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    1 OF 222

    Periocular manifestations of trigeminal trophic syndrome: A case series and literature review.
    Orbit 2017 Aug 16:1-4. Epub 2017 Aug 16.
    a Bristol Eye Hospital , Bristol , England, UK.
    Trigeminal trophic syndrome (TTS) is a condition whereby persistent facial ulceration presents consequent to central or peripheral insult to the trigeminal nerve. Lesions are created by repetitive self-inflicted manipulation and trauma of dysaesthetic skin within the trigeminal dermatome. We discuss four cases with aetiologies varied from presumed microvascular compromise to resection of cerebral meningioma, cerebrovascular accident, and herpes zoster ophthalmicus. Read More

    Recalcitrant aseptic atrophic non-union of the shaft of the humerus after failure of surgical treatment: management by excision of non-union, bone grafting and stabilization by LCP in different modes.
    Injury 2017 Aug;48 Suppl 2:S33-S43
    Department of Orthopedics, Sushrut Institute of Medical Sciences, Nagpur, India.
    Non-union of the humeral shaft is infrequently noticed after surgical fixation. Sixty eight patients whose osteosynthesis of humeral shaft had failed leading to non-union were identified over a duration of 10 years from (January 2006 to December 2015). Clinical and radiographical follow-up was available for 64 patients (4 patients were lost for follow-up), with a mean age of 58 years (range 25-78 years). Read More

    Using a non-invasive secure skin closure following total knee arthroplasty leads to fewer wound complications and no patient home care visits compared to surgical staples.
    Knee 2017 Aug 7. Epub 2017 Aug 7.
    Hospital for Special Surgery, New York, USA.
    Background: Superficial wound complications occur in up to 10% of total knee arthroplasty (TKA) procedures and have been associated with periprosthetic joint infection. The ideal material for TKA closure should offer: 1) fast intraoperative application, 2) minimal wound complications and 3) removable by patients without assistance. We evaluated a novel, non-invasive, removable skin closure system for TKA to determine its effect on wound complications. Read More

    Negative Pressure Wound Therapy.
    Vet Clin North Am Small Anim Pract 2017 Aug 7. Epub 2017 Aug 7.
    College of Veterinary Medicine, Michigan State University, 736 Wilson Road, East Lansing, MI 48824, USA. Electronic address:
    Open wounds are regularly addressed in veterinary medicine and can be challenging to manage, especially when there is significant loss of full-thickness skin. Traditional wound dressings are being replaced by modern synthetic materials, biologic wound dressings, and mechanical technologies to augment healing. Negative pressure wound therapy (NPWT) is one of the most successful mechanical adjuncts to wound healing. Read More

    Early ambulation after-grafting of lower extremity burns.
    Burns 2017 Aug 5. Epub 2017 Aug 5.
    Manitoba Firefighters' Burn Unit, Winnipeg, Manitoba, Canada; Department of Surgery, Section of Plastic Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Surgery and Children's Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:
    Objective: Early ambulation of lower extremity burns that undergo a skin graft may help to avoid some of the complications associated with immobilization. Despite recent evidence supporting early ambulation, post-operative immobilization following lower extremity skin grafting is still a common practice. The purpose of this study was to retrospectively assess the outcomes of lower extremity skin graft cases dressed with a multi-layer compression bandage who were ambulated in the immediate post-operative period. Read More

    Oxygen therapies and their effects on wound healing.
    Wound Repair Regen 2017 Aug 7. Epub 2017 Aug 7.
    Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
    Oxygen is an important factor for wound healing. Although several different therapies investigated the use of oxygen to aid wound healing, the results of these studies are not unequivocal. This systematic review summarizes the clinical and experimental studies regarding different oxygen therapies for promoting wound healing, and evaluates the outcomes according the methodological details. Read More

    Clinical Issues-August 2017.
    AORN J 2017 Aug;106(2):162-171
    Caring for patients with tattoos undergoing magnetic resonance imaging (MRI) procedures Key words: magnetic resonance imaging, tattoos. Reducing slips, trips, and falls caused by electrical cords on the procedure room floor Key words: slips, trips, falls, electrical cords, equipment booms. Classifying surgical limb amputation wounds Key words: wound classification, documentation, amputation. Read More

    Creation and Evaluation of New Porcine Model for Investigation of Treatments of Surgical Site Infection.
    Tissue Eng Part C Methods 2017 Jul 27. Epub 2017 Jul 27.
    University of Missouri, Columbia, College of Engineering , W1051 Thomas & Neil Lafferre Hall , Columbia, Missouri, United States , 65211.
    Surgical site infection (SSI) is the most common cause of surgical failure, increasing the risks of postoperative mortality and morbidity. Recently, it has been reported that the use of antimicrobial dressings at the incision site help with prevention of SSI. Despite the increased body of research on the development of different types of antimicrobial dressings for this application, to our knowledge nobody has reported a reliable large animal model to evaluate the efficacy of developed materials in a preclinical SSI model. Read More

    Tangled history of the European uses of Sphagnum moss and sphagnol.
    J Ethnopharmacol 2017 Jul 18;209:41-49. Epub 2017 Jul 18.
    Department of Pharmaceutical Botany, School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia in Katowice, ul. Ostrogórska 30, 41-200 Sosnowiec, Poland. Electronic address:
    Ethnopharmacological Relevance: Sphagnum mosses and peat could have been utilized as wound dressings for centuries, however reliable data on this subject are ambiguous; sometimes even no distinction between peat moss (Sphagnum spp.) and peat is made or these terms become confused. The first scientific account on surgical use of peat comes from 1882: a peat digger who successfully, by himself and in the way unknown to the then medicine, cured an open fracture of his forearm with peat. Read More

    Comparison of the effects of topical application of UMF20 and UMF5 manuka honey with a generic multifloral honey on wound healing variables in an uncontaminated surgical equine distal limb wound model.
    Aust Vet J 2017 Jul 17. Epub 2017 Jul 17.
    Research and Clinical Trials Unit, University Veterinary Teaching Hospital Camden, University of Sydney, 410 Werombi Road, Camden, New South Wales 2570, Australia.
    Objective: To compare the effect of application of manuka honey with unique manuka factor (UMF) 5 or 20 with a generic multifloral honey on equine wound healing variables.

    Methods: Two full-thickness skin wounds (2.5 × 2. Read More

    Hydroconductive and silver-impregnated foam dressings: a comparison.
    J Wound Care 2017 07;26(Sup7):S15-S22
    Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC, US.
    Objective: As the number of commercially available wound dressings is increasing rapidly, it is important for clinicians to understand the strengths and limitations of each and to recognise relationships between wound type and dressing properties to obtain optimal healing results. Our aim is to test the antimicrobial activity of two dressings.

    Method: A hydroconductive (HC) dressing and a silver-impregnated foam (SIF) dressing were compared for their potential to reduce the levels meticillin-resistant Staphylococcus aureus (MRSA). Read More

    Negative Pressure Wound Therapy for Closed Surgical Wounds in Musculoskeletal Oncology Patients - A Case-Control Trial.
    Open Orthop J 2017 31;11:502-507. Epub 2017 May 31.
    Department of Musculoskeletal Oncology, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, G4 0ET Scotland, United Kingdom.
    Following excision of musculoskeletal tumours, patients are at high risk of wound issues such as infection, dehiscence and delayed healing. This is due to a multitude of factors including the invasive nature of the disease, extensive soft tissue dissection, disruption to blood and lymphatic drainage, residual cavity and adjuvant therapies. The use of negative pressure wound therapy (NPWT) has a growing body of evidence on its beneficial effect of wound healing such as promoting cell differentiation, minimising oedema and thermoregulation. Read More

    Silver-containing dressing for surgical site infection in clean and clean-contaminated operations: a systematic review and meta-analysis of randomized controlled trials.
    J Surg Res 2017 Jul 2;215:98-107. Epub 2017 Apr 2.
    Department of General Surgery, The Fourth Affiliated Hospital of NanChang University, Nanchang, Jiangxi, China. Electronic address:
    Background: Silver-containing dressings for the prevention of surgical site infections (SSIs) remained controversial, and accumulating evidence was lacking, so a meta-analysis was conducted to systematically assess the effectiveness and safety of silver-containing dressings for clean and clean-contaminated surgical incisions.

    Methods: Pubmed, Embase, and the Cochrane Library were searched from the inception to February 2016 for randomized controlled trials (RCTs), which explored silver-containing dressings for the prevention of SSIs in clean and clean-contaminated operations. Relative risk (RR) with 95% confidence interval (CI) was pooled using random effects model. Read More

    [Correction of flexible lesser toe deformity : Transfer of the flexor digitorum longus tendon].
    Oper Orthop Traumatol 2017 Jul 4. Epub 2017 Jul 4.
    Orthopädische Klinik, Klinikum Dortmund, Dortmund, Deutschland.
    Objective: Realignment and pain relief of toes 2-5 by flexor-to-extensor tendon transfer of the flexor digitorum longus (FDL) muscle.

    Indications: As an isolated procedure in flexible proximal interphalangeal (PIP) joint flexion and/or flexible metatarsophalangeal (MTP) joint extension (hammer toe). In combination with a metatarsal osteotomy or PIP joint arthrodesis in case of flexible MTP joint extension. Read More

    Laceration Repair: A Practical Approach.
    Am Fam Physician 2017 May;95(10):628-636
    University of Michigan Medical School, Ann Arbor, Mi, USA.
    The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been unable to define a "golden period" for which a wound can safely be repaired without increasing risk of infection. Read More

    Treatment of hallux valgus deformity.
    EFORT Open Rev 2016 Aug 25;1(8):295-302. Epub 2016 Aug 25.
    University of Würzburg, Germany.
    Hallux valgus deformity is a very common pathological condition which commonly produces painful disability. It is characterised as a combined deformity with a malpositioning of the first metatarsophalangeal joint caused by a lateral deviation of the great toe and a medial deviation of the first metatarsal bone.Taking the patient's history and a thorough physical examination are important steps. Read More

    [Advances in the research of application of vacuum-assisted closure in wound healing and its mechanism].
    Zhonghua Shao Shang Za Zhi 2017 Jun;33(6):397-400
    Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
    As a new generation of negative pressure drainage technology, vacuum-assisted closure (VAC) can provide stable and persistent negative pressure, and there are several modes to choose from. VAC plays an important role in closing wounds quickly, controlling infection, promoting angiogenesis, increasing blood flow, and promoting granulation tissue growth of wounds. It is now widely applied in all kinds of acute, chronic, and special wounds in clinic with good therapeutic results. Read More

    The antimicrobial spectrum of Xeroform(®).
    Burns 2017 Jun 19. Epub 2017 Jun 19.
    BRIDGE PTS, Inc., Brooks City-Base, San Antonio, TX, United States.
    Introduction/background: Xeroform(®) is a petrolatum-based fine mesh gauze containing 3% bismuth tribromophenate. Bismuth, similar to other metals, has antimicrobial properties. Xeroform(®) has been used for decades in burn and plastic surgery as a donor site dressing and as a covering for wounds or partial thickness burns. Read More

    Topical antimicrobial agents for treating foot ulcers in people with diabetes.
    Cochrane Database Syst Rev 2017 06 14;6:CD011038. Epub 2017 Jun 14.
    Division of Nursing, Midwifery & Social Work, School of Health Sciences, Faculty of Biology, Medicine & Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK, M13 9PL.
    Background: People with diabetes are at high risk for developing foot ulcers, which often become infected. These wounds, especially when infected, cause substantial morbidity. Wound treatments should aim to alleviate symptoms, promote healing, and avoid adverse outcomes, especially lower extremity amputation. Read More

    35-Year Experience with Surgical Treatment of Hidradenitis Suppurativa.
    World J Surg 2017 Jun 13. Epub 2017 Jun 13.
    University of Michigan, TC 2124 University Hospital SPC 5343, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA.
    Background: Hidradenitis suppurativa is a painful and disfiguring chronic inflammatory condition affecting both men and women. Medical treatments, such as antibiotics and immunosuppressive agents, are often ineffective. Over time, patients can suffer from recurrent abscesses, chronic purulent drainage, scarring, and contractures that can only be corrected by surgical excision. Read More

    Optimal wound care management in hidradenitis suppurativa.
    J Dermatolog Treat 2017 Jun 29:1-3. Epub 2017 Jun 29.
    a Department of Dermatology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
    Introduction: Hidradenitis suppurativa (HS) presents the problem of a chronic, relapsing, painful, draining wound. There is a myriad of HS wound care management strategies implemented by clinicians and patients centered around which dressings to use. Many factors affect which HS wound care dressing is the most appropriate to use such as the type of HS wound, cost, ease of application, patient comfort, absorbency and odor management among many others. Read More

    TCCC Updates: Two Decades of Saving Lives on the Battlefield: Tactical Combat Casualty Care Turns 20.
    J Spec Oper Med Summer 2017;17(2):166-172
    Background: Twenty years ago, the original Tactical Combat Casualty Care (TCCC) article was published in this journal. Since TCCC is essentially a set of bestpractice prehospital trauma care guidelines customized for use on the battlefield, the presence of a journal with a specific focus on military medicine was a profound benefit to the initial presentation of TCCC to the US Military.

    Methods: In the two ensuing decades, which included the longest continuous period of armed conflict in our nation's history, TCCC steadily evolved as the prehospital trauma care evidence base was augmented and as feedback from user medics, corpsmen, and pararescuemen was obtained. Read More

    A Pediatric Burn Outpatient Short Stay Program Decreases Patient Length of Stay With Equivalent Burn Outcomes.
    J Burn Care Res 2017 Jun 6. Epub 2017 Jun 6.
    From the *Division of Trauma, Acute Care Surgery, Burn and Surgical Critical Care, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison; and †University of Wisconsin School of Medicine and Public Health, Madison.
    Traditionally, small pediatric burns are managed with inpatient admission and daily dressing changes. In 2011, our burn center implemented an outpatient short stay (OSS) program in which small pediatric burns were managed as an outpatient utilizing Mepilex Ag dressings changed under moderate sedation every 5 to 7 days. Pediatric burn cases were queried for 2 time periods: before the OSS program (2009-2010) and after the OSS program (2013-2014). Read More

    Management of Fournier's gangrene non-healing wounds by autologous skin micrograft biotechnology: a new technique.
    J Wound Care 2017 Jun;26(6):314-317
    Plastic Surgeon, Department of Reconstructive and Plastic Surgery, Città della Salute e della Scienza Hospital, University of Turin, Italy.
    Fournier's gangrene is an acute bacterial infection producing necrosis of the perineum and external genitalia that generally affects elderly men. Although skin grafts and flaps are the standard procedure for reconstruction, sometimes wounds can become chronic. Rigenera Protocol is a new technique based on autologous skin micrografts that reactivates and supports wound healing. Read More

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

    Silver-containing foam dressings with Safetac: a review of the scientific and clinical data.
    J Wound Care 2017 Jun;26(Sup6a):S1-S32
    Kristina Hamberg has over 10 years of experience of working with the design and development of wound care products, particularly those with antimicrobial properties. During that time, she has become an expert within the areas of microbiology and test method development, as well as infection prevention. Kristina was awarded her MSc in food science in 1997 from the University of Kalmar, Sweden, and in 2002 she was awarded a PhD for microbiological evaluation of novel technologies for food preservation by Chalmers Technical University, Gothenburg, Sweden.
    Background Topical antimicrobials, such as silver dressings, are progressively being used alongside systemic antibiotics to provide adjunctive, antimicrobial therapy to wounds that are clinically infected or at risk of infection. To help improve wound management, dressings that use Safetac soft silicone technology in combination with a silver-impregnated foam dressing material were developed by Mölnlycke Health Care (Gothenburg, Sweden). The range comprises Mepilex Ag, Mepilex Border Ag and Mepilex Transfer Ag. Read More

    New dressing combination for the treatment of partial thickness burn injuries in children.
    Ann Burns Fire Disasters 2017 Mar;30(1):43-46
    Department of Paediatrics, Surgical Unit, University of Pécs, Hungary.
    Burns are among the most common causes of injury in children. Several wound dressings are available to conservatively treat second-degree burns. Seventy-three children were treated with Aquacel Ag foam and Zn-hyaluronon gel to determine their effectiveness on partial thickness burns. Read More

    Effects of topical negative pressure therapy on tissue oxygenation and wound healing in vascular foot wounds.
    J Vasc Surg 2017 Aug 2;66(2):564-571. Epub 2017 Jun 2.
    Department of Vascular Surgery, Waikato Hospital, Hamilton, New Zealand.
    Objective: Topical negative pressure (TNP) therapy is widely used in the treatment of acute wounds in vascular patients on the basis of proposed multifactorial benefits. However, numerous recent systematic reviews have concluded that there is inadequate evidence to support its benefits at a scientific level. This study evaluated the changes in wound volume, surface area, depth, collagen deposition, and tissue oxygenation when using TNP therapy compared with traditional dressings in patients with acute high-risk foot wounds. Read More

    [Evidence of compression therapy].
    Hautarzt 2017 Aug;68(8):625-631
    Klinik- und Poliklinik für Haut- und Geschlechtskrankheiten, Universitätsmedizin Greifswald, F.-Sauerbruchstr., 17475, Greifswald, Deutschland.
    Background: Medical compression therapy is widely used to treat phlebologic diseases. Compression bandages as well as compression stockings are used. Compression has been identified to be an effective conservative therapy for the healing of venous ulcers and other indications. Read More

    Understanding long-term silver release from surface modified porous titanium implants.
    Acta Biomater 2017 Aug 29;58:550-560. Epub 2017 May 29.
    W. M. Keck Biomedical Materials Research Laboratory, School of Mechanical and Materials Engineering, Washington State University, Pullman, WA 99164-2920, USA. Electronic address:
    Prevention of orthopedic device related infection (ODRI) using antibiotics has met with limited amount of success and is still a big concern during post-surgery. As an alternative, use of silver as an antibiotic treatment to prevent surgical infections is being used due to the well-established antimicrobial properties of silver. However, in most cases silver is used in particulate form with wound dressings or with short-term devices such as catheters but not with load-bearing implants. Read More

    Adjunctive Therapies for Bacterial Keratitis.
    Middle East Afr J Ophthalmol 2017 Jan-Mar;24(1):11-17
    Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
    Bacterial keratitis is the most common type among all types of infectious keratitis. Currently, antibiotics are the main-stay of treatment. The objective of this systematic review is to review published clinical studies which discuss the adjunctive treatment of bacterial keratitis to guide clinical decision-making. Read More

    Use of an Ovine Collagen Dressing with Intact Extracellular Matrix to Improve Wound Closure Times and Reduce Expenditures in a US Military Veteran Hospital Outpatient Wound Center.
    Surg Technol Int 2017 Jul;30:61-69
    Alexandria VA Health Care System, Pineville, Louisiana.
    A novel, comprehensive decision-making and treatment algorithm was established within a US government-run military veteran hospital in an attempt to standardize the process of outpatient wound care and streamline costs. All patients were systematically evaluated and treated using the comprehensive algorithm over a span of nine months. After three months of adherence to the algorithm, the algorithm was modified to include ovine-based collagen extracellular matrix (CECM) dressings as a first-line conventional treatment strategy for all appropriate wounds. Read More

    In search of the optimal wound dressing material following total hip and knee arthroplasty: a systematic review and meta-analysis.
    Int Orthop 2017 Jul 11;41(7):1295-1305. Epub 2017 May 11.
    Knee Surgery and Sports Medicine, Joint Reconstruction Centre, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Seoul, 463-707, Republic of Korea.
    Background: Various types of dressing materials are available for wound care following hip and knee arthroplasty. However, it is unclear if one material is more beneficial than the others in terms of wound complications and fluid handling capacity.

    Research Questions: We performed a meta-analysis of randomized controlled trials comparing alternative wound dressing materials for the post-operative management of wounds following THA and TKA with respect to (1) incidence of wound complications including infection and (2) fluid handling capacity. Read More

    Dialkylcarbamoyl Chloride Dressings in the Prevention of Surgical Site Infections after Nonimplant Vascular Surgery.
    Ann Vasc Surg 2017 May 5. Epub 2017 May 5.
    Academic Vascular Surgical Unit, Hull York Medical School, Hull, UK.
    Background: Dressings coated with dialkylcarbamoyl chloride (DACC) are highly hydrophobic and irreversibly bind multiple types of bacteria, trapping them in the dressing and reducing the number of organisms at the wound surface. We aimed to assess the impact of DACC-coated postoperative dressings on the incidence of surgical site infection (SSI) in nonimplant vascular surgery patients.

    Methods: Two hundred patients undergoing nonimplant vascular surgery were prospectively recruited at a single vascular center. Read More

    Role of acute negative pressure wound therapy over primarily closed surgical incisions in acetabular fracture ORIF: A prospective randomized trial.
    Injury 2017 Jul 27;48(7):1518-1521. Epub 2017 Apr 27.
    University of Missouri, Department of Orthopaedic Surgery, One Hospital Drive, N116, Columbia, MO, United States. Electronic address:
    Background: Negative pressure wound therapy use over closed surgical incisions (iNPWT) has proven to be effective at reducing hematoma, wound drainage and infection in high-risk wounds. The purpose of this study was to determine if iNPWT decreased the risk of infection in patients undergoing open reduction internal fixation (ORIF) for acetabular fractures.

    Methods: 71 patients who underwent operative intervention for an acetabular fracture between March 2008 and September 2012 consented and prospectively randomized to iNPWT or a standard postoperative (dry gauze) dressing. Read More

    Use of fat transfer to treat a chronic, non-healing, post-radiation ulcer: a case study.
    J Wound Care 2017 May;26(5):272-273
    Consultant Plastic and Reconstructive Surgeon.
    Objective: Problematic wound healing and ulceration in radiation-damaged tissue is a surgical challenge. Clinical studies have shown that grafting fat tissue in an irradiated area can improve the quality of the skin and has regenerative effects. This case study describes how fat transfer led to the healing of a chronic ulcer resistant to other forms of treatment. Read More

    The effect of negative pressure wound therapy with antibacterial dressings or antiseptics on an in vitro wound model.
    J Wound Care 2017 May;26(5):236-242
    Department of Hospital Epidemiology and Infection Control, Medical University of Vienna, Vienna, Austria.
    Objective: The aim of this study was to investigate the bacterial bioburden in experimental in vitro wounds during the application of conventional negative pressure wound therapy (NPWT), with and without antimicrobial dressings (polyhexanide, silver), against NPWT instillation of octenidine.

    Method: Experimental wounds produced in an in vitro porcine wound model were homogenously contaminated with bacterial suspension and treated with NPWT and different options. Group A: non-antimicrobial polyurethane foam dressing; group B: antimicrobial polyurethane foam dressing containing silver; group C: antimicrobial gauze dressing containing polyhexanide; group D: non-antimicrobial polyurethane foam dressing intermittently irrigated with octenidine; group E: negative control (non-antimicrobial polyurethane foam dressing without NPWT). Read More

    Prehospital Interventions During Mass-Casualty Events in Afghanistan: A Case Analysis.
    Prehosp Disaster Med 2017 Aug 3;32(4):465-468. Epub 2017 May 3.
    4University of Texas Health Sciences Center at San Antonio,San Antonio,TexasUSA.
    Background: Mass-casualty (MASCAL) events are known to occur in the combat setting. There are very limited data at this time from the Joint Theater (Iraq and Afghanistan) wars specific to MASCAL events. The purpose of this report was to provide preliminary data for the development of prehospital planning and guidelines. Read More

    Culture-independent detection of chlorhexidine resistance genes qacA/B and smr in bacterial DNA recovered from body sites treated with chlorhexidine-containing dressings.
    J Med Microbiol 2017 Apr;66(4):447-453
    2​Alliance for Vascular Access Teaching and Research, Griffith University, Brisbane, Australia 3​Inflammation and Healing Research Cluster, School of Health and Sports Sciences, University of the Sunshine Coast, Sippy Downs, Brisbane, Australia.
    Purpose: Dressings containing chlorhexidine gluconate (CHG) are increasingly used in clinical environments for prevention of infection at central venous catheter insertion sites. Increased tolerance to this biocide in staphylococci is primarily associated with the presence of qacA/B and smr genes.

    Methodology: We used a culture-independent method to assess the prevalence of these genes in 78 DNA specimens recovered from the skin of 43 patients at catheter insertion sites in the arm that were covered with CHG dressings. Read More

    Simple Wound Irrigation in the Postoperative Treatment for Surgically Drained Spontaneous Soft Tissue Abscesses: Study Protocol for a Prospective, Single-Blinded, Randomized Controlled Trial.
    JMIR Res Protoc 2017 May 1;6(5):e77. Epub 2017 May 1.
    Lucerne Cantonal Hospital, Surgery Department, Lucerne, Switzerland.
    Background: Skin abscesses are a frequent encountered health care problem and lead to a significant source of morbidity. They consequently have an essential impact on the quality of life and work. To date, the type of aftercare for surgically drained abscesses remains under debate. Read More

    Medical adhesive-related skin injuries associated with vascular access.
    Br J Nurs 2017 Apr;26(8):S4-S12
    Tissue Viability Lead Nurse, Imperial College Healthcare NHS Trust, London.
    Establishing vascular access and preventing infection, both at insertion and during ongoing care is generally the top priority; the maintenance of optimal skin integrity is often a distant secondary consideration. Skin can react to different types of dressings or adhesives, or problems can arise relating to the securement of lines or the development of sensitivities to cleaning solutions. Clearly, these scenarios are not limited to the securement of vascular access devices; however, a patient with a long-term vascular access device may not have other options for vascular access, which makes this a very important and yet largely unrecognised area. Read More

    Skin allograft procurement and transplantation in Mashhad, Iran: Are burn patients' needs being met?
    Cell Tissue Bank 2017 Apr 24. Epub 2017 Apr 24.
    Burns Operating Room, Department of Burns and Reconstructive Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
    Only a single donor's tissue may save or improve lives of one hundred patients. Unfortunately, low governmental and media support of tissue procurement and transplantation programs is a worldwide problem. Loss of an effective tissue procurement program in many countries like Iran, may lead to loss of many thousands valuable tissues each year. Read More

    Tactical Combat Casualty Care and Wilderness Medicine: Advancing Trauma Care in Austere Environments.
    Emerg Med Clin North Am 2017 May;35(2):391-407
    Madigan Army Medical Center, 9040 Jackson Ave., Tacoma, WA 98431, USA.
    Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. Military units that have trained all of their unit members in TCCC have now documented the lowest incidence of preventable deaths in the history of modern warfare and TCCC is now the standard for battlefield trauma care in the US Military. TCCC and wilderness medicine share the goal of optimizing care for patients with trauma in austere environments that impose significant challenges in both equipment and evacuation capability. Read More

    Pleural malignant mesothelioma in dental laboratory technicians: A case series.
    Am J Ind Med 2017 May;60(5):443-448
    Department of Preventive Medicine, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.
    Asbestos was used in dentistry as a binder in periodontal dressings and as lining material for casting rings and crucible. However, until now, only one case of malignant mesothelioma with occupational exposure to asbestos in dental practice has been reported. We present 4 pleural mesotheliomas out of 5344 cases identified in Lombardy, Italy, in 2000-2014. Read More

    Cost-effectiveness of silver dressings for paediatric partial thickness burns: An economic evaluation from a randomized controlled trial.
    Burns 2017 Jun 10;43(4):724-732. Epub 2017 Apr 10.
    Institute of Health and Biomedical Innovation and School of Public Health & Social Work, Queensland University of Technology, Australia; Centre for Functioning and Health Research, Metro South Health, Australia.
    Background: Partial thickness burns of up to 10% total body surface area (TBSA) in children are common injuries primarily treated in the outpatient setting using expensive silver-containing dressings. However, economic evaluations in the paediatric burns population are lacking to assist healthcare providers when choosing which dressing to use. The aim of this study was to conduct a cost-effectiveness analysis of three silver dressings for partial thickness burns ≤10% TBSA in children aged 0-15 years using days to full wound re-epithelialization as the health outcome. Read More

    Multistep Approach for Improved Aesthetic and Functional Outcomes for Lower Extremity Wound Closure After Mohs Micrographic Surgery.
    Dermatol Surg 2017 May;43(5):704-707
    *Department of Plastic Surgery, Rhode Island Hospital and Warren Alpert Medical School, Brown University, Providence, Rhode Island; †Skinpros, LLC, Providence, Rhode Island; ‡Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island.
    Background: Lower extremity wounds present a major clinical challenge.

    Objective: This paper introduces a new multistep approach for improved aesthetic and functional outcome for lower extremity wound closure after Mohs micrographic surgery.

    Patients And Methods: In this prospective case series, 12 consecutive patients undergoing Mohs micrographic surgery for cutaneous malignancies of the lower extremities underwent closure assisted by elastic bandages, proper positioning with 45° flexion of the knee, buried vertical mattress sutures, and careful eversion, using a premium angled stapler. Read More

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