12,365 results match your criteria Surgical Dressings


Combined Timed Surgery and Conservative Management of Primary Necrotizing Fasciitis of the Breast: A Case Report.

Am J Case Rep 2020 Jun 3;21:e922688. Epub 2020 Jun 3.

Department of Public Health, Sector of Plastic Surgery, University of Naples "Federico II", Naples, Italy.

BACKGROUND Necrotizing fasciitis is a life-threatening infection that involves the deep fascia and the surrounding tissue, but rarely involves the female breast. The most common treatment for necrotizing fasciitis of the breast is total mastectomy. However, the use of negative pressure wound therapy (NPWT), after surgical debridement, is reported to promote the more rapid development of granulation tissue, before reconstructive surgery. Read More

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http://dx.doi.org/10.12659/AJCR.922688DOI Listing

A prospective randomized controlled clinical investigation comparing two post-operative wound dressings used after elective hip and knee replacement; Mepilex® Border Post-Op versus Aquacel® surgical.

Int J Orthop Trauma Nurs 2020 Mar 12:100772. Epub 2020 Mar 12.

Ghent University Hospital, Ghent, Belgium. Electronic address:

Background: Post-operative wound complications, including blistering and surgical site infections, can increase recovery times, costs associated with hospital stay and morbidity.

Aim: To compare two post-operative wound dressings (Mepilex Border Post-Op and Aquacel Surgical), in patients undergoing elective hip or knee arthroplasty.

Methods: International, open-label, prospective, superiority, multicentre, randomised, parallel-group, controlled trial. Read More

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http://dx.doi.org/10.1016/j.ijotn.2020.100772DOI Listing

Highly effective antibacterial zeolitic imidazolate framework-67/alginate fibers.

Nanotechnology 2020 May 28. Epub 2020 May 28.

College of Textiles and Clothing, Anhui Polytechnic University, Wuhu, Anhui, CHINA.

Antibacterial fibers have great potential in many applications including wound dressings, surgical gowns, and surgical sutures, and play an important role in our daily life. However, the traditional fabrication method for the antibacterial fibers shows high cost, complexity, and inferior antibacterial durability. Herein, we report a facile and scalable fabrication of highly effective antibacterial alginate (SA) composite fibers through blend spinning of zeolitic imidazolate framework-67 (ZIF-67) particles and SA. Read More

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http://dx.doi.org/10.1088/1361-6528/ab978aDOI Listing

An Insight into the Structural Diversity and Clinical Applicability of Polyurethanes in Biomedicine.

Polymers (Basel) 2020 May 24;12(5). Epub 2020 May 24.

Department of Cardiac Surgery, "Victor Babes" University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu sq, 300041 Timisoara, Romania.

Due to their mechanical properties, ranging from flexible to hard materials, polyurethanes (PUs) have been widely used in many industrial and biomedical applications. PUs' characteristics, along with their biocompatibility, make them successful biomaterials for short and medium-duration applications. The morphology of PUs includes two structural phases: hard and soft segments. Read More

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http://dx.doi.org/10.3390/polym12051197DOI Listing

Robust ZIF-8/alginate fibers for the durable and highly effective antibacterial textiles.

Colloids Surf B Biointerfaces 2020 May 18;193:111127. Epub 2020 May 18.

Key Laboratory of Textile Science & Technology, College of Textiles, Donghua University, Shanghai 201620, China; College of Textiles and Apparel, Quanzhou Normal University, Fujian 362000, China.

Antibacterial fibers have great potential in many applications, such as medical dressings, surgical sutures and masks, etc. owing to their good growth inhibition against bacteria. However, for the fabrication of antibacterial fibers, the traditional inorganic nanoparticles coating method shows the disadvantages of high cost, low stability and binding fastness. Read More

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http://dx.doi.org/10.1016/j.colsurfb.2020.111127DOI Listing

Use of Prophylactic Closed Incision Negative Pressure Therapy Is Associated with Reduced Surgical Site Infections in Gynecologic Oncology Patients Undergoing Laparotomy.

Am J Obstet Gynecol 2020 May 14. Epub 2020 May 14.

Division of Gynecologic Oncology; Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Desk A81, 9500 Euclid Avenue, Cleveland, OH 44195.

Background: Surgical site infection following surgery for gynecologic cancer increases morbidity. Prophylactic closed incision negative pressure therapy (ciNPT) has shown promise in decreasing infectious wound complications across many surgical disciplines.

Objective: (s): To determine whether ciNPT is associated with reduced surgical site infection in gynecologic oncology patients undergoing laparotomy compared to standard dressings. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.05.011DOI Listing

Are high-risk patient and revision arthroplasty effective indications for closed-incisional negative-pressure wound therapy after total hip or knee arthroplasty? A systematic review and meta-analysis.

Int Wound J 2020 May 13. Epub 2020 May 13.

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

To determine the effective indications of closed-incisional negative-pressure wound therapy (ciNPWT) following total hip or knee arthroplasty, this systematic review and meta-analysis was conducted. The systematic search was performed on MEDLINE, Embase, and Cochrane Library, and 11 studies were included. The studies comparing between ciNPWT and conventional dressings were categorised into following subgroups based on patient risk and revision procedures: routine vs high-risk patient; primary vs revision arthroplasty. Read More

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http://dx.doi.org/10.1111/iwj.13393DOI Listing

Graduated compression stockings as adjuvant to pharmaco-thromboprophylaxis in elective surgical patients (GAPS study): randomised controlled trial.

BMJ 2020 May 13;369:m1309. Epub 2020 May 13.

Department of Surgery and Cancer, Imperial College London & Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London W6 8RF, UK

Objectives: To investigate whether the use of graduated compression stockings (GCS) offers any adjuvant benefit when pharmaco-thromboprophylaxis is used for venous thromboembolism prophylaxis in patients undergoing elective surgery.

Design: Open, multicentre, randomised, controlled, non-inferiority trial.

Setting: Seven National Health Service tertiary hospitals in the United Kingdom. Read More

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http://dx.doi.org/10.1136/bmj.m1309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219517PMC

The Role of Adipose-Derived Stem Cells, Dermal Regenerative Templates, and Platelet-Rich Plasma in Tissue Engineering-Based Treatments of Chronic Skin Wounds.

Stem Cells Int 2020 9;2020:7056261. Epub 2020 Jan 9.

Department of Clinic and Experimental Medicine, University of Foggia, Foggia 71122, Italy.

The continuous improvements in the field of both regenerative medicine and tissue engineering have allowed the design of new and more efficacious strategies for the treatment of chronic or hard-to-heal skin wounds, which represent heavy burden, from a medical and economic point of view. These novel approaches are based on the usage of three key methodologies: stem cells, growth factors, and biomimetic scaffolds. These days, the adipose tissue can be considered the main source of multipotent mesenchymal stem cells, especially adipose-derived stem cells (ASCs). Read More

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http://dx.doi.org/10.1155/2020/7056261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199611PMC
January 2020

Surgical Management of a Large Chronic Prepatellar Bursitis: 2-Stage Technique.

Case Rep Orthop 2020 13;2020:3204014. Epub 2020 Jan 13.

Department of Trauma and Orthopaedic Surgery, Woodend General Hospital, Aberdeen AB15 6XS, UK.

Treatment of a large chronic prepatellar bursitis can be difficult to manage surgically because of a high rate of local complications and a significant chance of recurrence. We present a 2-stage technique using negative pressure dressings which produced a good outcome with no recurrence at one year after surgery. Read More

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http://dx.doi.org/10.1155/2020/3204014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201794PMC
January 2020

Polyester mesh dressings reduce delayed wound healing rates after total hip arthroplasty compared with silver-impregnated occlusive dressings.

Arthroplast Today 2020 Jun 23;6(2):158-162. Epub 2020 Apr 23.

Center for Hip and Knee Replacement, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.

Background: New dressings purport to reduce surgical wound complications after total hip arthroplasty (THA). This study compared delayed wound healing rates and reoperations between 2 increasingly popular dressings: a silver-impregnated occlusive (standard) dressing and a 2-octyl cyanoacrylate adhesive with polyester mesh.

Methods: This retrospective cohort study reviewed 431 consecutive THAs performed by 2 surgeons between January 2017 and May 2019. Read More

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http://dx.doi.org/10.1016/j.artd.2020.01.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184099PMC

Awareness and attitude of general population regarding allograft skin donation in Riyadh, Saudi Arabia: Cross-sectional study.

Authors:
Adnan G Gelidan

Burns 2020 Apr 29. Epub 2020 Apr 29.

The Division of Plastic Surgery, King Saud University P.O Box 7805, Riyadh 11462, Saudi Arabia.

Introduction: Burns are one of the major health issues that considerably affect variable groups of the population, varying in age and severity. Despite advances in burn surgical and non-surgical treatments, patient's appearance still represents public health issue. In regards to surgical treatment of burns, skin grafting is still considered the gold standard. Read More

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http://dx.doi.org/10.1016/j.burns.2020.04.002DOI Listing

Negative pressure wound therapy for surgical wounds healing by primary closure.

Cochrane Database Syst Rev 2020 05 1;5:CD009261. Epub 2020 May 1.

School of Biological Sciences, Faculty of Biology, Medicine & Health, Manchester, UK.

Background: Indications for the use of negative pressure wound therapy (NPWT) are broad and include prophylaxis for surgical site infections (SSIs). Existing evidence for the effectiveness of NPWT on postoperative wounds healing by primary closure remains uncertain.

Objectives: To assess the effects of NPWT for preventing SSI in wounds healing through primary closure, and to assess the cost-effectiveness of NPWT in wounds healing through primary closure. Read More

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http://dx.doi.org/10.1002/14651858.CD009261.pub5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192856PMC

New Treatment of Wound Healing With Allogenic Acellular Human Skin Graft: Preclinical Assessment and In Vitro Study.

Transplant Proc 2020 Apr 24. Epub 2020 Apr 24.

Department of General and Transplantation Surgery, Medical University of Warsaw, Warsaw, Poland. Electronic address:

Background: Nonhealing wounds can be a major clinical problem. Impaired wound healing is often related to massive tissue injury, concomitant wound healing deficiencies (chronic wounds), burn injury, or congenital conditions. We propose a novel biological dressing as an alternative surgical approach. Read More

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http://dx.doi.org/10.1016/j.transproceed.2020.02.115DOI Listing

Negative Pressure Incisional Therapy and Postoperative Infection after Posterior Approach Primary Total Hip Arthroplasty.

Cureus 2020 Mar 24;12(3):e7394. Epub 2020 Mar 24.

Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, USA.

A major complication after total hip arthroplasty (THA) is infection, which can have devastating clinical and financial results. Silver-impregnated dry dressings, such as Aquacel dressings, and incisional negative pressure dressings (Prevena) have been developed to reduce the rates of surgical site infections (SSIs) after surgery. We retrospectively reviewed the medical records of 235 patients who underwent primary posterior approach THA at our institution during a three-year period. Read More

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http://dx.doi.org/10.7759/cureus.7394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179974PMC

Early-stage Management of Complex Lower Extremity Wounds Using Negative Pressure Wound Therapy With Instillation and a Reticulated Open Cell Foam With Through Holes.

Authors:
Windy Cole

Wounds 2020 Mar 31. Epub 2020 Mar 31.

Kent State University College of Podiatric Medicine Wound Care, Independence, OH.

Introduction: Treatment modalities that overcome stalled wound healing in lower extremity wounds are crucial for reducing lower limb amputations, which have a 5-year mortality rate of an astounding 70%. Recent non-comparative studies have shown negative pressure wound therapy with instillation and dwell time (NPWTi-d) using a dressing comprised of reticulated open cell foam with through holes (ROCF-CC) provides favorable clinical outcomes for various wound types, including complex lower extremity wounds.

Objective: The objective of this study is to compare NPWTi-d using ROCF-CC dressings (treatment group) with advanced wound dressings (control group) in patients with chronic lower extremity wounds and known systemic risk factors for delayed healing. Read More

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Experience with the Use of Splint Caps for the Management of Fingertip Amputation Injuries.

J Hand Surg Asian Pac Vol 2020 Jun;25(2):199-205

Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.

Fingertip amputation injuries are common hand injuries amongst all ages. If occurring as a result of workplace accidents, these injuries has the potential to lead to significant socioeconomic costs. Non-surgical techniques can treat these injuries with the potential to alleviate the burden of these socioeconomic costs. Read More

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http://dx.doi.org/10.1142/S242483552050023XDOI Listing

Impact of timing on wound dressing removal after caesarean delivery: a multicentre, randomised controlled trial.

J Obstet Gynaecol 2020 Apr 21:1-5. Epub 2020 Apr 21.

Office of Biostatistics, Preventive Medicine and Community Health, The University of Texas Medical Branch at Galveston, TX, USA.

We compared wound dressing removal at 24 hours 48 hours following low-risk caesarean deliveries. This multicentre, randomised, controlled study included patients 18-44 years of age with low-risk term, singleton pregnancies. The randomisation was done weekly. Read More

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http://dx.doi.org/10.1080/01443615.2020.1736015DOI Listing
April 2020
0.604 Impact Factor

Negative Pressure Wound Therapy Reduces Wound Breakdown and Implant Loss in Prepectoral Breast Reconstruction.

Plast Reconstr Surg Glob Open 2020 Feb 24;8(2):e2667. Epub 2020 Feb 24.

Nightingale Breast Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom.

Background: Single-use negative pressure wound therapy (NPWT) has been shown to encourage wound healing. It is often used when patient factors impair wound healing, or in more complex wounds, such as in implant-based breast reconstruction. We report the findings of a prospective cohort study comparing the use of NPWT with standard dressings in prepectoral breast reconstruction. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002667DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159936PMC
February 2020

French consensus regarding precautions during tracheostomy and post-tracheostomy care in the context of COVID-19 pandemic.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 May 9;137(3):167-169. Epub 2020 Apr 9.

Service d'ORL et de chirurgie cervico-faciale, CHU Grenoble Alpes, boulevard de la Chantourne, 38700 La Tronche, France.

Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24h of surgery, are at low risk of being infected. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144608PMC

The use of negative pressure wound therapy in the primary setting for high-risk head and neck surgery.

Am J Otolaryngol 2020 Apr 1:102470. Epub 2020 Apr 1.

THANC (Thyroid, Head and Neck Cancer) Foundation, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai Hospital, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA.

Background: In head and neck surgery, dead space is typically managed by transferring a secondary pedicled flap or harvesting a larger composite flap with a muscular component. We demonstrate the novel use of prophylactic negative pressure wound therapy (NPWT) to obliterate dead space and reduce possible communication between the upper aerodigestive tract and the contents of the neck.

Methods: We present a single-institutional case series of five patients with high-risk head and neck cancer treated with NPWT after ablative and reconstructive surgery to eliminate dead space following surgical resection. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102470DOI Listing

Physicochemical stability of an admixture of lidocaine and ketamine in polypropylene syringe used in opioid-free anaesthesia.

Eur J Hosp Pharm 2020 Mar 18;27(e1):e79-e83. Epub 2019 Oct 18.

Pharmacy, Centre Hospitalier Universitaire de Nancy, Vandoeuvre-lès-Nancy, France.

Objectives: Opioid-free anaesthesia is a treatment strategy of pain management based on the use of drugs such as lidocaine, ketamine and dexmedetomidine that do not interact significantly with opioid receptors. In particular, these drugs are used by anaesthesiologists to ensure adequate levels of analgesia during surgical procedures for burn patients such as daily wound dressings and graft surgeries. Furthermore, for hypothermia prevention and wound-healing purposes, ambient temperature must be kept high for these patients, usually between 27°C and 30°C. Read More

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http://dx.doi.org/10.1136/ejhpharm-2019-001976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147561PMC

Comparison of early and delayed removal of dressing following primary closure of clean and contaminated surgical wounds: A systematic review and meta-analysis of randomized controlled trials.

Exp Ther Med 2020 May 11;19(5):3219-3226. Epub 2020 Mar 11.

Department of Nursing, Tianjin Fifth Central Hospital, Tianjin 300450, P.R. China.

The usefulness of dressing a surgical wound beyond the first 24-48 h of surgery is currently a controversial issue. The aim of this meta-analysis was to compare the early and delayed removal of dressing following primary closure in the management of clean and contaminated surgical wounds. Systematic searches were conducted in various databases including Medline, Cochrane Controlled Register of Trials (CENTRAL), Scopus, and Embase from January, 1964 until October, 2019. Read More

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http://dx.doi.org/10.3892/etm.2020.8591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132221PMC

A Single-Centre Feasibility Randomised Controlled Trial Comparing the Incidence of Asymptomatic and Symptomatic Deep Vein Thrombosis Between a Neuromuscular Electrostimulation Device and Thromboembolism Deterrent Stockings in Post-Operative Patients Recovering From Elective Total Hip Replacement Surgery.

Surg Technol Int 2020 May;36:289-298

Orthopaedic Research Institute, Bournemouth, UK.

Background: Total hip replacement is recognised as a major risk factor for deep vein thrombosis (DVT). The aim of this study was to investigate the feasibility of using a novel neuromuscular electrical stimulation device (NMES) for DVT prevention in patients recovering from elective hip replacement surgery.

Methods: Twenty-eight patients undergoing total hip replacement were randomised to receive postoperative treatment with either the NMES device or compression stockings continually from post-surgery until discharge (day 4). Read More

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Pilonidal sinus in pediatric age: primary vs. secondary closure.

Cir Pediatr 2020 Apr 1;33(2):61-64. Epub 2020 Apr 1.

Servicio de Cirugía Pediátrica. Hospital Universitario La Paz. Madrid.

Introduction: Pilonidal sinus (PS) is a highly frequent condition in teenagers. There is no consensus on which type of closure should be carried out following surgical removal. Our objective is to compare primary closure (PC) results with secondary closure (SC) or deferred closure results. Read More

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Comparison of Mechanical Characteristics of Commonly Used Vaginal Packing Materials.

Surg Technol Int 2020 May;36:186-190

Department of Obstetrics and Gynecology,UCLA School of Medicine, Los Angeles, California.

Introduction: Clinically, vaginal packing provides the benefit of hemostasis and is designed to prevent the formation of postoperative hematomas. Despite the common use of vaginal packing in pelvic surgery, there is limited data to indicate which material has the ideal characteristics for vaginal packing.

Materials And Methods: Three packing materials were used: DeRoyal® Fluftex™ (DeRoyal Industries, Inc. Read More

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[Clinical study of cell sheets containing allogeneic keratinocytes and fibroblasts for the treatment of partial-thickness burn wounds].

Zhonghua Shao Shang Za Zhi 2020 Mar;36(3):171-178

Burn Institute of PLA, Department of Burn Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China.

To evaluate the efficacy and safety of cell sheets containing allogeneic keratinocytes and fibroblasts in the treatment of partial-thickness burn wounds. The cell sheets containing allogeneic keratinocytes and fibroblasts were constructed using polyurethane biofilm as carrier. Then gross observation and histological observation were conducted. Read More

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http://dx.doi.org/10.3760/cma.j.cn501120-20191113-00426DOI Listing

The role of vacuum-assisted closure (VAC) therapy in the management of FOURNIER'S gangrene: a retrospective multi-institutional cohort study.

World J Urol 2020 Mar 31. Epub 2020 Mar 31.

Urology Unit, San Carlo Di Nancy Hospital, GVM Care and Research, Via Aurelia 275, 00100, Rome, Italy.

Purpose: To explore the role of vacuum assisted closure (VAC) therapy versus conventional dressings in the Fournier's gangrene wound therapy.

Patients And Methods: This is a retrospective multi-institutional cohort study. Data of 92 patients from nine centers between 2007 and 2018 were retrospectively analyzed. Read More

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http://dx.doi.org/10.1007/s00345-020-03170-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223519PMC

Health Impact of Silver Nanoparticles: A Review of the Biodistribution and Toxicity Following Various Routes of Exposure.

Int J Mol Sci 2020 Mar 30;21(7). Epub 2020 Mar 30.

Department of Physiology, College of Medicine and Health Sciences, United Arab Emirates University, P.O. Box 17666 Al Ain, UAE.

Engineered nanomaterials (ENMs) have gained huge importance in technological advancements over the past few years. Among the various ENMs, silver nanoparticles (AgNPs) have become one of the most explored nanotechnology-derived nanostructures and have been intensively investigated for their unique physicochemical properties. The widespread commercial and biomedical application of nanosilver include its use as a catalyst and an optical receptor in cosmetics, electronics and textile engineering, as a bactericidal agent, and in wound dressings, surgical instruments, and disinfectants. Read More

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http://dx.doi.org/10.3390/ijms21072375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177798PMC

Carbolic Acid before Joseph Lister: Rail Ties, Sewage, Manure, and the Great Stink.

Am Surg 2020 Mar;86(3):176-183

From the *Department of Surgery, FIU Herbert Wertheim College of Medicine, Miami, Florida and.

Before Joseph Lister's landmark publications on the use of carbolic acid wound dressings in 1867, surgeons Jules Lemaire in France and Enrico Bottini in Italy had already used carbolic acid on hundreds of patients to control suppurative wounds. After Friedlieb Runge isolated it from coal tar in 1834, a number of scientists recognized the efficacy of carbolic acid in preventing decay and neutralizing the stench of dead animals and human cadavers. Frederick Calvert, Alexander McDougall, and Angus Smith in Manchester promoted a powdered form of carbolic acid as a deodorizing agent to treat municipal sewage across the United Kingdom, most notably during London's famous "Great Stink" of 1858. Read More

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Practical Things You Should Know about Wound Healing and Vacuum-Assisted Closure Management.

Plast Reconstr Surg 2020 Apr;145(4):839e-854e

Annapolis, Baltimore, and Pikesville, Md.; and Tacoma, Wash. From the Division of Plastic Surgery, Anne Arundel Medical Center; Department of Plastic Surgery, Johns Hopkins Hospital; Section of Plastic Surgery, Madigan Army Medical Center; and private practice.

Learning Objectives: After reading this article, the participant should be able to: 1. Understand the basics of negative-pressure wound therapy and practical uses of various vacuum-assisted closure dressings. 2. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006652DOI Listing

A comparison of faculty led, mentorship program and peer mentoring on nursing students wound dressing clinical skills.

Nurse Educ Today 2020 Jun 19;89:104378. Epub 2020 Feb 19.

RCSI School of Nursing and Midwifery, Deublin Ireland; Skin, Wounds and Trauma Research (SWaT) Centre, RCSI, Dublin Ireland; Fakeeh College of Health Sciences, Jeddah, Saudi Arabia; Faculty of Science, Medicine and Health, University of Wollongong, Australia.

Background: The promotion of clinical nursing education requires using modern educational methods to develop students' knowledge and skills. There are however many different models by which education can be delivered with a wealth of literature supporting varying approaches. This is of particular relevance to clinical education where to date no singular approach has been identified as being the most appropriate. Read More

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http://dx.doi.org/10.1016/j.nedt.2020.104378DOI Listing

Developments in silicone technology for use in stoma care.

Br J Nurs 2020 Mar;29(6):S6-S15

Technical Director, Trio Healthcare.

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Read More

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http://dx.doi.org/10.12968/bjon.2020.29.6.S6DOI Listing

Current Strategies in Prevention of Postoperative Infections in Spine Surgery.

Global Spine J 2020 Apr 3;10(2):183-194. Epub 2019 Jan 3.

University of Alabama at Birmingham, AL, USA.

Study Design: Narrative review.

Objectives: Postoperative surgical site infections (SSIs) are among the most common acute complications in spine surgery and have a devastating impact on outcomes. They can lead to increased morbidity and mortality as well as greater economic burden. Read More

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http://dx.doi.org/10.1177/2192568218819817DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076595PMC

Deep Learning-Based Risk Model for Best Management of Closed Groin Incisions After Vascular Surgery.

J Surg Res 2020 Mar 17. Epub 2020 Mar 17.

Department of Surgery, Duke University Medical Center, Durham, North Carolina.

Background: Reduced surgical site infection (SSI) rates have been reported with use of closed incision negative pressure therapy (ciNPT) in high-risk patients.

Methods: A deep learning-based, risk-based prediction model was developed from a large national database of 72,435 patients who received infrainguinal vascular surgeries involving upper thigh/groin incisions. Patient demographics, histories, laboratory values, and other variables were inputs to the multilayered, adaptive model. Read More

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http://dx.doi.org/10.1016/j.jss.2020.02.012DOI Listing
March 2020
1.936 Impact Factor

Treatment of Second to Third-Degree Burns in A 2-Day-Old Infant: A Case Report.

World J Plast Surg 2020 Jan;9(1):82-87

Division of Plastic and Reconstructive Surgery, Department of Surgery, Klinikum Wels-Grieskirchen, Austria.

Burn injuries in newborns are particularly complex cases. Since these patients are rare, there is little experience and no existing standardized treatment. This report examines a case of accidental second to third-degree burning of the heel and toes on the left foot in a new-born girl. Read More

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http://dx.doi.org/10.29252/wjps.9.1.82DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068179PMC
January 2020

Pre-Conditioning and Post-Operative Photobiomodulation Therapy by a Novel Light Patch System for Knee Arthroplasty: A Protocol for a Phase 1 Study.

Photobiomodul Photomed Laser Surg 2020 Apr 18;38(4):206-214. Epub 2020 Mar 18.

Mater Research, South Brisbane, Australia.

To determine the potential efficacy and feasibility of photobiomodulation therapy (PBMT) before and after knee arthroplasty (KA) surgery. Total knee replacements (total knee arthroplasty, TKA) are one of the most common and successful surgical interventions for osteoarthritis. Up to 20,000 knee replacement arthroplasties are performed in Australia annually. Read More

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http://dx.doi.org/10.1089/photob.2019.4751DOI Listing

Guidelines on use of interventions to enhance healing of chronic foot ulcers in diabetes (IWGDF 2019 update).

Diabetes Metab Res Rev 2020 03;36 Suppl 1:e3283

Department of Diabetes and Endocrinology, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.

The International Working Group on the Diabetic Foot (IWGDF) has published evidence-based guidelines on the prevention and management of diabetic foot disease since 1999. In conjunction with advice from internal and external reviewers and expert consultants in the field, this update is based on a systematic review of the literature centred on the following: the Population (P), Intervention (I), Comparator (C) and Outcomes (O) framework; the use of the SIGN guideline/Cochrane review system; and the 21 point scoring system advocated by IWGDF/EWMA. This has resulted in 13 recommendations. Read More

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http://dx.doi.org/10.1002/dmrr.3283DOI Listing

Hyaluronic acid biomaterial for human tissue-engineered skin substitutes: Preclinical comparative in vivo study of wound healing.

J Eur Acad Dermatol Venereol 2020 Mar 15. Epub 2020 Mar 15.

Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, Andalusian Network of Design and Translation of Advanced Therapies, Granada, Spain.

Background: There is not an ideal biomaterial for tissue-engineered skin substitutes (TESSs), and most of the studies or existing therapies use xenogeneic origin natural biomaterials or biosynthetic scaffolds.

Objective: To analyse clinical, histological integration and homeostasis parameters of a human TESS manufactured with fibrin-hyaluronic acid biomaterial (HA-Skin), grafted in immunodeficient mice for 8 weeks, and compared with the gold standard treatment (Autograft), a human TESS manufactured with fibrin-agarose biomaterial (AG-Skin) and secondary wound healing dressings.

Methods: Human TESSs and autografts were implanted into BALB/c mice after surgical excision. Read More

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http://dx.doi.org/10.1111/jdv.16342DOI Listing

Use of Oxidized Regenerated Cellulose (ORC)/Collagen/Silver-ORC Dressings Alone or Subsequent to Advanced Wound Therapies in Complex Wounds.

Authors:
Robert J Klein

Wounds 2020 Feb;32(2):37-43

Collom & Carney Clinical Association, Texarkana, TX; Prisma Health, Greenville, SC.

Introduction: Chronic or senescent wounds are difficult to heal and often require a multimodal treatment plan. Negative pressure wound therapy (NPWT) or advanced wound dressings, such as oxidized regenerated cellulose (ORC)/collagen/silver-ORC dressings, can be used to promote granulation tissue development and stimulate wound healing in these complex wounds.

Objective: This article examines the use of ORC/collagen/silver-ORC dressings alone or subsequent to advanced wound therapies in a retrospective cohort of 24 patients. Read More

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February 2020

[Uncommon signs of mycetoma].

Pan Afr Med J 2019 26;34:163. Epub 2019 Nov 26.

Service de Dermatologie et Maladies Infectieuses, Hôpital de Référence de Talangaï, Brazzaville, Congo.

Mycetoma is a chronic inflammatory process during which exogenous fungal or actinomycosic agents produce grains. The infection involves the skin, the subcutaneous tissues, the muscles and the bones. We report the case of a 39-year old woman, a teacher, living in Brazzaville, who had regularly resided in the village. Read More

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http://dx.doi.org/10.11604/pamj.2019.34.163.20300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046107PMC

Alvogyl and absorbable gelatin sponge as palatal wound dressings following epithelialized free gingival graft harvest: a randomized clinical trial.

Clin Oral Investig 2020 Apr 6;24(4):1517-1525. Epub 2020 Mar 6.

Oral Medicine and Periodontology Department, Faculty of Oral and Dental Medicine, Cairo University, Giza, Egypt.

Objectives: This randomized controlled trial compares for the first time effects of Alvogyl versus absorbable gelatin sponge as palatal wound dressings on postoperative pain, amount of analgesic consumption, post-surgical bleeding, and wound re-epithelization.

Materials And Methods: Following sample size calculation, 36 systemically healthy patients requiring palatal mucosal graft harvesting were randomized to receive Alvogyl (intervention group, 18 patients) or absorbable gelatin sponge (control group, 18 patients) palatal dressings. Patient-reported VAS pain scores over 2 weeks were defined as primary outcome. Read More

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http://dx.doi.org/10.1007/s00784-020-03254-zDOI Listing

The impact of negative pressure wound therapy for closed surgical incisions on surgical site infection: A systematic review and meta-analysis.

Surgery 2020 Jun 3;167(6):1001-1009. Epub 2020 Mar 3.

Division of General Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada; Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Canada; Division of General Surgery, Department of Surgery, University of Toronto, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Canada. Electronic address:

Background: Surgical site infections cause substantial morbidity and mortality. Negative pressure wound therapy may reduce the risk of surgical site infections, but current evidence is unclear. The objective of this study was to examine whether negative pressure wound therapy reduces the risk of surgical site infections and other wound complications when compared with conventional dressings in all patients with primarily closed surgical wounds. Read More

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http://dx.doi.org/10.1016/j.surg.2020.01.018DOI Listing

A systematic review and meta-analysis comparing the effectiveness of negative-pressure wound therapy to standard therapy in the prevention of complications after vascular surgery.

Int J Surg 2020 Apr 3;76:94-100. Epub 2020 Mar 3.

Dept. Vascular Surgery, Beaumont Hospital, Dublin, Ireland.

Introduction: Negative pressure wound therapy (NPWT) dressings reduce wound complications in a variety of settings but it is unclear whether they reduce groin wound complications in closed incisions after vascular surgery. Therefore, we performed a systematic review and meta-analysis.

Methods: Randomised controlled trials on the use of negative pressure wound dressings on closed groin incisions following vascular surgery were identified from an electronic search of abstract databases, conference proceedings and article reference lists. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.02.037DOI Listing

sIatrogenic thermal burns secondary to marine sting treatment.

J Burn Care Res 2020 Mar 6. Epub 2020 Mar 6.

State Adult Burn Service, Fiona Stanley Hospital, Perth, Western Australia.

Hot water immersion (HWI) therapy is an effective and validated treatment for a variety of marine stings. Unsupervised, however, it poses a significant risk of thermal injury. Herein, we describe our experience of iatrogenic thermal injury secondary to marine sting treatment. Read More

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http://dx.doi.org/10.1093/jbcr/iraa042DOI Listing

Revision of unicompartmental knee arthroplasty using the in situ referencing technique.

Oper Orthop Traumatol 2020 Mar 5. Epub 2020 Mar 5.

Department of Orthopaedic Surgery, University of Wuerzburg, Koenig-Ludwig-Haus, Brettreichstr. 11, 97074, Wuerzburg, Germany.

Objective: Revision of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA) with the in situ referencing technique aiming to preserve as much ligament function and epi-metaphyseal bone stock as possible.

Indications: Aseptic loosening, progression of osteoarthritis, periprosthetic fracture, periprosthetic infection, arthrofibrosis, polyethylene wear, malalignment, instability, femoro-tibial impingement.

Contraindications: Unexplained pain, localized or systemic active infection (anywhere). Read More

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http://dx.doi.org/10.1007/s00064-020-00656-wDOI Listing

Stereotactic Navigation Improves Outcomes of Orbital Decompression Surgery for Thyroid Associated Orbitopathy.

Ophthalmic Plast Reconstr Surg 2020 Mar 2. Epub 2020 Mar 2.

Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan.

Purpose: To test whether intraoperative stereotactic navigation during orbital decompression surgery resulted in quantifiable surgical benefit.

Methods: This retrospective cohort study examined all consecutive patients who underwent primary orbital decompression surgery for thyroid associated orbitopathy performed by a single surgeon (A.K. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001630DOI Listing

The Detection of Wound Infection by Ion Mobility Chemical Analysis.

Biosensors (Basel) 2020 Feb 29;10(3). Epub 2020 Feb 29.

Warwick Medical School, University of Warwick, Medical School Building, Coventry CV4 7HL, UK.

Surgical site infection represents a large burden of care in the National Health Service. Current methods for diagnosis include a subjective clinical assessment and wound swab culture that may take several days to return a result. Both techniques are potentially unreliable and result in delays in using targeted antibiotics. Read More

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http://dx.doi.org/10.3390/bios10030019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146168PMC
February 2020

A Cerberus-Inspired Anti-Infective Multicomponent Gatekeeper Hydrogel against Infections with the Emerging "Superbug" Yeast Candida auris.

Macromol Biosci 2020 Apr 27;20(4):e2000005. Epub 2020 Feb 27.

Institute of Pharmaceutical Biotechnology, Ulm University, Ulm, 89081, Germany.

The pathogenic yeast Candida auris has received increasing attention due to its ability to cause fatal infections, its resistance toward important fungicides, and its ability to persist on surfaces including medical devices in hospitals. To brace health care systems for this considerable risk, alternative therapeutic approaches such as antifungal peptides are urgently needed. In clinical wound care, a significant focus has been directed toward novel surgical (wound) dressings as first defense lines against C. Read More

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http://dx.doi.org/10.1002/mabi.202000005DOI Listing
April 2020
3.851 Impact Factor