Changes in fibrillin ‐1 expression, elastin expression and skin surface texture at sites of cultured epithelial autograft transplantation onto wounds from burn scar excision
This study investigated the recovery process during which grafted cultured epithelium generated skin elasticity and skin surface microarchitecture. The subjects were 18 patients whose burn scars were excised at a depth not exposing the fat layer and who subsequently received cultured epithelial autografts. A total of 24 samples were obtained from the grafted sites: 6 samples within 6 weeks (stage 1), 5 samples after 6 weeks and within 6 months (stage 2), 6 samples after 6 months and within 18 months (stage 3) and 7 samples beyond 18 months (stage 4) of transplantation. These samples were evaluated by taking replicas of ski...
Source: International Wound Journal - January 13, 2015 Category: Surgery Authors: Kuniko Kadoya, Satoshi Amano, Toshio Nishiyama, Shinji Inomata, Makoto Tsunenaga, Norio Kumagai, Kyoichi Matsuzaki Tags: ORIGINAL ARTICLE Source Type: research

Vacuum ‐assisted closure for skin necrosis after revision total knee arthroplasty
Abstract Although skin necrosis following total knee arthroplasty or revision total knee arthroplasty is rare, it may cause severe complications. Skin changes begin with superficial infections and may result in removal of the prosthesis. Treatment of skin necrosis is an important factor, which determines the prognosis of the prosthesis. Several techniques have been defined for sufficient closure. In this article, we present the case of a patient who was treated for skin necrosis that developed after knee revision arthroplasty, using serial debridement, convergence sutures and an intermittent vacuum‐assisted closure devic...
Source: International Wound Journal - December 29, 2014 Category: Surgery Authors: Hakan Sarman, Umit S Muezzinoglu, Kaya Memisoglu, Tuncay Baran Tags: ORIGINAL ARTICLE Source Type: research

Aetiology, comorbidities and cofactors of chronic leg ulcers: retrospective evaluation of 1 000 patients from 10 specialised dermatological wound care centers in Germany
Abstract Numerous comorbidities and cofactors have been known to influence wound healing processes. In this multicentre study, clinical data of 1 000 patients with chronic leg ulcers from ten specialised dermatological wound care centers were analysed. The patient cohort comprised 567 females and 433 males with an average age of 69·9 years. The wounds persisted on average for 40·8 months and had a mean size of 43·7 cm2. Venous leg ulcers represented the most common entity accounting for 51·3% of all chronic wounds, followed by mixed‐type ulcers in 12·9% and a...
Source: International Wound Journal - December 5, 2014 Category: Surgery Authors: Finja Jockenhöfer, Harald Gollnick, Katharina Herberger, Georg Isbary, Regina Renner, Markus Stücker, Eva Valesky, Uwe Wollina, Michael Weichenthal, Sigrid Karrer, Bernhard Kuepper, Alexander Roesch, Joachim Dissemond Tags: ORIGINAL ARTICLE Source Type: research

Combined treatment with chlorhexidine and 0 ·9% saline in a newborn infant with an infected surgical wound
Abstract Newborns are more susceptible to infection; this makes proper wound care extremely important in them. Unfortunately, in spite of successful surgery, patients can die as a result of wound area infections. Herein, we report a case in which a combined therapy of chlorhexidine (a disinfectant) and saline (a cleansing agent used in wound care) was used effectively to treat the wound in a newborn infant with an antibiotic‐resistant, Gram‐negative, bacteria‐related surgical site infection. (Source: International Wound Journal)
Source: International Wound Journal - December 4, 2014 Category: Surgery Authors: Kadir Şerafettin Tekgündüz, Eda Kepenekli, Yaşar Demirelli, İbrahim Caner, Mustafa Kara Tags: CASE REPORT Source Type: research

Aetiology, comorbidities and cofactors of chronic leg ulcers: retrospective evaluation of 1 000 patients from 10 specialised dermatological wound care centers in Germany
Abstract Numerous comorbidities and cofactors have been known to influence wound healing processes. In this multicentre study, clinical data of 1 000 patients with chronic leg ulcers from ten specialised dermatological wound care centers were analysed. The patient cohort comprised 567 females and 433 males with an average age of 69·9 years. The wounds persisted on average for 40·8 months and had a mean size of 43·7 cm2. Venous leg ulcers represented the most common entity accounting for 51·3% of all chronic wounds, followed by mixed‐type ulcers in 12·9% and arterial ulcerations in 11&mi...
Source: International Wound Journal - December 4, 2014 Category: Surgery Authors: Finja Jockenh öfer, Harald Gollnick, Katharina Herberger, Georg Isbary, Regina Renner, Markus Stücker, Eva Valesky, Uwe Wollina, Michael Weichenthal, Sigrid Karrer, Bernhard Kuepper, Alexander Roesch, Joachim Dissemond Tags: ORIGINAL ARTICLE Source Type: research

Improvement of wound tissue repair by chitosan films containing ( –)‐borneol, a bicyclic monoterpene alcohol, in rats
Abstract The aim of this study was to investigate the wound‐healing activity of (–)‐borneol (BOR) incorporated in chitosan film on healing protocol in rodents. To assess the BOR wound‐healing potential, male Wistar rats were subjected to a full‐thickness excisional wound. The animals were divided into three groups: dressed with chitosan‐based film (QUIN); dressed with chitosan‐based film containing 0·5% BOR (QUIBO05); or dressed with chitosan‐based film containing 1% BOR (QUIBO1). Dressing the wound areas and histological analysis were performed on the 3rd, 7th, 14th, and 21st days. The myelopero...
Source: International Wound Journal - December 3, 2014 Category: Surgery Authors: Rosana SS Barreto, Jullyana SS Quintans, Andr é S Barreto, Ricardo LC Albuquerque‐Júnior, Juliana G Galvão, Joice KMC Gonsalves, Rogéria S Nunes, Enilton A Camargo, Waldecy Lucca‐Júnior, Rosilene C Soares, Vera Lúcia C Feitosa, Lucindo J Quintan Tags: ORIGINAL ARTICLE Source Type: research

Biomarkers in post‐reperfusion syndrome after acute lower limb ischaemia
Abstract Ischaemia reperfusion (I/R) injury refers to tissue damage caused when blood supply returns to the tissue after a period of ischaemia. Matrix metalloproteinases (MMPs), neutrophil gelatinase‐associated lipocalin (NGAL) and cytokines are biomarkers involved in several vascular complications. The aim of this study was to evaluate the role of MMPs, NGAL and inflammatory cytokines in I/R syndrome. We conducted an open label, multicentric, parallel group study, between January 2010 and December 2013. Patients with acute limb ischaemia were enrolled in this study and were divided into two groups: (i) those subjected t...
Source: International Wound Journal - December 3, 2014 Category: Surgery Authors: Stefano de Franciscis, Giovanni De Caridi, Mafalda Massara, Francesco Spinelli, Luca Gallelli, Gianluca Buffone, Francesco G Caliò, Lucia Butrico, Raffaele Grande, Raffaele Serra Tags: ORIGINAL ARTICLE Source Type: research

Incidence of hospital‐acquired pressure ulcers – a population‐based cohort study
Abstract Our study sought to estimate the association between race, gender, comorbidity and body mass index (BMI) on the incidence of hospital‐acquired pressure ulcer (PU) from a population‐based retrospective cohort comprising 242 745 unique patient hospital discharges in two fiscal years from July 2009 to June 2010 from 15 general and tertiary care hospitals. Cases were patients with a single inpatient encounter that led to an incident PU. Controls were patients without a PU at any encounter during the two fiscal years with the earliest admission retained for analysis. Logistic regression models quantified the...
Source: International Wound Journal - December 3, 2014 Category: Surgery Authors: Joseph C Gardiner, Philip L Reed, Joseph D Bonner, Diana K Haggerty, Daniel G Hale Tags: ORIGINAL ARTICLE Source Type: research

Simultaneous reconstruction of the oral commissure, lip and buccal mucosa with microvascular transfer of combined first–second toe web and dorsalis pedis flap
Abstract The reconstruction of oral commissure, lip and mucosa defects following tumour resection is a challenging task to the reconstructive surgeon owing to the increasing aesthetic and functional demands. The authors describe a case in which the use of combined first–second toe web with dorsalis pedis flap was transferred and an optimal result was achieved for the oral commissure, lip and buccal mucosa following resection of squamous cell carcinoma and local flap failure. (Source: International Wound Journal)
Source: International Wound Journal - December 3, 2014 Category: Surgery Authors: Pedro Ciudad, Michele Maruccia, Stamatis Sapountzis, Hung‐Chi Chen Tags: ORIGINAL ARTICLE Source Type: research

Understanding the outcomes of a home nursing programme for patients with epidermolysis bullosa: an Australian perspective
Abstract Epidermolysis bullosa (EB) consists of a spectrum of genodermatoses characterised by skin fragility and various degrees of skin and mucous membrane blistering. Minimal trauma and friction can cause extensive blistering in patients with EB, resulting in a number of complications. However, wound management is the main challenge for these patients because of a high risk of infection, fluid loss and potential development of aggressive squamous cell carcinoma (SCC). Indeed, patients with EB have an increased risk for developing skin cancers compared to the general population. In 2012, a home nursing programme was estab...
Source: International Wound Journal - December 3, 2014 Category: Surgery Authors: Louise J Stevens, Sue McKenna, Jennifer Marty, Allison J Cowin, Zlatko Kopecki Tags: ORIGINAL ARTICLE Source Type: research

Biomarkers in post ‐reperfusion syndrome after acute lower limb ischaemia
Abstract Ischaemia reperfusion (I/R) injury refers to tissue damage caused when blood supply returns to the tissue after a period of ischaemia. Matrix metalloproteinases (MMPs), neutrophil gelatinase‐associated lipocalin (NGAL) and cytokines are biomarkers involved in several vascular complications. The aim of this study was to evaluate the role of MMPs, NGAL and inflammatory cytokines in I/R syndrome. We conducted an open label, multicentric, parallel group study, between January 2010 and December 2013. Patients with acute limb ischaemia were enrolled in this study and were divided into two groups: (i) those subjected t...
Source: International Wound Journal - December 2, 2014 Category: Surgery Authors: Stefano de Franciscis, Giovanni De Caridi, Mafalda Massara, Francesco Spinelli, Luca Gallelli, Gianluca Buffone, Francesco G Cali ò, Lucia Butrico, Raffaele Grande, Raffaele Serra Tags: ORIGINAL ARTICLE Source Type: research

Incidence of hospital ‐acquired pressure ulcers – a population‐based cohort study
Abstract Our study sought to estimate the association between race, gender, comorbidity and body mass index (BMI) on the incidence of hospital‐acquired pressure ulcer (PU) from a population‐based retrospective cohort comprising 242 745 unique patient hospital discharges in two fiscal years from July 2009 to June 2010 from 15 general and tertiary care hospitals. Cases were patients with a single inpatient encounter that led to an incident PU. Controls were patients without a PU at any encounter during the two fiscal years with the earliest admission retained for analysis. Logistic regression models quantified the associ...
Source: International Wound Journal - December 2, 2014 Category: Surgery Authors: Joseph C Gardiner, Philip L Reed, Joseph D Bonner, Diana K Haggerty, Daniel G Hale Tags: ORIGINAL ARTICLE Source Type: research

Achieving competency in wound care: an innovative training module using the long‐term care setting
Abstract Structured academic teaching on wound care was developed, based on the long‐term care (LTC) setting, with the goal of ensuring that postgraduate family medicine residents attain competency in assessment and treatment of wounds and pressure ulcers (PUs). The curriculum for the 1‐month learning module was based on clinical practice guidelines for the prevention, assessment, and treatment of PUs and wounds. The learning techniques used include a learners' needs assessment, a small‐group didactic session, interdisciplinary bedside case discussions and a toolkit. The curriculum is delivered in four weekly, 90‐m...
Source: International Wound Journal - December 1, 2014 Category: Surgery Authors: Evelyn M Williams, Susan Deering Tags: ORIGINAL ARTICLE Source Type: research

Internal pudendal perforator artery–based gull wing flap for vulvovaginal 3D reconstruction after tumour excision: a new flap
Abstract Various skin tumours such as squamous cell carcinoma and extramammary Paget's disease can occur in the vulval area, and reconstruction of the vulval area can be a very challenging task. A retrospective analysis of vulvar reconstruction using the new method ‘internal pudendal perforator artery–based gull wing flap’ was performed from April 2012 to December 2013. A perforator vessel from the internal pudendal artery was detected with a portable Doppler and marked, and this was the pivot point around which the flap was rotated. The flap was rotated by more than 150°–180° internally, an...
Source: International Wound Journal - December 1, 2014 Category: Surgery Authors: Hyun H Han, Daiwon Jun, Bommie F Seo, Suk‐Ho Moon, Deuk Y Oh, Sang T Ahn, Jong‐Won Rhie Tags: ORIGINAL ARTICLE Source Type: research

Wound samples: moving towards a standardised method of collection and analysis
Abstract Chronic wounds, including diabetic foot ulcers, pressure ulcers and venous leg ulcers, impact the lives of millions of people worldwide. These types of wounds represent a significant physical, social and financial burden to both patients and health care systems. Wound care has made great progress in recent years as a result of the critical research performed in academic, clinical and industrial settings. However, there has been relatively little translation of basic research discoveries into novel and effective treatments. One underlying reason for this paucity may be inconsistency in the methods of wound analysis...
Source: International Wound Journal - December 1, 2014 Category: Surgery Authors: Sarah Ramsay, Linda Cowan, Jeffrey M Davidson, Lillian Nanney, Gregory Schultz Tags: ORIGINAL ARTICLE Source Type: research

Vacuum‐assisted closure for skin necrosis after revision total knee arthroplasty
Abstract Although skin necrosis following total knee arthroplasty or revision total knee arthroplasty is rare, it may cause severe complications. Skin changes begin with superficial infections and may result in removal of the prosthesis. Treatment of skin necrosis is an important factor, which determines the prognosis of the prosthesis. Several techniques have been defined for sufficient closure. In this article, we present the case of a patient who was treated for skin necrosis that developed after knee revision arthroplasty, using serial debridement, convergence sutures and an intermittent vacuum‐assisted closure devic...
Source: International Wound Journal - December 1, 2014 Category: Surgery Authors: Hakan Sarman, Umit S Muezzinoglu, Kaya Memisoglu, Tuncay Baran Tags: ORIGINAL ARTICLE Source Type: research

Combined treatment with chlorhexidine and 0·9% saline in a newborn infant with an infected surgical wound
Abstract Newborns are more susceptible to infection; this makes proper wound care extremely important in them. Unfortunately, in spite of successful surgery, patients can die as a result of wound area infections. Herein, we report a case in which a combined therapy of chlorhexidine (a disinfectant) and saline (a cleansing agent used in wound care) was used effectively to treat the wound in a newborn infant with an antibiotic‐resistant, Gram‐negative, bacteria‐related surgical site infection. (Source: International Wound Journal)
Source: International Wound Journal - December 1, 2014 Category: Surgery Authors: Kadir Şerafettin Tekgündüz, Eda Kepenekli, Yaşar Demirelli, İbrahim Caner, Mustafa Kara Tags: CASE REPORT Source Type: research

Improvement of wound tissue repair by chitosan films containing (–)‐borneol, a bicyclic monoterpene alcohol, in rats
Abstract The aim of this study was to investigate the wound‐healing activity of (–)‐borneol (BOR) incorporated in chitosan film on healing protocol in rodents. To assess the BOR wound‐healing potential, male Wistar rats were subjected to a full‐thickness excisional wound. The animals were divided into three groups: dressed with chitosan‐based film (QUIN); dressed with chitosan‐based film containing 0·5% BOR (QUIBO05); or dressed with chitosan‐based film containing 1% BOR (QUIBO1). Dressing the wound areas and histological analysis were performed on the 3rd, 7th, 14th, and 21st days. The myelopero...
Source: International Wound Journal - December 1, 2014 Category: Surgery Authors: Rosana SS Barreto, Jullyana SS Quintans, André S Barreto, Ricardo LC Albuquerque‐Júnior, Juliana G Galvão, Joice KMC Gonsalves, Rogéria S Nunes, Enilton A Camargo, Waldecy Lucca‐Júnior, Rosilene C Soares, Vera Lúcia C Feitosa, Lucindo J Quintans Tags: ORIGINAL ARTICLE Source Type: research

A prospective, randomised, controlled, multi‐centre comparative effectiveness study of healing using dehydrated human amnion/chorion membrane allograft, bioengineered skin substitute or standard of care for treatment of chronic lower extremity diabetic ulcers
Abstract A prospective, randomised, controlled, parallel group, multi‐centre clinical trial was conducted at three sites to compare the healing effectiveness of treatment of chronic lower extremity diabetic ulcers with either weekly applications of Apligraf® (Organogenesis, Inc., Canton, MA), EpiFix® (MiMedx Group, Inc., Marietta, GA), or standard wound care with collagen‐alginate dressing. The primary study outcome was the percent change in complete wound healing after 4 and 6 weeks of treatment. Secondary outcomes included percent change in wound area per week, velocity of wound closure and a calculati...
Source: International Wound Journal - November 28, 2014 Category: Surgery Authors: Charles M Zelen, Lisa Gould, Thomas E Serena, Marissa J Carter, Jennifer Keller, William W Li Tags: ORIGINAL ARTICLE Source Type: research

Calendar
(Source: International Wound Journal)
Source: International Wound Journal - November 21, 2014 Category: Surgery Tags: CALENDAR OF EVENTS Source Type: research

Society news
(Source: International Wound Journal)
Source: International Wound Journal - November 21, 2014 Category: Surgery Tags: NEWS Source Type: research

News and views
(Source: International Wound Journal)
Source: International Wound Journal - November 21, 2014 Category: Surgery Tags: NEWS Source Type: research

The World of Wound Care Loses an Inspirational Leader—Dr George W Cherry
(Source: International Wound Journal)
Source: International Wound Journal - November 21, 2014 Category: Surgery Authors: Michael Clark Tags: OBITUARY Source Type: research

Harmful misuse of white vinegar in a wrong combination
(Source: International Wound Journal)
Source: International Wound Journal - October 8, 2014 Category: Surgery Authors: Basavraj S Nagoba, Namdev M Suryawanshi, Sohan P Selkar Tags: LETTER TO THE EDITOR Source Type: research

Iatrogenic synostosis of the toes and phalanges
(Source: International Wound Journal)
Source: International Wound Journal - October 8, 2014 Category: Surgery Authors: Ali Memis, Omer Ersen, Ali Kemal Sivrioglu, Mesut Mutluoglu, Hakan Ay Tags: LETTER TO THE EDITOR Source Type: research

Comparison of the effects of gabapentin and pregabalin on wound healing in rats
In this study we evaluated their effects on wound healing. A total of 17 male Wistar‐Albino rats, 250–350 g, were divided into three groups randomly: control group (n = 5, 2 ml saline), gabapentin group (n = 6, 20 mg/kg gabapentin) and pregabalin group (n = 6, 20 mg/kg pregabalin). Until day 13 inflammation scores were significantly lower (P 
Source: International Wound Journal - October 1, 2014 Category: Surgery Authors: Tuba Berra Sarıtaş, Musa Korkmaz, Alper Sevimli, Zulfikar Kadir Sarıtaş Tags: ORIGINAL ARTICLE Source Type: research

Successful treatment of refractory pyoderma gangrenosum with ustekinumab only after excision of renal cell carcinoma
(Source: International Wound Journal)
Source: International Wound Journal - October 1, 2014 Category: Surgery Authors: Ioana Cosgarea, Zdenka Lovric, Andreas Körber, Joachim Dissemond Tags: LETTER TO THE EDITOR Source Type: research

Calendar
(Source: International Wound Journal)
Source: International Wound Journal - September 23, 2014 Category: Surgery Tags: CALENDAR OF EVENTS Source Type: research

Perioperative use of bispectral (BIS) monitor for a pressure ulcer patient with locked‐in syndrome (LIS)
Abstract The bispectral (BIS) monitor uses brain electroencephalographic data to measure the depth of sedation and pharmacological response during anaesthetic procedures. In this case, the BIS monitor was used for another purpose, to demonstrate postoperatively to the nursing staff that a patient with history of locked‐in syndrome (LIS), who underwent pressure ulcer debridement, had periods of wakefulness and apparent sensation, even with his eyes closed. Furthermore, as patients with LIS can feel pain, despite being unable to move, local block or general anaesthesia should be provided for sharp surgical debridement and ...
Source: International Wound Journal - September 23, 2014 Category: Surgery Authors: Christine Yoo, Elizabeth A Ayello, Bryan Robins, Victor R Salamanca, Marc J Bloom, Patrick Linton, Harold Brem, Daniel K O’Neill Tags: ORIGINAL ARTICLE Source Type: research

Society news
(Source: International Wound Journal)
Source: International Wound Journal - September 23, 2014 Category: Surgery Tags: NEWS Source Type: research

News and views
(Source: International Wound Journal)
Source: International Wound Journal - September 23, 2014 Category: Surgery Tags: NEWS Source Type: research

Are personal health records the answer to better clinician–patient interaction for the treatment of wounds?
(Source: International Wound Journal)
Source: International Wound Journal - September 23, 2014 Category: Surgery Authors: Keith Harding, Douglas Queen Tags: EDITORIAL Source Type: research

The enhanced healing of a high‐risk, clean, sutured surgical incision by prophylactic negative pressure wound therapy as delivered by Prevena™ Customizable™: cosmetic and therapeutic results
Abstract According to the literature, incisional closure complications may range from postoperative surgical site infections, representing 17–22% of health care‐associated infections, surgical wound dehiscence and formation of haematomas or seromas, and can lead to delayed or impaired incision healing. These kinds of situations are more common when wounds are closed under tension or in specific patient morbidities. Obesity, in particular, is associated with an impaired blood flow to tissues, predisposing the patient to increased risk of wound complications by various mechanisms. Incisional complications can become ...
Source: International Wound Journal - September 19, 2014 Category: Surgery Authors: Alessandro Scalise, Caterina Tartaglione, Elisa Bolletta, Roberto Calamita, Giovanni Nicoletti, Marina Pierangeli, Luca Grassetti, Giovanni Di Benedetto Tags: ORIGINAL ARTICLE Source Type: research

Long ‐term follow‐up of negative pressure wound therapy with instillation: a limb salvage procedure?
We report our experience of treating three patients with complex wounds and associated noble structure exposition conservatively with NPWTi and flap coverage. In a long‐term follow‐up (5 years), we were able to achieve a stable surgery reconstruction on preserved limbs, without evidence of chronic infection and other sequelae or complications. Despite the fact that our experience is limited , as it is based on only a few cases, it suggests how NPWTi could be considered useful in a conservative approach to the treatment of acute complex wounds of the lower extremities. In these patients with high risk of amputation, a l...
Source: International Wound Journal - September 18, 2014 Category: Surgery Authors: Daniele Bollero, Kiran Degano, Ezio N Gangemi, Domenico Aloj, Valeria Malvasio, Maurizio Stella Tags: ORIGINAL ARTICLE Source Type: research

VAC therapy for the treatment of complex wounds after cardio ‐thoracic surgery
In conclusion, VAC therapy promotes faster wound healing, with shorter hospital stay and subsequent lesser in‐hospital cost, reducing the mortality rate in the long run. It also promotes early rehabilitation and alleviates the need for a second procedure, thus improving patient satisfaction, with minimal discomfort or inconvenience. (Source: International Wound Journal)
Source: International Wound Journal - September 16, 2014 Category: Surgery Authors: Giovanni De Caridi, Raffaele Serra, Mafalda Massara, Mario Barone, Raffaele Grande, Lucia Butrico, Pasquale Mastroroberto, Stefano Franciscis, Francesco Monaco Tags: ORIGINAL ARTICLE Source Type: research

Trophic effects of polynucleotides and hyaluronic acid in the healing of venous ulcers of the lower limbs: a clinical study
This study was carried out in 39 consecutive patients who were randomly allocated to two groups: group I (20 patients) received treatment with PNHA (topical gel application two times a week, for a total of 6 weeks); group II (19 patients) received only hyaluronic acid (HA) topical application. All patients received a surgical debridement of the ulcerative lesions before topical treatment with PNHA or HA. Pre‐treatment data indicated the area of ulceration. The number of healed ulcers and the variation in area of ulceration were considered as endpoints. The endpoints were observed after 45 days from the begi...
Source: International Wound Journal - September 16, 2014 Category: Surgery Authors: Giovanni De Caridi, Mafalda Massara, Ignazio Acri, Salvatore Zavettieri, Raffaele Grande, Lucia Butrico, Stefano de Franciscis, Raffaele Serra Tags: ORIGINAL ARTICLE Source Type: research

Reduced pressure for fewer pressure ulcers: can real‐time feedback of interface pressure optimise repositioning in bed?
Abstract The aim of this study was to (i) describe registered nurses' and assistant nurses' repositioning skills with regard to their existing attitudes to and theoretical knowledge of pressure ulcer (PU) prevention, and (ii) evaluate if the continuous bedside pressure mapping (CBPM) system provides staff with a pedagogic tool to optimise repositioning. A quantitative study was performed using a descriptive, comparative design. Registered nurses (n = 19) and assistant nurses (n = 33) worked in pairs, and were instructed to place two volunteers (aged over 70 years) in the best pressure‐reducing...
Source: International Wound Journal - September 16, 2014 Category: Surgery Authors: Lena Gunningberg, Cheryl Carli Tags: ORIGINAL ARTICLE Source Type: research

Inter‐rater reliability of three most commonly used pressure ulcer risk assessment scales in clinical practice
The objective of this study was to evaluate inter‐rater reliability of Braden Scale, Norton Scale and Waterlow Scale for pressure ulcer risk assessment in clinical practice. The design of the study was cross‐sectional. A total of 23 patients at pressure ulcer risk were included in the study, and 6 best registered nurses conducted three subsequent risk assessments for all included patients. They assessed alone and independently from each other. An intra‐class correlation coefficient (ICC) was used to determine the inter‐rater reliability. For the Braden Scale, the ICC values ranged between 0·603 (95% CI: 0&mi...
Source: International Wound Journal - September 16, 2014 Category: Surgery Authors: Li‐Hua Wang, Hong‐Lin Chen, Hong‐Yan Yan, Jian‐Hua Gao, Fang Wang, Yue Ming, Li Lu, Jing‐Jing Ding Tags: ORIGINAL ARTICLE Source Type: research

Assessment and documentation of non‐healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study
In conclusion, an effective strategy for wound management depends on the method and scope of the assessment of non‐healing, chronic wounds in place in clinical practice in observed facilities; improvement may be expected following the general introduction of a ‘non‐healing, chronic wound assessment’ algorithm. (Source: International Wound Journal)
Source: International Wound Journal - September 16, 2014 Category: Surgery Authors: Andrea Pokorná, David Leaper Tags: ORIGINAL ARTICLE Source Type: research

Reduced pressure for fewer pressure ulcers: can real ‐time feedback of interface pressure optimise repositioning in bed?
Abstract The aim of this study was to (i) describe registered nurses' and assistant nurses' repositioning skills with regard to their existing attitudes to and theoretical knowledge of pressure ulcer (PU) prevention, and (ii) evaluate if the continuous bedside pressure mapping (CBPM) system provides staff with a pedagogic tool to optimise repositioning. A quantitative study was performed using a descriptive, comparative design. Registered nurses (n = 19) and assistant nurses (n = 33) worked in pairs, and were instructed to place two volunteers (aged over 70 years) in the best pressure‐reducing position (lateral and supin...
Source: International Wound Journal - September 15, 2014 Category: Surgery Authors: Lena Gunningberg, Cheryl Carli Tags: ORIGINAL ARTICLE Source Type: research

Every wound counts: a case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
We present this unusual case of chronic wound from an undiscovered injury that was not formally explored at initial treatment, highlighting the importance of systematic exploration of all wounds particularly in sensitive body areas, despite cultural barriers both for the assessing clinicians and for the patients in that part of the world. (Source: International Wound Journal)
Source: International Wound Journal - September 12, 2014 Category: Surgery Authors: Saif Ramman, Hassan Al‐Rubayee Tags: CASE REPORT Source Type: research

Bilirubin: a promising antioxidant for ischaemia/reperfusion injury
(Source: International Wound Journal)
Source: International Wound Journal - September 11, 2014 Category: Surgery Authors: Tae Hwan Park Tags: LETTER TO THE EDITOR Source Type: research

A case report of a 19 ‐week gravid patient with a dehisced abdominal wound and treated with V.A.C. ATS® Therapy System
We report the case of a 19‐week pregnant patient where V.A.C.® Therapy was applied to her dehisced laparotomy wound with satisfactory results. The patient was a 30‐year‐old female who was referred to our hospital from her previous doctor because of the presence of an ovarian cyst on the left ovary. The patient presented at 14 weeks into her pregnancy, and surgery was considered because of no reduction in the size of the cyst. An oophorocystectomy was performed, and then the surgical incision was re‐opened at postoperative day (POD) 10 due to a surgical site infection. V.A.C.® Therapy was initiated on POD 26...
Source: International Wound Journal - September 10, 2014 Category: Surgery Authors: Kei Asukai, Masaki Kashiwazaki, Kaori Koizumi, Toshikatsu Nobunaga, Hiroshi Yano Tags: CASE REPORT Source Type: research

Fingertip dermatitis: a spy for psoriasis
(Source: International Wound Journal)
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Antonella Tammaro, Alessandra Narcisi, Claudia Abruzzese, Giorgia Cortesi, Diego Orsini, Veronica Giulianelli, Francesca R Parisella, Papapit Tuchinda, Severino Persechino Tags: LETTER TO THE EDITOR Source Type: research

Lactic acid bacterial symbionts in honeybees – an unknown key to honey's antimicrobial and therapeutic activities
Abstract Could honeybees' most valuable contribution to mankind besides pollination services be alternative tools against infections? Today, due to the emerging antibiotic‐resistant pathogens, we are facing a new era of searching for alternative tools against infections. Natural products such as honey have been applied against human's infections for millennia without sufficient scientific evidence. A unique lactic acid bacterial (LAB) microbiota was discovered by us, which is in symbiosis with honeybees and present in large amounts in fresh honey across the world. This work investigates if the LAB symbionts are the sourc...
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Tobias C Olofsson, Èile Butler, Pawel Markowicz, Christina Lindholm, Lennart Larsson, Alejandra Vásquez Tags: ORIGINAL ARTICLE Source Type: research

A pilot study investigating lactic acid bacterial symbionts from the honeybee in inhibiting human chronic wound pathogens
Abstract Treatment and management of chronic wounds is a large burden on the health sector and causes substantial suffering for the patients. We believe that 13 lactic acid bacteria (LAB) symbionts isolated from the honey crop of the honeybee are important players in the antimicrobial action of honey, by producing antimicrobial substances and can be used in combination with heather honey as an effective treatment in wound management. A total of 22 patients with chronic ulcers were included; culture‐dependent and molecular‐based (MALDI‐MS and 16S rRNA gene sequencing) techniques were used to identify bacteria from chr...
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Éile Butler, Rut F. Oien, Christina Lindholm, Tobias C. Olofsson, Bo Nilson, Alejandra Vásquez Tags: ORIGINAL ARTICLE Source Type: research

To debride or not, that is the question
(Source: International Wound Journal)
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Mesut Mutluoglu, Gunalp Uzun, Huseyin Karagoz, Ali Memis, Omer Ersen, Hakan Ay Tags: LETTER TO THE EDITOR Source Type: research

Efficacy of a new multifunctional surfactant‐based biomaterial dressing with 1% silver sulphadiazine in chronic wounds
Abstract Chronic wounds represent a large and growing segment of health care and add considerably to human suffering and economic burden as populations age. More effective materials, especially those promoting ease of use and economy, are needed to treat this increasing number of patients. A case series conducted at a European outpatient tertiary wound centre used a novel surfactant‐based biomaterial dressing containing 1% silver sulphadiazine on 226 chronic wound patients with various aetiologies. Eighty‐eight patients had been undergoing standard of care treatment at the facility, while the remainder (n =&thin...
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Christoph Zölß, Jürgen D Cech Tags: ORIGINAL ARTICLE Source Type: research

Clinician perceptions of wound biofilm
Abstract In wound care today, biofilm is a subject area of great interest and debate. There is an increasing awareness that biofilm exists in the majority of non‐healing wounds, and that it is implicated in both recalcitrance and infection. Together with the presence of devitalised host tissue, biofilm is recognised as a component of the wound environment that requires removal to enable wound progression. However, uncertainty exists among wound care practitioners regarding confirmation of the presence of biofilm, and how best to remove biofilm from a non‐healing wound. While recent efforts have been taken to assist pra...
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Daniel G. Metcalf, Philip G. Bowler Tags: ORIGINAL ARTICLE Source Type: research

Evaluation of the clinimetrics of transcutaneous oxygen measurement and its application in wound care
This article evaluates the clinimetrics of TcPO2 measurement in adults with discussion of its potential application in clinical practice. (Source: International Wound Journal)
Source: International Wound Journal - September 8, 2014 Category: Surgery Authors: Wai Lam Yip Tags: INVITED REVIEW Source Type: research