The Efficacy of Negative Pressure Wound Therapy and Antibiotic Beads in Lower Extremity Salvage

Antibiotic beads and negative pressure wound therapy (NPWT) represent two methods of wound management used during staged debridement in the post-trauma limb salvage pathway. The efficacy of NPWT and antibiotic beads in preventing infection remains unclear.
Source: Journal of Surgical Research - Category: Surgery Authors: Source Type: research

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Publication date: Available online 15 November 2019Source: Journal of Hospital InfectionAuthor(s): Adarsh P. Shah, Renjit Kurian, Edmund LeungSummaryThe role of negative pressure wound therapy in stoma reversal surgery remains unknown. To evaluate this, a retrospective, non-randomised, single-institution, pilot study was conducted. Surgeon preference determined type of wound closure and application of the single-brand negative wound pressure device. No patient in the intervention group suffered wound complications, but five of the thirty-six patients in the control group suffered surgical site infection-related complicatio...
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research
CMS has implemented a new quality measure for hospitals that expands the array of pressure injuries considered as adversely impacting quality care.  The new measure, developed in a program to provide electronic clinical quality measures (eCQMs), widens the scope of pressure injury stages that directly infer quality deficit.  The new measure however, bears no consideration for unavoidability of some pressure injuries even when recommended clinical practice guidelines for prevention have been followed.  According to CMS, the benefit of eCQMs is to assess the outcomes of treatment, reduce the burden of manual a...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Risk Management bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality hospital quality Improving Medical Care Jeff Levine MD J Source Type: blogs
My new article in Wound Management &Prevention is a critical re-examination of terminal ulcer terminology.  In it I make the case for recognizing terminal ulcers as part of the spectrum of skin failure (and not necessarily heralding death) and used only in situations where patients are recognized as actively dying.  The article presents several reasons why terminal ulcer terminology should be used only in limited fashion.  These include the conflation of diagnosis and prognosis which are separate concepts, inaccuracy of prediction of death, advances in healthcare technology, variation in end-of-life traj...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: An Aging World Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care Publications Risk Management bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality Jeff Levine MD Jeffrey M Lev Source Type: blogs
Publication date: Available online 20 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Pawan Agarwal, Rajeev Kukrele, Dhananjaya SharmaAbstractDelayed wound healing particularly in difficult wounds and in elderly with co morbidities is a major concern. It leads to the pain, morbidity, prolonged treatment, and require major reconstructive surgery which imposes enormous social and financial burden. Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses the negative pressure to prepare the wound for spontaneous healing or by lesser reconstructive options. Method of VAC app...
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Wound-related problems after total hip arthroplasty (THA) and total knee arthroplasty (TKA) can cause periprosthetic joint infections. We sought to evaluate the effect of closed incisional negative-pressure wound therapy (ciNPWT) on wound complications, skin blisters, surgical site infections (SSIs), re-operations, and length of hospitalization (LOH).
Source: The Journal of Arthroplasty - Category: Orthopaedics Authors: Source Type: research
ConclusionWe experienced the in situ pelvic floor reconstruction combining levator ani suture and NPWT after laparoscopic APR for perineal hernia and perineal surgical site infection. This combination treatment was safe and may be effective for preventing surgical site infection and perineal hernia.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
Smith &Nephew (NYSE:SNN) said today that it inked a deal to acquire patient monitoring system developer Leaf Healthcare for an undisclosed amount. London-based Smith &Nephew said that the acquisition follows a successful two-year partnership deal with Pleasanton, Calif.-based Leaf Healthcare in which Smith &Nephew served as its exclusive distributor and as a strategic investor. Leaf Healthcare’s flagship product is their Leaf patient monitoring system, which features a wearable wireless sensor designed to track patient movement and notify caregivers to prevent immobility-related health comp...
Source: Mass Device - Category: Medical Devices Authors: Tags: Business/Financial News Featured MassDevice Earnings Roundup Wall Street Beat Leaf Healthcare Smith & Nephew Source Type: news
In the context of major trauma, the rate of wound infection in surgical incisions created during fracture fixation amongst patients with closed high-energy injuries is high. One of the factors which may reduce...
Source: Trials - Category: General Medicine Authors: Tags: Update Source Type: research
This article summarizes the updated literature and best practices related to this topic.
Source: Clinics in Podiatric Medicine and Surgery - Category: Podiatry Authors: Source Type: research
ConclusionWe describe a novel reconstruction method for IT pressure ulcers that maintains patient mobility. This combination perforator-based fasciocutaneous and gracilis flap is a superior reconstructive option that has reduced donor site morbidity and relatively simple operative technique and can be reutilised in ulcer recurrence.Level of Evidence: Level V, therapeutic study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
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