11,737 results match your criteria Surgical Dressings


Anæsthesia by Ethyl Bromide.

Am J Dent Sci 1880 Sep;14(5):193-206

Opthalmic and Aural Surgeon to St. Mary's Hospital, and Surgeon in charge of the Surgical Out-patient Department; Lecturer on Microscopic Anatomy and on Fracture Dressings at the Philadelphia School of Anatomy.

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September 1880

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

Br J Surg 2019 Feb 6. Epub 2019 Feb 6.

Vascular Centre, Skane University Hospital, Malmö, Sweden.

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

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http://dx.doi.org/10.1002/bjs.11100DOI Listing
February 2019

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

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

Nottingham University Hospitals NHS Trust, Nottingham, UK.

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

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

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

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

AVATAR, MHIQ, Griffith University, Brisbane, Australia.

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

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

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

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

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

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

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

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

Systematic review of prehospital haemostatic dressings.

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

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

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

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001066
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http://dx.doi.org/10.1136/jramc-2018-001066DOI Listing
February 2019
1 Read

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

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

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

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

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

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http://dx.doi.org/10.5999/aps.2018.00227DOI Listing
January 2019
1 Read

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Residência Multiprofissional em Cuidados Continuados Integrados.

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

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

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

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

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

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

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

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

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

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

Ann Thorac Surg 2018 Oct 26. Epub 2018 Oct 26.

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

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

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

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183153
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http://dx.doi.org/10.1016/j.athoracsur.2018.09.017DOI Listing
October 2018
7 Reads

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

Ann Chir Plast Esthet 2019 Jan 2. Epub 2019 Jan 2.

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

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

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

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http://dx.doi.org/10.1016/j.anplas.2018.12.001DOI Listing
January 2019
2 Reads

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

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

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

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

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http://dx.doi.org/10.1097/PRS.0000000000005312DOI Listing
January 2019
1 Read

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

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

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

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

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

Use of Closed-Incision Negative-Pressure Therapy in Obstetrics.

Authors:
Glen I Feinstein

Plast Reconstr Surg 2019 Jan;143(1S Management of Surgical Incisions Utilizing Closed-Incision Negative-Pressure Therapy):27S-30S

San Antonio, Texas From the Village Crossing Women's Health.

Background: Cesarean delivery is one of the most commonly performed surgeries in the United States. Compared with other surgical procedures, surgical site infection tends to be a relatively uncommon outcome after cesarean delivery in the general population with an incidence rate between 1.46 and 3. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005309DOI Listing
January 2019

Use of Closed-Incision Negative-Pressure Therapy in Aesthetic Surgery.

Plast Reconstr Surg 2019 Jan;143(1S Management of Surgical Incisions Utilizing Closed-Incision Negative-Pressure Therapy):11S-14S

Annapolis, Md. From AAMG Plastic Surgery, Anne Arundel Medical Center.

Background: Recently published studies have demonstrated clinical effectiveness of closed-incision negative-pressure therapy (ciNPT) in many fields of surgery including vascular, cardiac, colorectal, orthopedic, and reconstructive surgery. A review of current literature was conducted to determine whether the application of negative-pressure therapy to closed incisions post aesthetic procedures was beneficial.

Methods: The PubMed/MEDLINE databases were searched for preclinical and clinical studies published through June 2018. Read More

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http://Insights.ovid.com/crossref?an=00006534-201901001-0000
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http://dx.doi.org/10.1097/PRS.0000000000005306DOI Listing
January 2019
1 Read

Challenges and Management of Surgical Site Occurrences.

Plast Reconstr Surg 2019 Jan;143(1S Management of Surgical Incisions Utilizing Closed-Incision Negative-Pressure Therapy):7S-10S

Vancouver, Wash.; Loma Linda, Calif.; and Boston, Mass. From the Loma Linda University Medical Center and Brigham and Women's Hospital.

Postoperative complications such as surgical site infections, dehiscence, seromas, and hematomas prolong wound care and impose significant cost increases to patients and healthcare providers. Clinicians aiming to reduce the incidence of these complications should be aware of risk factors associated with surgical type, procedures used, patient characteristics, and postoperative care. Today, improved guidelines and general practices for managing surgical incisions have reduced the incidence of complications to historic lows. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005305DOI Listing
January 2019
1 Read

A phase II randomized clinical trial for the treatment of recalcitrant chronic leg ulcers using centrifuged adipose tissue containing progenitor cells.

Cytotherapy 2018 Dec 21. Epub 2018 Dec 21.

Department of Morphology, Surgery and Experimental Medicine, Section of Translational of Medicine and Surgery, University of Ferrara, Ferrara, Italy; Sant'Anna University Hospital, Unit of Translational Surgery and Vascular Diseases Center, Ferrara, Italy.

Background Aims: Preclinical and observational reports indicate that adipose tissue (AT) is a safe and promising tool to treat non-healing venous leg ulcers (VLUs).

Methods: From an initial cohort of 38 patients, 16 patients affected by non-healing VLUs were randomly allocated to the experimental arm (5 men and 3 women) and control arm (5 men and 3 women). In the experimental arm, wounds were treated by debridement, centrifuged adipose tissue (CAT), advanced dressings and compression. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14653249183067
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http://dx.doi.org/10.1016/j.jcyt.2018.10.012DOI Listing
December 2018
2 Reads

Negative-pressure wound therapy versus standard dressings for adults with an open lower limb fracture: the WOLLF RCT.

Health Technol Assess 2018 12;22(73):1-162

Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Background: Open fractures of the lower limb occur when a broken bone penetrates the skin and is exposed to the outside environment. These are life-changing injuries. The risk of deep infection may be as high as 27%. Read More

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https://www.journalslibrary.nihr.ac.uk/hta/hta22730
Publisher Site
http://dx.doi.org/10.3310/hta22730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322061PMC
December 2018
3 Reads

Closed-incision negative-pressure therapy decreases complications in ventral hernia repair with concurrent panniculectomy.

Hernia 2018 Dec 17. Epub 2018 Dec 17.

Division of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA.

Purpose: Ventral hernia repair with concurrent panniculectomy (VHR-PAN) is associated with high wound complication rates despite reported increased patient satisfaction. Some surgeons believe negative-pressure therapy after primary closure of the surgical incision (ciNPT) may lower wound complications in high-risk abdominal wounds. This study aims to evaluate if ciNPT improves outcomes in patients undergoing VHR-PAN. Read More

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http://dx.doi.org/10.1007/s10029-018-1865-2DOI Listing
December 2018

A risk-stratification algorithm to reduce superficial surgical site complications in primary hip and knee arthroplasty.

Arthroplast Today 2018 Dec 15;4(4):493-498. Epub 2018 Oct 15.

Department of Orthopedic Surgery, Columbia University Medical Center New York, NY, USA.

Background: Surgical site complications (SSCs) are the most common cause for readmission after total joint arthroplasty (TJA), increasing costs while predisposing to inferior long-term outcomes. Prophylactic use of closed-incision negative pressure therapy (ciNPT) may lower the risk of these complications, especially in high-risk populations, but appropriate-use guidelines are lacking for patients undergoing primary TJA. We sought to develop a risk-stratification algorithm to guide use of ciNPT dressings and test its use in normalizing the rate of superficial SSCs among high-risk groups. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S23523441183010
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http://dx.doi.org/10.1016/j.artd.2018.09.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287286PMC
December 2018
6 Reads

Successful treatment of isolated oral lichen planus on lower lip with traditional Chinese medicine and topical wet dressing: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13630

Department of Oral Medicine.

Rationale: Biopsy is very important for the diagnosis of oral lichen planus (OLP) on the lips. Traditional Chinese medicine (TCM) can be used to coordinate the whole body, soften and eliminate swellings and masses, and regulate the functions of qi and blood. Therefore, TCM could be an effective and safe treatment for OLP. Read More

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http://dx.doi.org/10.1097/MD.0000000000013630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320154PMC
December 2018
6 Reads

Compression therapy after invasive treatment of superficial veins of the lower extremities: Clinical practice guidelines of the American Venous Forum, Society for Vascular Surgery, American College of Phlebology, Society for Vascular Medicine, and International Union of Phlebology.

J Vasc Surg Venous Lymphat Disord 2019 Jan;7(1):17-28

University of Michigan, Ann Arbor, Mich.

Guideline 1.1: Compression after thermal ablation or stripping of the saphenous veins. When possible, we suggest compression (elastic stockings or wraps) should be used after surgical or thermal procedures to eliminate varicose veins. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.10.002DOI Listing
January 2019
2 Reads

A cross-sectional survey of patients with open surgical wounds in Slovenia.

Health Soc Care Community 2018 Dec 13. Epub 2018 Dec 13.

Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.

Most surgical wounds heal by primary intention, that is, the wound is closed with sutures, clips, or glue. However, some surgical wounds are either left open to heal from the bottom up ("healing by secondary intention") or break open partially or fully after primary closure. There is little basic knowledge about the occurrence and natural history of surgical wounds healing by secondary intention (SWHSI); therefore, the aim of this survey was to estimate the number of people with SWHSI in Slovenia, the nature of these wounds, and to investigate how they are managed. Read More

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http://dx.doi.org/10.1111/hsc.12700DOI Listing
December 2018
1 Read

Empirical measurement of pressure in negative pressure wound therapy for infected wounds: How long can it really stay under pressure?

Wound Repair Regen 2018 Dec 12. Epub 2018 Dec 12.

Emergency Surgery Department, Università Cattolica del Sacro Cuore, Fondazione Policlinico A. Gemelli, Rome, Italy.

Surgical site infections represent one of the most common surgical complications. Negative pressure wound therapy is considered an effective wound management system, based on the principle that a negative pressure inside the wound can suction fluids and approximate wound edges. With the negative pressure wound therapy systems commercially available it is assumed that the pressure inside the wound is stable at the set values. Read More

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http://dx.doi.org/10.1111/wrr.12693DOI Listing
December 2018
1 Read

[Use of Negative Pressure Wound Therapy with Instillation and Dwell Time for Wound Treatment - Results of an Expert Consensus Conference].

Zentralbl Chir 2018 Dec 11;143(6):609-616. Epub 2018 Dec 11.

Unfallchirurgie, Bundeswehrkrankenhaus Berlin, Deutschland.

Rinsing wounds with wound cleansing solutions has long been a recognised cornerstone in wound management as a means of removing cell debris and surface pathogens in wound exudates. In combination with surgical debridement and topical negative pressure wound therapy (NPWT), this can facilitate the intended progression from the inflammatory to the proliferative phase of wound healing. Procedures of topical negative pressure wound therapy with instillation and a defined exposure/dwell-time of topical solutions under cyclic compression and decompression with foam dressings (NPWTi-d) can remove cellular remnants and debris that may inhibit the healing process. Read More

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http://dx.doi.org/10.1055/a-0713-0517DOI Listing
December 2018
13 Reads

A case of a patient with severe epidermolysis bullosa surviving to adulthood.

Int J Gen Med 2018 15;11:413-421. Epub 2018 Nov 15.

Department of Skin and Venereal Diseases, I.M. Sechenov First Moscow State Medical University, Moscow, Russia,

Purpose: The aim of this study was to evaluate the progression of a case of a patient with epidermolysis bullosa (EB) since early age who survived to adulthood, presenting with recurrent skin blisters and disfiguring scars and disabling musculoskeletal deformities.

Background: EB is a rare group of inherited diseases that affect the skin fragility causing it to blister in response to even minor trauma. Established novel treatments are limited in the literature due to its rarity, and more research is needed to set a global management approach. Read More

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https://www.dovepress.com/a-case-of-a-patient-with-severe-ep
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http://dx.doi.org/10.2147/IJGM.S180464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241716PMC
November 2018
3 Reads

Biomolecule-corona formation confers resistance of bacteria to nanoparticle-induced killing: Implications for the design of improved nanoantibiotics.

Biomaterials 2019 Feb 21;192:551-559. Epub 2018 Nov 21.

Department of Nanobiomedicine/ENT, University Medical Center of Mainz, Langenbeckstrasse 1, 55101, Mainz, Germany. Electronic address:

Multidrug-resistant bacterial infections are a global health threat. Nanoparticles are thus investigated as novel antibacterial agents for clinical practice, including wound dressings and implants. We report that nanoparticles' bactericidal activity strongly depends on their physical binding to pathogens, including multidrug-resistant primary clinical isolates, such as Staphylococcus aureus, Klebsiella pneumoniae or Enterococcus faecalis. Read More

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http://dx.doi.org/10.1016/j.biomaterials.2018.11.028DOI Listing
February 2019
6 Reads

The effect of mupirocin dressings on postoperative surgical site infections in elective colorectal surgery: A prospective, randomized controlled trial.

Am J Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of General Surgery, Gundersen Health System, La Crosse, WI, USA. Electronic address:

Background: Surgical site infections (SSIs) are the most common nosocomial infection among surgical patients. We hypothesized that mupirocin ointment would decrease SSI rates compared to standard surgical dressings in patients undergoing colorectal surgery.

Methods: A prospective randomized controlled trial was performed, including patients undergoing elective open and minimally invasive colorectal surgery. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.11.033DOI Listing
November 2018

Cost-effectiveness of incisional negative pressure wound therapy compared with standard care after caesarean section in obese women: a trial-based economic evaluation.

BJOG 2018 Dec 3. Epub 2018 Dec 3.

Department of Public Health, Danish Centre for Health Economics (DaCHE), University of Southern Denmark, Odense, Denmark.

Objective: To evaluate the cost-effectiveness of incisional negative pressure wound therapy (iNPWT) in preventing surgical site infection in obese women after caesarean section.

Design: A cost-effectiveness analysis conducted alongside a clinical trial.

Setting: Five obstetric departments in Denmark. Read More

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http://dx.doi.org/10.1111/1471-0528.15573DOI Listing
December 2018
2 Reads

Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle.

Indian J Plast Surg 2018 May-Aug;51(2):216-221

Department of Burns, Plastic and Maxillofacial Surgery, Safdarjung Hospital and VMMC, New Delhi, India.

Background: Despite advances in surgical skills, adipofascial flaps are still less preferred option for coverage of leg defect. We evaluate the use of perforator-based adipofascial flap in small-to-medium-sized soft-tissue defects in the lower limb.

Patients And Methods: After localisation of perforators along the major axial vessels in the lower limb using handheld Doppler, adipofascial flap based on the nearest best perforator of anterior tibial artery, posterior tibial artery and peroneal artery was raised to cover soft-tissue defect in 21 patients. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_19_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219370PMC
December 2018
7 Reads

Dressings used to prevent surgical site infection in the postoperative period of cardiac surgery: integrative review.

Rev Esc Enferm USP 2018 Nov 29;52:e03393. Epub 2018 Nov 29.

Universidade Federal do Paraná, Hospital de Clínicas, Programa de Residência Integrada Multiprofissional em Atenção Hospitalar, Curitiba, PR, Brasil.

Objective: To identify and describe which dressings are recommended to prevent surgical site infection in hospitalized adult patients after cardiac surgeries.

Method: Integrative review carried out in the databases MEDLINE, LILACS, CINAHL, Web of Science, Cochrane and Scopus. Studies related to dressing in the postoperative period of cardiac surgery were selected. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/S1980-220X2017011803393DOI Listing
November 2018
8 Reads

Treatment with vacuum-assisted closure system: A case of anastomotic leak after upper gastrointestinal surgery.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):601-603

Department of General Surgery, University of Health Sciences, Okmeydanı Training and Research Hospital, İstanbul-Turkey.

Presently described is a case treated via stent and vacuum-assisted closure (VAC). The patient developed an oesophagojejunostomy leak (OL) on the ninth postoperative day after a radical total gastrectomy. The patient was a 55-year-old male patient with adenocarcinoma localized to the small curvature on the corpus of the stomach. Read More

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http://dx.doi.org/10.5505/tjtes.2018.23238DOI Listing
November 2018
10 Reads

Systematic review of the use of cyanoacrylate glue in addition to standard wound closure in the prevention of surgical site infection.

Int Wound J 2018 Dec 4. Epub 2018 Dec 4.

Academic Department of Vascular Surgery, Imperial College, London, UK.

Surgical site infection (SSI) is associated with increased morbidity, length of stay, and cost. Cyanoacrylate glue is a low-cost, fluid-proof, antimicrobial barrier. The aim of this systematic review is to assess the use of cyanoacrylate glue after standard wound closure versus dressings in the reduction of SSI. Read More

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http://dx.doi.org/10.1111/iwj.13044DOI Listing
December 2018

Negative Pressure Wound Therapy Use to Decrease Surgical Nosocomial Events in Colorectal Resections (NEPTUNE): A Randomized Controlled Trial.

Ann Surg 2018 Nov 29. Epub 2018 Nov 29.

Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Objective: Determine if negative pressure wound therapy (NPWT) reduces surgical site infection (SSI) in primarily closed incision after open and laparoscopic-converted colorectal surgery.

Background: SSIs after colorectal surgery are a common cause of morbidity. The prophylactic effect of NPWT has not been established. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003111DOI Listing
November 2018
5 Reads

Fundamental aspects of the local approach to cutaneous ulcers.

An Bras Dermatol 2018 Nov/Dec;93(6):859-870

Department of Dermatology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil.

Ulcers or wounds can be classified as acute or chronic. Their treatment involves overall assessment of the patient and choice of suitable local therapy, and the appropriate indication and use of products. Technological progress in the field of wound treatment has increased rapidly. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/abd1806-4841.20187812DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256234PMC
February 2019
10 Reads

A retrospective comparison of 3M™ Micropore™ with other common dressings in cosmetic breast surgery.

J Plast Reconstr Aesthet Surg 2018 Nov 22. Epub 2018 Nov 22.

Faculty of life Sciences and Medicine, Kings College London, 120 Sloane Street SW1 × 9BW, United Kingdom.

Background: Surgical site infection has considerable cost implications for healthcare providers. Evidence suggests that the use of Micropore™ tape as a dressing for surgical incisions may be associated with reduced/comparable rates of infection in surgical wounds. 3M™ Micropore™ tape is significantly cheaper than conventional wound dressings. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.11.007DOI Listing
November 2018

Vacuum-assisted closure (VAC®) systems and microbiological isolation of infected wounds.

World J Emerg Surg 2018 20;13:53. Epub 2018 Nov 20.

1Emergency Surgery Department, Università Cattolica del Sacro Cuore, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.

Background: Negative pressure wound therapy is now largely used to treat infected wounds. The prevention and reduction of healthcare-associated infections is a high priority for any Department of Health and great efforts are spent to improve infection control systems. It is assumed that vacuum-assisted closure (VAC®) dressings should be watertight and that all the secretions are gathered in a single container but there is no consistent data on air leakage and possible dispersion of bacteria from the machine. Read More

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https://wjes.biomedcentral.com/articles/10.1186/s13017-018-0
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http://dx.doi.org/10.1186/s13017-018-0216-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245752PMC
February 2019
7 Reads

Honey dressing on a leg ulcer with tendon exposure in a patient with type 2 diabetes.

Endocrinol Diabetes Metab Case Rep 2018 Nov 16;2018. Epub 2018 Nov 16.

Division of Endocrinology Diabetes and Metabolism, Department of Medicine.

Honey has been used as a wound dressing for hundreds of years by ancient civilizations, but only recently it has acquired scientific interest because of its relevant biological properties. In the last decade, indeed, several trials and observational studies have reported that, compared to conventional treatment (e.g. Read More

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http://dx.doi.org/10.1530/EDM-18-0117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240024PMC
November 2018
2 Reads

Severe Burn Injury in a Swine Model for Clinical Dressing Assessment.

J Vis Exp 2018 Nov 6(141). Epub 2018 Nov 6.

Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center;

Wound healing is a dynamic repair process and is the most complex biological process in human life. In response to burn injury, alterations in biological pathways impair the inflammation response, resulting in delayed wound healing. Impaired wound healing frequently occurs in patients with diabetes leading to unfavorable outcomes such as amputation. Read More

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https://www.jove.com/video/57942/severe-burn-injury-in-a-swi
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http://dx.doi.org/10.3791/57942DOI Listing
November 2018
13 Reads

Wound Disruption Following Caesarean Delivery in Women With Class III Obesity: A Retrospective Observational Study.

J Obstet Gynaecol Can 2018 Nov 23. Epub 2018 Nov 23.

Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON. Electronic address:

Background: This study sought to identify risk factors associated with wound disruption following CS in women with class III obesity and to determine the value of individualized perioperative care plans in reducing its incidence.

Methods: The study included women with class III obesity who underwent CS after 24 weeks of gestation at Mount Sinai Hospital, Toronto, Ontario between 2011 and 2015 and collected data on demographics, clinical history, and perioperative details. Multivariable logistic regression analysis was performed to identify factors likely to contribute to a higher incidence of wound disruption (level of evidence II-3B). Read More

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http://dx.doi.org/10.1016/j.jogc.2018.08.018DOI Listing
November 2018
2 Reads

Acroangiodermatitis of Mali (Pseudo-Kaposi Sarcoma) Associated with Chronic Venous Insufficiency and Obesity: A Case Report.

Wounds 2018 Nov;30(11):E105-E107

College of Medicine, Taif University, Taif, Saudi Arabia.

Introduction: Acroangiodermatitis, also known as psesudo-Kapsoi sarcoma, is a rare and benign angioproliferative malady. It presents clinically as purple-colored plaques, patches, or nodules resembling Kaposi sarcoma and is often related to chronic venous insufficiency, arteriovenous malformation of the legs, paralyzed limbs, and residual limbs. Obesity is a risk factor for venous insufficiency and could be related to acroangiodermatitis. Read More

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November 2018
16 Reads

Formulation development and characterization of cefazolin nanoparticles-loaded cross-linked films of sodium alginate and pectin as wound dressings.

Int J Biol Macromol 2019 Mar 15;124:255-269. Epub 2018 Nov 15.

Department of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan. Electronic address:

The present study focuses on the preparation of nanoparticles-loaded ionic cross-linked films for the topical delivery of cefazolin. The aim of the study was to prepare a dosage form which can provide local effect of cefazolin along with sustained delivery at the site of application. Cefazolin was loaded into chitosan nanoparticles to mask the burst release of the drug and they were optimized based on particle size, PDI, % EE and zeta potential. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01418130183374
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http://dx.doi.org/10.1016/j.ijbiomac.2018.11.090DOI Listing
March 2019
9 Reads

Nonhealing Wounds of the Equine Limb.

Vet Clin North Am Equine Pract 2018 Dec;34(3):539-555

Brandon Equine Medical Center, 605 East Bloomingdale Avenue, Brandon, FL 33511, USA. Electronic address:

Nonhealing wounds present a common challenge to the equine practitioner. An underlying source of inflammation and infection is almost always present and needs to be resolved for healing to proceed. Wound débridement is the mainstay for this resolution. Read More

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http://dx.doi.org/10.1016/j.cveq.2018.07.007DOI Listing
December 2018
1 Read

E-cigarette burn injuries: Comprehensive review and management guidelines proposal.

Burns 2018 Nov 12. Epub 2018 Nov 12.

Department of Plastic Surgery, St. John Hospital, Livingston EH54 6PP, Scotland, UK. Electronic address:

Introduction: Electronic cigarettes (EC) have been reported to be associated with burns secondary to explosions of the device or battery, or contact from overheating, resulting in flame, contact or chemical burns. In addition to this, there have also been reported cases of soft tissue and bony trauma with or without associated burns. Using collective evidence, this review aims to summarise all reported burns associated with ECs, and its implications on immediate management with a particular focus on surgical treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183027
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http://dx.doi.org/10.1016/j.burns.2018.09.015DOI Listing
November 2018
15 Reads

[National experts consensus on application of silver-containing dressings in wound therapy (2018 version)].

Authors:
J P Zhang

Zhonghua Shao Shang Za Zhi 2018 Nov;34(11):E002

400038 Chongqing, State Key Laboratory of Trauma, Burns and Combined Injury, Department of Plastic Surgery, the First Affiliated Hospital of Army Medical University (the Third Military Medical University).

New silver-containing dressings developed in recent years have brought new and powerful means for the prevention and treatment of wound infection, which promote development and progress of wound therapy. There are many kinds of silver-containing dressings, however, misunderstanding and even misapplication exist in how to choose and use these dressings. Based on literature evidence, we propose this national expert consensus on clinical application of silver-containing dressings, particularly in terms of kinds and mechanisms, indications, contraindications, rational selections in different wounds, and cautions in the clinical application of silver-containing dressings. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.11.E002DOI Listing
November 2018
6 Reads

Assessment of the quality of the change of surgical wound dressings by the nursing staff in a university hospital of Tunis.

Tunis Med 2018 Jun;96(6):366-370

Background: Infection of surgical wounds is the main cause of nosocomial infections. In the event of a defect in the care chain, in particular, during the change of the postoperative dressings, the infectious risk would be increased.

Aim: To evaluate the gestures of change of dressing practiced by nurses of a university hospital department of surgery, in order to observe the insufficiencies. Read More

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June 2018
4 Reads