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conducting wound dressing

Ying-Sheng Lin, Pei-San Ting, Kuei-Chang Hsu
BACKGROUND: Silicone sheet is commonly used for scar management but hard to apply to irregular surfaces or mobile areas, and difficult to conceal. On the contrary, silicone gel is easy to apply and nearly unnoticeable. Therefore, we conducted this study to compare their effectiveness. METHODS: Patients undergoing horizontal cesarean section were included. Surgical wounds were divided into 2 halves. Patients randomly applied silicone sheets and silicone gel on either side of their wounds for 3 months...
August 2018: Medicine (Baltimore)
Masoumeh Nouri, Marzieh Ebrahimi, Tooran Bagheri, Mohammad Javad Fatemi, Arash Najafbeygi, Shirin Araghi, Maryam Molaee
Objective: To compare the healing effects of dried and acellular human amniotic membrane and Mepitel for coverage of split-thickness graft donor site (STGDS). Methods: Twenty patients who underwent STGDS regeneration surgery in identical anatomic regions were enrolled in this randomized controlled clinical trial conducted in Hazrate Fatemeh hospital (Iran). Patients were randomly assigned in 3 groups of wound dressing; group A by Mepitel, group B AmiCare (Dried amniotic membrane) and group C OcuReg-A (Acellular amniotic membrane)...
July 2018: Bulletin of Emergency and Trauma
Ela J Hyland, Rachel D'Cruz, Seema Menon, John G Harvey, Erik La Hei, Torey Lawrence, Kelly Waddell, Mitchell Nash, Andrew Ja Holland
OBJECTIVES: The management of pediatric mid-dermal burns is challenging. Anecdotal evidence suggests Biobrane™ (UDL Laboratories, Inc., Sugar Land, TX) may expedite epithelization, reducing the requirement for skin grafting. Our standard management for burns of this depth is Acticoat™ (Smith and Nephew, St. Petersburg, Fl, USA). No publications are known to compare Biobrane™ to Acticoat™ for treatment of mid-dermal burns. METHODS: A prospective, randomised controlled pilot study was conducted, comparing Biobrane™ to Acticoat™ for mid-dermal burns affecting ≥ 1% Total Body Surface Area (TBSA) in children...
2018: International Journal of Burns and Trauma
Omolola Esther Fayemi, Anthony Chinonso Ekennia, Lebokang Katata-Seru, Azubuike Peter Ebokaiwe, Omamuyovwi Meashack Ijomone, Damian Chinedu Onwudiwe, Eno E Ebenso
A simple and cost-effective material composed of polyacrylonitrile nanofibers containing different concentrations of moringa (MR) leaf extracts was fabricated for antimicrobial properties and wound dressing. The fabricated materials were characterized by scanning electron microscopy, thermal gravimetric analysis, and Fourier transmission infrared spectroscopy. The antibacterial sensitivity of the developed polyacrylonitrile-moringa extract nanofibers was evaluated against Staphylococcus aureus and Escherichia coli by the agar diffusion method...
May 31, 2018: ACS Omega
Pippa Kenworthy, Michael Phillips, Tiffany L Grisbrook, William Gibson, Fiona M Wood, Dale W Edgar
Background: Major burns are life threatening. Fluid resuscitation is required for survival to maintain intravascular volumes and prevent hypovolemic shock. Bioimpedance spectroscopy (BIS) has been recognised as a potential method of monitoring fluid shifts after burn and in other disease states. The aims of this study were to examine the reliability of BIS across different dressing conditions and electrode positions, establish the influence of Acticoat™ on BIS variable measures and determine the validity of whole-body BIS to assess net fluid shift in the presence of moderate to major burns...
2018: Burns and Trauma
Anne Purcell, Thomas Buckley, Jennie King, Wendy Moyle, Andrea P Marshall
Background: The physical, occupational, social and psychological impact of chronic leg ulcers (CLUs) on an individual is considerable. Wound-related pain (WRP), the most common symptom, is frequently reported as moderate to severe and mostly occurs at dressing change. WRP pain may not be alleviated by oral analgesics alone. Persistent poorly controlled leg ulcer pain can negatively impact wound healing and health-related quality of life (HRQoL). Methods: A pilot, parallel group, non-blinded, randomised controlled trial was conducted in six procedure clinics located in a public community nursing service in New South Wales, Australia to evaluate eutectic mixture of local anaesthetics (EMLA®) on painful CLUs when used as a primary dressing...
2018: Pilot and Feasibility Studies
Bernard Atinyagrika Adugbire, Lydia Aziato
Background: The purpose of the study was to explore surgical patients' experiences of discharge planning and home care in the Northern part of Ghana. Methods: The study was conducted at a referral hospital located at the Northern part of Ghana. A qualitative explorative descriptive design was adopted for the study. Purposive sampling technique was used to recruit participants. Data was saturated with 15 participants aged between 23 and 65 years. All the interviews were audio-taped and transcribed verbatim...
2018: BMC Nursing
Nicoletta Frescos
Pain associated with chronic wounds can delay wound healing, affects quality of life, and has a major impact on physical, emotional, and cognitive function. However, wound-related pain is often under-assessed and may therefore be suboptimally managed. The aim of this study was to describe the assessment practices used to assess chronic wound pain by health practitioners in Australia. A structured self-administered questionnaire was posted to members of an Australian national wound care organisation, whose membership represents various health practitioners involved in wound management...
July 12, 2018: International Wound Journal
Kristina A Wihbey, Ellen M Joyce, Zachary T Spalding, Hayley J Jones, Todd A MacKenzie, Rebecca H Evans, June L Fung, Marlene B Goldman, Elisabeth Erekson
OBJECTIVE: To compare the occurrence of superficial surgical site infections in obese women using prophylactic negative pressure therapy with standard dressings after cesarean delivery. METHODS: We conducted a randomized controlled, nonblinded, two-center study of prophylactic negative pressure therapy compared with standard surgical dressings placed at the time of primary closure at cesarean delivery in obese women with body mass indexes (BMI) of 35 or higher (ie, class II and III obesity)...
August 2018: Obstetrics and Gynecology
M R Weiser, M Gonen, S Usiak, T Pottinger, P Samedy, D Patel, S Seo, J J Smith, J G Guillem, L Temple, G M Nash, P B Paty, A Baldwin-Medsker, C E Cheavers, J Eagan, J Garcia-Aguilar
BACKGROUND: Surgical-site infection (SSI) is associated with significant healthcare costs. To reduce the high rate of SSI among patients undergoing colorectal surgery at a cancer centre, a comprehensive care bundle was implemented and its efficacy tested. METHODS: A pragmatic study involving three phases (baseline, implementation and sustainability) was conducted on patients treated consecutively between 2013 and 2016. The intervention included 13 components related to: bowel preparation; oral and intravenous antibiotic selection and administration; skin preparation, disinfection and hygiene; maintenance of normothermia during surgery; and use of clean instruments for closure...
July 4, 2018: British Journal of Surgery
Takeshi Nagata, Katsutoshi Miura, Yoichiro Homma, Hidekazu Fukamizu
Wound compression and fixation are important to reduce scarring. Numerous postoperative treatments have been developed to reduce scar formation; however, a simple and effective device that improves the appearance and histochemical properties of incisional scars is needed. Therefore, the authors have devised a novel method, negative-pressure fixation, that applies negative pressure inside polyurethane foam covered with film. In the present study, negative-pressure fixation was applied to incisional wounds resulting from the insertion of a tissue expander in patients undergoing two-stage breast reconstruction...
July 2018: Plastic and Reconstructive Surgery
C Arundel, C Fairhurst, B Corbacho-Martin, H Buckley, E Clarke, N Cullum, S Dixon, J Dumville, A Firth, E Henderson, K Lamb, E McGinnis, A Oswald, P Saramago Goncalves, M O Soares, N Stubbs, I Chetter
Background: Surgical wounds healing by secondary intention (SWHSI) are increasingly being treated with negative-pressure wound therapy (NPWT) despite a lack of high-quality research evidence regarding its clinical and cost-effectiveness. This pilot feasibility RCT aimed to assess the methods for and feasibility of conducting a future definitive RCT of NPWT for the treatment of SWHSI. Methods: Eligible consenting adult patients receiving care at the study sites (2 acute and 1 community) and with a SWHSI appropriate for NPWT or wound dressing treatment were randomized 1 : 1 centrally to receive NPWT or usual care (no NPWT)...
June 2018: BJS open
Rachel Riera, Vinícius Lopes Braga, Luana Pompeu Dos Santos Rocha, Daniel Damasceno Bernardo, Luísa Avelar Fernandes de Andrade, Jessica Chiu Hsu, Luciana Di Giovanni Marques da Silva, Rodrigo Cesar de Sá Suetsugu, Nicole Hosni Dittrich, Lucas Riguete Pereira de Lima, Vicente Penido da Silveira, Barbara Caon Kruglensky, Letícia de Freitas Leonel, Edivando de Moura Barros, Anderson Adriano Leal Freitas da Costa, Miguel Lins Quintella, Rafael Leite Pacheco, Carolina de Oliveira Cruz, Ana Luiza Cabrera Martimbianco, Daniela Vianna Pachito, Vania Mozetic, Tatiana de Bruyn Ferraz Teixeira, Maria Regina Torloni, Alvaro Nagib Atallah
BACKGROUND: This study identified and summarized all Cochrane systematic reviews (SRs) on the effects of ten integrative practices that were recently added to the Brazilian public healthcare system (SUS). DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). METHODS: Review of Cochrane SRs on the following interventions were identified, summarized and critically assessed: apitherapy, aromatherapy, bioenergetics, family constellation, flower therapy, chromotherapy, geotherapy, hypnotherapy, hand imposition or ozone therapy...
May 2018: São Paulo Medical Journal, Revista Paulista de Medicina
Victoria Lynne, Lisa Burns, Joanne Handsaker, Julie M Murdoch
The genetic skin condition, epidermolysis bullosa (EB) causes the skin to be fragile and blister. As a result, blisters need to be lanced and the skin needs to be dressed with specialist dressings for protection and to promote wound healing. METHOD: a prospective case series and product evaluation of the Allevyn™ Gentle Border Lite dressing range was conducted, with four paediatric patients diagnosed with the following types of EB: recessive dystrophic (generalised severe), dominant dystrophic, simplex (generalised severe) and junctional (localised)...
June 27, 2018: British Journal of Nursing: BJN
Parastoo Pourali, Nasrin Razavianzadeh, Leila Khojasteh, Behrooz Yahyaei
Recent research was conducted to evaluate the healing efficiency of bacterial cellulose (BC) as a wound dressing in different pHs and its possibility of being a smart wound dressing that can indicate pHs. BC was produced by environmentally isolated bacterial strains. After washing the best achieved BC, it was floated in normal saline with different pHs with phenol red used as a pH indicator. Finally the wound healing effects of the acidic, neutral and alkaline BC membranes were evaluated in rat cutaneous wounds...
June 25, 2018: Journal of Materials Science. Materials in Medicine
R Gary Sibbald, Reneeka Persaud Jaimangal, Patricia M Coutts, James A Elliott
GENERAL PURPOSE: To present an evaluation of a surfactant-containing polymeric membrane foam wound dressing for use on patients with chronic pilonidal sinus disease. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:1...
July 2018: Advances in Skin & Wound Care
Gill Norman, Maggie J Westby, Amber D Rithalia, Nikki Stubbs, Marta O Soares, Jo C Dumville
BACKGROUND: Venous leg ulcers are open skin wounds on the lower leg which can be slow to heal, and are both painful and costly. The point prevalence of open venous leg ulcers in the UK is about 3 cases per 10,000 people, and many people experience recurrent episodes of prolonged ulceration. First-line treatment for venous leg ulcers is compression therapy, but a wide range of dressings and topical treatments are also used. This diversity of treatments makes evidence-based decision-making challenging, and a clear and current overview of all the evidence is required...
June 15, 2018: Cochrane Database of Systematic Reviews
Heloisa Helena Nímia, Viviane Fernandes Carvalho, Cesar Isaac, Francisley Ávila Souza, Rolf Gemperli, André Oliveira Paggiaro
The aim of this systematic review with meta-analysis was to compare the effect of Silver Sulfadiazine (SSD) with other new dressings, with or without silver, on healing and infection prevention in burns. The electronic search was carried out in the electronic databases of Pubmed, ScienceDirect, Lilacs and BVS. The articles included were randomized clinical trials about burn treatment with SSD, which evaluated the healing and infection of burn wounds in humans. The exclusion criteria included articles, editorials and letters published in the form of abstracts, unpublished reports and case series, cross-sectional, observational experimental studies, and the use of sulfadiazine for other types of wounds...
June 11, 2018: Burns: Journal of the International Society for Burn Injuries
Y Krieger, G Rubin, A Schulz, N Rosenberg, A Levi, A J Singer, L Rosenberg, Y Shoham
The objective was to critically review the data and assess the implications of NexoBrid [NexoBrid-NXB formerly Debrase Gel Dressing-DGD]a in the special field of deep hand burns. Detailed analysis of endpoints in the treatment of hand burn patients was conducted as part of a multi-center, open label, randomized, controlled two-arm study to evaluate the safety and efficacy of NXB enzymatic debridement, comparing it to the current standard of care (SOC). These results were compared to a large cohort of patients treated with NXB in a previous, single arm study...
September 30, 2017: Annals of Burns and Fire Disasters
Gerson M Struik, Wietske W Vrijland, Erwin Birnie, Taco M A L Klem
BACKGROUND: The incidence of surgical site infections (SSIs) after breast cancer surgery is relatively high; ranging from 3 to 19%. The role of wound dressings in the prevention of SSI after breast cancer surgery is unclear. This study compares a silver carboxymethylcellulose dressing (AQUACEL Ag Surgical (Aquacel) with standard wound dressing in SSI rate after breast cancer surgery. PATIENTS AND METHODS: A single-centre randomized controlled trial among women ≥18 years, diagnosed with breast cancer, undergoing breast conserving or ablative surgery, was conducted in a combined in and outpatient setting...
2018: PloS One
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