Search our Database of Scientific Publications and Authors

I’m looking for a

    11419 results match your criteria Surgical Dressings

    1 OF 229

    Contrast Media Extravasation in CT and MRI - A Literature Review and Strategies for Therapy.
    Rofo 2018 Jun 18. Epub 2018 Jun 18.
    Department of Radiology, University Hospital Regensburg, Germany.
    Background:  Contrast extravasation events in daily radiological routine may lead to serious complications, especially during CT examinations. The resulting symptoms may vary from local pain up to skin ulcers, necrosis or even acute compartment syndrome.There are no uniformly accepted radiological guidelines or recommendations regarding detection and treatment of extravasation events and immanent complications in a timely manner. Read More

    The Use of a Silver-Nylon Dressing During Evacuation of Military Burn Casualties.
    J Burn Care Res 2018 Jun;39(4):593-597
    Uniformed Services University of the Health Sciences, Bethesda, Maryl.
    The military has used silver-nylon dressings as a topical antimicrobial on combat-related burns for the past 15 years. However, their clinical efficacy and associated risks have not been evaluated. Herein, the authors document our experience with the use of a specific silver-nylon dressing (Silverlon®) during global evacuation of casualties from combat zones to the United States sArmy Institute of Surgical Research Burn Center. Read More

    A comparative study of two techniques in the treatment of condyloma acuminata.
    Ann Ital Chir 2018 Jun 14;7. Epub 2018 Jun 14.
    Objectives: Condyloma acuminata (CA) is mainly caused by human papillomavirus (HPV) types 6 and 11. Clinicians use many different methods to treat analcondyloma acuminate ( CA). In this study, we aimed to compare electrocautery ablation (ECA) and argon plasma coagulation (APC) techniques in terms of postoperative bleeding, pain, scar development, loss of sexual sensation, and recurrence rates. Read More

    Low-stretch bandages to treat primary lower limb lymphoedema: a cohort of 48 children.
    Br J Dermatol 2018 Jun 13. Epub 2018 Jun 13.
    Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares (Lymphoedèmes Primaires), Hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015, Paris, France.
    Primary childhood lymphoedema is a rare disorder, attributed to constitutional lymphatic system abnormality(ies), with familial, syndromic and nonsyndromic forms, associated or not with known gene mutation(s). Lymphoedema treatment for adults is based on complete decongestive physiotherapy, comprised of an initial intensive phase, to reduce volume that includes low-stretch bandaging, manual lymph drainage, exercises and skin care, followed by a maintenance phase, essentially based on wearing an elastic garment. Recommendations addressing upper limb lymphoedema after breast cancer, exclusively for adult women, were extrapolated to primary lymphoedema. Read More

    Effect 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 Randomized Clinical Trial.
    JAMA 2018 06;319(22):2280-2288
    Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick, Gibbet Hill Campus, Coventry, United Kingdom.
    Importance: Open fractures of the lower limb occur when a broken bone penetrates the skin. There can be major complications from these fractures, which can be life-changing.

    Objectives: To assess the disability, rate of deep infection, and quality of life in patients with severe open fracture of the lower limb treated with negative pressure wound therapy (NPWT) vs standard wound management after the first surgical debridement of the wound. Read More

    β-N-oxalyl-L-α,β-diaminopropionic acid induces wound healing by stabilizing HIF-1α and modulating associated protein expression.
    Phytomedicine 2018 May 11;44:9-19. Epub 2018 Apr 11.
    Department of Biochemistry, Osmania University, Hyderabad, TS, India. Electronic address:
    Background: β-N-oxalyl-L-α,β-diaminopropionic acid (L-ODAP) is a non-protein amino acid with haemostatic property present in Lathyrus sativus. It is considered to be the causative agent of neurolathyrism that occurs upon prolonged overconsumption of Lathyrus sativus seeds. L-ODAP is used as a haemostatic drug in surgical dressings. Read More

    Standard wound management versus negative-pressure wound therapy in the treatment of adult patients having surgical incisions for major trauma to the lower limb-a two-arm parallel group superiority randomised controlled trial: protocol for Wound Healing in Surgery for Trauma (WHIST).
    BMJ Open 2018 Jun 7;8(6):e022115. Epub 2018 Jun 7.
    Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
    Introduction: Patients with closed high-energy injuries associated with major trauma have surprisingly high rates of surgical site infection in incisions created during fracture fixation. One factor that may reduce the risk of surgical site infection is the type of dressing applied over the closed surgical incision. In this multicentre randomised clinical trial, negative-pressure wound therapy will be compared with standard dressings with outcomes of deep infection, quality of life, pain and disability. Read More

    [Elephantiasis of the left lower limb].
    Pan Afr Med J 2018 31;29:95. Epub 2018 Jan 31.
    Service de Dermatologie, Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc.
    We report the case of a 48-year old female patient with a pathological history of chronic venous insufficiency which required a surgical treatment 5 years before, presenting in the Department of Dermatology with increased left lower limb evolved over the past 4 years. Clinical examination showed increased lower limb, compared to the contralateral limb, with surgical scar at the level of the external face of the left leg and some papillomatous lesions involving the entire left foot and covering the five left toes. The diagnosis of post-traumatic lymphedema (post-surgical) was retained. Read More

    Is there an ideal way to close the donor site of radial forearm free flaps?
    Br J Oral Maxillofac Surg 2018 May 30. Epub 2018 May 30.
    Department of Oral- and Maxillofacial Surgery, University Clinic RWTH Aachen, Powelsstr. 30, 52074 Aachen, Germany.
    Radial forearm free flaps (RFFF) are the "workhorse" of reconstructive head and neck surgery, but have considerable morbidity at the donor site. The aim of this study was to review current publications about the incidence and type of morbidity and the different techniques used for closure of the site. We screened the MEDLINE database to find relevant papers using the terms "RFFF head and neck" and "RFFF donor site". Read More

    Lower Extremity Salvage with Thoracodorsal Artery Perforator Free Flap in Condition of Symmetrical Peripheral Gangrene.
    Biomed Res Int 2018 8;2018:6508607. Epub 2018 May 8.
    Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul National University Hospital, Seoul, Republic of Korea.
    Symmetrical peripheral gangrene (SPG) is rare but devastating complication which is characterized by symmetrical ischemic change of the distal extremities. In this report, we describe our management protocol for SPG, focusing on surgical approaches. Between January 2007 and February 2016, 10 thoracodorsal artery perforator (TDAP) free flaps were performed in 6 patients with SPG. Read More

    Pressure guided surgery of compartment syndrome of the limbs in burn patients.
    Ann Burns Fire Disasters 2017 Sep;30(3):193-197
    Paris Diderot University, Plastic, Reconstructive and Cosmetic Surgery Department, Burn Centre, Paris, France.
    Compartment syndrome is a serious complication of high voltage electrical burns, limb carbonization and deep circular burns with delayed escharotomy. Without treatment, ischemic tissue damage leads to irreversible necrosis. Treatment is emergency surgical decompression. Read More

    Infections complicating cesarean delivery.
    Curr Opin Infect Dis 2018 May 29. Epub 2018 May 29.
    Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Johns Hopkins School of Medicine, Baltimore, Maryland.
    Purpose Of Review: Cesarean sections are common surgical procedures performed in a healthy population and are unique because of a relatively high rate of postoperative infection. There have been many important advances in understanding the pathogenesis of infection and evaluation of interventions to prevent post cesarean section infections in the last few years. Our purpose in this review is to analyze these new data, discuss unanswered questions, and propose changes in standard of care. Read More

    Novel murine model for delayed wound healing using a biological wound dressing with Pseudomonas aeruginosa biofilms.
    Microb Pathog 2018 May 26;122:30-38. Epub 2018 May 26.
    Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA. Electronic address:
    Bacterial biofilms impair healing in 60% of chronic skin wounds. Various animal models (mice, rats, rabbits, and pigs) have been developed to replicate biofilm infected wounds in vivo. We developed a sustained wound infection model by applying preformed Pseudomonas aeruginosa biofilms on a wound dressing to full-thickness murine skin wounds. Read More

    Stretchable Optomechanical Fiber Sensors for Pressure Determination in Compressive Medical Textiles.
    Adv Healthc Mater 2018 May 29:e1800293. Epub 2018 May 29.
    Mechanical Engineering Department, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.
    Medical textiles are widely used to exert pressure on human tissues during treatment of post-surgical hematoma, burn-related wounds, chronic venous ulceration, and other maladies. However, the inability to dynamically sense and adjust the applied pressure often leads to suboptimal pressure application, prolonging treatment or resulting in poor patient outcomes. Here, a simple strategy for measuring sub-bandage pressure by integrating stretchable optomechanical fibers into elastic bandages is demonstrated. Read More

    A randomized controlled trial on the effect of a silver carboxymethylcellulose dressing on surgical site infections after breast cancer surgery.
    PLoS One 2018 23;13(5):e0195715. Epub 2018 May 23.
    Department of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
    Background: The incidence of surgical site infections (SSIs) after breast cancer surgery is relatively high; ranging from 3 to 19%. The role of wound dressings in the prevention of SSI after breast cancer surgery is unclear. This study compares a silver carboxymethylcellulose dressing (AQUACEL Ag Surgical (Aquacel) with standard wound dressing in SSI rate after breast cancer surgery. Read More

    Effectiveness of double tie-over dressing compared with bolster dressing.
    Arch Plast Surg 2018 May 15;45(3):266-270. Epub 2018 May 15.
    Department of Plastic and Reconstructive Surgery, Gachon University Gil Medical Center, Incheon, Korea.
    Background: Skin grafting is a commonly performed operation in plastic and reconstructive surgery. The tie-over dressing is an effective technique to secure the grafted skin by delivering persistent downward pressure. However, if an additional dressing is required due to incomplete graft healing, the process of re-implementing the tie-over dressing may be frustrating for both patients and surgeons. Read More

    Intramedullary nail fixation versus locking plate fixation for adults with a fracture of the distal tibia: the UK FixDT RCT.
    Health Technol Assess 2018 May;22(25):1-148
    Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
    Background: The best treatment for fractures of the distal tibia remains controversial. Most of these fractures require surgical fixation, but the outcomes are unpredictable and complications are common.

    Objectives: To assess disability, quality of life, complications and resource use in patients treated with intramedullary (IM) nail fixation versus locking plate fixation in the 12 months following a fracture of the distal tibia. Read More

    Biomedical Materials Learn to Heal Themselves: Self-Healing Polymers, Hydrogels, and Artificial Muscles Are Mimicking Nature's Repair Mechanisms.
    IEEE Pulse 2018 May-Jun;9(3):10-14
    Maintaining sterility in emergency and operating rooms can be challenging, especially in cases of highly infectious disease outbreaks or toxic spills. A simple nick in a surgical glove under such circumstances could have deadly consequences. But, now, a variety of promising new materials in development may lead to everything from self-healing gloves and bandages to bone, blood vessel, and muscle scaffolding implants that could repair themselves the way tissues do. Read More

    Effectiveness of a chlorhexidine dressing on silver-coated external ventricular drain associated colonization/infection - a prospective single-blinded randomized controlled clinical trial (EVDAI-Study).
    Clin Infect Dis 2018 May 4. Epub 2018 May 4.
    Department of Neurosurgery, University Hospital Basel, University of Basel, Switzerland.
    Background: Observational studies have shown that dressings containing chlorhexidine gluconate (CHX) lower the incidence external ventricular drain (EVD) associated infections (EVDAI). This prospective, randomized controlled trial (RCT) studies the efficacy of CHX-containing dressings in reducing bacterial colonization, which represents an important risk factor for infectious complications.

    Methods: In this single-site, prospective, double-blinded RCT, patients aged ≥18 undergoing emergency EVD placement were randomly given either a CHX- or an otherwise identical control dressing at the skin exit wound of the EVD. Read More

    Prehospital haemostatic dressings for trauma: a systematic review.
    Emerg Med J 2018 May 4. Epub 2018 May 4.
    Faculty of Medicine, School of Biomedical Sciences, University of Queensland, Brisbane, Queensland, Australia.
    Background: Haemorrhage is a major cause of mortality and morbidity following both military and civilian trauma. Haemostatic dressings may offer effective haemorrhage control as part of prehospital treatment.

    Aim: To conduct a systematic review of the clinical literature to assess the prehospital use of haemostatic dressings in controlling traumatic haemorrhage, and determine whether any haemostatic dressings are clinically superior. Read More

    Use of a Novel Foam Dressing With Negative Pressure Wound Therapy and Instillation: Recommendations and Clinical Experience.
    Wounds 2018 03;30(3 suppl):S1-S17
    Plastic Surgery in Wound Healing and Burns, Montpellier University Hospital, Montpellier, France.
    A new reticulated open-cell foam dressing with through holes (ROCF-CC) has been introduced to assist with wound cleansing by removing thick wound exudate and infectious materials during neg- ative pressure wound therapy with instillation. Due to the limited published evidence supporting use of ROCF-CC dressings with negative pressure wound therapy with instillation and dwell time (NPWTi-d), clinicians have been relying on practical application experience to gain pro ciency with the dressing and NPWTi-d. To help provide general guidelines for safe and e cient use of ROCF-CC dressings with NPWTi-d, a multidisciplinary expert panel of clinicians was convened from September 28 to 29, 2017. Read More

    [Traversing the vertical pedicle flap for the treatment of severely buried penis in children].
    Zhonghua Nan Ke Xue 2017 Jun;23(6):527-530
    No. 2 Department of Pediatric Urology, Children's Hospital of Anhui Province, Hefei, Anhui 230000, China.
    Objective: To assess the effect of traversing the vertical pedicle flap (TVPF) for the treatment of severely buried penis in children.

    Methods: Totally 43 children with severely buried penis underwentTVPF (n = 21)or modifiedShiraki surgery (control, n = 22) in our hospitalfrom February to December 2014. Wecompared the operation time, intra-operation blood loss, foreskin swelling time, and parents' satisfaction with penile appearance between the two groups. Read More

    Pediatric Digital Necrosis Secondary to Dressing Application: A Case Series.
    Hand (N Y) 2018 Apr 1:1558944718772387. Epub 2018 Apr 1.
    2 University of Rochester Medical Center, NY, USA.
    Background: Pediatric digital necrosis resulting in revision amputation is a devastating outcome following digital dressing application.

    Methods: We report a series of 4 pediatric patients (age: 21 months-11 years) who presented for surgical consultation related to digital ischemia and irreversible necrosis following the application of Coban digital dressings. A review of the literature demonstrated that such injuries had not previously been described. Read More

    Effectiveness of aspiration or deroofing for blister management in patients with burns: A prospective randomized controlled trial.
    Medicine (Baltimore) 2018 Apr;97(17):e0563
    Department of Plastic and Reconstructive Surgery, Medical School of Chonbuk National University.
    Background: Health care providers commonly encounter blisters when treating burn patients. The question as to whether burn blisters should be drained or deroofed has long been debated. To our knowledge, there has been no controlled, randomized clinical trial to determine which treatment is the best management option. Read More

    Plasma rich in growth factors membrane as coadjuvant treatment in the surgery of ocular surface disorders.
    Medicine (Baltimore) 2018 Apr;97(17):e0242
    University Institute for Regenerative Medicine and Oral Implantology, UIRMI (UPV/EHU-Fundación Eduardo Anitua).
    To evaluate the safety and efficacy of the surgical use of plasma rich in growth factors fibrin membrane (mPRGF) in different ocular surface pathologies.Fifteen patients with different corneal and conjunctival diseases were included in the study. Patients were grouped according to the use of mPRGF as graft (corneal and/or conjunctival) or dressing; they were also grouped according to the surgical subgroup of intervention (persistent corneal ulcer [PCU], keratoplasty, superficial keratectomy, corneal perforation, and pterygium). Read More

    [Burn wound treatment through enzymatic debridement: First experience in Switzerland].
    Handchir Mikrochir Plast Chir 2018 Apr 26. Epub 2018 Apr 26.
    Klinik für Plastische Chirurgie und Handchirurgie, Zentrum für Brandverletzte, UniversitätsSpital Zürich.
    Introduction: Thermal injuries are frequent and can be associated with relevant morbidity and mortality in severe cases. Excisional debridement followed by autografting is the standard of care for deep burns, but is associated with serious potential complications. Clinical results of a novel enzymatic debridement based on Bromelain raw material extracted from the pineapple plant (Nexobrid™) were published in 2014. Read More

    Prevalence and risk factors of pressure ulcers in a Tunisian hospital.
    Tunis Med 2017 Jul;95(7):494-499
    Background: the aim of thisstudywas to investigate the prevalence of pressure ulcers in hospitalized patients at the Charles Nicolle Hospital in Tunis, measure the risk of their occurrence, analyzepreventive and curative measuresundertaken and evaluatefactorspredisposing to pressure ulcers.

    Methods: A one-day survey was performed in all hospitalized patients. Emergency services, neonatology and pediatrics were excluded. Read More

    A review of the safety and efficacy of inhaled methoxyflurane as an analgesic for outpatient procedures.
    Br J Anaesth 2018 May 12;120(5):1040-1048. Epub 2018 Feb 12.
    Peter MacCallum Cancer Centre, Melbourne, Australia; University of Melbourne, Melbourne, Australia.
    Methoxyflurane delivered via a hand-held inhaler is a proven analgesic which has been used in Australasia for emergency relief of trauma associated pain since the 1970s. The agent is self-administered by the patient under the supervision of trained personnel. More than 5 million patients have received inhaled methoxyflurane without significant side effects. Read More

    The Effect of Rhythmic Breathing on Pain of Dressing Change in Patients with Burns Referred to Ayatollah Mousavi Hospital.
    World J Plast Surg 2018 Jan;7(1):51-57
    Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
    Background: Burn is the worst tragedy among modern societies that individuals may experience. One of the most important problems of burns is pain; particularly at the time of treatment including burn dressings, debridement, surgical incisions and physiotherapy. The aim of this study was to determine the effect of rhythmic breathing on pain of dressing change in patients with burns. Read More

    Medical textiles in orthopedics: An overview.
    J Clin Orthop Trauma 2018 Mar 27;9(Suppl 1):S26-S33. Epub 2017 Oct 27.
    Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi 110076, India.
    The use of textile in the medical field is not new; this has given rise to a new branch known as medical textiles. These are being used to repair or replace various other musculoskeletal tissues. The most common uses of biomaterials are to create aseptic conditions for protection, general health care, and hygiene including bedding and clothing, surgical gowns, face masks, head and shoe covers, sterilization wraps, suture anchors, fiber cast and braces/orthotics. Read More

    Inorganic Nanomaterials for Soft Tissue Repair and Regeneration.
    Annu Rev Biomed Eng 2018 Jun 5;20:353-374. Epub 2018 Apr 5.
    Department of Chemical Engineering, Arizona State University, Tempe, Arizona 85287-6106, USA; email:
    Inorganic nanomaterials have witnessed significant advances in areas of medicine including cancer therapy, imaging, and drug delivery, but their use in soft tissue repair and regeneration is in its infancy. Metallic, ceramic, and carbon allotrope nanoparticles have shown promise in facilitating tissue repair and regeneration. Inorganic nanomaterials have been employed to improve stem cell engraftment in cellular therapy, material mechanical stability in tissue repair, electrical conductivity in nerve and cardiac regeneration, adhesion strength in tissue approximation, and antibacterial capacity in wound dressings. Read More

    Efficacy of Chitosan-Based Dressing for Control of Bleeding in Excisional Wounds.
    Eplasty 2018 10;18:e14. Epub 2018 Mar 10.
    Section of Surgical Sciences, Department of Surgery, John Hopkins Bayview Medical Center, John Hopkins University School of Medicine, Baltimore, Md.
    Excessive bleeding is a complication of wound debridement in patients receiving anticoagulation treatment. Chitosan is a linear, positively charged polysaccharide that has potential as a hemostatic topical dressing. This study examined the hemostatic efficacy of the chitosan based Opticell dressing (Medline Industries, Chicago, Ill) in heparinized rats with excisional wounds mimicking debridement. Read More

    [Advances in the research of antibacterial properties of silver ion and its application in wound treatment].
    Zhonghua Shao Shang Za Zhi 2018 Mar;34(3):183-186
    Key Laboratory of Environmental Medicine and Engineering, Ministry of Education, School of Public Health & Collaborative Innovation Center of Suzhou Nano Science and Technology, Southeast University, Jiangsu Key Laboratory for Biomaterials and Devices, Nanjing 210009, China.
    Nowadays, antibacterial products containing silver ion are widely used in clinical wound treatment. The concentration of silver ion in products, pH value, and other factors may affect the release of silver ion and its antibacterial effects. In the treatment of clinical wound, silver ion product plays a good role in anti-infection, promoting healing and reducing medical expenses. Read More

    Inner Scar Umbilicus: New Horizons for Vertical Abdominoplasty.
    Plast Reconstr Surg 2018 Apr;141(4):507e-516e
    São Paulo, Brazil From the Division of Plastic Surgery, Botucatu Medical School-Paulista State University (Universidade Estadual Paulista).
    Background: It is reasonable that deflated tissue in massive weight loss patients may demand not only lifting but also some extent of central body tightening, by the fleur-de-lis procedure. Although achieving nice contouring results, poor visible scars, including umbilical complications, have restricted the indications for the anterior vertical approach. The purpose of this article is to present the authors' experience with the inner scar umbilical reconstruction, reflecting overall results in vertical abdominoplasties. Read More

    Treatment of partial thickness hand burn injuries in children with combination of silver foam dressing and zinc-hyaluronic gel: Case reports.
    Medicine (Baltimore) 2018 Mar;97(13):e9991
    Department of Paediatrics, Surgical Division.
    Rationale: Burns is a common type of traumatic injury in childhood. Nowadays, several wound dressings are available to treat the second-degree hand burns conservatively.

    Patient Concerns, Diagnoses: At the authors' institute, 37 children were treated conservatively with a special dressing at first intervention containing Aquacel Ag foam and Zn-hyaluronic gel to determine their effectiveness on partial thickness hand burns. Read More

    Pectin-honey hydrogel: Characterization, antimicrobial activity and biocompatibility.
    Biomed Mater Eng 2018 ;29(3):347-356
    Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), Italy.
    Background: Novel pectin-honey hydrogels have been developed and characterized as medical device. Ideally, a wound dressing should maintain optimal fluid affinity, permit moisture evaporation, protect the wound from microbes, and have shape-conformability, biocompatibility, and antibacterial activity.

    Objective: A novel, simple and fast method to produce pectin-honey wound dressings is described. Read More

    Effect of an acrylic terpolymer barrier film beneath transparent catheter dressings on skin integrity, risk of dressing disruption, catheter colonisation and infection.
    Intensive Crit Care Nurs 2018 Jun 23;46:17-23. Epub 2018 Mar 23.
    N. I. Pirogov National Medical Surgical Center, Moscow, Russia.
    Objectives: We assessed the effect of a skin-protective terpolymer barrier film around the catheter insertion site on frequency of dressing disruptions and skin integrity issues (hyperaemia, skin irritation, residues of adhesives and moisture under the dressing). Secondary outcomes included colonisation of the central venous catheter (CVC) and rates of central line-associated bloodstream infection.

    Research Methodology: A monocentric, open-label, randomised controlled trial was performed comparing a control group receiving standard transparent catheter dressings without the skin-protecting barrier film and an intervention group receiving a transparent chlorhexidine-impregnated dressing with use of the skin-protective acrylic terpolymer barrier film (3M™ Cavilon™ No - Sting Barrier Film, 3 M Health Care, St. Read More

    Efficacy and adverse effects of topical chloramphenicol ointment use for surgical wounds: a systematic review.
    ANZ J Surg 2018 Mar 23. Epub 2018 Mar 23.
    Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
    Background: Chloramphenicol ointment is often used in plastic and dermatologic surgery as a topical antibiotic for surgical wounds, but evidence regarding its efficacy and side effects is lacking. In addition, anecdotal fear of aplastic anaemia exists from the oral use of this drug. We performed a systematic review of the literature to assess the efficacy and side effect profile of topical chloramphenicol ointment on non-ocular surgical wounds. Read More

    Skin Laceration in Collagenase Clostridium histolyticum Treatment for Dupuytren's Contracture.
    Orthop Nurs 2018 Mar/Apr;37(2):144-153
    Rafael Sanjuan-Cervero, MS, Orthopaedic Surgeon, Orthopedics and Traumatology Surgery, Hospital de Denia, Partida Beniadlà, Alicante, Spain; and Doctoral Program in Pharmacy, University of Granada, Granada, Spain. Francisco J. Carrera-Hueso, PhD, PharmD, Pharmacy Service, Hospital Dr Moliner, Valencia, Spain. Salvador Oliver-Mengual, BSN, Nursery, Grade of Nurse, Orthopedics and Traumatology Surgery, Hospital de Denia, Alicante, Spain. Maria A. Ramon-Barrios, BSN, Nursery, Grade of Nurse, Pharmacy Service, Hospital Dr Moliner, Valencia, Spain. Clayton A. Peimer, MD, Orthopaedic Surgeon, UP Health System Marquette/Duke Life Point, Marquette, MI. Narjis Fikri-Benbrahim, PhD, PharmD, Researcher, Academic Center in Pharmaceutical Care, University of Granada, Granada, Spain.
    Background: Dupuytren's contracture produces a progressive flexion contracture of the affected fingers. Collagenase Clostridium histolyticum produces breakdown of the cord in the hand and/or finger(s) that tightens as a result of the disease creating a contracture, allowing manual traction and cord rupture. One of the side effects is spontaneous skin laceration when the finger is extended. Read More

    [Nursing Care Experiences of Periwound Moisture-Associated Dermatitis After Simultaneous Pancreas-Kidney Transplantation].
    Hu Li Za Zhi 2018 Apr;65(2):109-118
    MSN, RN, Supervisor, Department of Nursing, National Taiwan University Hospital, Taiwan, ROC.
    Simultaneous pancreas-kidney (SPK) transplantation is the primary surgical treatment for type I diabetes mellitus with end-stage renal disease. However, this transplant surgery has a high-risk of surgical complications, including duodenal anastomotic leakage, which may lead to pancreas transplantation failure if the leakage worsens. This case report describes a patient who suffered from duodenal anastomotic leakage after SPK transplantation. Read More

    Selecting appropriate postoperative dressings to support wound healing and reduce surgical site infection.
    Br J Nurs 2018 Mar;27(6):S32-S35
    Freelance Tissue Viability Nurse and Health Visitor.
    The appropriate choice of postoperative dressing supports effective wound healing by providing a moist wound environment and reducing the risk of surgical site infection and blistering. Wound management is complex and practitioners need to consider the location of the wound, method of wound closure, expected exudate level and length of time the dressing needs to remain in place when selecting a product. The correct dressing selection will have a positive impact wound healing and the patient's quality of life. Read More

    The effect of wound dressings on infection following total joint arthroplasty.
    Arthroplast Today 2018 Mar 3;4(1):125-129. Epub 2017 Jul 3.
    Department of Orthopaedic Surgery, NYU Langone Medical Center's Hospital for Joint Diseases, New York, NY, USA.
    Background: The use of perioperative surgical wound dressings is an important factor in the mitigation of infection following total joint arthroplasty (TJA). Few studies have been published comparing wound dressings and infection rates after TJA.

    Methods: MEDLINE, PubMed, and EMBASE were searched for studies published between 2006 and 2016 reporting infection rates in patients using various wound dressings after undergoing TJA. Read More

    Local control of polymicrobial infections via a dual antibiotic delivery system.
    J Orthop Surg Res 2018 Mar 15;13(1):53. Epub 2018 Mar 15.
    United States Army Institute of Surgical Research, 3855 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX, 78234, USA.
    Background: Contaminated traumatic open orthopedic wounds are frequently complicated by polymicrobial contamination and infection. In high-risk wounds, the standard of care comprises debridement and irrigation combined with antibiotics which can be applied directly or combined with systemic antibiotics. Recently, bioabsorbable chitosan sponges have been shown to be an effective single-agent delivery device for local antibiotics with and without negative pressure wound therapy (NPWT). Read More

    The Effectiveness of Applying Soft Tissue Bonding Adhesive Composed of 2-Ethyl Cyanoacrylate to Epidural Catheter Fixations Using Film Dressings: An Open-Label, Randomized, Parallel-Group Comparative Study.
    Anesth Analg 2018 Mar 12. Epub 2018 Mar 12.
    Background: Insufficient fixation of an epidural catheter may result in migration of the catheter and eventual catheter failure. However, the best fixation method remains to be established. Aron Alpha A (2-ethyl cyanoacrylate) adhesive is approved for clinical use and can be used for surgical adhesion to both skin and blood vessels. Read More

    Cost-effectiveness Analysis of Silver Delivery Approaches in the Management of Partial-thickness Burns.
    Wounds 2018 Feb 23. Epub 2018 Feb 23.
    Department of Plastic Surgery, Kuopio University Hospital, Kuopio, Finland.
    Introduction: Burn injury is a common type of traumatic injury that causes considerable morbidity and mortality, resulting in about 30,000 admissions annually in specialist burn centers and costing around $1 billion per year in the United States. One percent silver sulfadiazine has been utilized widely in the management of burns and newer silver dressings are on the market, including nanocrystalline silver dressings, silver-impregnated hydrofiber dressings, and silver-impregnated foam dressings.

    Objective: This study sought to determine the cost effectiveness of the newer silver dressings using clinical data from an indirect treatment comparison using silver sulfadiazine as the baseline. Read More

    Effect of Fentanyl Nasal Packing Treatment on Patients With Acute Postoperative Pain After Nasal Operation: A Randomized Double-Blind Controlled Trial.
    Ann Otol Rhinol Laryngol 2018 May 9;127(5):297-305. Epub 2018 Mar 9.
    7 Department of Molecular Pharmacology, Physiology, and Biotechnology, Brown University, Providence, Rhode Island, USA.
    Purpose: Nasal packing is an option for bleeding control after endoscopic sinus surgery and septoplasty. Although new packing materials have been developed, patients still suffer from pain and require additional analgesics treatments. In this study, a prospective, randomized, and double-blind controlled trial was designed to evaluate the effect of fentanyl-soaked packing on pain after endoscopic sinus surgery and septoplasty. Read More

    A Neutrophil Proteomic Signature in Surgical Trauma Wounds.
    Int J Mol Sci 2018 Mar 7;19(3). Epub 2018 Mar 7.
    Leibniz-Institute for Plasma Science and Technology (INP Greifswald), ZIK Plasmatis, Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
    Non-healing wounds continue to be a clinical challenge for patients and medical staff. These wounds have a heterogeneous etiology, including diabetes and surgical trauma wounds. It is therefore important to decipher molecular signatures that reflect the macroscopic process of wound healing. Read More

    Effects of the application of the amniotic membrane in the healing process of skin wounds in rats.
    Acta Cir Bras 2018 Feb;33(2):144-155
    PhD, Biostimulation and Tissue Repair Laboratory, UNIVAP, Sao Jose dos Campos-SP, Brazil. Conception, design, intellectual and scientific content of the study; histopathological examinations; interpretation of data; critical revision.
    Purpose: To evaluate the efficacy of the application of the human amniotic membrane (HAM) on the inflammatory process, fibroblast proliferation, formation of collagenand reduction of skin wound areas in rats.

    Methods: Thirty six rats were submitted to a surgical injury induction and divided into two groups (n = 18): group C (control) and T (treated with the HAM). The macroscopic evolution in the wound area and the histological characteristics of the skin samples were evaluated. Read More

    Optimal Compression Therapy and Wound Care for Venous Ulcers.
    Surg Clin North Am 2018 Apr 18;98(2):349-360. Epub 2017 Dec 18.
    ProMedica Jobst Vascular Institute, 2109 Hughes Drive, Toledo, OH 43606, USA.
    Venous leg ulcers remain a major public health issue with significant economic impact. Two main components of the management of patients with venous leg ulcers are compression therapy and wound care. This article addresses principles and specific aspects of compression therapy and focal wound care for patients with venous leg ulcers. Read More

    Postsurgical Treatment of Split Skin Graft Donor Sites in Dermatological Departments.
    Int J Low Extrem Wounds 2018 Mar 5;17(1):22-29. Epub 2018 Mar 5.
    1 Department of Dermatology, Venerology and Allergology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
    The surgical removal of split skin grafts (SSGs) leads to superficial wounds that can be covered with different wound dressings. Currently, international guidelines that recommend a standard treatment of the donor sites are not yet established. We developed a questionnaire to evaluate the treatment of SSG donor sites and sent it to all dermatological departments in Germany. Read More

    1 OF 229