Long-term Outcomes After Flap Reconstruction in Pediatric Pressure Ulcers

Conclusions Flap reconstruction can be beneficial in the management of pediatric pressure ulcers. Although high rates of long-term success with this intervention have been reported in children, we found rates of ulcer recurrence similar to that seen in adults. Poor compliance with nonoperative care and failure to modify the biopsychosocial perpetuators of pressure ulcers will likely eventuate in postoperative recurrence. Despite the many comorbidities observed in our patient sample, compliance was the best indicator of long-term skin integrity and flap success.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

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Negative pressure wound therapy (NPWT) is a popular and effective adjunct treatment for a great variety of wounds including split-thickness skin graft (STSG). Studies have concluded that NPWT improves STSG uptake. Recent technologic advancements have led to the advent of a new generation of NPWTs. These are the disposable, ultraportable, and mechanically operated NPWTs designed to treat smaller wounds with low to moderate exudates.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Postoperative wound complications, such as surgical site infections and surgical wound dehiscence, are a key concern to clinicians and health care administrators because of their impact on the patient and the health care provider. Such complications are associated with excess morbidity for the patient and increased treatment costs arising from excess hospital stays, especially in the elderly and frail patients undergoing these procedures.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Negative pressure wound therapy (NPWT) proposes an option in the management of refractory nonhealing venous ulcers (RVUs). The primary end point is the time taken for full healing. Secondary end points include the proportion of ulcers healed at 12  weeks, reduction in ulcer size at 12 weeks, and recurrence rates.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Publication date: Available online 19 October 2019Source: Journal of ColoproctologyAuthor(s): Ana Laura Sanches Lima, Beatriz Schorro Gianini, Bruna Miranda Santana, Carlos Henrique Marques dos Santos, Doroty Mesquita Dourado, Juliano Seger Falcão, Lucas Bannwart, Sara Jéssica Falcão CâmaraAbstractRationaleFistulotomy is a procedure widely used in the treatment of anal fistulas but is associated with varying degrees of fecal incontinence that could be minimized by previous use of sedentum, and the material used may influence the outcome.PurpouseTo compare cotton and silastic used as setons in the...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
Conclusions: Anorectal function is impaired in IBD patients with perianal disease. Fecal incontinence correlates with poorer quality of life. Anorectal manometry and ultrasonography are useful tools for evaluating IBD patients. PMID: 31625422 [PubMed - as supplied by publisher]
Source: Journal of Investigative Surgery - Category: Surgery Tags: J Invest Surg Source Type: research
Publication date: Available online 18 October 2019Source: European UrologyAuthor(s): Christopher R. Chapple, Francisco Cruz, Linda Cardozo, David Staskin, Sender Herschorn, Nurul Choudhury, Matthias Stoelzel, John Heesakkers, Emad SiddiquiAbstractBackgroundMirabegron, a β3-adrenoreceptor agonist, is an alternative drug to antimuscarinics for overactive bladder (OAB) symptoms.ObjectiveTo summarise safety and efficacy reporting of mirabegron treatment for OAB symptoms.Design, setting, and participantsPooled data analysed from 10 phase 2–4, double-blind, 12-wk mirabegron monotherapy studies in adults with OAB who h...
Source: European Urology - Category: Urology & Nephrology Source Type: research
Publication date: Available online 18 October 2019Source: Journal of ColoproctologyAuthor(s): Antonio Luis Cavasana, Carlos Henrique Marques dos Santos, Doroty Mesquita Dourado, Felipe dos Santos Guimarães, Fernanda Helene Reis Barros, Gattass Carneiro Orro de Campos, Guilherme Apolinário Laureano Leme, Lucas Dutra Madrid da Silva, Lucas Marques Wahl, Nathália Barreto de Almeida Gutterres, Rosemary Matias, Sara Jéssica Falcão Câmara, Sandro Endrick de Oliveira SantosAbstractRationaleConsidering that anal fistulae are still challenging regarding their treatment due to the risk of fec...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
Tumour necrosis factor- α (TNF-α) inhibitors are increasingly being used as immunomodulators to manage inflammatory conditions such as rheumatoid arthritis and Crohn’s disease. Reported serious side effects include an increased incidence of lymphoma and greater susceptibility to infections such as tuberculosis. The aim of this systematic review was to find out whether there is an associated risk of medication-related osteonecrosis of the jaw (MRONJ). Three authors independently searched PubMed, MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials for published reports of oral ost...
Source: The British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: Review Source Type: research
CONCLUSIONS: Investigators failed to find ample support for routine use of NPWT as a “bridge to reconstruction.” Serious complications related to the use of NPWT including right ventricular rupture, atrial fibrillation, respiratory arrest, recurrent infection, and a retained sponge were reported in this group of studies. Rigorous evaluative studies that assess the true effectiveness of NPWT as a “bridge to reconstruction” must precede its adoption.
Source: Advances in Skin and Wound Care - Category: Dermatology Tags: FEATURES: LITERATURE REVIEW Source Type: research
CONCLUSION: Results indicate that the application of dressings in addition to standard prevention in high risk intensive care unit patients is effective in preventing pressure ulcers at the heels and sacrum. PMID: 31628863 [PubMed - as supplied by publisher]
Source: The British Journal of Dermatology - Category: Dermatology Authors: Tags: Br J Dermatol Source Type: research
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