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Negative pressure wound therapy

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https://www.readbyqxmd.com/read/29443840/cochrane-in-corr%C3%A2-negative-pressure-wound-therapy-for-skin-grafts-and-surgical-wounds-healing-by-primary-intention
#1
Herman Johal, Hans Kreder
No abstract text is available yet for this article.
March 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29442143/randomized-controlled-study-comparing-disposable-negative-pressure-wound-therapy-with-standard-care-in-bilateral-breast-reduction-mammoplasty-evaluating-surgical-site-complications-and-scar-quality
#2
V Tanaydin, J Beugels, A Andriessen, J H Sawor, R R W J van der Hulst
BACKGROUND: Negative pressure wound therapy (NPWT) for postsurgical incision treatment has demonstrated benefits. A prospective randomized study was developed including 32 patients who underwent bilateral breast reduction mammoplasty. Patients served as their own control and received NPWT to one breast and fixation strips to the other breast. METHODS: The primary outcome was the number of wound healing complications within 21 days when comparing NPWT treatment with fixation strips...
February 13, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29442056/the-open-abdomen-still-a-challenge-for-the-surgeons-which-is-the-best-technique-for-temporary-abdominal-closure-a-focus-on-negative-pressure-wound-therapy
#3
EDITORIAL
G Popivanov, K Kjossev, V Mutafchiyski
No abstract text is available yet for this article.
November 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29433350/a-review-of-post-caesarean-infectious-morbidity-how-to-prevent-and-treat
#4
Rebecca C Pierson, Nicole P Scott, Kristin E Briscoe, David M Haas
Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens...
February 12, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29419368/a-histological-analysis-of-chronic-wounds-treated-with-negative-pressure-wound-therapy-to-aid-healing-a-case-series
#5
Jorge E Almeida, Rodolfo Suárez, Elaine Gibson
OBJECTIVE: Our aim was to examine histopathological changes in three chronic wounds, and to assess whether the application of negative pressure wound therapy (NPWT) changes the wound bed environment. METHOD: - Results: We recruited three patients were recruited who had a non-healing wounds in excess of eight weeks. Histopathological changes in the wound bed supported the evidence that NPWT changes the wound bed environment by reducing inflammatory damage and facilitating wound bed perfusion with angiogenesis...
February 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29413782/the-role-of-negative-pressure-wound-therapy-in-salvaging-a-six-year-old-child-s-crushed-foot-a-case-report
#6
Dimitrios Begkas, John Michelarakis, Hristos Mirtsios, Panagiotis Deimedes, Dimitrios Bougiouklis
Crushed extremity is an infrequent injury in children and represents a major challenge for the orthopaedic surgeon. Sometimes the decision making process, whether to amputate or save a limb, is very difficult. Several scoring systems have been developed in order to determine the fate of crushed extremities, but they are not always predictive when patients are children. In the past few years, advances in bone and soft tissue reconstruction techniques have improved outcomes, even in the most extreme cases. Negative Pressure Wound Therapy has become an accepted option in the treatment of crushed limbs...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29406300/a-retrospective-cost-minimization-analysis-of-disposable-and-traditional-negative-pressure-wound-therapy-medicare-paid-claims
#7
Gary Delhougne, Christopher Hogan, Kim Tarka, Sunitha Nair
Traditional negative pressure wound therapy (NPWT) systems are considered durable. The pump is designed for use by numerous patients over a period of several years. Recently developed smaller, disposable devices are designed for single-patient use. A retrospective analysis of 2012-2014 national Medicare claims data was used to examine payments associated with the use of traditional and disposable NPWT systems. Data extracted included NPWT episodes from the Limited Data Set Standard Analytic Files including the 5% sample for traditional NPWT and 100% sample for disposable NPWT...
January 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29406297/sacral-pressure-ulcer-induced-fournier-s-gangrene-extending-to-the-retroperitoneum-a-case-report
#8
Kiyoko Fukui, Masaki Fujioka, Satoko Ishiyama
INTRODUCTION: Fournier's gangrene (FG) is a type of necrotizing fasciitis of the perineum and scrotum that is characterized by very rapid progression. Sacral pressure ulcers are one of the causes of FG. CASE REPORT: An 85-year-old man was referred to the National Hospital Organization Nagasaki Medical Center (Ohmura City, Japan) with a diagnosis of FG extending to the retroperitoneum caused by a sacral pressure ulcer. Immediate debridement was performed; however, it was not possible to remove all necrotic tissue from the pelvis...
January 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29406296/abdominal-catastrophe-in-crohn-s-disease-surgery
#9
Hugo Palma Rios, André Goulart, Pedro Leão
INTRODUCTION: Performing surgery on patients with Crohn's disease is a true challenge due to the elevated risk of complications related to the chronic proinflammatory response. Stenosis is the leading cause of intestinal resection in these patients. CASE REPORT: The authors present the case of a 50-year-old woman with inflammatory stenosis of the terminal ileum due to Crohn's disease. The patient underwent a laparoscopic ileocecal resection, which was complicated by a small anastomotic dehiscence with localized peritonitis...
January 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29393738/lumbar-hemilaminectomy-for-treatment-of-diskospondylitis-in-an-aardvark-orycteropus-afer
#10
Benjamin N Nevitt, Michael J Adkesson, Gwen Jankowski, Paula West, Jennifer N Langan
CASE DESCRIPTION A 17-year-old sexually intact male aardvark (Orycteropus afer) was evaluated because of hind limb proprioception deficits and ataxia. CLINICAL FINDINGS Results of examination and CT suggested a diagnosis of intervertebral disk disease and diskospondylitis at the L2-3 intervertebral space. Magnetic resonance imaging of the vertebral column also indicated intervertebral disk rupture with spinal cord compression and inflammation of the adjacent epaxial musculature TREATMENT AND OUTCOME Hemilaminectomy was performed according to the technique described for dogs...
February 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29386704/negative-pressure-wound-therapy-in-the-management-of-mine-blast-injuries-of-lower-limbs-lessons-learnt-at-a-tertiary-care-center
#11
Sanjay Maurya, N Srinath, P S Bhandari
Background: Mine blast injuries of foot are devastating injuries that result in composite tissue loss or amputations. Negative pressure wound therapy has helped in the management of such combat-related wounds. The aim of this study was to report experiences gained in managing such injuries at a tertiary care center. Methods: 17 combatants who sustained mine blast injuries were included in this study. Severity of foot injury was assessed as per Foot and Ankle Severity Score...
October 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/29384913/combing-a-novel-device-and-negative-pressure-wound-therapy-for-managing-the-wound-around-a-colostomy-in-the-open-abdomen-a-case-report
#12
Xiaofang Sun, Shaohan Wu, Ting Xie, Jianping Zhang
RATIONALE: An open abdomen complicated with small-bowel fistulae becomes a complex wound for local infection, systemic sepsis and persistent soiling irritation by intestinal content. While controlling the fistulae drainage, protecting surrounding skin, healing the wound maybe a challenge. PATIENT CONCERNS: In this paper we described a 68-year-old female was admitted to emergency surgery in general surgery department with severe abdomen pain. Resection part of the injured small bowel, drainage of the intra-abdominal abscess, and fashioning of a colostomy were performed...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29383245/spontaneous-closure-of-multiple-enterocutaneous-fistula-due-to-abdominal-tuberculosis-using-negative-pressure-wound-therapy-a-case-report
#13
Yuliardy Limengka, Wifanto S Jeo
Enterocutaneous fistula (ECF) is one of the most challenging abdominal complications, for surgeons and other healthcare members, which involves significant morbidity and potentially mortality. Despite advancements in both operative and non-operative therapy, fistula-related complications are still unavoidable. Negative pressure wound therapy (NPWT) had been used years to treat chronic wound, to decrease tissue edema, improve circulation, promote healthy granulation tissue and inhibit bacterial growth. We report a 29-year-old male with complicated ECF due to abdominal tuberculosis, that was healed after treated using NPWT...
January 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29381241/evaluation-of-inguinal-vascular-surgical-scars-treated-with-closed-incisional-negative-pressure-wound-therapy-using-three-dimensional-digital-imaging-a-randomized-controlled-trial-on-bilateral-incisions
#14
Robert Svensson-Björk, Julien Hasselmann, Stefan Acosta
Purpose of the investigation: Scar formation is an important, permanent surrogate marker for wound healing. The main aim of this randomized trial was to evaluate the effects of incisional negative pressure wound therapy (iNPWT) on scar formation in uncomplicated wound healing with 3-dimensional (3D) digital imaging. BASIC PROCEDURES: Patients undergoing bilateral inguinal incisions after vascular surgery were randomized to receive iNPWT and standard dressing on separate sides. The incisional scars were documented at a median time of 808 days (range 394-1194) after surgery with 3D-photography, which were objectively evaluated by two plastic surgeons using the Stony Brook scar evaluation scale (SBSES) and a 10-point graded numeric ranking scale (NRS10)...
January 30, 2018: Wound Repair and Regeneration
https://www.readbyqxmd.com/read/29377202/update-on-management-of-diabetic-foot-ulcers
#15
REVIEW
Estelle Everett, Nestoras Mathioudakis
Diabetic foot ulcers (DFUs) are a serious complication of diabetes that results in significant morbidity and mortality. Mortality rates associated with the development of a DFU are estimated to be 5% in the first 12 months, and 5-year morality rates have been estimated at 42%. The standard practices in DFU management include surgical debridement, dressings to facilitate a moist wound environment and exudate control, wound off-loading, vascular assessment, and infection and glycemic control. These practices are best coordinated by a multidisciplinary diabetic foot wound clinic...
January 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29376199/prophylactic-negative-pressure-wound-therapy-after-lower-extremity-fracture-surgery-a-pilot-study
#16
Siem A Dingemans, Merel F N Birnie, Manouk Backes, Vincent M de Jong, Jan S Luitse, J Carel Goslings, Tim Schepers
PURPOSE: Infectious complications following lower extremity fracture surgery are a major concern and account for a substantial socio-economic burden to society. The aim of this pilot study was to investigate the feasibility of a new portable single-use negative pressure wound therapy device in patients undergoing major foot ankle surgery. METHODS: Patients undergoing major foot ankle fracture surgery at a single level 1 trauma centre were eligible for this prospective case series...
January 29, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29372375/endoluminal-vacuum-therapy-e-vac-a-treatment-option-in-oesophagogastric-surgery
#17
D J Pournaras, R H Hardwick, P M Safranek, V Sujendran, J Bennett, G D Macaulay, A Hindmarsh
BACKGROUND: Leaks from the upper gastrointestinal tract often pose a management challenge, particularly when surgical treatment has failed or is impossible. Vacuum therapy has revolutionised the treatment of wounds, and its role in enabling and accelerating healing is now explored in oesophagogastric surgery. METHODS: A piece of open cell foam is sutured around the distal end of a nasogastric tube using a silk suture. Under general anaesthetic, the foam covered tip is placed endoscopically through the perforation and into any extra-luminal cavity...
January 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29367225/super-obesity-is-not-necessarily-a-contraindication-to-deep-inferior-epigastric-perforator-flap-breast-reconstruction
#18
Marios Papadakis, Frauke Schuster, Gabriel Djedovic, Afshin Rahmanian-Schwarz
The deep inferior epigastric perforator (DIEP) flap is widely recognised as a safe and reliable flap for use as a first-choice option in autologous tissue breast reconstruction. Patients with obesity represent a challenging group for autologous breast reconstruction, as they are at increased risk of developing major and minor complications in comparison with patients with normal weight. We report a 59-year-old woman with super obesity, who presented to our department with right breast skin necrosis after implant reconstruction following mastectomy for right breast cancer...
January 24, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29356190/decreased-superficial-surgical-site-infections-shortened-hospital-stay-and-improved-quality-of-live-due-to-incisional-negative-pressure-wound-therapy-after-reversal-of-double-loop-ileostomy-improved-wound-healing-due-to-incisional-negative-pressure-wound-therapy
#19
Daniel Poehnert, Nils Hadeler, Harald Schrem, Alexander Kaltenborn, Juergen Klempnauer, Markus Winny
This single-center prospective, controlled observational study investigates the impact of incisional negative pressure wound therapy on wound healing processes and its potency to prevent superficial surgical site infections after reversal of a double loop ileostomy. Furthermore, this study gains insight in socio-economic aspects, like duration of hospital stay and, for the first time, patient's quality of life during the incisional negative pressure wound treatment. To address this question, an interventional group of 24 patients treated with incisional negative pressure wound therapy (Prevena® incisional wound management system, KCI, Germany) and a respective control cohort of 25 patients treated with a standard sterile dressing were observed for 30 days in the post-operative course...
January 22, 2018: Wound Repair and Regeneration
https://www.readbyqxmd.com/read/29353870/efficiency-of-stem-cell-based-therapy-in-the-treatment-of-diabetic-foot-ulcer-a-meta-analysis
#20
Xuan Shu, Shenyou Shu, Shijie Tang, Lvjun Yang, Dan Liu, Ke Li, Zejun Dong, Zhongchao Ma, Zhensen Zhu, Jialong Din
Diabetic foot ulcer is a chronic, refractory, frequent complication in diabetic patient. Its treatment often requires multidisciplinary joint efforts, diverse strategies have been adopted to address this annoying issue, including stem cell-based therapy/acellular dermal matrix/negative pressure wound therapy etc. However, consensus has not been reached. To assess the current evidence regarding the efficiency and potential advantages of stem cell-based therapy compared with conventional standard treatment and/or placebo in the treatment of diabetic foot ulcer...
January 22, 2018: Endocrine Journal
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