Diabetic foot ulcer management in clinical practice in the UK: costs and outcomes
International Wound Journal,Volume 15, Issue 1, Page 43-52, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 15, 2017 Category: Surgery Source Type: research

Venous leg ulcer management in clinical practice in the UK: costs and outcomes
International Wound Journal,Volume 15, Issue 1, Page 29-37, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 15, 2017 Category: Surgery Source Type: research

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International Wound Journal, Ahead of Print. (Source: International Wound Journal)
Source: International Wound Journal - December 15, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 43-52, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 15, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 29-37, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 15, 2017 Category: Surgery Source Type: research

Venous leg ulcer management in clinical practice in the UK: costs and outcomes
This study provides important insights into a number of aspects of VLU management in clinical practice that have been difficult to ascertain from other studies and provides the best estimate available of NHS resource use and costs with which to inform policy and budgetary decisions. (Source: International Wound Journal)
Source: International Wound Journal - December 15, 2017 Category: Surgery Authors: Julian F Guest, Graham W Fuller, Peter Vowden Tags: ORIGINAL ARTICLE Source Type: research

Diabetic foot ulcer management in clinical practice in the UK: costs and outcomes
ABSTRACT The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to managing diabetic foot ulcers (DFUs) in clinical practice by the UK's National Health Service (NHS), and the associated costs of patient management. This was a retrospective cohort analysis of the records of 130 patients with a newly diagnosed DFU in The Health Improvement Network (THIN) database. Patients' characteristics, wound‐related health outcomes and health care resource use were quantified, and the total NHS cost of patient management was estimated at 2015–2016 prices. Patients w...
Source: International Wound Journal - December 15, 2017 Category: Surgery Authors: Julian F Guest, Graham W Fuller, Peter Vowden Tags: ORIGINAL ARTICLE Source Type: research

Health ‐related quality of life and patient burden in patients with split‐thickness skin graft donor site wounds
Split‐thickness skin grafting is a common procedure to treat different kinds of wounds. This systematic, multicentre, observational, cross‐sectional study of adult patients with split‐thickness skin graft (STSG) donor site wounds was conducted to evaluate quality of life (QoL) impairments caused by donor site wounds following split‐thickness skin grafting. Therefore, 112 patients from 12 wound centres in Germany were examined based on patient and physician questionnaires as well as a physical examination of the donor site wound. Most indications for skin grafting were postsurgical treatment (n = 51; 42.5%) and chro...
Source: International Wound Journal - December 15, 2017 Category: Surgery Authors: Marco Humrich, Lisa Goepel, Mandy Gutknecht, David Lohrberg, Marco Blessmann, Guido Bruning, Holger Diener, Joachim Dissemond, Bernd Hartmann, Matthias Augustin Tags: ORIGINAL ARTICLE Source Type: research

Turning frequency in adult bedridden patients to prevent hospital ‐acquired pressure ulcer: A scoping review
The aim of this study was to identify current research on turning frequencies of adult bed‐bound patients and inform future turning practices for hospitals based on evidence‐based practice. We undertook a scoping review framework that provided a transparent and systematic methodology using 8 electronic databases (CINAHL, PubMed, Cochrane Library, ScienceDirect, PsycINFO, Scopus, ProQuest, and Web of Science) to identify articles published from 2000 to 2016. Articles were included if they focused on the prevention of hospital‐acquired pressure ulcers related to the frequency of turning or repositioning of bed‐bound ...
Source: International Wound Journal - December 15, 2017 Category: Surgery Authors: Chew H ‐S Jocelyn, Emelia Thiara, Violeta Lopez, Shefaly Shorey Tags: ORIGINAL ARTICLE Source Type: research

Effect of 670  nm laser photobiomodulation on vascular density and fibroplasia in late stages of tissue repair
International Wound Journal, EarlyView. (Source: International Wound Journal)
Source: International Wound Journal - December 13, 2017 Category: Surgery Source Type: research

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International Wound Journal, Ahead of Print. (Source: International Wound Journal)
Source: International Wound Journal - December 13, 2017 Category: Surgery Source Type: research

A randomised, controlled, non ‐inferiority trial comparing the performance of a soft silicone‐coated wound contact layer (Mepitel One) with a lipidocolloid wound contact layer (UrgoTul) in the treatment of acute wounds
International Wound Journal,Volume 15, Issue 1, Page 159-169, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 5, 2017 Category: Surgery Source Type: research

Therapeutic options and postoperative wound complications after extremity soft tissue sarcoma resection and postoperative external beam radiotherapy
International Wound Journal,Volume 15, Issue 1, Page 148-158, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 5, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 159-169, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 5, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 148-158, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - December 5, 2017 Category: Surgery Source Type: research

A randomised, controlled, non ‐inferiority trial comparing the performance of a soft silicone‐coated wound contact layer (Mepitel One) with a lipidocolloid wound contact layer (UrgoTul) in the treatment of acute wounds
Wound contact layer (WCL) dressings are intended to protect tissue during the healing process. A randomised controlled trial was undertaken to compare 2 such dressings. Outpatients with acute wounds were randomly allocated to treatment with either a soft silicone‐coated WCL (intervention group, n = 59) or a lipidocolloid‐impregnated WCL (control group, n = 62). At the first dressing removal (day 3), 89.8% of patients in the intervention group experienced non‐painful dressing removal (defined as a pain rating
Source: International Wound Journal - December 5, 2017 Category: Surgery Authors: Franck David, Jean ‐Louis Wurtz, Nicolas Breton, Olivier Bisch, Philippe Gazeu, Jean‐Charles Kerihuel, Odile Guibon Tags: ORIGINAL ARTICLE Source Type: research

Utility of perioperative skin perfusion pressure measurement for treatment of ulcers caused by arteriovenous access ischaemic steal
We report 2 cases of this disorder treated using perioperative measurement of skin perfusion pressure (SPP) for preoperative surgical planning and intraoperative guidance. A 73‐year‐old woman with a left cubital AVF developed gangrene of the tip of the left little finger. Arteriovenous access ischaemic steal was suspected. The SPP of the little finger was 18 mm Hg, which increased to 65 mm Hg after manual occlusion of the fistula. A 58‐year‐old woman with a left antebrachial AVF had gangrene of the tip of the left middle finger. The SPP was 19 mm Hg, and steal syndrome was ...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Daisuke Atomura, Junko Aihara, Makoto Omori, Hiroto Terashi Tags: ORIGINAL ARTICLE Source Type: research

Trichloroacetic acid (80%) as a chemical debridement method for chronic venous leg ulcers —A pilot study
Debridement is essential for the optimal care of venous leg ulcers. Several debridement methods with different limitations may be deployed. Trichloroacetic acid (TCA) is used for several dermatological purposes. Its application as a chemical debridement method for leg ulcers has never been explored. We designed a prospective study to determine the role of 80% TCA solution as a chemical debridement method for leg ulcers, regarding efficacy and procedure‐associated pain. Chronic venous leg ulcers were treated with 3 cycles of 80% TCA solution or curettage over 1 week. Pain and the mean percentage of fibrin and devit...
Source: International Wound Journal - December 1, 2017 Category: Surgery Authors: Rita R Pinheiro, Bruno Duarte, Joana Cabete Tags: ORIGINAL ARTICLE Source Type: research

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
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. Pre...
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 2...
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
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 immunohisto...
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

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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

2017 In reflection
(Source: International Wound Journal)
Source: International Wound Journal - November 29, 2017 Category: Surgery Authors: Douglas Queen, Keith Harding Tags: EDITORIAL Source Type: research

Issue Information
(Source: International Wound Journal)
Source: International Wound Journal - November 29, 2017 Category: Surgery Tags: ISSUE INFORMATION Source Type: research

What makes a good head positioner for preventing occipital pressure ulcers
International Wound Journal, EarlyView. (Source: International Wound Journal)
Source: International Wound Journal - November 27, 2017 Category: Surgery Source Type: research

Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators
International Wound Journal, EarlyView. (Source: International Wound Journal)
Source: International Wound Journal - November 27, 2017 Category: Surgery Source Type: research

Pseudomonas aeruginosa biofilm hampers murine central wound healing by suppression of vascular epithelial growth factor
International Wound Journal,Volume 15, Issue 1, Page 123-132, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 27, 2017 Category: Surgery Source Type: research

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International Wound Journal, Ahead of Print. (Source: International Wound Journal)
Source: International Wound Journal - November 27, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 123-132, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 27, 2017 Category: Surgery Source Type: research

Pseudomonas aeruginosa biofilm hampers murine central wound healing by suppression of vascular epithelial growth factor
In conclusion, P. aeruginosa biofilm modulates wounds by suppressing central, but inducing peripheral, vascular endothelial growth factor levels and reducing host response in wounds of BALB/c mice. This suppression is detrimental to the resolution of biofilm‐infected necrosis. (Source: International Wound Journal)
Source: International Wound Journal - November 27, 2017 Category: Surgery Authors: Hannah Tr østrup, Christian J. Lerche, Lars J. Christophersen, Kim Thomsen, Peter Ø. Jensen, Hans Petter Hougen, Niels Høiby, Claus Moser Tags: ORIGINAL ARTICLE Source Type: research

Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators
The aim of this study was to provide a systematic overview of available pressure ulcer prevention quality indicators and to evaluate the underlying empirical evidence. A systematic mapping review was conducted with combined searches in Embase and Medline, and websites of relevant institutions and organisations. The eligibility criteria were clear use of the term “quality indicator” regarding pressure ulcer prevention; English or German language; and all settings, populations, and types of resources, including articles, brochures, and online material. In total, n = 146 quality indicators were ident...
Source: International Wound Journal - November 27, 2017 Category: Surgery Authors: Jan Kottner, Elisabeth Hahnel, Andrea Lichterfeld ‐Kottner, Ulrike Blume‐Peytavi, Andreas Büscher Tags: ORIGINAL ARTICLE Source Type: research

Evaluation of three experimental in vitro models for the assessment of the mechanical cleansing efficacy of wound irrigation solutions
International Wound Journal,Volume 15, Issue 1, Page 140-147, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 24, 2017 Category: Surgery Source Type: research

Unilateral pectoralis major muscle flap for the treatment of sternal wounds due to Ludwig's angina
International Wound Journal,Volume 15, Issue 1, Page 174-177, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 24, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 140-147, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 24, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 174-177, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 24, 2017 Category: Surgery Source Type: research

Unilateral pectoralis major muscle flap for the treatment of sternal wounds due to Ludwig's angina
This study aims to report the use of the unilateral pectoralis major muscle flap for the treatment of sternotomy dehiscence in a patient with mediastinitis due to Ludwig's angina. A 21‐year‐old male patient underwent an exploratory cervicotomy and median sternotomy for drainage of a submandibular infection that extended to the anterior, retropharyngeal and mediastinal cervical spaces. The patient had dehiscence of the sternal wound, and the unilateral pectoralis major muscle flap was used for reconstruction of the defect. This flap was able to completely cover the area of dehiscence of the sternotomy, and the patient p...
Source: International Wound Journal - November 24, 2017 Category: Surgery Authors: Antonio Albacete Neto, Pedro S Coltro, Grazielle S Hor ácio, Ivan R Almeida, Jayme A Farina Junior Tags: CASE REPORT Source Type: research