Viability of Lucilia sericata maggots after exposure to wound antiseptics
Abstract After debridement and before dressing a wound with maggots of calliphorid flies, one frequently performed step is the application of antiseptics to the prepared wound bed. However, the concomitant application of antiseptic agents during maggot therapy is regarded controversial as antiseptics may interfere with maggots' viability. In this experimental in vitro study, the viability of fly maggots was investigated after exposure to various antiseptics frequently used in wound care. Here, we show that Lucilia sericata fly maggots can survive up to an hour's exposure to wound antiseptics such as octenidine, povidone‐...
Source: International Wound Journal - July 11, 2016 Category: Surgery Authors: Georg Daeschlein, Matthias Napp, Ojan Assadian, Sebastian Podewils, Kevin Reese, Peter Hinz, Johannes Matiasek, Romy Spitzmueller, Paul Humphreys, Michael Jünger, Axel Kramer Tags: ORIGINAL ARTICLE Source Type: research

Calendar
(Source: International Wound Journal)
Source: International Wound Journal - July 10, 2016 Category: Surgery Tags: CALENDAR OF EVENTS Source Type: research

News and views
(Source: International Wound Journal)
Source: International Wound Journal - July 10, 2016 Category: Surgery Tags: NEWS Source Type: research

Society News
(Source: International Wound Journal)
Source: International Wound Journal - July 10, 2016 Category: Surgery Tags: NEWS Source Type: research

International Wound Journal impact factor increases year on year
(Source: International Wound Journal)
Source: International Wound Journal - July 10, 2016 Category: Surgery Authors: Douglas Queen, Keith Harding Tags: EDITORIAL Source Type: research

Issue Information – Aims and Scope
(Source: International Wound Journal)
Source: International Wound Journal - July 10, 2016 Category: Surgery Tags: ISSUE INFORMATION Source Type: research

Issue Information – JIP
(Source: International Wound Journal)
Source: International Wound Journal - July 10, 2016 Category: Surgery Tags: ISSUE INFORMATION Source Type: research

Relationship between maceration and wound healing on diabetic foot ulcers in Indonesia: a prospective study
Abstract The aim of this study was to clarify the relationship between maceration and wound healing. A prospective longitudinal design was used in this study. The wound condition determined the type of dressings used and the dressing change frequency. A total of 62 participants with diabetic foot ulcers (70 wounds) were divided into two groups: non‐macerated (n = 52) and macerated wounds (n = 18). Each group was evaluated weekly using the Bates–Jensen Wound Assessment Tool, with follow‐ups until week 4. The Mann–Whitney U test showed that the changes in the wound area in week 1 w...
Source: International Wound Journal - July 9, 2016 Category: Surgery Authors: Haryanto Haryanto, Defa Arisandi, Suriadi Suriadi, Imran Imran, Kazuhiro Ogai, Hiromi Sanada, Mayumi Okuwa, Junko Sugama Tags: ORIGINAL ARTICLE Source Type: research

Risk factors for periprosthetic joint infection following primary total hip or knee arthroplasty: a meta‐analysis
Abstract To identify risk factors for periprosthetic joint infection following primary total joint arthroplasty, a systematic search was performed in Pubmed, Embase and Cochrane library databases. Pooled odds ratios (ORs) or standardised mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. Patient characteristics, surgical‐related factors and comorbidities, as potential risk factors, were investigated. The main factors associated with infection after total joint arthroplasty (TJA) were male gender (OR, 1·48; 95% CI, 1.19–1.85), age (SMD, −0·10; 95% CI, −0.17–&...
Source: International Wound Journal - July 9, 2016 Category: Surgery Authors: Lingde Kong, Junming Cao, Yingze Zhang, Wenyuan Ding, Yong Shen Tags: ORIGINAL ARTICLE Source Type: research

Ten ‐year analyses of the German DRG data about negative pressure wound therapy
Abstract Exact data regarding the clinical role of negative pressure wound therapy (NPWT) for wound care in a specific country are not available. Thus, we analysed the use of NPWT in hospitalised patients in Germany. Detailed lists of all hospitalised cases treated with NPWT in Germany for each of the years from 2005 to 2014 were obtained from the Federal Statistical Office, as well as lists of the 15 most frequent principal and additional diagnoses documented with NPWT in 2014. Within the 10‐year time period of the study, the number of cases treated with NPWT increased by 349%, from 37 053 in 2005 to 129 2...
Source: International Wound Journal - July 3, 2016 Category: Surgery Authors: Olga Beckerath, Alexander Zapenko, Joachim Dissemond, Knut Kr öger, Tags: ORIGINAL ARTICLE Source Type: research

Use of Flexi ‐Seal to manage early colostomy complications
(Source: International Wound Journal)
Source: International Wound Journal - July 3, 2016 Category: Surgery Authors: Marino Fabio, Giuseppe Manca Tags: LETTER TO THE EDITOR Source Type: research

Vascular assessment of wound healing: a clinical review
The objective of this review is to examine macro‐ and microvascular disease, the strengths and limitations of the approaches used and to highlight the importance of microvascular angiography in the context of wound healing. (Source: International Wound Journal)
Source: International Wound Journal - July 3, 2016 Category: Surgery Authors: William W Li, Marissa J Carter, Elad Massiach, Stephen D Guthrie Tags: ORIGINAL ARTICLE Source Type: research

Ten‐year analyses of the German DRG data about negative pressure wound therapy
Abstract Exact data regarding the clinical role of negative pressure wound therapy (NPWT) for wound care in a specific country are not available. Thus, we analysed the use of NPWT in hospitalised patients in Germany. Detailed lists of all hospitalised cases treated with NPWT in Germany for each of the years from 2005 to 2014 were obtained from the Federal Statistical Office, as well as lists of the 15 most frequent principal and additional diagnoses documented with NPWT in 2014. Within the 10‐year time period of the study, the number of cases treated with NPWT increased by 349%, from 37 053 in 2005 to 129 2...
Source: International Wound Journal - July 3, 2016 Category: Surgery Authors: Olga Beckerath, Alexander Zapenko, Joachim Dissemond, Knut Kröger, Tags: ORIGINAL ARTICLE Source Type: research

In vitro microbicidal, anti ‐biofilm and cytotoxic effects of different commercial antiseptics
Abstract Topical antiseptics are widely used for wound treatment, with the goal of disrupting biofilm capacity. We analysed the effectiveness of a variety of antiseptics to inhibit various stages of biofilm formation and to remove biofilms in vitro as well as the agents' cytotoxic effects on fibroblasts. We found that the chlorine‐releasing agents exhibited immediate anti‐biofilm effects in the short term, with lesser cytotoxicity than agents prepared from more stable compounds, such as biguanide or modified diallyl disulfide‐oxide, which, conversely, have better long‐term effectiveness. Among the examined organism...
Source: International Wound Journal - June 9, 2016 Category: Surgery Authors: Silvestre Ortega ‐Peña, Christian Hidalgo‐González, Martin C Robson, Edgar Krötzsch Tags: ORIGINAL ARTICLE Source Type: research

Use of Flexi‐Seal to manage early colostomy complications
(Source: International Wound Journal)
Source: International Wound Journal - May 31, 2016 Category: Surgery Authors: Marino Fabio, Giuseppe Manca Tags: LETTER TO THE EDITOR Source Type: research

In vitro microbicidal, anti‐biofilm and cytotoxic effects of different commercial antiseptics
Abstract Topical antiseptics are widely used for wound treatment, with the goal of disrupting biofilm capacity. We analysed the effectiveness of a variety of antiseptics to inhibit various stages of biofilm formation and to remove biofilms in vitro as well as the agents' cytotoxic effects on fibroblasts. We found that the chlorine‐releasing agents exhibited immediate anti‐biofilm effects in the short term, with lesser cytotoxicity than agents prepared from more stable compounds, such as biguanide or modified diallyl disulfide‐oxide, which, conversely, have better long‐term effectiveness. Among the examined organism...
Source: International Wound Journal - May 31, 2016 Category: Surgery Authors: Silvestre Ortega‐Peña, Christian Hidalgo‐González, Martin C Robson, Edgar Krötzsch Tags: ORIGINAL ARTICLE Source Type: research

Health economic burden that different wound types impose on the UK's National Health Service
Abstract The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to the management of different wound types by the UK's National Health Service (NHS) in 2012/2013 and the annual costs incurred by the NHS in managing them. This was a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) Database. Patients' characteristics, wound‐related health outcomes and all health care resource use were quantified, and the total NHS cost of patient management was estimated at 2013/2014 prices. The NHS managed an estimated 2&mi...
Source: International Wound Journal - May 27, 2016 Category: Surgery Authors: Julian F Guest, Nadia Ayoub, Tracey McIlwraith, Ijeoma Uchegbu, Alyson Gerrish, Diana Weidlich, Kathryn Vowden, Peter Vowden Tags: ORIGINAL ARTICLE Source Type: research

Measurement of morphological and physiological skin properties in aged care residents: a test–retest reliability pilot study
ABSTRACT This test–retest pilot study investigated the intra‐rater reliability and reproducibility of non‐invasive technologies to objectively quantify morphological (colour, thickness and elasticity) and physiological (transepidermal water loss (TEWL), hydration, sebum and pH) skin properties in an aged care population. Three consecutive measurements were taken from five anatomical skin sites, with the mean of each measurement calculated. The intra‐class correlation coefficient (ICC) and the standard error of measurement (SEM) were used to examine the intra‐rater reliability and reproducibility of measuremen...
Source: International Wound Journal - May 24, 2016 Category: Surgery Authors: Robyn Rayner, Keryln Carville, Gavin Leslie, Satvinder S. Dhaliwal Tags: ORIGINAL ARTICLE Source Type: research

Measurement of morphological and physiological skin properties in aged care residents: a test –retest reliability pilot study
ABSTRACT This test–retest pilot study investigated the intra‐rater reliability and reproducibility of non‐invasive technologies to objectively quantify morphological (colour, thickness and elasticity) and physiological (transepidermal water loss (TEWL), hydration, sebum and pH) skin properties in an aged care population. Three consecutive measurements were taken from five anatomical skin sites, with the mean of each measurement calculated. The intra‐class correlation coefficient (ICC) and the standard error of measurement (SEM) were used to examine the intra‐rater reliability and reproducibility of measuremen...
Source: International Wound Journal - May 23, 2016 Category: Surgery Authors: Robyn Rayner, Keryln Carville, Gavin Leslie, Satvinder S. Dhaliwal Tags: ORIGINAL ARTICLE Source Type: research

A surfactant‐based wound dressing can reduce bacterial biofilms in a porcine skin explant model
Abstract Bacterial biofilms have been found in many, if not all, chronic wounds. Their excessive extracellular matrix secretion and the metabolic changes that they undergo render them highly tolerant of many antibiotic and antimicrobial treatments. Physical removal and/or disruption are a common approach to treating wounds suspected of having bacterial biofilms. While many of these techniques use mechanical energy as the primary means of removal, we have begun to investigate if surfactants could facilitate the removal of bacterial biofilms, or if they might sensitise the biofilms to antimicrobial interventions. We tested a...
Source: International Wound Journal - May 23, 2016 Category: Surgery Authors: Qingping Yang, Christelle Larose, Alessandra C Della Porta, Gregory S Schultz, Daniel J Gibson Tags: ORIGINAL ARTICLE Source Type: research

The Bagautdinov dressing method: negative pressure wound therapy in a patient with an allergy to acrylate adhesive
We describe the case of a 63‐year‐old woman with an intractable leg ulcer resulting from external‐beam radiotherapy (XRT). Treatment with a standard commercial NPWT system induced severe inflammation of the skin in direct contact with drape adhesive. We successfully administered prolonged, outpatient NPWT to the patient using an alternative method (first described by Bagautdinov in 1986), using plain polyethylene film and petrolatum. The necessary hermetic seal is achieved by smearing the skin with petrolatum before applying the polyethylene film and activating the vacuum pump. The Bagautdinov method is a practical s...
Source: International Wound Journal - May 23, 2016 Category: Surgery Authors: David A Daar, Garrett A Wirth, Gregory RD Evans, Melissa Carmean, Ian L Gordon Tags: ORIGINAL ARTICLE Source Type: research

A surfactant ‐based wound dressing can reduce bacterial biofilms in a porcine skin explant model
Abstract Bacterial biofilms have been found in many, if not all, chronic wounds. Their excessive extracellular matrix secretion and the metabolic changes that they undergo render them highly tolerant of many antibiotic and antimicrobial treatments. Physical removal and/or disruption are a common approach to treating wounds suspected of having bacterial biofilms. While many of these techniques use mechanical energy as the primary means of removal, we have begun to investigate if surfactants could facilitate the removal of bacterial biofilms, or if they might sensitise the biofilms to antimicrobial interventions. We tested a...
Source: International Wound Journal - May 21, 2016 Category: Surgery Authors: Qingping Yang, Christelle Larose, Alessandra C Della Porta, Gregory S Schultz, Daniel J Gibson Tags: ORIGINAL ARTICLE Source Type: research

Chronic foot ulcer caused by Parkes Weber syndrome
(Source: International Wound Journal)
Source: International Wound Journal - May 20, 2016 Category: Surgery Authors: Friederike Hoffmann, Wiebke Sondermann, Maryam Alkhater, Norbert Weindorf, Joachim Dissemond Tags: LETTER TO THE EDITOR Source Type: research

Epidemiology and use of compression treatment in venous leg ulcers: nationwide claims data analysis in Germany
Abstract Chronic venous diseases are the most common causes of leg ulcers. Compression treatment (CT) is a central component of venous leg ulcer (VLU) therapy along with prevention based on guidelines and clinical evidence. However, large‐scale data on the use of CT are rare. In particular, there have not yet been published nationwide data for Germany. We analysed data from a large German statutory health insurance (SHI) on incident VLU between 2010 and 2012. VLUs were identified by ICD‐10 diagnoses. The status of active disease was defined by wound‐specific treatments. Compression stockings and bandages were identif...
Source: International Wound Journal - May 18, 2016 Category: Surgery Authors: Kristina Heyer, Kerstin Protz, Gerd Glaeske, Matthias Augustin Tags: ORIGINAL ARTICLE Source Type: research

Study on the efficacy of surgery of the superficial venous system and of compression therapy at early stages of chronic venous disease for the prevention of chronic venous ulceration
Abstract The mainstay of treatment of chronic venous ulceration (CVU), as also suggested by current treatment guidelines for chronic venous disease (CVD), is represented by surgery and compression therapy for which there is strong evidence of their role in clinically relevant improvement in wound healing and also in the reduction of CVU recurrence, but no information is available as to whether or not these treatments provide effective protection from the onset of CVU. In our study, we have followed, for a median time of 13 years, a total of 3947 patients with CVD at classes C2–C3 of CEAP classification, treated with ...
Source: International Wound Journal - May 16, 2016 Category: Surgery Authors: Raffaele Serra, Bruno Amato, Lucia Butrico, Andrea Barbetta, Giovanni De Caridi, Mafalda Massara, Francesco G Caliò, Chiara Longo, Gianfranco Dardano, Marco Cannistrà, Gianluca Buffone, Stefano de Franciscis Tags: ORIGINAL ARTICLE Source Type: research

Closed incision negative pressure therapy: international multidisciplinary consensus recommendations
Abstract Surgical site occurrences (SSOs) affect up to or over 25% of patients undergoing operative procedures, with the subset of surgical site infections (SSIs) being the most common. Commercially available closed incision negative pressure therapy (ciNPT) may offer surgeons an additional option to manage clean, closed surgical incisions. We conducted an extensive literature search for studies describing ciNPT use and assembled a diverse panel of experts to create consensus recommendations for when using ciNPT may be appropriate. A literature search of MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trial...
Source: International Wound Journal - May 12, 2016 Category: Surgery Authors: Christian Willy, Animesh Agarwal, Charles A Andersen, Giorgio De Santis, Allen Gabriel, Onnen Grauhan, Omar M Guerra, Benjamin A Lipsky, Mahmoud B Malas, Lars L Mathiesen, Devinder P Singh, V Sreenath Reddy Tags: ORIGINAL ARTICLE Source Type: research

Calendar
(Source: International Wound Journal)
Source: International Wound Journal - May 8, 2016 Category: Surgery Tags: CALENDAR OF EVENTS Source Type: research

The evolution of wound care
(Source: International Wound Journal)
Source: International Wound Journal - May 8, 2016 Category: Surgery Authors: Douglas Queen, Keith Harding Tags: EDITORIAL Source Type: research

News and views
(Source: International Wound Journal)
Source: International Wound Journal - May 8, 2016 Category: Surgery Tags: NEWS Source Type: research

Issue Information – Aims and Scope
(Source: International Wound Journal)
Source: International Wound Journal - May 8, 2016 Category: Surgery Tags: ISSUE INFORMATION Source Type: research

Issue Information – JIP
(Source: International Wound Journal)
Source: International Wound Journal - May 8, 2016 Category: Surgery Tags: ISSUE INFORMATION Source Type: research

Challenging passivity in venous leg ulcer care – the ABC model of management
This article presents a solution in the form of the ‘ABC model of VLU management, a simplified approach that challenges passivity in the current approach to VLU treatment and supports wider adoption of appropriate compression therapy systems. (Source: International Wound Journal)
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Keith Harding Tags: ORIGINAL ARTICLE Source Type: research

Challenging passivity in venous leg ulcer care  – the ABC model of management
This article presents a solution in the form of the ‘ABC model of VLU management, a simplified approach that challenges passivity in the current approach to VLU treatment and supports wider adoption of appropriate compression therapy systems. (Source: International Wound Journal)
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Keith Harding Tags: ORIGINAL ARTICLE Source Type: research

Surgery for pressure ulcers in spinal cord ‐injured patients following a structured treatment programme: a 10‐year follow‐up
Abstract With the aim to improve the outcomes for spinal cord‐injured patients undergoing surgery for pressure ulcers, a structured treatment programme regulating pre‐ and postoperative care and rehabilitation was introduced in 2002 in Stockholm. Fifty‐one consecutive patients operated on between 2002 and 2007 were included in a 10‐year follow‐up to evaluate the programme regarding initial healing results and long‐term ulcer and health status. At one month postoperatively, 49 out of 51 (96%) patients were completely healed. Five patients (5/44, 11%) developed recurrent or new ulcers within 3 years of sur...
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Anders C Ljung, Madeleine C Stenius, Sabahudin Bjelak, Jakob F Lagergren Tags: ORIGINAL ARTICLE Source Type: research

Essential oils and metal ions as alternative antimicrobial agents: a focus on tea tree oil and silver
Abstract The increasing occurrence of hospital‐acquired infections and the emerging problems posed by antibiotic‐resistant microbial strains have both contributed to the escalating cost of treatment. The presence of infection at the wound site can potentially stall the healing process at the inflammatory stage, leading to the development of a chronic wound. Traditional wound treatment regimes can no longer cope with the complications posed by antibiotic‐resistant strains; hence, there is a need to explore the use of alternative antimicrobial agents. Pre‐antibiotic compounds, including heavy metal ions and essential...
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Wan‐Li Low, Ken Kenward, Stephen T Britland, Mohd CIM Amin, Claire Martin Tags: ORIGINAL ARTICLE Source Type: research

Retrospective study of experience of craniofacial reconstruction
Abstract Reconstruction is a basic task in craniofacial plastic surgery. Different methods must be used to meet the aspirations of surgeons and patients with different defects and deformities. We make a retrospective study of our experience of craniofacial reconstruction. In accordance with 10 years' clinical experience, direct suturing, skin graft transfer, nerve anastomosis, expanded pedicled or random flaps, facial local random flaps, reduction of mandibular fracture and correction of congenital craniofacial deformities were included in this case series. These types of treatment were applied to reconstruct facial...
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Baoguo Chen, Quanwen Gao, Huifeng Song, Minghuo Xu Tags: ORIGINAL ARTICLE Source Type: research

Challenging passivity in venous leg ulcer care – the ABC model of management
This article presents a solution in the form of the ‘ABC model of VLU management, a simplified approach that challenges passivity in the current approach to VLU treatment and supports wider adoption of appropriate compression therapy systems. (Source: International Wound Journal)
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Keith Harding Tags: ORIGINAL ARTICLE Source Type: research

Surgery for pressure ulcers in spinal cord‐injured patients following a structured treatment programme: a 10‐year follow‐up
Abstract With the aim to improve the outcomes for spinal cord‐injured patients undergoing surgery for pressure ulcers, a structured treatment programme regulating pre‐ and postoperative care and rehabilitation was introduced in 2002 in Stockholm. Fifty‐one consecutive patients operated on between 2002 and 2007 were included in a 10‐year follow‐up to evaluate the programme regarding initial healing results and long‐term ulcer and health status. At one month postoperatively, 49 out of 51 (96%) patients were completely healed. Five patients (5/44, 11%) developed recurrent or new ulcers within 3 years of sur...
Source: International Wound Journal - May 4, 2016 Category: Surgery Authors: Anders C Ljung, Madeleine C Stenius, Sabahudin Bjelak, Jakob F Lagergren Tags: ORIGINAL ARTICLE Source Type: research

Rigenera protocol in the treatment of surgical wound dehiscence
In conclusion, although we reported only three patients, autologous micro‐grafts can be considered a promising approach for the treatment of dehisced wounds, improving the wound‐healing process and in general the patient's quality of life without using other dressings. (Source: International Wound Journal)
Source: International Wound Journal - April 28, 2016 Category: Surgery Authors: Marco Marcarelli, Letizia Trovato, Elvio Novarese, Michele Riccio, Antonio Graziano Tags: ORIGINAL ARTICLE Source Type: research

Patients' knowledge of and participation in preventing pressure ulcers – an intervention study
Abstract The aim of this study was to evaluate a patient information pamphlet on pressure ulcer (PU) prevention using a descriptive, comparative pre‐ and post‐test study design. The patient information pamphlet ‘How can you help to stop pressure ulcers?’ developed by the European PU Advisory Panel in 2012 was implemented in two surgical wards in a university hospital. A total of 61 patients answered pre‐ and post‐test questionnaires. Patients assessed their knowledge of the risks, causes and ways to prevent PUs significantly higher after the intervention than before. Twenty‐eight patients (46%) report...
Source: International Wound Journal - April 25, 2016 Category: Surgery Authors: Lena N Schoeps, Anna ‐Britta Tallberg, Lena Gunningberg Tags: ORIGINAL ARTICLE Source Type: research

Correlation between health ‐related quality of life and venous leg ulcer's severity and characteristics: a cross‐sectional study
This study aims to determine health‐related quality of life (HRQoL) in patients suffering with venous ulceration and to correlate wound's severity status with HRQoL loss as well as identify the aspects of HRQoL most negatively affected by the presence of venous ulcers. In this observational, cross‐sectional, descriptive, analytical multi‐centre study, data was compiled over a period of 3·5 months. Thrity‐four patients with venous ulceration were recruited. The RESVECH 2·0 scale was used to monitor wounds. The MAID scale was used to measure wound's severity. The Charing Cross Venous Ulcer Quest...
Source: International Wound Journal - April 24, 2016 Category: Surgery Authors: H éctor González de la Torre, María L Quintana‐Lorenzo, Estrella Perdomo‐Pérez, José Verdú Tags: ORIGINAL ARTICLE Source Type: research

Clinical experience of surgically treating giant neurofibromatosis ‐1
Abstract The surgical treatment for giant neurofibromatosis‐1 (NF‐1) requires comprehensive measures. Presently, there is no systematic description of surgical treatment. Because of its high level of risk, we want to share our clinical experience. From 2011 to 2014, patients (n = 8, 5 female and 3 male patients, aging from 31 to 45 years‐old) were included in the study. The tumours were located on the trunk (n = 5) or face (n = 3). In addition to routine examination, blood storage was also prepared. Preoperative consultation from related departments was critical at first. Rel...
Source: International Wound Journal - April 11, 2016 Category: Surgery Authors: Baoguo Chen, Minghuo Xu, Huifeng Song, Quanwen Gao Tags: ORIGINAL ARTICLE Source Type: research

Successful treatment of areolar Fox ‐Fordyce disease with surgical excision and 1550‐nm fractionated erbium glass laser
We report the successful treatment of a case of bilateral areolar FFD by a combination of surgical excision and 1550‐nm fractionated erbium glass laser in an 18‐year‐old woman. The patient presented with a bilateral areolar eruption of multiple, severely pruritic, 3–4 mm skin‐ to grey‐coloured folliculocentric dome‐shaped papules. The initial treatment plan was for bilateral surgical excision of the larger and more highly elevated papules via circumferential dermal excision, which was intended to maintain the areolar contour and minimise distortion. A 1550‐nm fractional erbium glass laser was then used ...
Source: International Wound Journal - April 11, 2016 Category: Surgery Authors: Hyun H Han, Jun Y Lee, Jong W Rhie Tags: CASE REPORT Source Type: research

A prospective, randomised, controlled, multicentre clinical trial examining healing rates, safety and cost to closure of an acellular reticular allogenic human dermis versus standard of care in the treatment of chronic diabetic foot ulcers
This study's goal was to compare clinical outcomes of a novel, open‐structure human reticular acellular dermis matrix (HR‐ADM) to facilitate wound closure in non‐healing diabetic foot ulcers (DFUs) versus DFUs treated with standard of care (SOC). Following a 2‐week screening period in which DFUs were treated with offloading and moist wound care, patients were randomised to either SOC alone or HR‐ADM plus SOC applied weekly for up to 12 weeks. At 6 weeks, the primary outcome time, 65% of the HR‐ADM‐treated DFUs healed (13/20) compared with 5% (1/20) of DFUs that received SOC alone. At 12 w...
Source: International Wound Journal - April 11, 2016 Category: Surgery Authors: Charles M Zelen, Dennis P Orgill, Thomas Serena, Robert Galiano, Marissa J Carter, Lawrence A DiDomenico, Jennifer Keller, Jarrod Kaufman, William W Li Tags: ORIGINAL ARTICLE Source Type: research

Clinical experience of surgically treating giant neurofibromatosis‐1
Abstract The surgical treatment for giant neurofibromatosis‐1 (NF‐1) requires comprehensive measures. Presently, there is no systematic description of surgical treatment. Because of its high level of risk, we want to share our clinical experience. From 2011 to 2014, patients (n = 8, 5 female and 3 male patients, aging from 31 to 45 years‐old) were included in the study. The tumours were located on the trunk (n = 5) or face (n = 3). In addition to routine examination, blood storage was also prepared. Preoperative consultation from related departments was critical at first. Rel...
Source: International Wound Journal - April 11, 2016 Category: Surgery Authors: Baoguo Chen, Minghuo Xu, Huifeng Song, Quanwen Gao Tags: ORIGINAL ARTICLE Source Type: research

A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature
We report the first case of an otherwise healthy woman exhibiting a primary necrotising fasciitis of the breast, which was treated combining conservative surgery with hyperbaric oxygen (HO) and negative pressure wound therapy (NPWT). A 39‐year‐old woman presented to the emergency room with fever and swelling of her right breast. The physical examination showed oedema and erythema of the breast, with bluish blisters on the lower quadrant. Ultrasound and CT scans showed diffuse oedema of the entire right breast, with subdermal gas bubbles extending to the fascial planes. Few hours later the necrotic area extended regardl...
Source: International Wound Journal - March 31, 2016 Category: Surgery Authors: Francesco Marongiu, Federico Buggi, Matteo Mingozzi, Annalisa Curcio, Secondo Folli Tags: ORIGINAL ARTICLE Source Type: research

Retrospective study of primary reconstruction of facial traumatic events
Abstract Facial traumatic events are commonly encountered in plastic and reconstructive surgery. Primary reconstruction is a reliable procedure with function and aesthetic considerations. We conduct a retrospective study of the experience of reconstructing facial traumatic defects in the first stage. One hundred and thirty‐two cases (aged 18–65) with facial traumatic events were recruited in the study from 2008 to 2014. Facial traumatic events included injured soft tissue, maxillofacial fractures and facial nerve rupture, which were repaired primarily. After primary reconstruction, encouraging functional and aesthe...
Source: International Wound Journal - March 31, 2016 Category: Surgery Authors: Baoguo Chen, Huifeng Song, Quanwen Gao, Minghuo Xu, Jiake Chai Tags: ORIGINAL ARTICLE Source Type: research

Subepidermal moisture (SEM) and bioimpedance: a literature review of a novel method for early detection of pressure‐induced tissue damage (pressure ulcers)
Abstract Current detection of pressure ulcers relies on visual and tactile changes at the skin surface, but physiological changes below the skin precede surface changes and have a significant impact on tissue health. Inflammatory and apoptotic/necrotic changes in the epidermal and dermal layers of the skin, such as changes in interstitial fluid (also known as subepidermal moisture (SEM)), may precede surface changes by 3–10 days. Those same epidermal and subepidermal changes result in changes in the electrical properties (bioimpedance) of the tissue, thereby presenting an objective, non‐invasive method for a...
Source: International Wound Journal - March 31, 2016 Category: Surgery Authors: Zena Moore, Declan Patton, Shannon L Rhodes, Tom O'Connor Tags: ORIGINAL ARTICLE Source Type: research

Patients' knowledge of and participation in preventing pressure ulcers– an intervention study
Abstract The aim of this study was to evaluate a patient information pamphlet on pressure ulcer (PU) prevention using a descriptive, comparative pre‐ and post‐test study design. The patient information pamphlet ‘How can you help to stop pressure ulcers?’ developed by the European PU Advisory Panel in 2012 was implemented in two surgical wards in a university hospital. A total of 61 patients answered pre‐ and post‐test questionnaires. Patients assessed their knowledge of the risks, causes and ways to prevent PUs significantly higher after the intervention than before. Twenty‐eight patients (46%) report...
Source: International Wound Journal - March 31, 2016 Category: Surgery Authors: Lena N Schoeps, Anna‐Britta Tallberg, Lena Gunningberg Tags: ORIGINAL ARTICLE Source Type: research

Correlation between health‐related quality of life and venous leg ulcer's severity and characteristics: a cross‐sectional study
This study aims to determine health‐related quality of life (HRQoL) in patients suffering with venous ulceration and to correlate wound's severity status with HRQoL loss as well as identify the aspects of HRQoL most negatively affected by the presence of venous ulcers. In this observational, cross‐sectional, descriptive, analytical multi‐centre study, data was compiled over a period of 3·5 months. Thrity‐four patients with venous ulceration were recruited. The RESVECH 2·0 scale was used to monitor wounds. The MAID scale was used to measure wound's severity. The Charing Cross Venous Ulcer Quest...
Source: International Wound Journal - March 31, 2016 Category: Surgery Authors: Héctor González de la Torre, María L Quintana‐Lorenzo, Estrella Perdomo‐Pérez, José Verdú Tags: ORIGINAL ARTICLE Source Type: research