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    Biomaterials and Advanced Technologies for Hemostatic Management of Bleeding.
    Adv Mater 2017 Nov 22. Epub 2017 Nov 22.
    Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
    Bleeding complications arising from trauma, surgery, and as congenital, disease-associated, or drug-induced blood disorders can cause significant morbidities and mortalities in civilian and military populations. Therefore, stoppage of bleeding (hemostasis) is of paramount clinical significance in prophylactic, surgical, and emergency scenarios. For externally accessible injuries, a variety of natural and synthetic biomaterials have undergone robust research, leading to hemostatic technologies including glues, bandages, tamponades, tourniquets, dressings, and procoagulant powders. Read More

    Considerations in surgical management of a Buschke-Lowenstein tumor in Netherton syndrome: A case report.
    Pediatr Dermatol 2017 Nov;34(6):e328-e330
    Department of Dermatology, Great Ormond Street Hospital, London, UK.
    Netherton syndrome is an autosomal recessive ichthyosis caused by mutations in SPINK5, with the classic triad of linearis circumflexa, trichorrhexis invaginata, and atopy. There are few reports of surgical management in individuals with Netherton syndrome and clinicians may be reluctant to operate for fear of wound-healing complications. This report describes a pediatric case of a Buschke-Lowenstein tumor of the natal cleft in a patient with Netherton syndrome that had failed to respond to medical management. Read More

    Advanced Management of Severe Keloids.
    Skinmed 2017 1;15(5):365-370. Epub 2017 Oct 1.
    Department of Dermatology and Cutaneous Surgery, University of South Florida, Morsani College of Medicine; Tampa, FL.
    Keloids negatively impact the health and quality of life of many affected dermatologic patients. Treating keloids is often difficult, and suboptimal responses are frequent. Fortunately, there are many treatment options available to the clinician that may lead to improved clinical outcomes. Read More

    Application of Materials as Medical Devices with Localized Drug Delivery Capabilities for Enhanced Wound Repair.
    Prog Mater Sci 2017 Aug 13;89:392-410. Epub 2017 Jun 13.
    Interdisciplinary Program for Bioengineering, Seoul National University College of Engineering, Seoul, Republic of Korea.
    The plentiful assortment of natural and synthetic materials can be leveraged to accommodate diverse wound types, as well as different stages of the healing process. An ideal material is envisioned to promote tissue repair with minimal inconvenience for patients. Traditional materials employed in the clinical setting often invoke secondary complications, such as infection, pain, foreign body reaction, and chronic inflammation. Read More

    [Comparison of dressings and devices to secure peripheral venous catheters in the emergency department: suitability according to patient profile].
    Emergencias 2016 Oct;28(5):320-326
    Área de Urgencias, Hospital Clínic, Barcelona, España.
    Objectives: To identify the most suitably designed dressings and devices to secure peripheral venous catheters (PVCs) in different types of patients. To evaluate the traction force the dressings could withstand and times they are able to keep the PVC in place in the emergency department.

    Material And Methods: Quasi-experimental descriptive observational study with inferential statistics to compare variables. Read More

    Topical antimicrobial agents for pediatric burns.
    Burns Trauma 2017 19;5:33. Epub 2017 Oct 19.
    Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, University of Toronto, Rm D 712, 2075 Bayview Avenue, Toronto, ON M4N 3M5 Canada.
    While topical antimicrobial agents are indicated for most if not all burn wounds, the choice of a topical agent must consider many factors such as the wound depth, anticipated time to healing, need for surgical intervention, and the known cytotoxicity of the agent. Especially relevant to the pediatric burn patient are the antimicrobial agent's properties related to causing pain or irritation and the required frequency of application and dressings. This article will discuss the general principles surrounding the use of topical antimicrobials on burn wounds and will review the most common agents currently in use. Read More

    Removable rigid dressings for postoperative management of transtibial amputations: a review of published evidence.
    PM R 2017 Oct 17. Epub 2017 Oct 17.
    University of California, Davis Medical Center, UCDAVIS Health System 4860 Y Street Suite 3800 Sacramento, CA 95817. Electronic address:
    Forty years of clinical experience and peer reviewed research studies support the use of non-weight bearing removable rigid dressings (RRD) as an effective means of post-operative management of transtibial amputations. We reviewed the published medical evidence regarding the use of RRDs as a postoperative management strategy, culminating in an evidence-based practice recommendation. Published peer reviewed literature on the topic was searched and classified by level of evidence based on the research design utilizing the scale recommended by the PM&R Journal (level I through V). Read More

    Comparison of non-surgical methods for the treatment of deep partial thickness skin burns of the hand.
    Burns 2017 Oct 9. Epub 2017 Oct 9.
    Department of Thermal Injuries, Republican Vilnius University Hospital, Lithuania.
    This paper describes a randomized, controlled, parallel-group, single-center clinical trial designed to compare non surgical treatment methods of deep partial thickness skin burns of the hand. All patients were scanned with the Laser Doppler Imaging device to determine the depth of the burn wound. Viable keratinocytes sites were determined according to the established Perfusion Units (PU) measurement system. Read More

    Study protocol for a randomized controlled pilot-trial on the semiocclusive treatment of fingertip amputation injuries using a novel finger cap.
    Medicine (Baltimore) 2017 Oct;96(41):e8224
    aPediatric Surgery bCoordinating Centre for Clinical Trials Dresden cInstitute of Medical Microbiology and Hygiene, Carl Gustav Carus Medical Faculty, Technische Universität Dresden, Fetscherstrasse dFraunhofer Institute for Material and Beam Technology IWS Dresden eCarl Gustav Carus Medical Faculty, Technische Universität Dresden, Fetscherstrasse, Dresden, Germany fWrocław Medical University, Wybrzeże Ludwika Pasteura 1, Wrocław, Poland.
    Introduction: Fingertip amputation injuries are common in all ages. Conservatively treated fingertips can regenerate skin and soft tissues to form a functionally and cosmetically excellent new fingertip. Little is known about this ability that, in humans, is confined to the fingertips. Read More

    Composite Alginate-Hyaluronan Sponges for the Delivery of Tranexamic Acid in Postextractive Alveolar Wounds.
    J Pharm Sci 2017 Oct 5. Epub 2017 Oct 5.
    Department of Pharmacy, University of Naples Federico II, Via D. Montesano 49, Naples 80131, Italy.
    The management of wounds in patients on anticoagulant therapy who require oral surgical procedures is problematic and often results in a nonsatisfactory healing process. Here, we report a method to prepare an advanced dressing able to avoid uncontrolled bleeding by occluding the postextractive alveolar wounds, and simultaneously, capable of a fast release of tranexamic acid (TA). Composite alginate/hyaluronan (ALG/HA) sponge dressings loaded with TA were prepared by a straightforward internal gelation method followed by a freeze-drying step. Read More

    [Zitelli bilobed flap for the reconstruction of the nasal pyramid after excision of basal cell carcinoma (BCC)].
    Pan Afr Med J 2017 2;27:238. Epub 2017 Aug 2.
    Service Chirurgie Plastique, Brûlés et Chirurgie de la Main, Hôpital Avicenne, Rabat, Maroc.
    We report the case of a 65-year old patient presenting with well-defined nodular basal cell carcinom measuring 5mm in diameter in the right paramedian nasal tip and the superior margin of the nasal wing, near the free edge. The tumor was removed, with resection margin of 1mm. It was associated with multiple hyperkeratotic lesions spread across his face. Read More

    A simple, novel technique for fixing Penrose drains in minor surgeries, with advantages for remote outpatient clinics: a retrospective comparison with conventional drain fixation in North Ibaraki, Japan.
    Rural Remote Health 2017 Oct-Dec;17(4):4159. Epub 2017 Oct 3.
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba, Tennodai, Tsukuba, Ibaraki, Japan.
    Introducton: In rural areas with few doctors, Penrose drains in minor surgeries for soft tissue trauma or small subcutaneous tumors are sometimes avoided, even though the drain would prevent hematoma, because of the limited availability of professional postsurgical care. The authors developed a simple fixation method for Penrose drains that can be used even in remote areas where a doctor is not present to remove the drain. A retrospective study was conducted to compare this new method of fixing Penrose drains with instances in which the Penrose drain was fixed to skin by conventional suturing. Read More

    Effects of vacuum sealing drainage on the treatment of cranial bone-exposed wounds in rabbits.
    Braz J Med Biol Res 2017 Oct 2;50(12):e5837. Epub 2017 Oct 2.
    Department of Burn and Plastic Surgery, the 253rd Hospital of People's Liberation Army, Xincheng District, Hohhot, Inner Mongolia, China.
    This study was designed to assess the efficacy of vacuum sealing drainage (VSD) on skull exposure wounds in rabbits and to investigate the underlying mechanism of the process. Full-thickness excisional circular wounds 2×2 cm with or without periosteum involvement were created in 88 New Zealand white rabbits (mean body weight: 3.0±0. Read More

    Single-pedicle hinge flap performed by shelter medicine team resolves chronic antebrachial wound in a cat.
    JFMS Open Rep 2017 Jul-Dec;3(2):2055116917729559. Epub 2017 Sep 18.
    Department of Clinical Sciences, Mississippi State University College of Veterinary Medicine, Starkville, MS, USA.
    Case Summary: An approximately 3-year-old, male domestic longhair cat was presented to a mobile veterinary unit for routine neuter. Preoperative physical examination revealed an approximately 5 cm × 2 cm scab on the craniolateral portion of the left antebrachium. The cat was anesthetized for the neuter using an injectable anesthesia protocol. Read More

    Effects of a complex rehabilitation program on edema status, physical function, and quality of life in lower-limb lymphedema after gynecological cancer surgery.
    Gynecol Oncol 2017 Nov 20;147(2):450-455. Epub 2017 Sep 20.
    Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. Electronic address:
    Objective: The purpose of this study was to investigate the effects of a complex rehabilitation (CR) program and complex decongestive therapy (CDT) on edema status, physical function, and quality of life in patients with unilateral lower-limb lymphedema after gynecologic cancer surgery.

    Methods: In this randomized pilot study, 40 patients with secondary unilateral lymphedema, after gynecologic surgery for cervical, endometrial, or ovarian cancer, that had been diagnosed based on clinical assessment and 10% volume differences between the legs were randomly assigned to the CDT (n=20) and CDT combined with CR (CRCDT; n=20) groups. CR comprised stretching, strengthening, and aerobic exercises performed for 40min, five times a week for 4weeks. Read More

    [Bandages for knee problems].
    Ugeskr Laeger 2017 Sep;179(38)
    The use of knee braces is common, and there is an abundance of different brace types available both "over the counter" and as "prescription devices". The braces are used for a range of knee problems ranging from minor knee discomfort to post-surgical rehabilitation. The available evidence is generally in favour of brace applications although the amount and quality of evidence is moderate to low with a positive benefit-harm balance. Read More

    Preliminary result with incisional negative pressure wound therapy and pectoralis major muscle flap for median sternotomy wound infection in a high-risk patient population.
    Int Wound J 2017 Sep 13. Epub 2017 Sep 13.
    Department of Surgery 'P.Valdoni,' Unit of Plastic and Reconstructive Surgery, 'Sapienza' University of Rome, Rome, Italy.
    Deep sternal wound infection (DSWI) represents a dangerous complication that can follow open-heart surgery with median sternotomy access. Muscle flaps, such as monolateral pectoralis major muscle flap (MPMF), represent the main choices for sternal wound coverage and infection control. Negative pressure incision management system has proven to be able to reduce the incidence of these wounds' complications. Read More

    Eyelid inflammation: An uncommon cause in occidental countries.
    Am J Emerg Med 2017 Nov 7;35(11):1789.e3-1789.e5. Epub 2017 Aug 7.
    Emergency Department, University Hospital of Bichat, AP-HP, Paris, France; Ilumens - Simulation laboratory, University of Paris-Diderot, Paris, France. Electronic address:
    Background: Myiasis designates the infestation of live human and vertebrate animals with dipterous (two-winged) larvae (maggots) and is the fourth most common travel-associated skin disease. Furuncle is the most common aspect of cutaneous myiasis.

    Case Presentation: A 24-year-old Caucasian female had been back from Cap-Vert. Read More

    The protective efficacy and safety of bandage contact lenses in children aged 5 to 11 after frontalis muscle flap suspension for congenital blepharoptosis: A single-center randomized controlled trial.
    Medicine (Baltimore) 2017 Sep;96(36):e8003
    Department of Ophthalmology, Children's Hospital, Chongqing Medical University, Chongqing, China.
    Background: Postoperative complications, lagophthalmos and exposure keratopathy sometimes occur after surgery for congenital blepharoptosis. Bandage contact lenses (BCL) can help prevent some ocular surface disorders. The study aims to evaluate the efficacy and safety of BCL for protection of the ocular surface in children aged 5 to 11 years after frontalis muscle flap suspension for congenital blepharoptosis. Read More

    Guideline Implementation: Positioning the Patient.
    AORN J 2017 Sep;106(3):227-237
    Every surgical procedure requires positioning the patient; however, all surgical positions are associated with the potential for the patient to experience a positioning injury. The locations and types of potential injuries (eg, stretching, compression, pressure injury) depend on the position. Factors that may increase the patient's risk for an injury are the length of the procedure and risk factors inherent to the patient (eg, weight, age, frailty). Read More

    The Effect of Offloading Heels on Sacral Pressure.
    AORN J 2017 Sep;106(3):194-200
    Offloading a patient's heels during supine surgical procedures is a common practice to prevent heel pressure injuries. This practice may increase sacral pressure and jeopardize sacral skin integrity, but prophylactic dressings may help protect sacral skin. The purpose of this study was to examine the effects of offloading the heels and of multilayered silicone foam dressings on sacral pressure. Read More

    Venous thromboembolism in adult elective spinal surgery: a tertiary centre review of 2181 patients.
    Bone Joint J 2017 Sep;99-B(9):1204-1209
    Welsh Centre for Spinal Trauma and Surgery, Cardiff and Vale LHB, Cardiff CF14 4XW, UK.
    Aims: To evaluate the incidence of primary venous thromboembolism (VTE), epidural haematoma, surgical site infection (SSI), and 90-day mortality after elective spinal surgery, and the effect of two protocols for prophylaxis.

    Patients And Methods: A total of 2181 adults underwent 2366 elective spinal procedures between January 2007 and January 2012. All patients wore anti-embolic stockings, mobilised early and were kept adequately hydrated. Read More

    A mixed-methods feasibility and external pilot study to inform a large pragmatic randomised controlled trial of the effects of surgical wound dressing strategies on surgical site infections (Bluebelle Phase B): study protocol for a randomised controlled trial.
    Trials 2017 Aug 29;18(1):401. Epub 2017 Aug 29.
    University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
    Background: Surgical site infections (SSIs) are common, occurring in up to 25% of > 4 million operations performed in England each year. Previous trials of the effect of wound dressings on the risk of developing a SSI are of poor quality and underpowered.

    Methods/design: This study is a feasibility and pilot trial to examine the feasibility of a full trial that will compare simple dressings, no dressing and tissue-glue as a dressing. Read More

    Laceration Management.
    J Emerg Med 2017 Sep 25;53(3):369-382. Epub 2017 Aug 25.
    East Orange General Hospital, East Orange, New Jersey.
    Background: Traumatic lacerations to the skin represent a fairly common reason for seeking emergency department care. Although the incidence of lacerations has decreased over the past decades, traumatic cutaneous lacerations remain a common reason for patients to seek emergency department care.

    Objective: Innovations in laceration management have the potential to improve patient experience with this common presentation. Read More

    Early experience of transilluminated cryosurgery for varicose vein with saphenofemoral reflux: review of 84 patients (131 limbs).
    Ann Surg Treat Res 2017 Aug 28;93(2):98-102. Epub 2017 Jul 28.
    Department of Surgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
    Purpose: Varicose veins with great saphenous vein (GSV) insufficiency is prevalent. Among various surgical treatments for varicose veins, cryosurgery of GSV is an alternative minimally invasive technique that could leave fewer scars and replace conventional stripping with ambulatory phlebectomy. This study sought to assess outcomes including efficacy and safety of cryosurgery for varicose veins. Read More

    Concise Review: Fetal Membranes in Regenerative Medicine: New Tricks from an Old Dog?
    Stem Cells Transl Med 2017 Sep;6(9):1767-1776
    The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria, Australia.
    The clinical application of the fetal membranes dates back to nearly a century. Their use has ranged from superficial skin dressings to surgical wound closure. The applications of the fetal membranes are constantly evolving, and key to this is the uncovering of multiple populations of stem and stem-like cells, each with unique properties that can be exploited for regenerative medicine. Read More

    AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.
    Biomed Res Int 2017 2;2017:1262108. Epub 2017 Aug 2.
    Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan.
    The use of modern surgical dressings to prevent wound complications and surgical site infection (SSI) after minimally invasive total knee arthroplasty (MIS-TKA) is lacking. In a prospective, randomized, controlled study, 240 patients were randomized to receive either AQUACEL Ag Surgical dressing (study group) or a standard dressing (control group) after MIS-TKA. The primary outcome was wound complication (SSI and blister). Read More

    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

    Preventing Retained Central Venous Catheter Guidewires: A Randomized Controlled Simulation Study Using a Human Factors Approach.
    Anesthesiology 2017 Oct;127(4):658-665
    From the Division of Anaesthesia, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom (M.Z.A.M., D.K.M.); Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina (K.R.C.); Cambridge University Hospitals, Addenbrooke's Hospital, Cambridge, United Kingdom (A.K.G.); and Critical Care Department, The Queen Elizabeth Hospital, Kings Lynn, United Kingdom (P.J.Y.).
    Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. 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 Oct 7;24(5):1221-1226. 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 Nov 7;47(6):1203-1220. 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;25(4):591-608. 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

    [Influence of different inner dressings in negative-pressure wound therapy on escharectomy wound of full-thickness burn rabbits].
    Zhonghua Shao Shang Za Zhi 2017 Jul;33(7):431-436
    Burns and Skin Repair Surgery, the Third Affiliated Hospital of Whenzhou Medical University, Ruian 325200, China.
    Objective: To explore the influence of different inner dressings in negative-pressure wound therapy (NPWT) on escharectomy wound of full-thickness burn rabbits. Methods: Eighteen Japanese white rabbits were inflicted with full-thickness burn on unilateral back. They were divided into polymer dressing group (PD), biological dressing group (BD), and silver biological dressing group (SBD), according to the random number table, with 6 rabbits in each group. 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 Nov 19;23(11):795-803. Epub 2017 Sep 19.
    1 Joint Department of Biomedical Engineering at University of North Carolina at Chapel Hill, North Carolina State University , Raleigh, North Carolina.
    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

    Hemostasis pad combined with compression device after transradial coronary procedures: A randomized controlled trial.
    PLoS One 2017 24;12(7):e0181099. Epub 2017 Jul 24.
    Division of Cardiology, Department of Internal Medicine, College of Medicine, Seoul National University and Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.
    Background: Arterial access and hemostasis are important processes during percutaneous coronary procedures. In this study, we tested if the use of chitosan-based pads on top of compression devices could improve hemostasis efficacy compared with compression devices alone after transradial coronary angiography or interventions.

    Methods: This study was a single-center open-label randomized controlled trial. Read More

    Tangled history of the European uses of Sphagnum moss and sphagnol.
    J Ethnopharmacol 2017 Sep 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 Sep 17;95(9):333-337. 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

    Folded bandage contact lens retention in a patient with bilateral dry eye symptoms: a case report.
    BMC Ophthalmol 2017 Jul 4;17(1):116. Epub 2017 Jul 4.
    Stanley Eye Unit, Abergele Hospital, Llanfair Road, Abergele, Conwy, North Wales, LL22 8DP, UK.
    Background: Bandage contact lenses are commonly used by ophthalmic practitioners to protect the patient's cornea. We report a case of folded bandage contact lens retained for six and a half years in the upper subtarsal space. To our knowledge, no other cases of retained bandage contact lens have previously been reported in the literature. 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

    Effect of Postoperative Dressing on Excisions Performed on the Leg: A Comparison Between Zinc Oxide Compression Dressings Versus Standard Wound Care.
    Dermatol Surg 2017 Nov;43(11):1379-1384
    *Division of Dermatology, University of Louisville, Louisville, Kentucky; †Computational Epidemiology Unit, Division of Infectious Diseases, Global Health Research Organization, University of Louisville, Louisville, Kentucky; ‡Micrographic Surgery and Dermatologic Oncology Fellowship, Division of Dermatology, University of Louisville, Louisville, Kentucky.
    Background: Wound healing on the legs may be complicated by delayed healing and other postoperative problems. Two potential postoperative wound care regimens for sutured excisions on the legs include a standard pressure dressing and zinc oxide compression dressings. Limited data exist comparing the efficacy of these 2 options. Read More

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