Spinal Cord Ser Cases 2017 10;3:17052. Epub 2017 Aug 10.

Department of Physical Medicine and Rehabilitation King Fahad Medical City, Riyadh, Saudi Arabia.

Introduction: Pregnancies in women with spinal cord injury (SCI) are at greater risk of morbidity and mortality. Although pregnancy after SCI is well elaborated in the literature, SCI occurring during pregnancy is rarely reported. Abrupt changes in the body physiology because of SCI and the resulting disability add a risk to maternal and fetal well-being. Read More

Biomacromolecules 2017 Aug 11. Epub 2017 Aug 11.

In the treatment of traumatic injuries, burns, and ulcers of the eye, inadequate epithelial tissue healing remains a major challenge. Wound healing is a complex process involving the temporal and spatial interplay between cells and their extracellular milieu. It can be impaired by a variety of causes including infection, poor circulation, loss of critical cells and/or proteins, and a deficiency in normal neural signaling (e. Read More

Int Wound J 2017 Aug 10. Epub 2017 Aug 10.

Hôpital du Sacré-Cœur, Montreal, Canada.

J Clin Nurs 2017 Aug 9. Epub 2017 Aug 9.

Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Ave Kelvin Grove.

Aims And Objectives: To gain insight into the experience of recurrent venous leg ulcers from the individual's perspective and provide knowledge on potential risks of recurrence not previously investigated.

Background: Venous leg ulcers are a consequence of chronic venous disease and frequently recur. They are costly and can impact on physical and psychological health. Read More

Isr Med Assoc J 2017 Jul;19(7):429-434

IRCCS Galeazzi Orthopedic Institute, Milan, Italy.

Background: Hyperbaric oxygen therapy (HBOT) has been investigated as a primary/adjunctive treatment for a number of injuries and medical conditions including traumatic ischemia, necrotizing soft tissue injuries, non-healing ulcers and osteoradionecrosis, but the results are controversial. There is insufficient evidence to support or reject the use of HBOT to quicken healing or to treat the established non-union of fractures. However, in patients with fibromyalgia, HBOT reduces brain activity in the posterior cortex and increases it in the frontal, cingulate, medial temporal and cerebellar cortices, thus leading to beneficial changes in brain areas that are known to function abnormally. Read More

Wounds 2017 Jul;29(7):209-214

Division of Gynecologic Oncology, Ege University, İzmir, Turkey.

Background: Research on treatment alternatives that improve wound healing is an ever-evolving area in medicine, and a wound healing agent that carries minimal pain, discomfort, and scarring for patients with burn wounds, venous and decubitis ulcers, traumatic wounds, and many others is needed. The phases of wound healing include homeostasis, inflammation, migration, proliferation, and maturation. Adeps suillus (axonge) is known as a therapeutic agent for skin diseases and mainly consists of triglycerides. Read More

Case Rep Otolaryngol 2017 28;2017:8416963. Epub 2017 Jun 28.

Department of Pathology, Chitwan Medical College Teaching Hospital, P.O. Box 42, Bharatpur 10, Chitwan, Nepal.

Tuberculosis is still one of the most prevalent diseases in developing countries like Nepal. However, due to the effectiveness of DOTS therapy, vaccination, and education, the prevalence of tuberculosis has fallen in recent years. Although the pulmonary and extrapulmonary tuberculosis, especially the tubercular lymphadenitis, is still very common in our country, the tuberculosis of oral cavity is an uncommon condition. Read More

J Biol Regul Homeost Agents 2017 APR-JUN;31(2 Suppl. 2):107-120

University B.I.S. Group of Institutions, Punjab Technical University, Punjab, India.

To retrieve the history of venous ulcers and of skin lesions in general, we must go back to the appearance of human beings on earth. It is interesting to note that cutaneous injuries evolved parallel to human society. An essential first step in the pathogenesis of ulcers was represented by the transition of the quadruped man to Homo Erectus. Read More

Injury 2017 Aug 8;48(8):1794-1800. Epub 2017 Jul 8.

Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan; School of Medicine for International Students, I-Shou University, Kaohsiung, Taiwan. Electronic address:

Introduction: Traumatic brain injury has been associated with an increased risk of myocardial dysfunction. Common abnormalities accompanying this pathology include electrocardiographic abnormalities, elevated creatine kinase levels, arrhythmias, and pathologic changes of the myocardium. The aim of this study was to determine if TBI patients have a higher risk of myocardial dysfunction than the general population and to identify the risk factors of myocardial dysfunction in TBI patients. Read More

Endosc Int Open 2017 Jul 6;5(7):E630-E634. Epub 2017 Jul 6.

Department of Digestive Endoscopy, Cancer Hospital I, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.

Background And Study Aims:  Performing a percutaneous endoscopic gastrostomy (PEG) in head and neck cancer (HNC) patients can be challenging because of the presence of trismus, pharyngeal obstruction by tumor, and pharyngoesophageal strictures or fistula. Pharyngocutaneous fistula (PCF) is a major postoperative concern in patients submitted to total laryngectomy (TL). In the medical literature to date, the cervical fistula has been used as an access to PEG in only four reports. Read More

Int J Low Extrem Wounds 2017 Mar 8;16(1):36-44. Epub 2017 Mar 8.

1 Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

The aim of the study was to update the clinical database of chronic wounds in order to derive an evidence based understanding of the condition and hence to guide future clinical management in China. A total of 241 patients from January 1, 2011 to April 30, 2016 with chronic wounds of more than 2 weeks' duration were studied in wound healing department in Shanghai. Results revealed that among all the patients the mean age was 52. Read More

Phytother Res 2017 Aug 21;31(8):1283-1288. Epub 2017 Jun 21.

Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil.

The effects of topical copaiba oil extract and topical corticosteroid were assessed on oral wound healing in an in vivo model using 96 male Wistar rats. Traumatic ulcers were caused in the dorsum of the tongue using a 3-mm punch tool. The animals were divided into: Control; Corticosteroid; Placebo and Copaiba oil Group. Read More

J Spinal Cord Med 2017 Jun 14:1-10. Epub 2017 Jun 14.

a SCI Mobility Lab, Lyndhurst Centre, Toronto Rehabilitation Institute - University Health Network , Toronto , Canada.

Objective: To determine if there is a relationship between trunk function and offloading of the ischial tuberosities in individuals with Spinal Cord Injury (SCI).

Design: Prospective cross-sectional evaluation.

Setting: Sub-acute rehabilitation hospital. Read More

J Wound Care 2017 Jun;26(Sup6a):S1-S32

Kristina Hamberg has over 10 years of experience of working with the design and development of wound care products, particularly those with antimicrobial properties. During that time, she has become an expert within the areas of microbiology and test method development, as well as infection prevention. Kristina was awarded her MSc in food science in 1997 from the University of Kalmar, Sweden, and in 2002 she was awarded a PhD for microbiological evaluation of novel technologies for food preservation by Chalmers Technical University, Gothenburg, Sweden.

Background Topical antimicrobials, such as silver dressings, are progressively being used alongside systemic antibiotics to provide adjunctive, antimicrobial therapy to wounds that are clinically infected or at risk of infection. To help improve wound management, dressings that use Safetac soft silicone technology in combination with a silver-impregnated foam dressing material were developed by Mölnlycke Health Care (Gothenburg, Sweden). The range comprises Mepilex Ag, Mepilex Border Ag and Mepilex Transfer Ag. Read More

Arch Phys Med Rehabil 2017 Jun 3. Epub 2017 Jun 3.

Medical University of South Carolina, Charleston, SC.

Objective: To develop a latent structural model of health outcomes in people with spinal cord injury (SCI) that accounts for the measurement of underlying factors and their association with demographic and injury-related exogenous variables.

Design: Cross-sectional study.

Setting: Specialty hospital and medical university. Read More

Vet Clin North Am Food Anim Pract 2017 Jul;33(2):271-281

Department of Large Animal Clinical Studies, College of Veterinary Medicine, University of Tennessee, 2407 River Dr, Knoxville, TN 37996, USA.

Traumatic lesions of the sole are a common cause of lameness in beef and dairy cattle. This article provides a brief description of traumatically induced conditions with specific attention to underlying causes, treatment, and prevention. Lameness, traumatic lesions of the sole, sole punctures, thin soles, thin sole toe ulcers, toe tip necrosis syndrome, and toe abscesses are discussed. Read More

Ital J Pediatr 2017 May 31;43(1):50. Epub 2017 May 31.

Dental School, Pediatric Dentistry Department, University of Brescia, P.le Spedali Civili, 1, 25123, Brescia, Italy.

Background: Adolescence is a period of transition to adulthood. Little is known about oral mucosal lesions (OMLs) in teenagers, in which the emergence of new habits, unfamiliar to children, could affect the type of lesions. The aim of this study was to evaluate the distribution of oral mucosal lesions (OMLs) in a wide sample of adolescents. Read More

J Neurotrauma 2017 Jun 28. Epub 2017 Jun 28.

1 Department of Orthopaedics, Vancouver Spine Surgery Institute, University of British Columbia , Vancouver, British Columbia, Canada .

Adverse events (AEs) are common during care in patients with traumatic spinal cord injury (tSCI). Increased risk of AEs is linked to patient factors including pre-existing comorbidities. Our aim was to examine the relationships between patient factors and common post-injury AEs, and identify potentially modifiable comorbidities. Read More

Rev Col Bras Cir 2017 Jan-Feb;44(1):81-93

- Ribeirao Preto Medical School, University of Sao Paulo, Division of Plastic Surgery, Ribeirao Preto, Sao Paulo State, Brazil.

The objective of this study is to evaluate the effectiveness of negative pressure therapy (NPT) in the treatment of complex wounds, with emphasis on its mechanisms of action and main therapeutic indications. We searched the Pubmed / Medline database for articles published from 1997 to 2016, and selected the most relevant ones. The mechanisms of action of NPT involveboth physical effects, such as increased perfusion, control of edema and exudate, reduction of wound dimensions and bacterial clearance, and biological ones, such as the stimulation of granulation tissue formation, microdeformations and reduction of Inflammatory response. Read More

Int J Dent 2017 6;2017:6784526. Epub 2017 Apr 6.

Oral Biology Department, Dentistry College, Universidad Nacional de Córdoba, Av. Haya de la Torre s/n, Ciudad Universitaria, Córdoba, Argentina.

Objective. Oral mucosa could host many lesions originated by chronic mechanical irritation (CMI) from teeth or dentures, and it has been proposed as risk factor for oral cancer. Nevertheless, the features of CMI factors in oral cancer and other lesions are not assessed. Read More

Med J Malaysia 2017 Apr;72(2):122-123

Sarawak General Hospital, Department of Internal Medicine, Haematology Unit, Sarawak, Malaysia.

This is a case report of subcutaneous mycosis presenting as a non-healing left calf ulcer in an immunocompromised patient. Traumatic inoculation of the causative agent is the most likely route of infection. The diagnosis requires a detailed history and high clinical suspicion, confirmed by histopathological examination. Read More

Acta Biomed 2017 04 28;88(1):45-48. Epub 2017 Apr 28.

Phenytoin is normally used in epilepsy treatment. One of the side effect affecting a significative part of the treated patients is the gingival overgrowth. It could surely be a correlation between this stimulatory effect and the assessment of phenytoin in wound healing. Read More

Plast Surg (Oakv) 2016 19;24(3):177-182. Epub 2016 Aug 19.

Department of Plastic Surgery, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hang Zhou, People's Republic of China.

Background: Wounds that have been closed under excessive tension, and skin defects that cannot be closed primarily, pose a daily challenge for the reconstructive surgeon.

Objective: To evaluate a new tension relief system (TRS) device for skin stretching and secure wound closure.

Methods: From September 2013 to March 2014, a consecutive series of 41 Chinese patients with 43 wounds were enrolled for application of 50 cycles of TRS therapy. Read More

Clin Microbiol Infect 2017 Apr 19. Epub 2017 Apr 19.

Infectious Disease Unit, Sant'Orsola-Malpighi Teaching Hospital - Alma Mater Studiorum University of Bologna, Bologna, Italy.

Objective: To assess the predictive value of superficial ulcer swab culture to make a microbiological diagnosis of deep wound infections in spinal cord injury (SCI) patients with advanced-stage pressure ulcers.

Methods: From July 2011 to February 2014, we performed a prospective, single-centre study on adult SCI patients undergoing scheduled surgical debridement and reconstruction for advanced-stage pressure ulcers, at Montecatone Rehabilitation Institute, a 150-bed hospital dedicated to SCI care. Three superficial ulcer swabs were preoperatively collected using the Levine technique, then sent for culture. Read More

J Tissue Viability 2017 Apr 11. Epub 2017 Apr 11.

Tel Aviv University, Department of Biomedical Engineering, Ramat Aviv, Israel.

Aim Of The Study: Tissue deformation is recognized as an important risk factor for pressure injuries. This study investigated the effects of anatomy and wheelchair cushion type on tissue deformation.

Materials And Methods: Direct 3-dimensional tissue deformation response was measured for six participants sitting on six different wheelchair cushions using MR imaging. Read More

Int Wound J 2017 Mar 28. Epub 2017 Mar 28.

Nursing Research, University of Melbourne & Royal Melbourne Hospital, Melbourne, VIC, Australia.

Neurosurgery 2017 Jun;80(6):854-862

Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.

Background: Management of axis fractures in the elderly remains controversial. As the US population increasingly lives past 80 years, published C2 fracture morbidity/mortality profiles in younger cohorts (55+) have become less applicable to octogenarians.

Objective: To report associations between surgery and mortality, hospital length of stay and discharge disposition in octogenarians with traumatic C2 fractures. Read More

Ochsner J 2017 ;17(1):118-120

Department of Neurosurgery, Virginia Commonwealth University Health System, Medical College of Virginia, Richmond, VA.

Background: Heterotopic ossification (HO) is defined as ectopic bone formation following traumatic brain injury. Patients typically develop lesions in the hips, knees, and elbows that cause pain, restricted range of motion, nerve impingement, and pressure ulcers.

Case Report: We report an unusual presentation of HO in an 18-year-old male who was involved in a motor vehicle accident and subsequently developed malignant intracranial pressure. Read More

Neurosurg Clin N Am 2017 Apr 7;28(2):267-278. Epub 2017 Feb 7.

Department of Neurology, Henry Ford Health System, 2799 W Grand Boulevard, Detroit, MI 48202, USA. Electronic address:

Although urgent surgical hematoma evacuation is necessary for most patients with subdural hematoma (SDH), well-orchestrated, evidenced-based, multidisciplinary, postoperative critical care is essential to achieve the best possible outcome. Acute SDH complicates approximately 11% of mild to moderate traumatic brain injuries (TBIs) that require hospitalization, and approximately 20% of severe TBIs. Acute SDH usually is related to a clear traumatic event, but in some cases can occur spontaneously. Read More

J Vasc Interv Radiol 2017 May 28;28(5):645-654. Epub 2017 Feb 28.

Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Purpose: To investigate the midterm outcomes of thoracic endovascular aneurysm repair (TEVAR) with the use of the Seal stent graft for four categories of thoracic aortic disease.

Materials And Methods: This retrospective multicenter study evaluated the records of 216 Korean patients who underwent TEVAR with the Seal stent graft during 2007-2010. The study outcomes were (i) perioperative death, (ii) endoleak, (iii) repeat intervention, (iv) aortic-related death, and (v) all sudden unexplained late deaths. Read More

Neural Regen Res 2017 Jan;12(1):77-83

Department of Anesthesiology and Reanimation, Ankara Ulus State Hospital, Ankara, Turkey.

Traumatic brain injury (TBI), which is seen more in young adults, affects both patients and their families. The need for palliative care in TBI and the limits of the care requirement are not clear. The aim of this study was to investigate the length of stay in the palliative care center (PCC), Turkey, the status of patients at discharge, and the need for palliative care in patients with TBI. Read More

J Biomed Sci 2017 Feb 27;24(1):16. Epub 2017 Feb 27.

TotipotentRX Center for Cellular Medicine (Cesca Therapeutics Inc., USA), Fortis Memorial Research Institute, Gurgaon-122002, Delhi, (NCR), India.

Background: Non-healing ulcers are a major health problem worldwide and have great impact at personal, professional and social levels, with high cost in terms of human and material resources. Recalcitrant non-healing ulcers are inevitable and detrimental to the lower limb and are a major cause of non-traumatic lower limb amputations. Application of autologous Platelet Rich Plasma (PRP) has been a major breakthrough for the treatment of non-healing and diabetic foot ulcers, as it is an easy and cost-effective method, and provides the necessary growth factors that enhance tissue healing. Read More

Respir Med Case Rep 2017 2;20:154-155. Epub 2017 Feb 2.

University of Cincinnati Medical Center, Division of Pulmonary, Critical Care & Sleep Medicine, USA.

Traumatic neuromas are uncommon and benign lesions arising from a peripheral nerve injury during surgery. Here we describe a case with histopathologic features of both a traumatic neuroma and neurofibroma in a patient without integumentary physical exam findings nor prior surgical history. A 54 year old male was admitted for surgical debridement of a foot ulcer. Read More

J Med Case Rep 2017 Feb 22;11(1):49. Epub 2017 Feb 22.

Unit of Anaesthesia and Intensive Care, Santo Spirito Hospital, Via Fonte Romana 8, Pescara, Italy.

Background: In critically ill patients with colonization/infection of multidrug-resistant organisms, source control surgery is one of the major determinants of clinical success. In more complex cases, the use of different tools for sepsis management may allow survival until complete source control.

Case Presentation: A 42-year-old white man presented with traumatic hemorrhagic shock. Read More

J Vasc Surg 2017 May 16;65(5):1270-1279. Epub 2017 Feb 16.

Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Va. Electronic address:

Background: The best management strategy for the left subclavian artery (LSA) in pathologic processes of the aorta requiring zone 2 thoracic endovascular aortic repair (TEVAR) remains controversial. We compared LSA coverage with or without revascularization as well as the different means of LSA revascularization.

Methods: A retrospective chart review was conducted of patients with any aortic diseases who underwent zone 2 TEVAR deployment from 2007 to 2014. Read More

Am Surg 2016 Nov;82(11):315-316

Department of Surgery, SUNY Upstate Medical University, Syracuse, New York, USA.

J Spinal Cord Med 2017 Feb 15:1-9. Epub 2017 Feb 15.

a Hôpital du Sacré-Coeur , Montréal , Canada.

Objectives: To determine factors associated with functional status six months following a traumatic cervical and thoracic spinal cord injury (SCI), with a particular interest in factors related to the acute care hospitalization stay.

Design: This is a prospective cohort study. Sixteen potential predictive variables were studied. Read More

Spinal Cord 2017 Jun 7;55(6):553-558. Epub 2017 Feb 7.

Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA.

Study Design: Cross-sectional.

Objective: Our purpose was to develop a latent structural model to demonstrate the relationship between factor structures of risk health behaviors and pressure ulcer (PrU) outcomes among participants with spinal cord injury (SCI).

Setting: Data were collected at a large specialty hospital and analyzed at a medical university in the Southeastern USA. Read More

Med Intensiva 2017 Jun - Jul;41(5):306-315. Epub 2017 Feb 1.

Unidad de Cuidados Intensivos, Complexo Hospitalario Universitario de A Coruña, A Coruña, España. Electronic address:

The aim of treatment in acute traumatic spinal cord injury is to preserve residual neurologic function, avoid secondary injury, and restore spinal alignment and stability. In this second part of the review, we describe the management of spinal cord injury focusing on issues related to short-term respiratory management, where the preservation of diaphragmatic function is a priority, with prediction of the duration of mechanical ventilation and the need for tracheostomy. Surgical assessment of spinal injuries based on updated criteria is discussed, taking into account that although the type of intervention depends on the surgical team, nowadays treatment should afford early spinal decompression and stabilization. Read More

Ulus Cerrahi Derg 2016 27;32(4):252-255. Epub 2016 Oct 27.

Department of General Surgery, Başkent University Konya Training and Research Hospital, Konya, Turkey.

Objective: Although the number of surgical emergencies continues to increase, comprehensive data on emergency surgical admissions are scarce. The aim of this multicenter study was to evaluate the causes, management, and outcomes of the general surgical emergencies in the city of Konya, Turkey.

Material And Methods: The relevant details of the cases admitted and considered to be general surgical emergencies in Konya over a nine-year period (January 2003-January 2012) were analyzed. Read More

Arch Phys Med Rehabil 2017 Jan 25. Epub 2017 Jan 25.

Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA.

Objective: To identify the inflammatory mediators around the time of pneumonia onset associated with concurrent or later onset of pressure ulcers (PUs).

Design: Retrospective.

Setting: Acute hospitalization and inpatient rehabilitation unit of a university medical center. Read More

Arch Phys Med Rehabil 2017 Jan 25. Epub 2017 Jan 25.

MSSH, House of Social Sciences and Disability-EHESP, High School of Public Health, Rennes, France; CERMES3, INSERM, CNRS, EHESS, Université Paris Descartes, Villejuif, France.

Objective: To identify the long-term clinical, individual, and social risk factors for the development of pressure ulcers (PUs) in traumatic spinal cord-injured persons with tetraplegia (TSCIt).

Design: Cohort survey with self-applied questionnaires in 1995 and 2006.

Setting: Thirty-five French-speaking European physical medicine and rehabilitation centers participating in the Tetrafigap surveys. Read More

J Plast Reconstr Aesthet Surg 2017 Apr 21;70(4):518-528. Epub 2016 Dec 21.

Department of Plastic Surgery, Medical College of Wisconsin, 1155 N. Mayfair Rd, Second Floor, Wauwatosa, WI 53226, United States.

Heterotopic ossification (HO) is widely recognized as a common occurrence among patients suffering from traumatic spinal cord injuries (SCI). The exact etiology of HO formation remains unknown. Published medical and surgical management strategies are often plagued with questionable effectiveness and frequent complications. Read More

Arch Argent Pediatr 2017 02;115(1):e28-e30

Servicio de Otorrinolaringología, Neonatología. Hospital Infanta Leonor, Madrid, España.

The description of the Bednar's ulcer is uncommon in the current literature. It has been associated with the traumatic effect of the bottle's nipple and/or no orthodontic soothers while breastfeeding. We present a newborn of 20 days of life attended at the emergency room for irritability, with the only finding on physical examination of two oral ulcers. Read More

Chin Med Sci J 2016 11;31(4):213-220

Department of Neurosurgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, China.

Objective To compare the conjoint effect of enteral nutrition (EN) and parenteral nutrition (PN) with single EN or PN on immune function, nutritional status, complications and clinical outcomes of patients with severe traumatic brain injury (STBI). Methods A prospective randomized control trial was carried out from January 2009 to May 2012 in Neurological Intensive Care Unit (NICU). Patients of STBI who met the enrolment criteria (Glasgow Coma Scale score 6~8; Nutritional Risk Screening ≥3) were randomly divided into 3 groups and were admi- nistrated EN, PN or EN+PN treatments respectively. Read More

Int Wound J 2017 Jan 4. Epub 2017 Jan 4.

Research Center, Hôpital du Sacré-Cœur, Montreal, Canada.

Individuals with spinal cord injury are at risk of sacral pressure ulcers due to, among other reasons, prolonged immobilisation. The effectiveness of a multi-layer foam dressing installed pre-operatively in reducing sacral pressure ulcer occurrence in spinal cord injured patients was compared to that of using a gel mattress, and stratified analyses were performed on patients with complete tetraplegia and paraplegia. Socio-demographic and clinical data were collected from 315 patients admitted in a level-I trauma centre following a spinal cord injury between April 2010 and March 2016. Read More

Orthop Traumatol Surg Res 2017 Feb 30;103(1S):S99-S103. Epub 2016 Dec 30.

Institut de chirurgie de la main de l'ouest parisien, hôpital privé de l'ouest parisien, 14, rue Castiglione del Lago, 78190 Trappes, France; Urgences mains Paris Peupliers, 8, place de l'Abbé-Georges-Hénocque, 75013 Paris, France. Electronic address:

Negative pressure wound therapy (NPWT) consists in applying subatmospheric pressure to a wound that is sealed off by a specially designed dressing and connected by a tube to a suction pump and drainage collection system. Skin defects are extremely common in orthopaedic and trauma surgery. NPWT is valuable across a range of indications. Read More

Surgeon 2016 Dec 27. Epub 2016 Dec 27.

St James's Vascular Institute, St James's Hospital, Dublin, Ireland.

Endovascular repair has revolutionised the emergency treatment of thoracic aortic disease. We report our 10 year experience using this treatment in emergency cases. A prospectively maintained vascular database was analysed. Read More

Cureus 2016 Nov 14;8(11):e878. Epub 2016 Nov 14.

Division of Acute Care Surgery, University of Missouri, Columbia, Missouri.

Introduction:  Chronic wounds are a significant healthcare problem in the United States. Their costs approach 25 billion dollars in the United States. Current wound-care treatments of local wound care, moist dressings, and source control, while necessary for wound healing, are frequently not enough to ensure complete wound closure. Read More