Hydrosurgical Debridement Use Associated With Decreased Surgical Site-Related Readmissions: A Retrospective Analysis
Wounds. 2021 Mar 28:WNDS20210328-2. Online ahead of print.ABSTRACTINTRODUCTION: Debridement is the cornerstone of wound care management. It allows for the removal of fibrinous and necrotic debris from the wound bed as well as the reduction of bacterial bioburden, thus allowing for proper granulation and wound healing. Hydrosurgical debridement uses a controlled, high-pressure fluid jet to cut and remove necrotic debris, contaminants, and bacteria, thereby facilitating a potentially more aggressive debridement.OBJECTIVE: The efficacy of this system was compared with that of other methods of debridement in reducing readmissi...
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Crystal Valerie James Munir Patel Nicole Ilonzo Kojo Wallace Jani Lee Mabel Chan Scott Ellis John C Lantis Ii Source Type: research

The Braden Scale for Predicting the Outcome and Prognosis of Pressure Injuries in Older Inpatients: A Multicenter, Retrospective Cohort Study
CONCLUSIONS: The Braden scale had low discrimination for predicting the outcome and prognosis of PIs in older inpatients. The development of a new tool is needed to predict healing in patients with preexisting PIs.PMID:33913821 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Yi-Ping Song Man-Li Zha Hong-Wu Shen Yang Li Lin Du Ji-Yu Cai Yi Qin Hong-Lin Chen Source Type: research

C-reactive Protein Levels in Plasma and Chronic Venous Ulcer Exudate of Persons Who Inject Drugs: A Pilot Study
CONCLUSIONS: Plasma and exudate CRP levels were highly correlated. Exudate CRP levels decreased across time. Future large-scale wound healing studies should examine CRP levels over a longer duration and as they correlate to wound healing.PMID:33913822 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Julia Paul Thomas N Templin Nicholas J Carruthers Paul R Burghardt Ciara Ivanics Paul M Stemmer Barbara Pieper Source Type: research

Pyoderma Gangrenosum After Hand Surgery: A Case Report
CONCLUSIONS: This case emphasizes the importance of early recognition of PG to provide a timely diagnosis and avoid unnecessary surgeries, which can result in devastating consequences.PMID:33914690 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Turkhan Mehdiyev Robert Zimmermann Source Type: research

Using Topical Citric Acid to Treat an Infected Ulcerated Hemangioma in an Infant: A Case Study
Conclusions. The efficacy, ease of application, and absence of notable adverse effects of using citric acid suggest it may be an effective option for the treatment of hemangiomas in children.PMID:33914691 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Basavraj Nagoba Milind Davane Basavraj Warad Nawab Jamadar Ajay M Gavkare Source Type: research

Regenerative Properties of Autologous Fat Grafting in a Complicated Radiation-Induced Wound
CONCLUSIONS: Chronic nonhealing wounds can provide a tremendous burden to the patient in terms of time, costs, and morbidity. Despite enduring a prolonged 19-month course involving multiple failed interventions and several wound-related infections, the patient achieved wound healing via fat grafting. Earlier intervention with fat grafting may prove helpful to patients who do not show evidence of healing via other modalities and for whom flap surgery is not an option.PMID:33914692 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Krishna S Vyas Elias Simon Saba Nho Tran Source Type: research

Rare Operative Intervention for Urinary and Fecal Incontinence-Associated Dermatitis
In this report, 2 cases of IAD are presented as chemical burns. After a prolonged interval of urinary and fecal incontinence, an incapacitated 65-year-old male with 14% total body surface area (TBSA) partial-thickness wounds, and an 85-year-old female with 4% TBSA full-thickness wounds were admitted to the burn center and underwent operative management.PMID:33914693 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Samantha Delapena Philomene Spadafore Stephanie E Bollenbach Areta Kowal-Vern Kevin N Foster Marc R Matthews Source Type: research

Salvaging a Totally Avulsed Nail Bed Using Free Grafting and Postoperative Ice Cooling: A Case Report
This report presents a rare case of a 26-year-old man who experienced an isolated total avulsion injury of the nail bed with exposure of the phalangeal bone while using machinery, which was treated successfully with free grafting and postoperative ice cooling.PMID:33914694 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Kun-Yong Sung Sang-Yeul Lee Source Type: research

Breaking the Cycle of Recurrent Diabetic Foot Ulceration: A Novel and Sustainable Offloading Modality to Treat Diabetic Foot Ulceration and Prevent Recurrence
CONCLUSIONS: Implementation of a novel offloading device, which facilitates enhanced perfusion, monitors patient compliance with use, and can be continued upon wound resolution, was able to break the cycle of a recurrent DFU.PMID:33914695 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Caroline Lyons Source Type: research

Wound Management Strategy for Treatment of Localized Cutaneous Leishmaniasis Using the TIME Framework
CONCLUSIONS: In the present case, the TIME approach simplified the local management of ulcerated CL, thereby improving both the healing process and cosmetic outcome. Further studies with a placebo-controlled group will be necessary to confirm the data.PMID:33914696 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Michela Iannone Teresa Oranges Valentina Dini Marco Romanelli Agata Janowska Source Type: research

Fournier's Gangrene With Subcutaneous Emphysema of the Thigh Caused by Air Inflow Associated With a Rectovaginal Fistula: A Case Report of Pseudo-gas Gangrene
CONCLUSION: The existence of free air in subcutaneous tissue combined with an infection, particularly in the extremities, is generally suggestive of gas gangrene. In the present case, subcutaneous gas was not caused by gas gangrene but rather by air inflow from an RVF. Appropriate treatment of the RVF was necessary to avoid the exacerbation of Fournier's gangrene and prevent necrosis spreading to the thigh.PMID:33914697 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Sho Yamakawa Masaki Fujioka Kiyoko Fukui Haruka Matsuo Miho Noguchi Touta Kugiyama Sou Sugimi Hiroko Fukuda Kenji Hayashida Source Type: research

Successful Management of a Severe Sacral Pressure Injury Penetrating to the Retroperitoneum
CONCLUSIONS: A rare case of an intractable sacral PI complicated by retroperitoneal abscess was successfully managed in an immunocompromised patient. Notably, NPWT with saline irrigation was useful in controlling the patient's severe retroperitoneal infection.PMID:33914698 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Hideki Kadota Kayo Miyashita Seita Fukushima Chikafumi Oryoji Masuo Hanada Sei Yoshida Hayato Fujita Yukiko Tachibana Source Type: research

Hydrosurgical Debridement Use Associated With Decreased Surgical Site-Related Readmissions: A Retrospective Analysis
Wounds. 2021 Mar 28:WNDS20210328-2. Online ahead of print.ABSTRACTINTRODUCTION: Debridement is the cornerstone of wound care management. It allows for the removal of fibrinous and necrotic debris from the wound bed as well as the reduction of bacterial bioburden, thus allowing for proper granulation and wound healing. Hydrosurgical debridement uses a controlled, high-pressure fluid jet to cut and remove necrotic debris, contaminants, and bacteria, thereby facilitating a potentially more aggressive debridement.OBJECTIVE: The efficacy of this system was compared with that of other methods of debridement in reducing readmissi...
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Crystal Valerie James Munir Patel Nicole Ilonzo Kojo Wallace Jani Lee Mabel Chan Scott Ellis John C Lantis Ii Source Type: research

The Braden Scale for Predicting the Outcome and Prognosis of Pressure Injuries in Older Inpatients: A Multicenter, Retrospective Cohort Study
CONCLUSIONS: The Braden scale had low discrimination for predicting the outcome and prognosis of PIs in older inpatients. The development of a new tool is needed to predict healing in patients with preexisting PIs.PMID:33913821 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Yi-Ping Song Man-Li Zha Hong-Wu Shen Yang Li Lin Du Ji-Yu Cai Yi Qin Hong-Lin Chen Source Type: research

C-reactive Protein Levels in Plasma and Chronic Venous Ulcer Exudate of Persons Who Inject Drugs: A Pilot Study
CONCLUSIONS: Plasma and exudate CRP levels were highly correlated. Exudate CRP levels decreased across time. Future large-scale wound healing studies should examine CRP levels over a longer duration and as they correlate to wound healing.PMID:33913822 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Julia Paul Thomas N Templin Nicholas J Carruthers Paul R Burghardt Ciara Ivanics Paul M Stemmer Barbara Pieper Source Type: research

Pyoderma Gangrenosum After Hand Surgery: A Case Report
CONCLUSIONS: This case emphasizes the importance of early recognition of PG to provide a timely diagnosis and avoid unnecessary surgeries, which can result in devastating consequences.PMID:33914690 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Turkhan Mehdiyev Robert Zimmermann Source Type: research

Using Topical Citric Acid to Treat an Infected Ulcerated Hemangioma in an Infant: A Case Study
Conclusions. The efficacy, ease of application, and absence of notable adverse effects of using citric acid suggest it may be an effective option for the treatment of hemangiomas in children.PMID:33914691 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Basavraj Nagoba Milind Davane Basavraj Warad Nawab Jamadar Ajay M Gavkare Source Type: research

Regenerative Properties of Autologous Fat Grafting in a Complicated Radiation-Induced Wound
CONCLUSIONS: Chronic nonhealing wounds can provide a tremendous burden to the patient in terms of time, costs, and morbidity. Despite enduring a prolonged 19-month course involving multiple failed interventions and several wound-related infections, the patient achieved wound healing via fat grafting. Earlier intervention with fat grafting may prove helpful to patients who do not show evidence of healing via other modalities and for whom flap surgery is not an option.PMID:33914692 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Krishna S Vyas Elias Simon Saba Nho Tran Source Type: research

Rare Operative Intervention for Urinary and Fecal Incontinence-Associated Dermatitis
In this report, 2 cases of IAD are presented as chemical burns. After a prolonged interval of urinary and fecal incontinence, an incapacitated 65-year-old male with 14% total body surface area (TBSA) partial-thickness wounds, and an 85-year-old female with 4% TBSA full-thickness wounds were admitted to the burn center and underwent operative management.PMID:33914693 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Samantha Delapena Philomene Spadafore Stephanie E Bollenbach Areta Kowal-Vern Kevin N Foster Marc R Matthews Source Type: research

Salvaging a Totally Avulsed Nail Bed Using Free Grafting and Postoperative Ice Cooling: A Case Report
This report presents a rare case of a 26-year-old man who experienced an isolated total avulsion injury of the nail bed with exposure of the phalangeal bone while using machinery, which was treated successfully with free grafting and postoperative ice cooling.PMID:33914694 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Kun-Yong Sung Sang-Yeul Lee Source Type: research

Breaking the Cycle of Recurrent Diabetic Foot Ulceration: A Novel and Sustainable Offloading Modality to Treat Diabetic Foot Ulceration and Prevent Recurrence
CONCLUSIONS: Implementation of a novel offloading device, which facilitates enhanced perfusion, monitors patient compliance with use, and can be continued upon wound resolution, was able to break the cycle of a recurrent DFU.PMID:33914695 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Caroline Lyons Source Type: research

Wound Management Strategy for Treatment of Localized Cutaneous Leishmaniasis Using the TIME Framework
CONCLUSIONS: In the present case, the TIME approach simplified the local management of ulcerated CL, thereby improving both the healing process and cosmetic outcome. Further studies with a placebo-controlled group will be necessary to confirm the data.PMID:33914696 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Michela Iannone Teresa Oranges Valentina Dini Marco Romanelli Agata Janowska Source Type: research

Fournier's Gangrene With Subcutaneous Emphysema of the Thigh Caused by Air Inflow Associated With a Rectovaginal Fistula: A Case Report of Pseudo-gas Gangrene
CONCLUSION: The existence of free air in subcutaneous tissue combined with an infection, particularly in the extremities, is generally suggestive of gas gangrene. In the present case, subcutaneous gas was not caused by gas gangrene but rather by air inflow from an RVF. Appropriate treatment of the RVF was necessary to avoid the exacerbation of Fournier's gangrene and prevent necrosis spreading to the thigh.PMID:33914697 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Sho Yamakawa Masaki Fujioka Kiyoko Fukui Haruka Matsuo Miho Noguchi Touta Kugiyama Sou Sugimi Hiroko Fukuda Kenji Hayashida Source Type: research

Successful Management of a Severe Sacral Pressure Injury Penetrating to the Retroperitoneum
CONCLUSIONS: A rare case of an intractable sacral PI complicated by retroperitoneal abscess was successfully managed in an immunocompromised patient. Notably, NPWT with saline irrigation was useful in controlling the patient's severe retroperitoneal infection.PMID:33914698 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Hideki Kadota Kayo Miyashita Seita Fukushima Chikafumi Oryoji Masuo Hanada Sei Yoshida Hayato Fujita Yukiko Tachibana Source Type: research

Hydrosurgical Debridement Use Associated With Decreased Surgical Site-Related Readmissions: A Retrospective Analysis
Wounds. 2021 Mar 28:WNDS20210328-2. Online ahead of print.ABSTRACTINTRODUCTION: Debridement is the cornerstone of wound care management. It allows for the removal of fibrinous and necrotic debris from the wound bed as well as the reduction of bacterial bioburden, thus allowing for proper granulation and wound healing. Hydrosurgical debridement uses a controlled, high-pressure fluid jet to cut and remove necrotic debris, contaminants, and bacteria, thereby facilitating a potentially more aggressive debridement.OBJECTIVE: The efficacy of this system was compared with that of other methods of debridement in reducing readmissi...
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Crystal Valerie James Munir Patel Nicole Ilonzo Kojo Wallace Jani Lee Mabel Chan Scott Ellis John C Lantis Ii Source Type: research

The Braden Scale for Predicting the Outcome and Prognosis of Pressure Injuries in Older Inpatients: A Multicenter, Retrospective Cohort Study
CONCLUSIONS: The Braden scale had low discrimination for predicting the outcome and prognosis of PIs in older inpatients. The development of a new tool is needed to predict healing in patients with preexisting PIs.PMID:33913821 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Yi-Ping Song Man-Li Zha Hong-Wu Shen Yang Li Lin Du Ji-Yu Cai Yi Qin Hong-Lin Chen Source Type: research

C-reactive Protein Levels in Plasma and Chronic Venous Ulcer Exudate of Persons Who Inject Drugs: A Pilot Study
CONCLUSIONS: Plasma and exudate CRP levels were highly correlated. Exudate CRP levels decreased across time. Future large-scale wound healing studies should examine CRP levels over a longer duration and as they correlate to wound healing.PMID:33913822 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Julia Paul Thomas N Templin Nicholas J Carruthers Paul R Burghardt Ciara Ivanics Paul M Stemmer Barbara Pieper Source Type: research

Pyoderma Gangrenosum After Hand Surgery: A Case Report
CONCLUSIONS: This case emphasizes the importance of early recognition of PG to provide a timely diagnosis and avoid unnecessary surgeries, which can result in devastating consequences.PMID:33914690 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Turkhan Mehdiyev Robert Zimmermann Source Type: research

Using Topical Citric Acid to Treat an Infected Ulcerated Hemangioma in an Infant: A Case Study
Conclusions. The efficacy, ease of application, and absence of notable adverse effects of using citric acid suggest it may be an effective option for the treatment of hemangiomas in children.PMID:33914691 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Basavraj Nagoba Milind Davane Basavraj Warad Nawab Jamadar Ajay M Gavkare Source Type: research

Regenerative Properties of Autologous Fat Grafting in a Complicated Radiation-Induced Wound
CONCLUSIONS: Chronic nonhealing wounds can provide a tremendous burden to the patient in terms of time, costs, and morbidity. Despite enduring a prolonged 19-month course involving multiple failed interventions and several wound-related infections, the patient achieved wound healing via fat grafting. Earlier intervention with fat grafting may prove helpful to patients who do not show evidence of healing via other modalities and for whom flap surgery is not an option.PMID:33914692 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Krishna S Vyas Elias Simon Saba Nho Tran Source Type: research

Rare Operative Intervention for Urinary and Fecal Incontinence-Associated Dermatitis
In this report, 2 cases of IAD are presented as chemical burns. After a prolonged interval of urinary and fecal incontinence, an incapacitated 65-year-old male with 14% total body surface area (TBSA) partial-thickness wounds, and an 85-year-old female with 4% TBSA full-thickness wounds were admitted to the burn center and underwent operative management.PMID:33914693 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Samantha Delapena Philomene Spadafore Stephanie E Bollenbach Areta Kowal-Vern Kevin N Foster Marc R Matthews Source Type: research

Salvaging a Totally Avulsed Nail Bed Using Free Grafting and Postoperative Ice Cooling: A Case Report
This report presents a rare case of a 26-year-old man who experienced an isolated total avulsion injury of the nail bed with exposure of the phalangeal bone while using machinery, which was treated successfully with free grafting and postoperative ice cooling.PMID:33914694 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Kun-Yong Sung Sang-Yeul Lee Source Type: research

Breaking the Cycle of Recurrent Diabetic Foot Ulceration: A Novel and Sustainable Offloading Modality to Treat Diabetic Foot Ulceration and Prevent Recurrence
CONCLUSIONS: Implementation of a novel offloading device, which facilitates enhanced perfusion, monitors patient compliance with use, and can be continued upon wound resolution, was able to break the cycle of a recurrent DFU.PMID:33914695 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Caroline Lyons Source Type: research

Wound Management Strategy for Treatment of Localized Cutaneous Leishmaniasis Using the TIME Framework
CONCLUSIONS: In the present case, the TIME approach simplified the local management of ulcerated CL, thereby improving both the healing process and cosmetic outcome. Further studies with a placebo-controlled group will be necessary to confirm the data.PMID:33914696 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Michela Iannone Teresa Oranges Valentina Dini Marco Romanelli Agata Janowska Source Type: research

Fournier's Gangrene With Subcutaneous Emphysema of the Thigh Caused by Air Inflow Associated With a Rectovaginal Fistula: A Case Report of Pseudo-gas Gangrene
CONCLUSION: The existence of free air in subcutaneous tissue combined with an infection, particularly in the extremities, is generally suggestive of gas gangrene. In the present case, subcutaneous gas was not caused by gas gangrene but rather by air inflow from an RVF. Appropriate treatment of the RVF was necessary to avoid the exacerbation of Fournier's gangrene and prevent necrosis spreading to the thigh.PMID:33914697 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Sho Yamakawa Masaki Fujioka Kiyoko Fukui Haruka Matsuo Miho Noguchi Touta Kugiyama Sou Sugimi Hiroko Fukuda Kenji Hayashida Source Type: research

Successful Management of a Severe Sacral Pressure Injury Penetrating to the Retroperitoneum
CONCLUSIONS: A rare case of an intractable sacral PI complicated by retroperitoneal abscess was successfully managed in an immunocompromised patient. Notably, NPWT with saline irrigation was useful in controlling the patient's severe retroperitoneal infection.PMID:33914698 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Hideki Kadota Kayo Miyashita Seita Fukushima Chikafumi Oryoji Masuo Hanada Sei Yoshida Hayato Fujita Yukiko Tachibana Source Type: research

Hydrosurgical Debridement Use Associated With Decreased Surgical Site-Related Readmissions: A Retrospective Analysis
Wounds. 2021 Mar 28:WNDS20210328-2. Online ahead of print.ABSTRACTINTRODUCTION: Debridement is the cornerstone of wound care management. It allows for the removal of fibrinous and necrotic debris from the wound bed as well as the reduction of bacterial bioburden, thus allowing for proper granulation and wound healing. Hydrosurgical debridement uses a controlled, high-pressure fluid jet to cut and remove necrotic debris, contaminants, and bacteria, thereby facilitating a potentially more aggressive debridement.OBJECTIVE: The efficacy of this system was compared with that of other methods of debridement in reducing readmissi...
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Crystal Valerie James Munir Patel Nicole Ilonzo Kojo Wallace Jani Lee Mabel Chan Scott Ellis John C Lantis Ii Source Type: research

The Braden Scale for Predicting the Outcome and Prognosis of Pressure Injuries in Older Inpatients: A Multicenter, Retrospective Cohort Study
CONCLUSIONS: The Braden scale had low discrimination for predicting the outcome and prognosis of PIs in older inpatients. The development of a new tool is needed to predict healing in patients with preexisting PIs.PMID:33913821 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Yi-Ping Song Man-Li Zha Hong-Wu Shen Yang Li Lin Du Ji-Yu Cai Yi Qin Hong-Lin Chen Source Type: research

C-reactive Protein Levels in Plasma and Chronic Venous Ulcer Exudate of Persons Who Inject Drugs: A Pilot Study
CONCLUSIONS: Plasma and exudate CRP levels were highly correlated. Exudate CRP levels decreased across time. Future large-scale wound healing studies should examine CRP levels over a longer duration and as they correlate to wound healing.PMID:33913822 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Julia Paul Thomas N Templin Nicholas J Carruthers Paul R Burghardt Ciara Ivanics Paul M Stemmer Barbara Pieper Source Type: research

Pyoderma Gangrenosum After Hand Surgery: A Case Report
CONCLUSIONS: This case emphasizes the importance of early recognition of PG to provide a timely diagnosis and avoid unnecessary surgeries, which can result in devastating consequences.PMID:33914690 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Turkhan Mehdiyev Robert Zimmermann Source Type: research

Using Topical Citric Acid to Treat an Infected Ulcerated Hemangioma in an Infant: A Case Study
Conclusions. The efficacy, ease of application, and absence of notable adverse effects of using citric acid suggest it may be an effective option for the treatment of hemangiomas in children.PMID:33914691 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Basavraj Nagoba Milind Davane Basavraj Warad Nawab Jamadar Ajay M Gavkare Source Type: research

Regenerative Properties of Autologous Fat Grafting in a Complicated Radiation-Induced Wound
CONCLUSIONS: Chronic nonhealing wounds can provide a tremendous burden to the patient in terms of time, costs, and morbidity. Despite enduring a prolonged 19-month course involving multiple failed interventions and several wound-related infections, the patient achieved wound healing via fat grafting. Earlier intervention with fat grafting may prove helpful to patients who do not show evidence of healing via other modalities and for whom flap surgery is not an option.PMID:33914692 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Krishna S Vyas Elias Simon Saba Nho Tran Source Type: research

Rare Operative Intervention for Urinary and Fecal Incontinence-Associated Dermatitis
In this report, 2 cases of IAD are presented as chemical burns. After a prolonged interval of urinary and fecal incontinence, an incapacitated 65-year-old male with 14% total body surface area (TBSA) partial-thickness wounds, and an 85-year-old female with 4% TBSA full-thickness wounds were admitted to the burn center and underwent operative management.PMID:33914693 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Samantha Delapena Philomene Spadafore Stephanie E Bollenbach Areta Kowal-Vern Kevin N Foster Marc R Matthews Source Type: research

Salvaging a Totally Avulsed Nail Bed Using Free Grafting and Postoperative Ice Cooling: A Case Report
This report presents a rare case of a 26-year-old man who experienced an isolated total avulsion injury of the nail bed with exposure of the phalangeal bone while using machinery, which was treated successfully with free grafting and postoperative ice cooling.PMID:33914694 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Kun-Yong Sung Sang-Yeul Lee Source Type: research

Breaking the Cycle of Recurrent Diabetic Foot Ulceration: A Novel and Sustainable Offloading Modality to Treat Diabetic Foot Ulceration and Prevent Recurrence
CONCLUSIONS: Implementation of a novel offloading device, which facilitates enhanced perfusion, monitors patient compliance with use, and can be continued upon wound resolution, was able to break the cycle of a recurrent DFU.PMID:33914695 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Caroline Lyons Source Type: research

Wound Management Strategy for Treatment of Localized Cutaneous Leishmaniasis Using the TIME Framework
CONCLUSIONS: In the present case, the TIME approach simplified the local management of ulcerated CL, thereby improving both the healing process and cosmetic outcome. Further studies with a placebo-controlled group will be necessary to confirm the data.PMID:33914696 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Michela Iannone Teresa Oranges Valentina Dini Marco Romanelli Agata Janowska Source Type: research

Fournier's Gangrene With Subcutaneous Emphysema of the Thigh Caused by Air Inflow Associated With a Rectovaginal Fistula: A Case Report of Pseudo-gas Gangrene
CONCLUSION: The existence of free air in subcutaneous tissue combined with an infection, particularly in the extremities, is generally suggestive of gas gangrene. In the present case, subcutaneous gas was not caused by gas gangrene but rather by air inflow from an RVF. Appropriate treatment of the RVF was necessary to avoid the exacerbation of Fournier's gangrene and prevent necrosis spreading to the thigh.PMID:33914697 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Sho Yamakawa Masaki Fujioka Kiyoko Fukui Haruka Matsuo Miho Noguchi Touta Kugiyama Sou Sugimi Hiroko Fukuda Kenji Hayashida Source Type: research

Successful Management of a Severe Sacral Pressure Injury Penetrating to the Retroperitoneum
CONCLUSIONS: A rare case of an intractable sacral PI complicated by retroperitoneal abscess was successfully managed in an immunocompromised patient. Notably, NPWT with saline irrigation was useful in controlling the patient's severe retroperitoneal infection.PMID:33914698 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Hideki Kadota Kayo Miyashita Seita Fukushima Chikafumi Oryoji Masuo Hanada Sei Yoshida Hayato Fujita Yukiko Tachibana Source Type: research

Hydrosurgical Debridement Use Associated With Decreased Surgical Site-Related Readmissions: A Retrospective Analysis
Wounds. 2021 Mar 28:WNDS20210328-2. Online ahead of print.ABSTRACTINTRODUCTION: Debridement is the cornerstone of wound care management. It allows for the removal of fibrinous and necrotic debris from the wound bed as well as the reduction of bacterial bioburden, thus allowing for proper granulation and wound healing. Hydrosurgical debridement uses a controlled, high-pressure fluid jet to cut and remove necrotic debris, contaminants, and bacteria, thereby facilitating a potentially more aggressive debridement.OBJECTIVE: The efficacy of this system was compared with that of other methods of debridement in reducing readmissi...
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Crystal Valerie James Munir Patel Nicole Ilonzo Kojo Wallace Jani Lee Mabel Chan Scott Ellis John C Lantis Ii Source Type: research

The Braden Scale for Predicting the Outcome and Prognosis of Pressure Injuries in Older Inpatients: A Multicenter, Retrospective Cohort Study
CONCLUSIONS: The Braden scale had low discrimination for predicting the outcome and prognosis of PIs in older inpatients. The development of a new tool is needed to predict healing in patients with preexisting PIs.PMID:33913821 (Source: Wounds)
Source: Wounds - April 29, 2021 Category: General Medicine Authors: Yi-Ping Song Man-Li Zha Hong-Wu Shen Yang Li Lin Du Ji-Yu Cai Yi Qin Hong-Lin Chen Source Type: research