LEA 5. Use of Disposable Negative Pressure Wound Therapy on Split-Thickness Skin Graft Recipient Sites for Peripheral Artery Disease Foot Wounds —Two Case Reports

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

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Source: MDDI - Category: Medical Devices Authors: Tags: Business Source Type: news
Conclusions: Commonly used treatment modalities employed for this population of patients resulted in similar outcomes. This is the first study to describe the complex diabetic lower extremity wound in a complex host.
Source: Plastic and Reconstructive Surgery Global Open - Category: Cosmetic Surgery Tags: Original Article Source Type: research
Publication date: Available online 21 December 2018Source: The Journal of Foot and Ankle SurgeryAuthor(s): Tea Nguyen, Edgardo R. Rodriguez-CollazoAbstractThe purpose of this study was to demonstrate use of a distally based peroneus brevis muscle flap in high-risk patients with diabetes and peripheral vascular disease for limb salvage of nonhealing heel ulcerations. Seventeen patients were referred for a below-knee amputation because of nonhealing heel ulcerations and peripheral vascular disease. As a last resort, 17 distally based peroneus brevis muscle flaps were elevated in 17 patients with full-thickness heel ulceratio...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
Authors: Kotha V, Walter E, Stimac G, Kim P Abstract In the environment of diabetes and peripheral vascular disease (PVD), there is a high risk of incisional complications following amputation, including seroma, hematoma, infection, and dehiscence. Incisional negative-pressure wound therapy (iNPWT) is a novel application of negative-pressure wound therapy (NPWT) that may be able to mitigate these complications and reduce the need for revisional surgery (including higher-level major lower-extremity amputations). It may also facilitate an increased rate of healing and earlier return to function. iNPWT has been used s...
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
Use of negative pressure wound therapy (NPWT) in peripheral artery disease (PAD) and diabetic limb salvage (DLS) improves wound healing by providing a moist wound condition, managing exudate, controlling wound bed infection, and stimulating granulation. NPWT duration may take several weeks, and home-based NPWT allows patients to recover in the community while minimizing risks of prolonged hospitalization.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
CONCLUSIONS: The positive clinical outcomes indicate that vCUT may be an effective aid as an intraoperative application to cover wounds following aggressive debridement in the presence of gas gangrene. PMID: 29718818 [PubMed - in process]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research
CONCLUSION: The guideline is of high methodological quality but currently difficult to implement in clinical practice. The structured evaluation clearly reflects not only the potential for improvement but also provides a transparent theoretical framework for experts and scientific medical societies involved in the guideline updating process. Although some valuable insights were gained from the stakeholders' perspective, the representativeness is limited by the low response rate. PMID: 28958579 [PubMed - as supplied by publisher]
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research
PURPOSE: The purpose of this study was to compare the use of a heel protector to standard of care (pillows) in the prevention of hospital-acquired pressure injuries (HAPI) of the heels and prevention of plantar flexion contractures. DESIGN: Randomized controlled trial. SUBJECTS AND SETTING: The study took place on a surgical intensive care unit, medical intensive care unit, and neurotrauma intensive care unit. Inclusion criteria were a minimum of 5 days of sedation related to care for a critical illness, immobility for 6 to 8 hours before study initiation, a Braden Scale for Pressure Sore Risk score 18 or less, and a mob...
Source: Journal of Wound, Ostomy and Continence Nursing - Category: Nursing Tags: Wound Care Source Type: research
At the Fraunhofer Institutes for Mechanics of Materials and for Environmental, Safety, and Energy Technology in Germany, researchers have been working on developing a process of making personalized shoe insoles for diabetic patients. People with adva...
Source: Medgadget - Category: Medical Equipment Authors: Tags: Medicine Source Type: blogs
It has been estimated that a limb is lost every 30s in the world due to diabetes. This trend is expected to be multiplied by four in the next 15 years with the pandemic evolution of diabetes [22]. In addition to causing pain and morbidity, foot lesions in diabetic patients have substantial direct and indirect economic consequences [23,9]. Diabetic foot ulcers result from multiple pathophysiological mechanisms, including neuropathy, peripheral vascular disease, high foot pressures, foot deformity, and diabetes severity [25].
Source: Medical Engineering and Physics - Category: Biomedical Engineering Authors: Source Type: research
More News: Peripheral Vascular Disease (PVD) | Pressure Sores | Skin | Skin Graft | Study | Surgery