapy versus standard dressings in obese women undergoing caesarean section: multicentre parallel group randomised controlled trial.

BMJ 2021 05 5;373:n893. Epub 2021 May 5.

National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute, Griffith University, Gold Coast, Qld, Australia.

Objective: To determine the effectiveness of closed incision negative pressure wound therapy (NPWT) compared with standard dressings in preventing surgical site infection (SSI) in obese women undergoing caesarean section.

Design: Multicentre, pragmatic, randomised, controlled, parallel group, superiority trial.

Setting: Four Australian tertiary hospitals between October 2015 and November 2019. Read More

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Physiological measurements of facial skin response under personal protective equipment.

J Mech Behav Biomed Mater 2021 Apr 29;120:104566. Epub 2021 Apr 29.

Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Israel. Electronic address:

Medical device-related pressure ulcers (MDRPUs) were traditionally associated with skin-contacting medical devices applied to patients, eventually causing tissue damage. The coronavirus-2019 pandemic has brought a new variant of MDRPUs: facial skin irritation or damage associated with extended use of protective personal equipment (PPE), e.g. Read More

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[Postoperative treatment following paranasal sinus surgery].

HNO 2021 May 3. Epub 2021 May 3.

HNO-Klinik, Städtisches Klinikum Karlsruhe, Moltkestraße 90, 76133, Karlsruhe, Deutschland.

Postoperative care is a crucial aspect for the success of paranasal sinus interventions. Basic procedures include saline nasal wash, which should be started on the first postoperative day, topical steroids, and antibiotics in cases of infection. Medical treatment involves aspiration of secretion in the inferior meatus during the first week. Read More

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Fibroblast growth factor in the treatment of burns: A systematic review.

Burns 2021 Apr 14. Epub 2021 Apr 14.

Discipline of Plastic Surgery, Surgery Department, (UNIFESP/EPM), Brazil.

Introduction: A burn is a trauma that breaks the skin barrier, causing local and systemic responses. Treatment is complex, multiprofessional and expensive. In addition to surgical treatment, topical dressings can be used to keep the wound moist, reduce the risk of infection and stimulate healing. Read More

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Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema.

Support Care Cancer 2021 Apr 29. Epub 2021 Apr 29.

Department of Rehabilitation Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo, 160-8582, Japan.

Purpose: Although regarded as an important treatment for lymphedema, the therapeutic effects of active exercise with compression therapy (AECT) are supported by little evidence. The purpose of this study was to determine the relative benefits of AECT with different postures for patients with lower limb lymphedema (LLL).

Methods: Eighteen women with LLL secondary to surgical treatment of gynecological cancer, completed (1) AECT in a seated position (seated AECT), (2) AECT in a supine position (supine AECT), and (3) compression-only therapy in a supine position (CT) in this randomized, controlled, crossover trial. Read More

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Keratin Scaffolds Containing Casomorphin Stimulate Macrophage Infiltration and Accelerate Full-Thickness Cutaneous Wound Healing in Diabetic Mice.

Molecules 2021 Apr 27;26(9). Epub 2021 Apr 27.

Department of Dermatology, Medical University of Warsaw, 02-091 Warsaw, Poland.

Impaired wound healing is a major medical challenge, especially in diabetics. Over the centuries, the main goal of tissue engineering and regenerative medicine has been to invent biomaterials that accelerate the wound healing process. In this context, keratin-derived biomaterial is a promising candidate due to its biocompatibility and biodegradability. Read More

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Wound Management Strategy for Treatment of Localized Cutaneous Leishmaniasis Using the TIME Framework.

Wounds 2021 Jan;33(1):E6-E9

Department of Dermatology, University of Pisa, Pisa, Italy.

Introduction: The current drugs available for the treatment of cutaneous leishmaniasis (CL) often cause several adverse events, and the risk-benefit ratio is low due to the risk of severe complications. Current treatment recommendations are based on data from areas endemic for leishmaniasis and are not always perfectly applicable, especially in cases of imported CL. Thus, it is crucial to assess the level of severity in each case to provide the most appropriate treatment modality. Read More

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January 2021

Pressure Injuries Due to Personal Protective Equipment in COVID-19 Critical Care Units.

Am J Crit Care 2021 Apr 29:e1-e7. Epub 2021 Apr 29.

Alberto Lucchini is a nurse coordinator in the general intensive care unit, ASST Monza, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.

Background: Caring for patients with COVID-19 requires wearing a full set of personal protective equipment (PPE) to avoid contamination. Personal discomfort has been associated with use of PPE, and anecdotal reports describe pressure injuries related to wearing PPE.

Objectives: To investigate the occurrence of device-related pressure injuries due to wearing PPE among Italian nurses caring for patients with COVID-19 in critical care settings. Read More

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Pilonidal Cyst Excision: Primary Midline Closure with versus without Closed Incision Negative Pressure Therapy.

Plast Reconstr Surg Glob Open 2021 Mar 23;9(3):e3473. Epub 2021 Mar 23.

Department of General and Trauma Surgery, Pontifical Catholic University of São Paulo, Sorocaba, Brazil.

Background: Pilonidal cysts are a painful condition that primarily affect young adult men. In the literature, numerous operative techniques for resolving pilonidal cysts are described, with variable outcomes. The objective of this study was to compare primarily closed midline incisions managed with or without the use of closed incision negative pressure therapy after pilonidal cyst excision. Read More

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Negative pressure wound therapy for surgical site infections: A systematic review and meta-analysis.

J Adv Nurs 2021 Apr 27. Epub 2021 Apr 27.

Department of Emergency Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.

Objective: Negative pressure wound therapy is one of the most common treatments for infected wounds. The aim of this meta-analysis was to compare the efficacy of negative pressure wound therapy with conventional treatment methods in the treatment of surgical site infection.

Design: This study is registered with International Prospective Register of Systematic Reviews. Read More

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Initial Experience Combining Negative Pressure Wound Therapy with Autologous Skin Cell Suspension and Meshed Autografts.

J Burn Care Res 2021 Apr 27. Epub 2021 Apr 27.

Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC.

The success of autologous split-thickness skin grafts (STSGs) in the treatment of full thickness burns is often dependent on the dressing used to secure it. Tie-over bolsters have been used traditionally, however, they can be uncomfortable for patients and preclude grafting large areas in one definitive operation. Negative pressure wound therapy (NPWT) is used as an alternative to bolster dressings and may afford additional wound healing benefits. Read More

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Localized Delivery of Drugs through Medical Textiles for Treatment of Burns: A Perspective Approach.

Adv Pharm Bull 2021 Feb 15;11(2):248-260. Epub 2020 Jul 15.

Department of Pharmacy, Pranveer Singh Institute of Technology, Kalpi Road, Bhauti, Kanpur-208020, India.

The topical delivery offers numerous benefits, such as the ability to deliver drugs specifically on site selectively, prevents fluctuations in the levels of the drug, improved compliance, and improved self-medication capacity. Skin is the main route of the administration of the drug delivery system (DDS) and burns mainly cause skin damage. A burn is a kind of damage caused to skin and tissues by fire, ice, electrical energy, pollutants, friction, and radiation. Read More

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February 2021

Effect of different doses of lyophilized beetroot on fertility and reproductive hormones.

Pak J Pharm Sci 2020 Nov;33(6):2505-2510

Department of Pharmacology, Faculty of Pharmacy, Jinnah Sindh Medical University, Karachi, Pakistan.

Infertility has recently been a common issue for which multiple medicinal as well as surgical treatments are available. Beta vulgaris commonly referred to as garden beet is one of the most utilized vegetable especially in salad dressings. The Present study was conducted to evaluate the effect of lyophilized beet root on fertility and reproductive hormones. Read More

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November 2020

Evaluation of effectiveness of a new treatment method for healing infected wounds: an animal model.

J Wound Care 2021 Apr;30(4):312-322

Kuban State University, Krasnodar, Russia.

Objective: To evaluate the effectiveness of a new treatment method in healing superficial infected wounds compared with surgical debridement with chlorhexidine solution.

Method: In this animal model, two wounds were created on the back of 10 male adult rabbits. Wounds treated by Method 1 were debrided using 0. Read More

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Antimicrobial stewardship strategies in wound care: evidence to support the use of dialkylcarbamoyl chloride (DACC)- coated wound dressings.

J Wound Care 2021 Apr;30(4):284-296

WoundCareSol Consultancy, UK.

Background: Traditionally, infections are treated with antimicrobials (for example, antibiotics, antiseptics, etc), but antimicrobial resistance (AMR) has become one of the most serious health threats of the 21st century (before the emergence of COVID-19). Wounds can be a source of infection by allowing unconstrained entry of microorganisms into the body, including antimicrobial-resistant bacteria. The development of new antimicrobials (particularly antibiotics) is not keeping pace with the evolution of resistant microorganisms and novel ways of addressing this problem are urgently required. Read More

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Resuscitative transesophageal echocardiography in the diagnosis of post-CABG loculated pericardial clot causing cardiac tamponade.

Ultrasound J 2021 Apr 15;13(1):22. Epub 2021 Apr 15.

Division of Emergency Ultrasound, Department of Emergency Medicine, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA.

Background: Pericardial effusion is a known complication of post-open cardiac surgery which can progress to life-threatening cardiac tamponade. Classical signs of tamponade such as hypotension and pulsus paradoxus are often absent. Diagnosing acute cardiac tamponade with transthoracic echocardiography (TTE) can be challenging in post-cardiac surgical patients due to distorted anatomy and limited scanning windows by the presence of surgical dressings or scar. Read More

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Diabetic Foot Amputation Prevention During COVID-19.

Adv Skin Wound Care 2021 May;34(5):1-4

Kshitij Shankhdhar, MBBS, MD, PhD, is Diabetologist, L.K. Diabetes Centre, Indira Nagar, Lucknow, India. The author has disclosed no financial relationships related to this article. Submitted October 15, 2020; accepted in revised form December 4, 2020.

Abstract: In this case report, the treatment of a patient with a diabetic foot ulcer on his left foot was interrupted by the novel coronavirus 2019 pandemic lockdown in India. The author guided the patient via telephone and online services. Based on the history given by the patient, the lesion started as blistering from improperly fitted footwear that then evolved into multiple infected ulcerations on the dorsal surface of the great toe (osteomyelitis with septic arthritis of the joint). Read More

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Cost-effectiveness of single-use negative-pressure therapy compared with standard care for prevention of reconstruction failure in prepectoral breast reconstruction.

BJS Open 2021 Mar;5(2)

Smith and Nephew, Hull, UK.

Background: Single-use negative-pressure wound therapy (sNPWT) has been reported to reduce the incidence of reconstruction failure in prepectoral breast reconstruction compared with standard surgical dressings. The aim of this economic evaluation was to investigate the cost-effectiveness of sNPWT compared with standard care for the prevention of reconstruction failure in prepectoral breast reconstruction in the UK.

Method: A decision tree model was used to estimate the expected cost and effectiveness per patient. Read More

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[POSTOPERATIVE CONTROLLED ANALGESIA IN PATIENTS WITH HEAD AND NECK CANCER].

Authors:
A Kushta S Shuvalov

Georgian Med News 2021 Feb(311):36-40

National Pirogov Memorial Medical University, Vinnytsya, Ukraine.

Acute postoperative pain is still an urgent problem in surgery. Today there are many drugs for pain relief, but at the same time, the adequacy of postoperative analgesia for the subjective assessments of patients does not exceed 50%. Therefore, taking into account the pathophysiology of acute pain syndrome, it is necessary to inject an anesthetic directly near the operating field, which can be achieved by long-term conduction anesthesia. Read More

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February 2021

Robust closure of post-endoscopic submucosal dissection perforation by microparticle-based wound dressing.

Mater Sci Eng C Mater Biol Appl 2021 Apr 24;123:111993. Epub 2021 Feb 24.

Polymers and Biomaterials Field, Research Center for Functional Materials, National Institute for Materials Science, 1-1 Namiki, Tsukuba, Ibaraki, 305-0044, Japan; Graduate School of Science and Technology, Degree Programs in Pure and Applied Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan. Electronic address:

Endoscopic submucosal dissection (ESD) has been used as a minimally invasive cancer treatment for early-stage gastrointestinal cancer. However, cancer dissection in thin tissues, such as the duodenum and large intestine, often cause post-ESD and delayed perforation, which elicit severe complications. In this study, we report a microparticle-based wound dressing with hydrophobically-modified gelatin that can close the perforation after ESD. Read More

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Mechanical and Morphological Assessment of an Innovative Textile for Patient Positioning Applications: Comparison to Two Standard Bandage Systems.

Materials (Basel) 2021 Mar 19;14(6). Epub 2021 Mar 19.

Experimental Orthopedics, Department of Orthopedic and Trauma Surgery, Medical University Innsbruck, 6020 Innsbruck, Austria.

In the healthcare environment, bandage systems are versatile medical devices to position and fix patients' torsos or extremities. In this study, the mechanical and morphological properties of an innovative patient position system, iFix, were assessed and compared to two commercially available bandages. Morphological properties were investigated using a scanning electron microscope (SEM). Read More

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Effects of a Catechol-Functionalized Hyaluronic Acid Patch Combined with Human Adipose-Derived Stem Cells in Diabetic Wound Healing.

Int J Mol Sci 2021 Mar 5;22(5). Epub 2021 Mar 5.

Biomedical Research Center, Korea University Ansan Hospital, Ansan 15355, Korea.

Introduction: Chronic inflammation and impaired neovascularization play critical roles in delayed wound healing in diabetic patients. To overcome the limitations of current diabetic wound (DBW) management interventions, we investigated the effects of a catechol-functionalized hyaluronic acid (HA-CA) patch combined with adipose-derived mesenchymal stem cells (ADSCs) in DBW mouse models.

Methods: Diabetes in mice (C57BL/6, male) was induced by streptozotocin (50 mg/kg, >250 mg/dL). Read More

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To compare the effect of sea buckthorn and silver sulfadiazine dressing on period of wound healing in patients with second-degree burns: A randomized triple-blind clinical trial.

Wound Repair Regen 2021 Apr 1. Epub 2021 Apr 1.

Department of Medical-Surgical Nursing, Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Burn injuries can be associated with the incidence of disability and death, yet their management remains a costly difficult problem. We conducted this clinical trial to evaluate the period of wound healing with sea buckthorn dressings for the second-degree burns and compare the results with 1% silver sulfadiazine (SSD) dressings. This randomized triple-blind clinical trial was conducted in a hospital in Isfahan, Iran. Read More

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