Negative pressure wound therapy in complex cranio ‐maxillofacial and cervical wounds
International Wound Journal,Volume 15, Issue 1, Page 16-23, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 23, 2017 Category: Surgery Source Type: research

Mechanical effects of negative pressure wound therapy on abdominal wounds – effects of different pressures and wound fillers
International Wound Journal,Volume 15, Issue 1, Page 24-28, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 23, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 16-23, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 23, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 24-28, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 23, 2017 Category: Surgery Source Type: research

Negative pressure wound therapy in complex cranio ‐maxillofacial and cervical wounds
Abstract The care and the management of the healing of difficult wounds at the level of the skull‐facial face many problems related to patient compliance and the need to perform multiple dressings, with long periods of healing and, occasionally, a very long hospitalisation period. The introduction and evolution of negative pressure wound therapy (NPWT) in the treatment of difficult wounds has resulted in better healing, with a drastic reduction in terms of time and biological costs to the patient and cost to the health care system. The main aim of this study is to describe and discuss, using out our experience, the usefu...
Source: International Wound Journal - November 23, 2017 Category: Surgery Authors: Giorgio Novelli, Francesco Daleffe, Gisella Birra, Gabriele Canzi, Fabio Mazzoleni, Pietro Boni, Clara Maino, Carlo Giussani, Davide Sozzi, Alberto Bozzetti Tags: ORIGINAL ARTICLE Source Type: research

Mechanical effects of negative pressure wound therapy on abdominal wounds – effects of different pressures and wound fillers
Abstract The mechanical deformation of the wound edge resulting from negative pressure wound therapy (NPWT) at the standard setting of around −120 mmHg has positive effects in promoting wound healing. However, it may cause pain to the patient during treatment. It is therefore important to study the mechanical effects of the wound edges using lower pressure and different wound fillers. Abdominal wounds were created on eight pigs. The wounds were sealed for NPWT using foam or gauze. Negative pressures between −20 and −160 mmHg were applied, and the decrease in wound diameter and the force with...
Source: International Wound Journal - November 23, 2017 Category: Surgery Authors: Christian Torbrand, Erik Anes äter, Ola Borgquist, Malin Malmsjö Tags: ORIGINAL ARTICLE Source Type: research

A leg ulcer with pulsating varicose veins – from the legs to the heart
International Wound Journal,Volume 15, Issue 1, Page 62-64, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Source Type: research

Comparison of human umbilical cord blood ‐derived mesenchymal stem cells with healthy fibroblasts on wound‐healing activity of diabetic fibroblasts
International Wound Journal,Volume 15, Issue 1, Page 133-139, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Source Type: research

Evaluation of a multifactorial approach to reduce the prevalence of pressure injuries in regional Australian acute inpatient care settings
International Wound Journal,Volume 15, Issue 1, Page 95-105, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 62-64, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 133-139, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 95-105, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Source Type: research

A leg ulcer with pulsating varicose veins – from the legs to the heart
We present the case of a 58‐year‐old man who presented to our wound care centre with a 7 ‐month history of a progressive unilateral leg ulcer. He reported intermittent, heavy bleeding at the ulcer. The duplex sonography showed a bilateral incompetence of the saphenofemoral junctions and the entire course of the great saphenous veins and, surprisingly, also a bilateral reversed arterial‐like pulsating flow in the great and small saphenous veins as well as in the deep veins of the lower extremities. During cardiac examination by auscultation and echocardiography, we detected a previously undescribed severe tricuspid ...
Source: International Wound Journal - November 7, 2017 Category: Surgery Authors: Sabrina Johanna Swoboda, Hauke Schumann, Dimitra Kiritsi Tags: ORIGINAL ARTICLE Source Type: research

Evaluation of a multifactorial approach to reduce the prevalence of pressure injuries in regional Australian acute inpatient care settings
Abstract The aim of the study was to compare the changes in the prevalence of pressure injuries from 2008 to 2014 in relation to staff behaviour in acute/subacute inpatient care settings. In 2008, the large regional health district Hunter New England Local Health District implemented an initiative called the Crystal Model which resulted in changes in their policy and an e‐learning education program for all nursing staff. A retrospective cross sectional study compared data from the 2008, 2010 and 2014 point prevalence surveys of PI in acute services. These were collected as part of an annual pressure injury prevention and...
Source: International Wound Journal - November 7, 2017 Category: Surgery Authors: Sarah K Smith, Samantha E Ashby, Lynette Thomas, Felicity Williams Tags: ORIGINAL ARTICLE Source Type: research

Comparison of human umbilical cord blood ‐derived mesenchymal stem cells with healthy fibroblasts on wound‐healing activity of diabetic fibroblasts
In conclusion, these results demonstrate that hUCB‐MSCs may have a superior effect to fibroblasts in stimulating diabetic wound healing. (Source: International Wound Journal)
Source: International Wound Journal - November 7, 2017 Category: Surgery Authors: Jae ‐A Jung, Young‐Don Yoon, Hyup‐Woo Lee, So‐Ra Kang, Seung‐Kyu Han Tags: ORIGINAL ARTICLE Source Type: research

The inter ‐rater reliability between nurse‐assessors clinically assessing infection of chronic wounds using the WUWHS criteria
International Wound Journal,Volume 15, Issue 1, Page 8-15, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 27, 2017 Category: Surgery Source Type: research

A novel model of humanised keloid scarring in mice
International Wound Journal,Volume 15, Issue 1, Page 90-94, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 27, 2017 Category: Surgery Source Type: research

A challenging case of calcific myonecrosis of tibialis anterior and hallucis longus muscles with a chronic discharging wound
International Wound Journal,Volume 15, Issue 1, Page 170-173, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 27, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 8-15, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 27, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 90-94, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 27, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 170-173, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 27, 2017 Category: Surgery Source Type: research

The inter ‐rater reliability between nurse‐assessors clinically assessing infection of chronic wounds using the WUWHS criteria
The aim of this study was to determine the inter‐rater reliability between one expert‐nurse and four clinical‐nurses who were asked to clinically assess infection of chronic wounds by using the World Union of Wound Healing Societies (WUWHS) criteria. A quasi‐experimental design was used to collect the data. In comparison to phase 1 in which ‘open questions’ were asked, in phase 2 a pre‐printed form (checklist) was introduced. In both phases, 55 chronic wounds were clinically assessed. For each WUWHS criterion the inter‐rater reliability of signs and symptoms was expressed by Cohens Kappa (κ). ...
Source: International Wound Journal - October 27, 2017 Category: Surgery Authors: Jacqueline JHHM Vestjens, Armand ALM Rondas, Richard RJ White, Samantha SL Holloway Tags: ORIGINAL ARTICLE Source Type: research

Use of epidermal skin grafts in chronic wounds: a case series
We describe adjunctive use of epidermal grafting in patients with chronic wounds. Wound bed preparation consisted of surgical necrotectomy or sharp debridement, hyperbaric oxygen therapy, negative pressure wound therapy, compression therapy, platelet‐rich plasma therapy and/or heparan sulphate agents. Epidermal grafts were harvested from the patient's thigh and applied to the wound. Wound and donor site healing was monitored. A total of 78 patients (average age = 64·1 ± 15·6 years) were included in the study. Common comorbidities included hypertension (47·4%)...
Source: International Wound Journal - October 27, 2017 Category: Surgery Authors: Peter AM Everts, Marco Warbout, Diana de Veth, Merel Cirkel, Nicole E Spruijt, Jaap Buth Tags: ORIGINAL ARTICLE Source Type: research

A challenging case of calcific myonecrosis of tibialis anterior and hallucis longus muscles with a chronic discharging wound
We present a rare case of a 7‐year history of chronic discharging sinus overlying the site with protruding calcified muscle and discuss the senior author's wound management strategy and surgical considerations. The initial approach used dressing applications to reduce wound exudate while obtaining repeated imaging for disease progression comparison. Repeated CT scans showed significant disease progression from a single solitary amorphous soft tissue calcification to disseminated scattered calcified myonecrosis. In planning such surgeries, extensive debridement and temporary wound coverage is the first stage. Subsequent d...
Source: International Wound Journal - October 27, 2017 Category: Surgery Authors: Alethea MY Tan, Charles Yuen Yung Loh, Metin Nizamoglu, Makarand Tare Tags: CASE REPORT Source Type: research

Reduction of groin wound complications in vascular surgery patients using closed incision negative pressure therapy (ciNPT): a prospective, randomised, single ‐institution study
International Wound Journal,Volume 15, Issue 1, Page 75-83, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 25, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 75-83, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 25, 2017 Category: Surgery Source Type: research

Aseptic surgical preparation for upper eyelid blepharoplasty via full ‐face octenidine antiseptic without antibiotic medication shows effective prophylaxis against post‐surgical wound infection
International Wound Journal,Volume 15, Issue 1, Page 84-89, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 23, 2017 Category: Surgery Source Type: research

The efficacy of removable devices to offload and heal neuropathic plantar forefoot ulcers in people with diabetes: a single ‐blinded multicentre randomised controlled trial
International Wound Journal,Volume 15, Issue 1, Page 65-74, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 23, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 84-89, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 23, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 65-74, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 23, 2017 Category: Surgery Source Type: research

The efficacy of removable devices to offload and heal neuropathic plantar forefoot ulcers in people with diabetes: a single ‐blinded multicentre randomised controlled trial
Abstract Non‐removable offloading is the ‘gold standard’ treatment for neuropathic diabetic plantar forefoot ulcers. However, removable offloading is the common ‘standard of care’. We compared three removable offloading devices for ulcer healing efficacy. In this multicentre, randomised controlled trial, 60 persons with neuropathic diabetic plantar forefoot ulcers were randomly assigned to wear a custom‐made knee‐high cast [BTCC (bivalved TCC)], custom‐made ankle‐high cast shoe or a prefabricated ankle‐high forefoot‐offloading shoe (FOS). Primary outcome was healing at 12 weeks....
Source: International Wound Journal - October 23, 2017 Category: Surgery Authors: Sicco A Bus, Jaap J Netten, Anke IR Kottink, Erik A Manning, Maximilian Spraul, Arend ‐Jan Woittiez, Jeff G Baal Tags: ORIGINAL ARTICLE Source Type: research

Microbial contamination of open ‐but‐unused portions of wound dressings stored in home settings
International Wound Journal,Volume 15, Issue 1, Page 106-113, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 19, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 106-113, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 19, 2017 Category: Surgery Source Type: research

Skin tears and risk factors assessment: a systematic review on evidence ‐based medicine
International Wound Journal,Volume 15, Issue 1, Page 38-42, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 17, 2017 Category: Surgery Source Type: research

Wound care evidence, knowledge and education amongst nurses: a semi ‐systematic literature review
International Wound Journal,Volume 15, Issue 1, Page 53-61, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 17, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 38-42, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 17, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 53-61, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 17, 2017 Category: Surgery Source Type: research

Skin tears and risk factors assessment: a systematic review on evidence ‐based medicine
Abstract Skin tears represent a common condition of traumatic wounds, which may be encountered in some categories of individuals at the extremes of age, such as infants and the elderly. Despite the high prevalence and cost of these lesions, there has been little investigation into the risk factors that lead to this condition. The aim of this review was to systematically evaluate the main risk factors involved in development of skin tears. We planned to include all the studies dealing with risk factors related to skin tears. Only publications in English were considered. We excluded all the studies that did not properly fit ...
Source: International Wound Journal - October 17, 2017 Category: Surgery Authors: Raffaele Serra, Nicola Ielapi, Andrea Barbetta, Stefano de Franciscis Tags: ORIGINAL ARTICLE Source Type: research

A multicentre randomised controlled trial evaluating the efficacy of dehydrated human amnion/chorion membrane (EpiFix ®) allograft for the treatment of venous leg ulcers
International Wound Journal,Volume 15, Issue 1, Page 114-122, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 11, 2017 Category: Surgery Source Type: research

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International Wound Journal,Volume 15, Issue 1, Page 114-122, February 2018. (Source: International Wound Journal)
Source: International Wound Journal - October 11, 2017 Category: Surgery Source Type: research

A striking case of dermatosis neglecta
(Source: International Wound Journal)
Source: International Wound Journal - October 9, 2017 Category: Surgery Authors: Bevin Bhoyrul, Mark JD Goodfield, Philip M Laws Tags: LETTER TO THE EDITOR Source Type: research

What makes a good head positioner for preventing occipital pressure ulcers
Patients who are stationary endure prolonged soft tissue distortions and deformations at contact areas between their body and the support surface, which may lead to the onset of pressure ulcers (PUs) over time. A novel technology for patient positioning employs innovation in materials science, specifically viscoelastic materials with shape memory properties that compose the Z‐Flo™ head positioner (Mölnlycke Health Care, Gothenburg, Sweden). Head positioners are generally known to reduce the occurrence of PUs in scalp tissues and the ears, but quantitative assessments of their biomechanical efficacy are missing...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Rona Katzengold, Amit Gefen 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
Abstract The aim of this study was to compare different wound‐rinsing solutions to determine differences in the efficiency and to evaluate three different in vitro models for wound cleansing. Different wound‐rinsing solutions (physiological saline solution, ringer lactate solution for wound irrigation, water and a solution containing polihexanide and the surfactant undecylenamidopropyl‐betain) were applied on standardised test models (one‐ and three‐chamber model, flow‐cell method and a biofilm model), each challenged with three different standardised wound test soils. In the one‐chamber model saline showed a...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Romana Klasinc, Lee Ann Augustin, Harald Below, Romy Baguhl, Ojan Assadian, Elisabeth Presterl, Axel Kramer Tags: ORIGINAL ARTICLE Source Type: research

A leg ulcer with pulsating varicose veins  – from the legs to the heart
We present the case of a 58‐year‐old man who presented to our wound care centre with a 7 ‐month history of a progressive unilateral leg ulcer. He reported intermittent, heavy bleeding at the ulcer. The duplex sonography showed a bilateral incompetence of the saphenofemoral junctions and the entire course of the great saphenous veins and, surprisingly, also a bilateral reversed arterial‐like pulsating flow in the great and small saphenous veins as well as in the deep veins of the lower extremities. During cardiac examination by auscultation and echocardiography, we detected a previously undescribed severe tricu...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Sabrina Johanna Swoboda, Hauke Schumann, Dimitra Kiritsi Tags: ORIGINAL ARTICLE Source Type: research

A novel model of humanised keloid scarring in mice
Abstract Treatments for keloid scarring are a major challenge to scientists and physicians for their unknown aetiology. Although several models, including monolayer cell culture to tissue‐engineered models, were developed, further research on keloid has more or less been hindered by the lack of appropriate animal models. Because these aberrant scars are specific to humans, we obtained human normal and keloid skin tissues and isolated dermal fibroblasts from them. Cell morphology, growth and immunohistochemical staining of myofibroblastmarker α‐SMA were examined, and the cell medium of 2‐hour culture and 24‐ho...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Tao Shang, Bin Yao, Dongyun Gao, Jiangfan Xie, Xiaobing Fu, Sha Huang Tags: ORIGINAL ARTICLE Source Type: research

Reduction of groin wound complications in vascular surgery patients using closed incision negative pressure therapy (ciNPT): a prospective, randomised, single ‐institution study
Abstract Groin wound infections in patients undergoing vascular procedures often cause a lengthy process of wound healing. Several clinical studies and case reports show a reduction of surgical site infections (SSIs) in various wound types after using closed incision negative pressure therapy (ciNPT). The aim of this prospective, randomised, single‐institution study was to investigate the effectiveness of ciNPT (PREVENA™ Therapy) compared to conventional therapy on groin incisions after vascular surgery. From 1 February to 30 October 2015, 100 patients with 129 groin incisions were analysed. Patients were randomise...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Sebastian P Pleger, Nadine Nink, Meshal Elzien, Alexander Kunold, Ahmed Koshty, Andreas B öning Tags: ORIGINAL ARTICLE Source Type: research

Aseptic surgical preparation for upper eyelid blepharoplasty via full ‐face octenidine antiseptic without antibiotic medication shows effective prophylaxis against post‐surgical wound infection
In this study, the use of the aqueous antiseptic octenisept® (octenidine) was evaluated in the outcome of blepharoplasties: incidence of wound dehiscence; haematoma; and infection in correlation with gender, medication, smoking habits and time of year. This retrospective surveillance study included 352 patients (median age 58·3 years). Skin disinfection was performed thrice prior to blepharoplasty. Sutures were removed on day 6. None of the patients suffered from wound infection. The total rate of wound dehiscence was 6·3%, with a higher ratio among male patients. Smokers and patients on anticoagul...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Johannes Matiasek, Philip Kienzl, Gerlinde R Otti, Bela R Turk, Gabriel Djedovic, Ulrich M Rieger Tags: ORIGINAL ARTICLE Source Type: research

Microbial contamination of open ‐but‐unused portions of wound dressings stored in home settings
In conclusion, storage of open‐but‐unused portions of wound dressings kept in home settings does not appear to increase the rate of microbial contamination compared to newly opened wound dressings. (Source: International Wound Journal)
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Sue Templeton, Ching Wong, Tabatha Rando, Penny Adamson, Penny Lynn Tags: ORIGINAL ARTICLE Source Type: research

Wound care evidence, knowledge and education amongst nurses: a semi ‐systematic literature review
Abstract The aims of this study were to determine the knowledge and skills of nurses involved in wound care, to provide a critical overview of the current evidence base underpinning wound care and to determine the extent of utilisation of existing evidence by nurses involved in the management of wounds in practice. A semi‐systematic review of the literature was undertaken on Cinahl, Medline Science Direct and Cochrane using the search terms: wound, tissue viability, education, nurse, with limitations set for dates between 2009 and 2017 and English language. Shortfalls were found in the evidence base underpinning wound ca...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Lynn Welsh Tags: ORIGINAL ARTICLE Source Type: research

A multicentre randomised controlled trial evaluating the efficacy of dehydrated human amnion/chorion membrane (EpiFix ®) allograft for the treatment of venous leg ulcers
Abstract A randomised, controlled, multicentre clinical trial was conducted to evaluate the efficacy of dehydrated human amnion/chorion membrane (EpiFix) allograft as an adjunct to multilayer compression therapy for the treatment of non‐healing full‐thickness venous leg ulcers. We randomly assigned 109 subjects to receive EpiFix and multilayer compression (n = 52) or dressings and multilayer compression therapy alone (n = 57). Patients were recruited from 15 centres around the USA and were followed up for 16 weeks. The primary end point of the study was defined as time to complete ulc...
Source: International Wound Journal - October 1, 2017 Category: Surgery Authors: Christian Bianchi, Shawn Cazzell, Dean Vayser, Alexander M Reyzelman, Hasan Dosluoglu, Gregory Tovmassian, Tags: ORIGINAL ARTICLE Source Type: research