Topical oxygen therapy & micro/nanobubbles: a new modality for tissue oxygen delivery
Up to 15 billion dollars of US health care expenditure each year is consumed by treatment of poorly healing wounds whose etiologies are often associated with aberrancies in tissue oxygenation. To address this issue, several modes of tissue oxygen delivery systems exist, including Hyperbaric Oxygen Therapy (HBOT) and Topical Oxygen Therapy (TOT), but their efficacies have yet to be fully substantiated. Micro/nanobubbles (MNBs), which range anywhere from 100 μm to <1 μm in diameter and are relatively stable for hours, offer a new mode of oxygen delivery to wounds. The aim of this article is to systematically review lite...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Lohrasb R Sayadi, Derek A Banyard, Mary E Ziegler, Zaidal Obagi, Jordyne Prussak, Michael J Klopfer, Gregory RD Evans, Alan D Widgerow Tags: ORIGINAL ARTICLE Source Type: research
Effectiveness of using a new polyurethane foam multi ‐layer dressing in the sacral area to prevent the onset of pressure ulcer in the elderly with hip fractures: A pragmatic randomised controlled trial
Hip fractures in the elderly are a serious problem for the health service due to the high rate of complications. One of these complications is pressure ulcers that, according to the literature, occur in 8.8% to 55% of patients and mainly arise in the sacral area. The present randomised controlled trial tests whether applying a new innovative multi‐layer polyurethane foam dressing (ALLEVYN LIFE™), reduces the onset of pressure ulcers in the sacral area. From March to December 2016, 359 fragility hip fracture patients were randomly divided into 2 groups: 182 in the control group and 177 in the experimental group. Pressur...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Cristiana Forni, Fabio D ’Alessandro, Pina Gallerani, Rossana Genco, Andrea Bolzon, Caterina Bombino, Sandra Mini, Laura Rocchegiani, Teresa Notarnicola, Arianna Vitulli, Alfredo Amodeo, Guglielmo Celli, Patrizia Taddia Tags: ORIGINAL ARTICLE Source Type: research
Perceptions of hyperbaric oxygen therapy among podiatrists practicing in high ‐risk foot clinics
Foot ulceration is a devastating and costly consequence of diabetes. Hyperbaric oxygen therapy is recognised as an adjunctive therapy to treat diabetes‐related foot ulceration, yet uptake is low. Semi‐structured interviews were conducted with 16 podiatrists who manage patients with foot ulcers related to diabetes to explore their perceptions of, and the barriers/facilitators to, referral for hyperbaric oxygen.
Podiatrists cited logistical issues such as location of facilities as well as poor communication pathways, lack of delegation and lack of follow up when patients presented for hyperbaric treatment. In general, po...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Frances R Henshaw, Lauren Brennan, Freya MacMillan Tags: ORIGINAL ARTICLE Source Type: research
Comparing the effects of 3 different pressure ulcer prevention support surfaces on the structure and function of heel and sacral skin: An exploratory cross ‐over trial
Special support surfaces are key in pressure ulcer prevention. The aim of this study was to measure the effects of 3 different types of mattresses (reactive gel, active alternating air, basic foam) on skin properties of the sacral and heel skin after 2 hours loading. Fifteen healthy females (median age 66 years) were included. Transepidermal water loss, skin surface temperature, erythema, stratum corneum hydration, epidermal hydration, skin extensibility, elastic function, and recovery as well as skin roughness parameters were measured under controlled room conditions before loading, immediately after loading, and 20 m...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Tsenka Tomova ‐Simitchieva, Andrea Lichterfeld‐Kottner, Ulrike Blume‐Peytavi, Jan Kottner Tags: ORIGINAL ARTICLE Source Type: research
The sausage toe as a sign of diabetic foot osteomyelitis
(Source: International Wound Journal)
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Mesut Mutluoglu, Aysegul Ercengiz, Zehra Yazici Mutlu, Ali Memis Tags: LETTER TO THE EDITOR Source Type: research
Changing the way we think about wounds: A challenge for 21st century medical practice
(Source: International Wound Journal)
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Joanne M Lusher, Esther Murray, David Chapman ‐Jones Tags: LETTER TO THE EDITOR Source Type: research
A web ‐based survey to identify current practice in skeletal pin site management
Infections associated with percutaneous pins and wires are common complications which can have a significant impact on patient outcomes. A survey was undertaken to identify current practice and gain insight into variations of clinical practice. Invitations were sent by email to complete an electronic questionnaire using SurveyMonkey. The survey was left open for 100 days. The single largest group of respondents (37.4%, n = 120) cleansed pin sites daily, with significant differences identified between medical and nursing professions (P = 0.02), and country of practice (P < 0.001). Significant differences were als...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Jennie A Walker, Brigitte E Scammell, Roger Bayston Tags: ORIGINAL ARTICLE Source Type: research
A 2000 patient retrospective assessment of a new strategy for burn wound management in view of infection prevention and treatment
Infections in burn patients are still the principal cause of complications in burn injuries. The aim of this study is to assess a new strategy for burn wound management in view of infection prevention and treatment in the experience of the Burn Treatment Center in Siemianowice Śląskie. The applied methodology involved the analysis of patient records describing the hospital's epidemiological situation between 2014 and 2016. The analysis also included the use and cost of antibiotics, silver‐containing dressings, and other antiseptics relative to the number of sepsis cases, including those caused by Pseudomonas aeruginosa...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Justyna Glik, Wojciech Łabuś, Diana Kitala, Karolina Mikuś‐Zagórska, Christopher D Roberts, Mariusz Nowak, Aleksandra Kasperczyk, Marek Kawecki Tags: ORIGINAL ARTICLE Source Type: research
Effect of 670 nm laser photobiomodulation on vascular density and fibroplasia in late stages of tissue repair
This study aimed to investigate the effects of gallium‐aluminum‐arsenium (GaAlAs) (670 nm) laser therapy on neoangiogenesis and fibroplasia during tissue remodelling. Forty male Wistar rats underwent cutaneous surgery and were divided into 2 experimental groups: the Control and Laser group (9 mW, 670 nm, 0.031 W/cm2, 4 J/cm2). After 14, 21, 28, and 35 days, the animals were euthanised. Descriptive and quantitative analyses were performed in sections stained with haematoxylin‐eosin and Sirius Red, respectively. The amounts of VEGF+ and CD31+ cells were evaluated by immunohistochemistry and histomorphometri...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Tila Fortuna, Ana Cristina Gonzalez, Ma íra F Sá, Zilton de A Andrade, Sílvia R A Reis, Alena R A P Medrado Tags: ORIGINAL ARTICLE Source Type: research
Therapeutic options and postoperative wound complications after extremity soft tissue sarcoma resection and postoperative external beam radiotherapy
Soft tissue sarcomas occur most commonly in the lower and upper extremities. The standard treatment is limb salvage surgery combined with radiotherapy. Postoperative radiotherapy is associated with wound complications. This systematic review aims to summarise the available evidence and review the literature of the last 10 years regarding postoperative wound complications in patients who had limb salvage surgical excision followed by direct closure vs flap coverage together with postoperative radiotherapy and to define the optimal timeframe for adjuvant radiotherapy after soft tissue sarcomas resection and flap reconstructi...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Mohamed H Abouarab, Iman L Salem, Magdy M Degheidy, Dominic Henn, Christoph Hirche, Ahmad Eweida, Matthias Uhl, Ulrich Kneser, Thomas Kremer Tags: ORIGINAL ARTICLE Source Type: research
Incidence and risk factors for deep surgical site infection after open reduction and internal fixation of closed tibial plateau fractures in adults
This study aimed to investigate the incidence and risk factors of deep surgical site infection (DSSI) during hospitalisation after closed tibial plateau fractures treated with open reduction and internal fixation (ORIF). We performed this retrospective study at a university‐affiliated hospital with an advanced trauma centre. The data of adult patients with closed tibial plateau fractures treated with ORIF from January 2012 to February 2017 were extracted from the electronic medical records. Demographics, injury‐related and surgery‐related variables of DSSI and non‐DSSI groups were compared by univariate test. Multi...
Source: International Wound Journal - November 29, 2017 Category: Surgery Authors: Qiang Ma, Abulaiti Aierxiding, Guosheng Wang, Chengwei Wang, Lijuan Yu, Zhimin Shen Tags: ORIGINAL ARTICLE Source Type: research
Incidence and risk factors for deep surgical site infection after open reduction and internal fixation of closed tibial plateau fractures in adults
International Wound Journal, EarlyView. (Source: International Wound Journal)
Source: International Wound Journal - November 29, 2017 Category: Surgery Source Type: research
---
International Wound Journal, Ahead of Print. (Source: International Wound Journal)
Source: International Wound Journal - November 29, 2017 Category: Surgery Source Type: research
Calendar
(Source: International Wound Journal)
Source: International Wound Journal - November 29, 2017 Category: Surgery Tags: CALENDAR OF EVENTS Source Type: research
News and views
(Source: International Wound Journal)
Source: International Wound Journal - November 29, 2017 Category: Surgery Tags: NEWS AND VIEWS Source Type: research
