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conducting wound dressing

Itxaso Garcia-Orue, Garazi Gainza, Patricia Garcia-Garcia, Francisco Borja Gutierrez, Jose Javier Aguirre, Rosa Maria Hernandez, Araceli Delgado, Manoli Igartua
Electrospun nanofibrous dressings present suitable characteristics to be used in wound healing, such as high porosity and high surface area-to-volume ratio. In this study, a wound dressing based on PLGA and Aloe vera containing lipid nanoparticles (NLCs) was developed. NLCs were added in order to add a lipid component that could avoid the adhesion of the dressing to the wound and improve its handling. Membranes with and without NLCs were composed of uniform fibers of about 1 µm in diameter. Their porosity was above 80 % and their thickness was about 160 µm...
December 12, 2018: International Journal of Pharmaceutics
Valerio Cozza, Marco M Pascale, Gilda Pepe, Rocco Panzera, Sabina Magalini, Daniele Gui
Surgical site infections (SSIs) represent one of the most common surgical complications. Negative pressure wound therapy is considered an effective wound management system, based on the principle that a negative pressure inside the wound can suction fluids and approximate wound edges. With the negative pressure wound therapy systems commercially available it is assumed that the pressure inside the wound is stable at the set values. We conducted a prospective experimental study to investigate this. The negative pressure level achieved inside the dressing was investigated at a standard distance from the pad of suction and at specific times in patients with SSIs...
December 12, 2018: Wound Repair and Regeneration
Ana Laura Gomide Vieira, Janislei Giseli Dorociaki Stocco, Anna Carolina Gaspar Ribeiro, Cristina Valéria Frantz
OBJECTIVE: To identify and describe which dressings are recommended to prevent surgical site infection in hospitalized adult patients after cardiac surgeries. METHOD: Integrative review carried out in the databases MEDLINE, LILACS, CINAHL, Web of Science, Cochrane and Scopus. Studies related to dressing in the postoperative period of cardiac surgery were selected. RESULTS: Seven articles were included, with the following dressings: negative pressure wound therapy, silver nylon dressing, transdermal delivery of continuous oxygen and impermeable adhesive drape...
November 29, 2018: Revista da Escola de Enfermagem da U S P
Seher Unver, Semra Eyi, Zeynep Kizilcik Ozkan
Pain during negative pressure wound therapy (NPWT) has been reported in the literature. PURPOSE: The study was conducted to describe patients' pain experience, pain-coping skills, and the effect of NPWT-related pain on daily life activities following abdominal surgery. METHOD: Using a descriptive, qualitative design, semi-structured face-to-face interviews were conducted between April 3, 2016 and December 26, 2016, in the surgical ward of a university hospital in Edirne, Turkey...
December 2018: Ostomy/wound Management
Zhicai Feng, Qiyu Tang, Junqing Lin, Quanyong He, Cheng Peng
BACKGROUND: Nonpharmacological management remains one of the central pain interventional therapies in the burn unit. VR and other distraction treatments for adults have achieved great advantages in pain relief. METHODS: A within-subject study was conducted to evaluate 54 participants aged from 3 to 7. In the control group, a standard analgesic, ibuprofen, was used over the period of dressing change, whereas animated cartoons were played simultaneously in the intervention-group condition...
2018: International Journal of Burns and Trauma
Nana Hyldig, Jan Stener Joergensen, Chunsen Wu, Camilla Bille, Christina Anne Vinter, Jens Ahm Sorensen, Ole Mogensen, Ronald Francis Lamont, Sören Möller, Marie Kruse
OBJECTIVE: To evaluate the cost-effectiveness of incisional Negative Pressure Wound Therapy (iNPWT) in preventing surgical site infection in obese women after caesarean section. DESIGN: A cost-effectiveness analysis conducted alongside a clinical trial. SETTING: Five obstetric departments in Denmark. POPULATION: Women with a pre-gestational body mass index ≥30 kg/m2 . METHOD: We used data from a randomised controlled trial of 876 obese women who underwent elective or emergency caesarean section and were subsequently treated with iNPWT (n=432) or a standard dressing (n=444)...
December 3, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Xiaoxiao Hu, Weishuai Lian, Xiaojun Zhang, Xue Yang, Jinxia Jiang, Maoquan Li
Background: Diabetes mellitus, one of the most prevalent chronic metabolic diseases, causes many complications. Among the complications, one of the most common chronic complications is diabetic foot ulcers (DFUs). Objective: This study was conducted to investigate the efficacy of negative pressure wound therapy using vacuum-assisted closure (VAC) combined with photon therapy for the management of DFUs. Patients and methods: The study included a total of 69 patients with DFUs during the period from January 2014 to December 2015...
2018: Therapeutics and Clinical Risk Management
Raquel Colenci, Luciana Patricia Fernandes Abbade
Ulcers or wounds can be classified as acute or chronic. Their treatment involves overall assessment of the patient and choice of suitable local therapy, and the appropriate indication and use of products. Technological progress in the field of wound treatment has increased rapidly. Constant updating, with emphasis on available scientific evidence, is necessary to offer the best approaches to patients with acute and chronic wounds. A qualitative analysis of literature was conducted to identify scientific publications that update the concepts involved in local wound treatment, to present some resources that can aid the healing process and describe the different types of dressings available...
November 2018: Anais Brasileiros de Dermatologia
Pennylouise Hever, Naveen Cavale, Terouz Pasha
BACKGROUND: Surgical site infection has considerable cost implications for healthcare providers. Evidence suggests that the use of Micropore™ tape as a dressing for surgical incisions may be associated with reduced/comparable rates of infection in surgical wounds. 3M™ Micropore™ tape is significantly cheaper than conventional wound dressings. The purpose of this study was to compare differences in the rate of wound healing problems including superficial incisional surgical site infection (SSI) and wound healing problems following cosmetic breast procedures between Micropore™ tape and other common wound dressings...
November 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Valerio Cozza, Gilda Pepe, Marco Cintoni, Flavio De Maio, Giuseppe Tropeano, Sabina Magalini, Gabriele Sganga, Giovanni Delogu, Daniele Gui
Background: Negative pressure wound therapy is now largely used to treat infected wounds. The prevention and reduction of healthcare-associated infections is a high priority for any Department of Health and great efforts are spent to improve infection control systems. It is assumed that vacuum-assisted closure (VAC®) dressings should be watertight and that all the secretions are gathered in a single container but there is no consistent data on air leakage and possible dispersion of bacteria from the machine...
2018: World Journal of Emergency Surgery: WJES
Chang Sik Pak, Dae Hwan Park, Tae Suk Oh, Won Jai Lee, Young Joon Jun, Kyung Ah Lee, Kap Sung Oh, Kyung Hee Kwak, Jong Won Rhie
We evaluated the efficacy and safety of a povidone-iodine (PVP-I) foam dressing (Betafoam) for donor site dressing versus a hydrocellular foam dressing (Allevyn) and petrolatum gauze. This prospective Phase 4 study was conducted between March 2016 and April 2017 at eight sites in Korea. A total of 106 consenting patients (aged ≥ 19 years, scheduled for split-thickness skin graft) were randomised 1:1:1 to PVP-I foam, hydrocellular, or petrolatum gauze dressings for up to 28 days after donor site collection...
November 26, 2018: International Wound Journal
Pragash Kamalathevan, Peng S Ooi, Yew L Loo
OBJECTIVE: Effective wound dressings should promote healing through cellular migration, neovascularization, and re-epithelialization. Silk fibroin (SF) and silk sericin (SS) are reported to have very good biocompatibility, excellent mechanical properties, and controlled biodegradability. This review investigates the use and performance of silk-based biomaterials in cutaneous wounds within in vitro, in vivo, and randomized controlled studies. METHODS: Study authors conducted a comprehensive literature search on the use of silk-based dressings in cutaneous wound healing and investigated reports of the advantages and disadvantages of SF and SS along with these materials' methods of characterization, cell migration, neovascularization, wound closure, and cytotoxicity...
December 2018: Advances in Skin & Wound Care
Luis Furuya-Kanamori, Rachel M Walker, Brigid M Gillespie, Justin Clark, Suhail A R Doi, Lukman Thalib
OBJECTIVES: Pressure injuries (PIs) are one of the most common types of complex wounds and impose a huge economic burden on the healthcare system and the patients. A plethora of topical treatments is widely available for PI treatment, yet there is a paucity of evidence with regard to the most effective treatment. The objective of this study was to compare the effect of various topical treatments and identify the best treatment choice(s) for PI healing. DESIGN: Systematic review and network meta-analysis...
November 21, 2018: Journal of the American Medical Directors Association
Jamie Harshman, Mélissa Roy, Robert Cartotto
Background: Good burn care starts with correct management of the burn patient prior to transfer to a burn center. The purpose of this study was to perform a systematic review of the medical literature describing pre-burn center care. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for this review. Studies were included if they were published from a burn center and they measured or evaluated any aspect of pre-burn center care of adult or pediatric acute burn patients referred to that burn center...
November 19, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
Ijaz Bano, Muhammad Arshad, Tariq Yasin, Muhammad Afzal Ghauri
Chitosan like natural polymers have been widely used in burn wound management. Novel low molecular weight chitosan-PVA soft membranes have been studied for antibacterial and wound healing properties. The effectiveness of antibacterial activity was carried against bacterial pathogens while wound healing nature of chitosan was conducted in second degree burns on rabbits as model animal. Rabbits were divided into three groups; control untreated, treated with commercial Fusidic acid (Fu-A) cream and chitosan-PVA membranes...
November 12, 2018: International Journal of Biological Macromolecules
Talel Badri, Houcine Maghrebi, Amal Hamdi, Noura Sellami, Mohamed Jouini, Zoubeir Ben Safta
BACKGROUND: Infection of surgical wounds is the main cause of nosocomial infections. In the event of a defect in the care chain, in particular, during the change of the postoperative dressings, the infectious risk would be increased. AIM: To evaluate the gestures of change of dressing practiced by nurses of a university hospital department of surgery, in order to observe the insufficiencies. METHODS: We conducted a two-month-duration prospective, descriptive study having a qualitative approach, consisting of a protocol for observing nursing procedures carried out during the implementation of postoperative dressings in a university hospital surgery department from Tunis...
June 2018: La Tunisie Médicale
Parastoo Pourali, Behrooz Yahyaei
PURPOSE: Although alginate has been known to be a good wound dressing, it does not have antimicrobial properties, has low availability, and is expensive. In order to overcome these problems, this study was conducted, where the extraction of this material from an available small factory Pseudomonas aeruginosa and the improvement of its wound healing property by its combination with herb extract, Alhagi maurorum, done. METHODS: Nineteen P. aeruginosa strains were isolated and identified from burned skin and one isolated strain with the highest ability of alginate production was selected...
October 29, 2018: Dermatologic Therapy
Arman T Serebrakian, Brent B Pickrell, David E Varon, Amin Mohamadi, Mark W Grinstaff, Edward K Rodriguez, Ara Nazarian, Eric G Halvorson, Indranil Sinha
Background: Many types of split-thickness skin graft (STSG) donor-site dressings are available with little consensus from the literature on the optimal dressing type. The purpose of this systematic review was to analyze the most recent outcomes regarding moist and nonmoist dressings for STSG donor sites. Methods: A comprehensive systematic review was conducted across PubMed/MEDLINE, EMBASE, and Cochrane Library databases to search for comparative studies evaluating different STSG donor-site dressings in adult subjects published between 2008 and 2017...
September 2018: Plastic and Reconstructive Surgery. Global Open
Lorenzo Tavelli, Farah Asa'ad, Raffaele Acunzo, Giorgio Pagni, Dario Consonni, Giulio Rasperini
This clinical study was conducted to evaluate the impact of different hemostatic treatments following palatal gingival harvesting on patient discomfort. Fifty patients who needed a mucogingival surgery requiring gingival graft harvesting were enrolled and randomly assigned to one of five groups: (1) a control group in which only sutures were applied; (2) a cyanoacrylate group; (3) a periodontal dressing material group; (4) a hemostatic gelatin sponge group; and (5) a group in which the gelatin sponge and cyanoacrylate were combined...
November 2018: International Journal of Periodontics & Restorative Dentistry
Travis L Perry, Lindsay M Kranker, Erin E Mobley, Eileen E Curry, R Michael Johnson
INTRODUCTION: Fournier's gangrene (FG) remains a forbidding necrotizing soft tissue infection (NSTI) that necessitates early recognition, prompt surgical excision, and goal-directed antibiotic therapy. Traditionally, surgical management has included wide radical excision for sepsis control, but this management often leaves large, morbid wounds that require complex wound coverage, prolonged hospitalizations, and/or delayed healing. OBJECTIVE: The purpose of this case series is to report the outcomes of FG using a surrogate approach of concurrent debridement of spared skin and soft tissue, negative pressure wound therapy (NPWT), and serial delayed primary closure (DPC)...
October 2018: Wounds: a Compendium of Clinical Research and Practice
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