Meeting Materials

Introduction: Chronic wounds frequently harbor asymptomatic bacterial load, which our group monitors with point-of-care fluorescence imaging*.

Introduction: People with diabetes undergoing hemodialysis are ten times more likely to undergo lower extremity amputation than people with diabetes alone. Regular podiatric care is shown to have protective benefits against adverse outcomes in people with diabetes.

Introduction: Sacral decubitus ulcers can be extremely hard to treat.

Introduction: Large Soft Tissue Defects from Necrotizing Soft Tissue InfectionsMethods:Widely Meshed Skin Grafting a 4:1 ratio with autologous skin cell suspension and a dermal matrix used simultaneously to lose large soft tissue defects.Results:No additional surgeries required Outcomes were simi

Introduction: Research of the use of surgical irrigant additives to reduce surgical site infections has been ongoing as surgical site infections can impact quality of outcomes and cost of healthcare.

Introduction: An open-label, interventional clinical trial was conducted at 8 US sites to evaluate a marine-based technology for the treatment of recalcitrant wounds of varying etiologies in a patient population with extensive co-morbidities.

Introduction: Donor site wounds created for autografting are associated with significant morbidity. The Autologous Cell Harvesting Device is used by a clinician at the point of care to prepare an autologous skin cell suspension (ASCS) with a donor-to-treatment site area ratio of 1:80.

Introduction: Surgical wound dehiscence is defined as the separation of “previously approximated wound edges due to a failure of proper wound healing,“ and is estimated to occur in up to 9% of surgical procedures.1,2 Depending upon the severity, incisional dehiscence has a significant impact on m

Introduction: Diabetic foot ulcers (DFUs) continue to challenge wound care practitioners.

Introduction: Lower extremity wounds are particularly challenging and can be attributed to a multitude of etiologies including traumatic accidents, chronic medical conditions, tobacco usage, and oncologic resections.

Introduction: Combination products are increasingly utilized in wound care as innovative biomedical entities that may help to improve patient outcomes.

Introduction: As part of a thorough diabetic foot assessment, screening for limb perfusion to identify early -stage PAD is crucial.

Introduction: Minorities with diabetes have significantly higher rates of diabetic complications, including amputation and death. These higher rates are due to differences in practice patterns, routine preventative care, education, and access to efficacious and affordable treatments.

Introduction: Prone positioning in ARDS can improve ventilation. Its use in the prevention for pressure injury (PI) has been debated. Development of PI has been found in older men, low weight, low Braden score, ICU stay, comorbidities and organ support.

Introduction:

Introduction: Pressure injury with secondary ulceration is a challenge for surgical healing following reconstruction.

Introduction: Flap mobilization is the mainstay of treatment in pressure injury to replace soft tissue loss. Successful outcomes are achieved when there is adequate tissue for transfer. When there is tissue deficiency, procedures may become more challenging, and outcomes may be compromised.

Introduction: The Presence of bacterial colonies that are adherent to the tissue surface are recognized as deterrents to wound healing.  Pressure injury which results in ulceration is often chronic and difficult to heal primarily and may present unique challenges for surgical reconstruction due t

Introduction: Pressure Ulcers (PU) are the most frequent of all chronic wounds and are associated with significant costs as well as patient morbidity. Despite their ubiquity, there are no well-established benchmarks for PU healing upon which clinicians can gauge the efficacy of their care.

Introduction: Diabetic foot ulcers are a severe complication for diabetic patients, significantly impacting patient quality of life and healthcare systems efficiency. These ulcers often lead to hospitalization and amputation.

Introduction: 15-34 % of people with diabetes will experience a foot ulcer in their lifetime. The prevalence of cognitive dysfunction and diabetes is estimated to be between 24-33.7%. This can complicate adherence to self-care behaviors.

Introduction: Skin tears are acute wounds observed especially in the elderly population and conflict zones, caused by mechanical forces as a result of shear, friction, and blunt trauma resulting in separation of skin layers.2 Although the exact prevalence is unknown, evidence suggests that skin t

Introduction: Diabetic foot ulcers (DFU) are a major source of preventable morbidity in adults with diabetes. Consequences of foot ulcers include decline in functional status, infection, hospitalization, lower-extremity amputation, and death.

Introduction: Diabetic foot ulcers (DFUs) pose significant challenges to healthcare systems worldwide, with few effective treatment options recommended by international guidelines.  The role of wound dressings in treating infected DFUs remains unclear.  This clinical trial investigated a first-in

Introduction: Individuals with chronic wounds are highly susceptible to psychosocial stress, particularly loneliness which may negatively impact wound healing.

Introduction: Complex and chronic lower extremity wounds have numerous etiologies and can progress to require eventual amputation.

Introduction: Lower extremity wounds in the United States pose an economic and challenging aspect of post-acute care in populations that undergo Mohs surgical resections and have adverse outcomes that result in open, non-healing sites.  The added cost of these cases for the post-operative failure

Introduction:  NIRS (SnapshotNIR, Kent Imaging LLC, Calgary, Canada) is a non-invasive imaging device that can measure oxygenated and de-oxygenated levels of hemoglobin in the wound and periwound tissues to calculate and create an image of tissue oxygen saturation (STO2).

Introduction: To quantify race, gender, comorbidities, Medicaid status, and compare health outcomes for Medicare-only versus Medicare/Medicaid dual-enrolees who develop a hard-to-heal venous leg ulcer (VLU).Methods:Medicare Limited Data Standard Analytic Hospital Inpatient and Outpatient Departme

Introduction: Near infra-red spectroscopy (NIRS) has been used to evaluate tissue oxygen saturation and perfusion Pulsed Radio Frequency Energy (PRFE) is a noninvasive therapy promoted to decrease tissue inflammation and edema, while enhancing tissue perfusion.

Introduction: Hard-to-heal wounds present a significant healthcare challenge, due to their complex etiology, impact on health-related quality of life, and large economic burden.1 The global prevalence of hard-to-heal wounds has been estimated as 2.21 per 1000 population, and is predicted to incre

Introduction:  The Ankle Brachial Index (ABI) is a widely used diagnostic technique for peripheral artery disease (PAD), which involves measuring the ratio of blood pressure in the ankle to the blood pressure in the arm.

Introduction: Metformin is often used for diabetic patients. It, in general, is also classified as senomorphic.

Introduction: Pediatric bone sarcomas comprise a rare subset of pediatric cancers, with Osteosarcoma (OS) and Ewing sarcoma (ES) accounting for approximately 90%. Patients with metastatic, relapsed, or refractory tumors face poor prognoses.

Introduction: Chronic wounds are a significant healthcare challenge, particularly for the elderly and those with underlying conditions.

Introduction: With the increasing legality and availability of cannabis, it is important to understand the impacts of cannabis on all aspects of dermatologic care. There are several different methods available to ingest marijuana, including inhalation, edible, and topical formulations.

Introduction: Near-infrared spectroscopy (NIRS) with a provocative maneuver of leg elevation has shown promise in point of care detection of PAD in a wound care clinic. The provocative maneuver of leg elevation was added to avoid false positives in patients with CLI.

Introduction: Industry definition of complete wound closure is a wound that has achieved “re-epithelization without drainage or dressing requirements confirmed at two consecutive study visits separated by two weeks”.

Introduction: We examined safety and performance of a new portable NPWT system in the management of patients with traumatic wounds, flaps, grafts and sub-acute wounds.  These patient groups have potential for complications, e.g.

Introduction: Real-world data (RWD) were used to conduct a comparative effectiveness research study (CER) of a Bilayered Living Cellular Construct (BLCC)(a) versus a Fetal Bovine Collagen Matrix (FBCM; Primatrix; Integra, NJ)(b) for the treatment of diabetic foot ulcers (DFUs).Methods:Electronic

Introduction: Clinicians use alternating-pressure air mattresses (APAMs) to prevent pressure injury (PI) by cyclically offloading regions of pressure.

Introduction: Incisional negative pressure wound therapy (iNPWT) reduces the risk of surgical site infections and other wound complications.

Introduction: In healthy adults, nitric oxide (NO) is produced in sufficient amounts but is reduced in elderly, sick, or obese people, which delays wound healing.1,2 Nitric oxide is a highly diffusible, endogenous vasodilator, antimicrobial, and cell signaling molecule.

Introduction: Nearly 2.5% of the United States population is impacted by chronic wounds. These wounds can lead to many complications, including hospitalization, infection, and amputation if not timely diagnosed and properly treated.

Introduction: Surgical wounds pose significant challenges in postoperative care due to their potential for complications and delayed healing.

Introduction: Hard-to-heal wounds are a major challenge to healthcare systems globally1.       The aim of this real-world study was to evaluate the impact of the Wound Hygiene Protocol (WHP), a 4-step (cleanse, debride, refashion, and dress) wound management protocol on hard-to-heal diabetic foot

Introduction: Surgical wound complications impose a heavy burden on health systems.1 Surgical site infections (SSIs) are a leading cause of postoperative morbidity and mortality and are the result of the microbial burden that inhabits skin, mucous membranes, and cavities, and is capable of formin

Introduction: Pressure ulcers cause severe complications that significantly impact healthcare systems and patient quality of life, often leading to hospitalization and death.

Introduction: Diabetic foot ulcers are a severe complication in diabetic patients that significantly impact healthcare systems and patient quality of life, often leading to hospitalization and amputation.

Introduction: Pressure injuries, also known as pressure ulcers or bedsores, occur when prolonged pressure on the skin and underlying tissues reduces blood flow, leading to tissue damage and potential infection.

Introduction: Chronic limb-threatening ischemia (CLTI), an advanced stage of peripheral artery disease (PAD), includes a subset of ‘no-option’ patients for whom conventional surgical and endovascular techniques are not possible, often necessitating amputation.

Introduction: To learn about the experiences of people who seek treatment for hard-to-heal wounds, we distributed a nationwide pilot survey, asking questions about the nature of their wound, how it shapes their daily lives, pathways to receiving care, and experiences with treatment.

Introduction: Vaporous hyperoxia therapy (VHT) is a FDA-510(k) cleared technology  used adjunctively with standard wound care. VHT administers a low-frequency, noncontact, nonthermal ultrasonic mist with topical oxygen therapy.

Introduction: Treatment of chronic non-healing and/or recurrent venous leg ulcers (VLU) represents a significant healthcare problem.

Introduction: Pressure injuries are a common healthcare concern (Isfahani et al., 2024), particularly for patients with limited mobility. For critical care patients this prevalence is 14.3% in the US (Cox et al., 2022).

Introduction: Acute wounds require prompt and effective management to optimize healing outcomes and prevent complications.1 Dressings play a pivotal role in acute wound care by creating an optimal environment conducive to tissue repair.2 While a moist environment is key in wound healing,2 inappro

Introduction: Cellular and tissue-based products (CTPs) are applied to improve wound closure in non-healing wounds. Certain CTPs provide a biological scaffold to facilitate re-epithelialization, while others provide growth factors or cytokines to stimulate natural healing processes.

Introduction: Bacterial infections cause inflammation, tissue damage, and often significant pain for patients with chronic venous leg ulceration. No objective bedside methods exist for validating patient pain, making accurate assessment and management a challenge for wound care clinicians.

Introduction: Burn injuries globally impact millions yearly, causing morbidity, mortality, and tissue loss. Socioeconomic disparities and outdated therapeutic treatments stress the need for innovative and accessible medical approaches.

Introduction: To achieve proper wound healing, wound bed preparation in the early stages of a non-healing wound is vital. Debridement is a part of that wound bed preparation. However, within homecare settings for wound care the resources for debridement are limited.

Introduction: The BaseCAMPs registry aims to meet the urgent need for comprehensive data collection in post-acute care settings concerning the use and outcomes of Cellular, Acellular and Matrix-Like Products (CAMPs).

Introduction: It is estimated that 10 million people worldwide are affected by small fiber neuropathy which involves damage primarily to small unmyelinated C sensory fibers and myelinated alpha delta fibers.

Introduction: Massive localized lymphedema (MLL) is a serious disease that occurs in morbidly obese patients caused by recurrent obstruction in the lymphatic channels, leading to a large pedunculated lymphedematous mass.

Introduction: Many factors perpetuate the chronicity of non-healing wounds. Bacteria, impaired blood flow, and poor oxygenation play a significant role.

Introduction: Dissecting cellulitis of the scalp (DCS) is an inflammatory disease included in the follicular occlusion tetrad, including hidradenitis suppurativa (HS), acne conglobata, and pilonidal disease.

Introduction: Facial defects resulting from Mohs micrographic surgery can be large requiring large reconstructive repairs with a plastic surgeon. These repairs usually require sedation which can pose a greater risk for the patient.

Introduction: Surgical reconstruction of chronic wounds using soft tissue flaps is commonly performed to expedite healing and achieve wound closure.  Several factors have been described that result in a high incidence of failure including reduced tissue perfusion and oxygenation.  Oxygenation is

Introduction: Calcific Uremic Arteriolopathy (Calciphylaxis) usually occurs in patients with end stage renal disease and carries a high morbidity and mortality rate.  The disease is characterized by the calcification of capillaries and arterioles in the dermis and/or subcutaneous adipose tissue. 

Introduction: Tunneling or sinus tracts are complex wounds that often present a challenge to healthcare practitioners. These can extend deep into the subcutaneous tissues or muscle in which due to the size and depth, makes wound management challenging and complicated.

Introduction: Exudate leakage and microbial colonization is a key issue when utilizing compression wraps and total contact casts that are left in place for the full 7 days.Methods:A non-woven polyvinyl alcohol dressing system with silver crystals* in combination with a moisture vapor transport fo

Introduction: A 59 year old male was involved in a sky diving accident which resulted in an ankle fracture requiring an ORIF.  Surgical dehiscence occurred by week one post operative and resulted in a non-healing chronic wound.  After months of surgical management of the wound he was referred to

Introduction: Pyoderma gangrenosum (PG) is a cutaneous ulcerative condition associated with autoimmune disease, exhibiting pathergy in 30% of patients. Trauma exacerbates PG lesions, which may clinicians opt to avoid the essential benefits of debridement.

Introduction: Wounds in vascular patients often pose unique concerns when approaching options for treatment.  Whereas such wounds are inherently acute in nature, wound management in this unique patient population must consider the long-term effects of treatment that will affect the future functio

Introduction: Up to 50% of deep vein thrombosis (DVT) patients develop post-thrombotic syndrome (PTS), a form of chronic venous disease (CVD) that can present with venous leg ulcers (VLUs) and has a debilitating impact on quality-of-life1, 2.

Introduction: Augmented repairs of the Achilles tendon can lead to increased rate of wound complications and infection due to the more extensive approach.

Introduction: Necrotizing foot infections are severe, rapidly progressing conditions that often require aggressive surgical intervention and carry a high risk of morbidity. The incidence of necrotizing fasciitis in diabetics is as high as 40%-60%, with initial mortality rate of 15%-35%.

Introduction: Charcot neuroarthropathy (CN) foot reconstruction is a complex surgical procedure with complication rates as high as 36% overall, with high rates of infection. Appropriate tissue handling is critical to enhance healing and reduce complications.

Introduction: It is well documented that diabetic foot ulcers are a complication that impacts healthcare systems and patient quality of life. Even more problematic are patients with significant co-morbidities and a history of complications. Traditional Standard of

Introduction: A previously healthy 65-yr-old presented with ~3-yr-old posterior lower leg wound sustained while gardening. Debridement at 17 months led to enlargement and increased pain, as did subsequent debridement. Pyoderma gangrenosum (PG) was diagnosed post-biopsy at 29 months.

Introduction: The most common chronic wounds involve venous, arterial, diabetic, and pressure injury etiologies. At times, atypical wounds can present for treatment. With these presentations, it may require a provider to consider different approaches to deal with these problems.

Introduction: Split thickness skin graft sites have documented healing times of two to three weeks and often have increased pain.

Introduction: Patients with peripheral vascular disease usually present with wounds which are difficult to heal per the literature.

Introduction: The Achilles tendon region is noted to be a historically complex area to heal wounds due to its known poor vascular supply. Multiple different theories have been proposed of the exact angiosome supply to this region, most famously by Taylor and Attinger.

Introduction: Combat injuries inflict substantial pain and debilitation, often prolonging return to duty.  Ukrainian health facilities are overwhelmed with a staggering influx of seriously wounded soldiers on a daily basis.

Introduction: A dreaded complication of implanting surgical hardware with a wound dehiscence with exposed hardware. Literature regarding biofilms illustrates the difficult of successfully treating biofilm. Biofilm is difficult to eradicate and reforms quite rapidly after surgical debridement.

Introduction: Spider bites are a reality of living in the Midwest. It is important to differentiate between those with bites, and other disease processes.

Introduction: Platelet-rich plasma (PRP) is an autologous blood-derived product that contains platelet concentrations, cytokines, and platelet-related growth factors. Since the 1980s, the use of PRP to promote healing has gained attention in a multitude of medical fields, including orthopedics, c

Introduction: Open heart surgery is becoming more prevalent with the aging population. As technology improves with significant medical advancements, the contraindications for open heart surgery continue to decrease.

Introduction: Platelet-rich plasma (PRP) is an autologous blood-derived product that contains platelet concentrations, cytokines, and platelet-related growth factors. Since the 1980s, the use of PRP to promote healing has gained attention in a multitude of medical fields, including orthopedics, c

Introduction: Under normal conditions, valves within the venous system direct blood from the superficial into the deep system, which return the blood back towards the heart.

Introduction: Complex lower extremity wounds are often plagued by a combination of soft tissue damage and poor patient protoplasm. Successful limb salvage requires a multimodal approach with the involvement of evidence-based therapies that can facilitate soft tissue repair.

Introduction: At SAWC Spring 2024, the authors reported the results of a retrospective case series in which topical oxygen therapy (cTOT) was used to optimize the wound environment prior to application of cellular, acellular, and matrix-like products (CAMPs).

Introduction: Introduction 

Introduction: Desloughing and cleansing of wounds is a critical step on the pathway to healing of chronic wounds.  While systemic factors can be variable and not controllable, it behooves the wound care clinician to exert as much local control as possible for the wound.

Introduction: Non-healing wounds can represent a significant clinical challenge. Autografting with freshly harvested minced full-thickness skin grafts can enhance healing but can also present technical challenges.

Introduction: Non-healing wounds represent a clinical challenge.

Introduction: Patients with advanced stage hidradenitis suppurativa often experience high morbidity and multifocal disease which presents a significant challenge to their quality of life. There is a need for better solutions for these patients.

Introduction: To evaluate the efficacy of a novel tissue reinforcement using fish skin graft (FSG) to improve the healing of transtibial amputations, decrease the rate of amputation revision, decrease the time to prosthetic fitting, and improve limb durability.Methods: A retrospective review was

 Introduction: Pyoderma Gangrenosum is an uncommon inflammatory condition, and is especially rare as a delayed presentation in the breast region.  It is often triggered by dermal injury such as surgical intervention or trauma, marked by very painful, rapidly advancing ulcers with erythematous vio

Introduction: Wound debridement is a standard of care for wound therapy, however may not be well tolerated by sensate patients.

Introduction: Polylactic acid polymers have been utilized as dermal matrices in wound healing as they can form porous membranes that are non-immunogenic, bioactive, and biodegradable, helping facilitate repair, collagen deposition, angiogenesis, and cellular signaling.

Introduction: Placental-derived tissue products have been widely utilized in wound healing and regeneration as their extracellular matrix (ECM) composition facilitates cell migration, proliferation, angiogenesis, and remodeling.

Introduction: Healing wounds with exposed structures and poorly vascularized, or necrotic tissue is an immense challenge.

Introduction: Almost 80% of VLUs heal by one year using conservative management, however, 6-month recurrence is as high as 50-70% when the underlying etiology is not also addressed.[1][2] In VLUs that fail to heal or that recur, cellular, acellular, and matrix-like products (CAMPs) are highly eff

Introduction: The treatment of hard-to-heal wounds remains a significant clinical challenge. Real-world evidence is essential to understand the effectiveness of products among typical patients and wounds.

Introduction: Chronic venous leg ulcers (VLUs) can be challenging to heal and are often fraught with higher rates of cellulitis and subsequent hospitalizations (1).

Introduction: Tissue scaffolds are a wound care option to complement other existing techniques.

Introduction: Third degree burns represent a significant risk for infection and morbidity for affected patients. Hence, treatment is focused on preventing deep infection, limiting fluid loss, ameliorating pain, as well as promoting prompt tissue regeneration.

Introduction: Chronic Pressure Ulcers, despite standard care, often are stalled in their healing due to unaddressed chronic biofilm. Resistant to antimicrobial agents, bacterial biofilms engender a chronic inflammatory response within the wound.

Introduction: While reticulated open cell foam (ROCF) is a well-established dressing for negative pressure wound therapy (NPWT), granulation tissue ingrowth can occur if the dressing is left in place longer than 72 hours, potentially causing wound bed disruption, bleeding, and pain upon dressing

Introduction: Over the past few years, the opioid crisis has seen a new and dangerous additive in the fentanyl community; the veterinary sedative, xylazine, also known as tranq.

Introduction: Necrotizing soft tissue infection (NSTI) targets the skin, subcutaneous tissue, or muscle and can rapidly spread to adjacent tissue planes due to poor blood supply.1 NSTIs are classified into three different bacteriologic classes.

IIntroduction: n 2020, the burden of chronic wounds impacted the quality of life of approximately 2.5% of the United States population and continues to climb(1).

Introduction: Several veterans deal with lasting effects of their military service long after discharge, and “their wounds from war are daily facts of life.”1 That was the story of the veteran described here, who dealt with a foot wound from a combat injury for 53 years before enrolling in an ong

Introduction: Once a wound develops, patients often present to community-based health care providers for wound management. However, these providers may not be specialized in wound care.

Introduction: Degloving injuries are traumatic events in which the skin and tissue are torn away from underlying structures.

Introduction: Neglected Lisfranc injuries in diabetic patients with a history of smoking pose significant challenges in surgical management, often resulting in complications such as surgical dehiscence.

Introduction: Diabetic foot ulcers to the plantar forefoot can be challenging to heal and often require surgical intervention. This case study aims to evaluate the use of acellular fragmented fish skin graft as an interpositional graft in first metatarsal joint arthroplastyMethods:

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Introduction: Treatment of complex pressure wounds especially those with tunnelling and undermining can be challenging. In many cases, operative debridement and complex closure with a flap is required to achieve a durable closure.

Introduction: The purpose of this study is to demonstrate the complexities of wound healing efforts with patients who have a history of chronic pedal unilateral ulcerations caused by osteomyelitis localized to the foot secondary to diabetes mellitus with lymphedema, and concomitant acute chemothe

Introduction: Chronic wounds often fail to heal due to various factors, including poor tissue oxygenation. Improving tissue oxygenation has been a central tenet of promoting wound healing since the early 1900’s.

Introduction: Diabetic patients pose complex extrinsic and intrinsic challenges that require a multifactorial approach to wound healing using more advanced technologies including human placental membrane tissues.

Introduction: Negative pressure wound therapy (NPWT) typically requires dressing changes every 2 to 3 days. A novel dressing has been developed that incorporates a fenestrated, non-adherent layer and negative pressure drape into the dressing design allowing for up to seven days of wear.

Introduction: The problem that was addressed by our wound clinic was that we had hard to heal chronic wounds that had been present often times for greater than 6 months in patients with diabetes.

Introduction: A 78 year-old male patient presented with dry pre-gangrenous toes wounds bilaterally that would not heal over the past 6 months, in spite of oral anticoagulant, orthotics and topical treatments.  The patient is a chronic smoker with a history of hypertension and had 2 major surgerie

Introduction:

Introduction: Necrotizing fasciitis is a life-threatening condition with rapid progression that is known to potentiate risk for limb amputation.

Introduction: Plantar hallux ulcerations are known to be a difficult ulceration to heal due to weightbearing requirements and foot biomechanics.  They often will go on to nonhealing despite offloading.  The purpose of the case series was to evaluate a novel way to heal plantar hallux ulcerations

Introduction: Arterial insufficiency has been discussed as a relative contraindication by some physicians for applying skin substitutes in diabetic patients.  The purpose of this abstract is to evaluate the validity of using fish skin grafting (FSG) in diabetic wounds with known PAD and elevated

Introduction: In the United States (US), approximately 37.3 million people have diabetes. Complications may include development of ulcers that can be life threatening if not diagnosed timely, promptly treated, and managed properly.

Introduction: Wound healing complications in patients that underwent an Achilles tendon surgery is associated with postoperative morbidity. These complications following Achilles tendon surgery are due to the fragility and limited vascularization of the skin.

Introduction: Surgical wound dehiscence is a separation of wound edges due to a failure of proper healing that typically starts at 5 to 8 days following surgery.

Introduction:  Recalcitrant foot ulcers are increasing in prevalence and often exhaust conventional conservative measures. The risk of a diabetic with a foot ulceration to proceed to an amputation is between 14% and 24%. Mortality after diabetes-related amputation exceeds 70% at 5 years.

Introduction: Venous leg ulcers (VLU), account for 70% of all leg ulcers, occurring in 1-2% of the general population and in 4% of people 65 years of age and older.1.

Introduction: Chronic wounds in the home care setting can be resource-intensive and the complexity of the wound is often compounded by the presence of multiple comorbidities.1 External factors like decreases in Medicare reimbursement and lack of wound care experts in the home care setting often m

Introduction: The BIOMES framework (Blood Flow, Infection Control, Off-Loading, control of Metabolic/co-morbidities, management of Exudate/moisture/bioburden, and understanding of the patient’s Social/economic barriers) helps identify early signs of chronicity in wounds.

Introduction: Trauma to the extremities represents one of the most common injury forms leading to large, full thickness soft tissue loss. Achieving closure after extensive debridement of necrotic tissue can be challenging, especially in patients with multiple co-morbidities.

Introduction: 57-year-old Caucasian male with a past medical history of RCA STEMI and reduced EF%, admitted to the hospital with diagnosed necrotizing fasciitis infection involving his perineum, scrotum, pubis, and right flank.

Introduction: Lower extremity wounds often pose unique treatment challenges to both clinicians and patients.

Introduction: The application of negative pressure wound therapy to support healing of lower extremity wounds is well-documented.1 A recently available multilayer peel and place dressing (MPPD) incorporates a perforated non-adherent layer, reticulated open cell foam dressing, and a hybrid acrylic

Introduction: Negative pressure wound therapy (NPWT) has been well documented in the management of a variety of wound types. Traditionally, negative pressure is delivered via foam dressings directly to the wound bed.

Introduction: Current solutions for managing recalcitrant foot wounds using advanced skin substitutes present several disadvantages including risks of rejection, disease transmission, and cultural prohibitions from mammalian-sourced materials.

 Introduction: Fish skin graft (FSG) is a xenograft derived from Atlantic cod that augments wound healing1. This case evaluates FSG* in a patient with non healing diabetic foot ulcer (DFU) which had not responded to conservative wound care.

 Introduction: Fish skin graft (FSG) is a xenograft derived from Atlantic cod that augments wound healing1. This case evaluates FSG* in a patient with non healing diabetic foot ulcers (DFU) which had not responded to conservative wound care.

Introduction: Fish skin graft (FSG) is a xenograft derived from Atlantic cod that augments wound healing1. This case evaluates FSG* in a patient with nonhealing diabetic foot ulcers (DFU) which had not responded to conservative wound care.

Introduction:  Fish skin graft (FSG) is a xenograft derived from Atlantic cod that augments wound healing1. This case evaluates FSG* in a patient with non healing diabetic foot ulcer (DFU) which had not responded to conservative wound care.

Introduction: Calciphylaxis, or calcific uremic arteriolopathy, presents a significant treatment challenge due toits severe pain, chronic wounds, and high mortality.

Introduction: Due to the inflexibility of scalp skin, Mohs Micrographic Surgical resection of skin cancers of the scalp can create difficult wounds due to exposure of the bone of the calvarium. Large wounds in scalp skin can limit the feasibility of flap reconstruction.

Introduction: Wound healing can be a challenging and complex problem for some patients.  In persistent non-healing wounds, the healing process is often confounded by colonizing bacteria and subsequent biofilm formation.

Introduction: Although a primary closure of wound via a rotational skin flap is ideal in terms of conserving time and getting an individual back to their daily life earlier, it comes with the downside of increased morbidity.

Introduction: Heel wounds secondary to osteomyelitis present a unique challenge to a surgeon.

Introduction: Negligence in extended care facilities is a critical issue that can lead to severe harm or even death for residents. Studies have shown that these lapses lead to increased rates of infections, falls, and medication errors among residents amongst many other complications (1).

Introduction: Healing tunneling wounds is particularly challenging due to their complex structure and the difficulty in accessing the entire wound area for treatment.

Introduction: Venous stasis leg ulcers (VLU) affect 1-2% of the general population and approximately 4 percent of patients more than 65 years old.1 After healing, VLUs have a recurrence rate of 22% within 3 months, 57% within 12 months, and 78% within 3 years.1 Wound care is a medical necessity i

Introduction: Bone and tendons have poorer blood supply compared to skin and muscle tissues (1). This hinders the delivery of oxygen and nutrients crucial for healing, making the exposed tissues more susceptible to infection and tissue death (2).

Introduction: Despite medical advancements, the incidence of lower extremity amputations in the US has not improved.1 Amputation is associated with increased mortality and should be avoided, if possible, by employing technology to facilitate wound healing and limb salvage, such as autologous skin

Introduction: Hidradenitis Suppurativa is an inflammatory condition of pilosebaceous units characterized by recurrent, painful nodules, purulent abscesses, and chronic sinus tracts.

Introduction: A borate-based bioactive glass matrix (BBBGM)* has demonstrated promise in healing hard-to-heal wounds,1–3 potentially reducing treatment costs. We compare dressing treatment costs prior to BBBGM vs.

Introduction: Critical limb ischemia (CLI) is a severe form of peripheral artery disease (PAD) characterized by significantly reduced blood flow to the extremities, usually the legs.

Introduction: Peripheral arterial disease (PAD) affects over 200 million people globally, including 8.5 million in the United States, with annual US management costs reaching $22 billion.

Introduction: Podiatric wound management may be complicated by patient comorbidities and irregular wound geometries e.g. tunneling or undermining. In complex podiatric wound presentations, skin substitutes are utilized to support the SOC toward wound closure and limb salvage.

Introduction: The fat pad on the bottom of the foot serves as a shock absorber, protecting underlying tissue during weight-bearing activities. Atrophy or displacement of this fat pad increases plantar pressure on the bones, leading to pain, disability, and possible ulcerations.

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Introduction: Venous leg ulcers (VLUs) affect 1-3% of the US population, with healthcare costs estimated at $32 billion annually1.  VLUs are characterized by delayed healing and high recurrence rates, with only 60% closing by 12 weeks and 75% reappearing within 3 weeks 2.

Introduction: Calciphylaxis, also known as calcific uremic arteriolopathy, is a rare disease most often found in patients with end-stage renal disease. Cutaneous arteriolar calcification and subsequent tissue ischemia and infarction cause painful skin lesions and necrotic wounds.

Introduction: Traumatic injury is one of the major risks associated with working in the United States Military Special Operations Division. Gunshot wounds, improvised explosive devices, and blunt force trauma are just a few of the methods of injury.

Introduction: The American Board of Plastic Surgery (ABPS) is the legitimate certifying board for plastic surgeons for legitimate plastic surgery training. This training includes the full spectrum of cosmetic surgery.

Introduction: Mohs surgery is a tissue-sparing dermatologic surgery utilized to treat skin cancers. Reconstruction of soft tissue defects following Mohs surgery can be challenging on the lower extremities due to limited adjacent tissue laxity and higher rates of post-operative infections[1].

Introduction: Pressure ulcers are a significant healthcare challenge, particularly for individuals with limited mobility or impaired circulation.

Introduction: Like humans, animals often develop wounds from falls, trauma, and surgery that require wound care.

Introduction: Anal fistula is an infected tunnel between the skin and anus, the muscular opening end of digestive tract. Most anal fistulas are result of infection in anal gland spreading to skin. Symptoms: pain, swelling, discharge of blood/pus from anus.  Surgery usually needed.

Introduction: Pilonidal cysts (PCs), cysts that develop in the sacrococcygeal region, are common and frequently impact healthy young males.

Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory disease that manifests with abscesses and sinuses formations. The management of HS is multidisciplinary including surgical resection and skin reconstruction in advanced and chronic stages.

Introduction: A lymphocele is an atypical collection of lymphatic fluid that develops into anatomic compartments.  Due to the location and size of these lymphoceles, surgical intervention is indicated in such cases to provide symptoms relief of pain and debilitation.

Suppurative myositis a rare type of autoimmune disease that inflames and weakens muscle fibers.  In myositis, the immune system attacks healthy muscle tissue, which results in inflammation, swelling, pain, and  weakness. An acute inflammation characterized by neutrophil-rich infiltrates.

Introduction: Seromas are reported in nearly all cases of hernia repair after radiologic imaging. Clinically symptomatic seromas are reported in up to 12.5% of patients following incisional hernia repairs.

Introduction: Venous Leg Ulcers (VLUs) are difficult to treat due to the challenge of edema and the result of chronic venous insufficiency (CVI) and lymphedema. Patients report a decreased quality of life due to pain, exudate management, and odor control issues.

Introduction: Rising populations in rural and remote areas face significant challenges in accessing healthcare, particularly for chronic and slow-healing wounds.

Introduction: Wounds in patients with significant venous insufficiency and chronic stasis dermatitis may present complex challenges, often exacerbated by persistent bio burden.

Introduction: Patients with lymphedema are at increased risk for the development of wounds due to the increased diffusion difference between their skin and circulatory system.

Introduction: In the United States, chronic wounds affect more than 6.5 million people annually, costing more than $25 billion, with a mean cost of $23,755 among neurosurgery patients.

Introduction: 62 year old female who presented to the emergency department with a left leg ulceration measuring 3.0 x 2.8 x 0.6 cm which had been present for 2.5 months.

Introduction: Lower extremity limb salvage is a cornerstone of podiatry, which is often fraught with complications due to the complexity of the diabetic foot and often with vascular compromise.  Foot and ankle surgeons perform reconstructive flaps as part of their armamentarium to treat soft tiss

Introduction: Chronic wounds typically arise secondarily to comorbidities such as diabetes mellitus and cardiovascular conditions.  Although many treatment modalities exist for persistent wounds, product efficacy data is often from limited study designs.  Here, we investigated how a bioactive gla

Introduction: A case report was compiled for a 66 y.o. male with past medical history of factor V Leyden mutation, essential hypertension, chronic lymphedema, obesity, DVT of the lower extremity, diabetic ulcer of the left midfoot, severe calcific aortic valve stenosis, diabetes mellitus type 2,

Introduction: A case report was compiled for a complicated patient who had multiple co-morbidities, significant varus deformity, complex wound and at high risk for amputation of the affected limb.

Introduction: This is a case of using Fish Skin Graft (FSG) on a large open wound complicated by olecranon bursitis.  The patient is a right handed 87 yr old male avid fisherman with history of facial/esophageal metastatic squamous cell cancer (SCC).  

Introduction: This is a 66 yr old female who is a noncompliant diabetic and smoker with PAOD, PVD, HTN, and history of MI x 2 with PTCA and stent placements.  This patient presented to the ER in October with cellulitis of her right foot due to a gangrenous right great toe.  She had an open wound

Introduction: Squamous cell carcinoma (SCC) is the second most prevalent malignant skin cancer.  The head and neck is the most common location and generally older patients are affected. In wounds with exposed bone, there are limited reconstructive options.

Introduction: Fluorescence guided wound care allows clinicians to visualize bacteria of the wound in real-time, is effective across skin tones, and in wounds where subjective clinical signs and symptoms of infection are undetected despite high bacterial loads.

Introduction: Cutaneous metastasis from internal malignancies is rare, and its presentation as wounds is even less common. This study presents four cases of patients initially presenting with wounds, later diagnosed as cutaneous metastases from various carcinomas.

Introduction: Pilonidal cysts and the resultant post-surgical wounds often present unique treatment challenges for both clinicians and patients.

Introduction: 68 year old male who presented on January 18, 2024 with shortness of breath. He has a positive history of tobacco and substance abuse. The patient has been intermittently homeless.

Introduction: Health equity is the state in which everyone has a fair and just opportunity to attain their highest level of health.1

Introduction: The use of pure hypochlorous (pHA) acid based cleansers to cleanse wounds is well documented, and evidence based.

Introduction: Two well understood and documented components of wound bed preparation (WBP) include removal of devitalized tissue and management of surface bioburden.

Introduction:  Vibrio Vulnificus is an opportunistic gram-negative bacterial pathogen that is found in  warm low-salinity waters. V. vulnificus wounds are increasing in prevalence due to the rise in temperatures of the sea water. (3) 

Introduction:

Introduction: Diabetic foot ulcers (DFUs) represent a significant human and economic burden to the healthcare system. Bacterial infections amplify the cost-to-treat, and thus proactive infection management lessens this burden.

Introduction: Enhancing Wound Bed Preparation (WBP), (Schultz) (Sibbald) guides evidence based bedside leg ulcer management advancements: textile compression, Aristotle 365 BCE, moist wound care, aggressive debridement, and recently Negative Pressure Wound Therapy.

Introduction: Below knee amputations are a major cause for morbidity and mortality in the diabetic population. The five-year mortality rate after a below knee amputation is 40-82% with a 30-day mortality rate of 17%.

Introduction: We’ve reported dramatic outcomes using an inexpensive warp knitted compression stockinet* to control edema since 2009 (Sibbald) (Ehmann 2020).

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Introduction: Pilondial disease complicated by chronic inflammatory, fibrotic, and tunneled features represent a difficult clinical challenge.  These wounds are often refractory to both medical and surgical management and have underlying heavy microbial colonization.  Plastic surgical reconstruct

Introduction: Friction burns (FB), commonly called road rash, are superficial injuries frequently associated with sports activities and road accidents. FB are caused when the skin rubs into another surface and the friction produces a painful abrasion.

Introduction: Chronic pressure injuries are known to place patients at high risk for poor health outcomes, including death and disability.1 For example, expedited wound closure is imperative because secondary infections are a concern and deleteriously impact the patients' acute and long-term

Introduction: Pressure injuries (PIs) present a significant challenge for both patients and healthcare providers, leading to pain and discomfort, complications, increased healthcare costs, and the potential for litigation against sites of service.

Introduction: A 71- year-old male presented to the wound care center for non-healing surgical wound of his right lower leg and foot for greater than one year.

Introduction: Chronic foot ulcers are a severe complication for patients with diabetes, significantly impacting quality of life, increasing financial burden, and leading to non-traumatic amputations in the United States.

Introduction: Statistics are over whelming as are our clinical experiences in regard to hospital acquired tissue injuries- the very fact that they are so frequent in the year 2024 is difficult to understand.

Introduction: Second-degree burns, are a type of burn that destroys your epidermis and dermis layers of you skin. This type of burn is serious and requires medical treatment.

Introduction: Radiation recall dermatitis (RRD) is a rare inflammatory skin reaction at previously irradiatedsites, often triggered by chemotherapy drugs.

Introduction: Chronic venous insufficiency (CVI) is prevalent among the elderly population, with a documented prevalence rate of 1.69%.1 This condition can result in serious complications, including venous leg ulcers (VLU).2 VLU affects around 2.2 million Americans annually.3 VLU episodes can per

Introduction: surgery is a tissue-sparing dermatologic surgery utilized for the treatment of nonmelanomaskin cancers.

Introduction: A Topical Desiccating Agent (TDA) based on methanesulfonic acid (MSA) and dimethyl sulfoxide (DMSO) has proven to be an effective biofilm- and necrosis-removing chemical debridement option.

Introduction: Soft silicone multilayer foam dressings (SSMFD) are indicated for the treatment of acute and chronic wounds including pressure ulcers, leg ulcers, diabetic foot ulcers, surgical wounds, first and second degree burns, donor sites, skin tears, and fungating ulcers.

Introduction: Hard-to-heal wounds often exhibit reduced tissue oxygen levels (Jain et al., 2006). Hyperbaric Oxygen Therapy (HBOT) has demonstrated the ability to enhance oxygen supply to such wounds, promoting healing.

Introduction: Native Americans have a significantly higher rate of health disparities than other populations in America.

Introduction: In a PT-driven wound clinic without physician oversight, it is important to clinically recognize chronic osteomyelitis in a diabetic foot wound to expedite early and appropriate treatment.

Introduction:Pressure injury prevention (PI/PIP) protocols trigger use of a range of interventions and products based upon individual PI risk1 . Hospitals commonly develop multidisciplinary groups called

Introduction: Topical Oxygen Therapy (TOT) has been used clinically for over 50 years with many case series and open label cohort studies supporting its role in wound care.

Introduction: In recent years, xylazine, an alpha-adrenergic agonist, has increasingly contaminated the opioid supply in many areas of the United States.2 Used to extend the subjective effects of opioids, xylazine is implicated in difficult-to-manage drug overdoses, use disorders, and, in particu

Introduction: While there is an abundance of literature that is descriptive of pressure injury risk in the adult patient population, there is much less data on pressure injuries in children.

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Introduction: The goal of the project was to reduce hospital acquired pressure injuries that fall under the PSI-3 criteria set by the Agency for Healthcare Research and Quality in a 500 bed, level 2 trauma, tertiary care hospital.

Introduction: Wound Care Plus, LLC (WCP) is a mobile wound care advanced practice provider dedicated to advancing wound care for underserved patients across various care settings. Our commitment extends to overcoming challenges related to diagnostic access.

Introduction: With an increase in patients requiring wound care, development of new wound care options has also intensified.

Introduction: Early identification and prevention of Pressure Injuries (PIs) pose significant challenges in hospital settings.

Introduction: Post-operative surgical site complications (SSCs) represent a significant burden to healthcare systems globally and pose many challenges for patients undergoing Cardiovascular procedure1-3.

Introduction: Total joint arthroplasty (TJA) can be associated with surgical site complications (SSCs), such as the development of surgical site infections (SSIs) and prolonged postoperative drainage, resulting in significantly increased length of stay (LOS) and healthcare costs1,2,3.

Introduction: Background: Professional wound and ostomy care is necessary in to enhance outcomes and quality of life for patients who require it. Newly certified registered nurses (RNs) often have little hands-on experience with the important skills required for wound and ostomy care.

Introduction: Chronic wounds are becoming an increasing economic and societal burden, growing with our aging population and the prevalence of diabetes mellitus, obesity, and peripheral vascular disease.  Several recent studies show that a multidisciplinary team in a wound center can better addres

Introduction: The purpose of this study was to examine the cost-effectiveness of placental allografts as a nonoperative surrogate to autologous tissue-based methods of defect reconstruction on the face, head, and dorsal hand following Mohs micrographic surgery (MMS).Methods:This study was a 5-yea

Introduction: Tissue breakdown risk can be mitigated through suitable cushioning materials to disperse surface and internal tissue stresses.

Introduction: Non-healing wounds affect 10.5 million U.S. Medicare beneficiaries (Sen, 2023).

Introduction: Inflammation is a complex physiological process that serves as a protective response to infection, tissue injury, or stress.

Introduction: Limb salvage is critical in the care of patients suffering from chronic limb threatening ischemia (CLTI). Nevertheless, a substantial proportion of patients, particularly those considered ‘no-option’, eventually undergo major lower extremity amputation (LEA).

Introduction: Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both, often leading to complications such as diabetic foot ulcers (DFUs).

Introduction:

Introduction: Annually, 10.5 million Americans suffer from chronic wounds, with associated costs projected to exceed 30 billion USD by 2030.

Introduction: Pressure injuries impose a significant financial burden on healthcare facilities while also compromising patient well-being (Padula et al., 2019). These injuries often lead to extended hospital stays and increased utilization of healthcare services.

Introduction: Diabetic patients are prone to developing chronic wounds due to numerous underlying causes, some of those including being vulnerable to infections, dysregulated growth factor levels, and altered MMP expression.

Introduction: Effective wound management is essential for promoting healing, preventing complications, and improving patient outcomes.

Introduction: Moisture balance of the wound bed is important in wound healing.1  An ex vivo porcine wound model was used to assess the impact of oxygen flow during application of continuous Topical Oxygen Therapy (cTOT) on the moisture levels at the wound bed.Methods:Simulated wounds were created

Introduction: Moisture balance of the wound bed is important in wound healing.1  To maintain this balance it is important that excess exudate is absorbed away from the wound unimpeded into an appropriate absorptive dressing.

Introduction: A compromised epidermal barrier underlies incontinence-associated dermatitis (IAD).

Introduction:

Introduction: Wound re-epithelialization is marked by the formation of a new epithelial layer that re-establishes the barrier between a wound and the environment allowing for successful wound closure.

Introduction: Chronic wounds have a significant impact on a substantial number of Americans today. The etiology of these wounds is often multifactorial, not fully understood, and further complicates the healing process.

Introduction: Biofilms represent a significant impediment to wound repair and are nearly ubiquitous in all chronic wounds.

Introduction: While Silver is widely regarded as an effective antimicrobial agent it can be cytotoxic to fibroblast and keratinocytes, and the reported antibacterial effects of silver are based on in-vitro studies rather than the more complex in-vivo environment.

Introduction: It is well known that pH controlled, mildly acidic pure Hypochlorous Acid (pHA) based cleansers produce visibly clean wounds, that also can be shown to have lower bioburden as measured by punch biopsies.

Introduction: Various processing techniques are utilized to manufacture placental allografts, including cryopreservation, dehydration, lyophilization, and hypothermic storage. Processing is known to impact native tissue composition and characteristics, compared to native tissues.

Introduction: The clinical use of pure hypochlorous acid(pHA/HOCl)-based wound cleansers has gained widespread adoption for a number of reasons, such as their mildly acidic nature, they exhibit rapid and broad-spectrum antimicrobial(AM) properties, and their clinically proven ability to lower the

Introduction: Decellularized extracellular matrix (ECM) medical devices can facilitate healing of hard-to-heal wounds by acting as a scaffold.

Introduction:

Introduction: Aplicor 3D is a novel FDA-cleared 3D printer that uses autologous human adipose to create patient-specific wound coverings.

Introduction: Hard-to-heal wounds pose a significant clinical challenge, resulting in poor patient quality of life and substantial economic burden.

Introduction: The immune system is central to progressing an injury through the wound healing cascade.

Introduction: The interplay between fibroblasts and extracellular matrix (ECM) proteins is an important factor in the normal wound healing cascade.

Introduction: Placenta-based scaffolds are known for their regenerative potential in various clinical applications, often requiring terminal sterilization to ensure safety. The choice of sterilization method can impact the biological activity and clinical performance of these products.

Introduction: Collagen-based wound matrices are widely used for treating acute and chronic wounds due to their role in wound management. The addition of an antimicrobial to these matrices can also prevent bacterial contamination of the material and act as an antimicrobial barrier to wounds.

Introduction: Chronic wound healing remains a persistent medical challenge, prompting the exploration of innovative approaches for making advanced wound dressings.  One such technique is 3D bioprinting, which is happening in the US with the Aplicor 3D system that uses autologous adipose tissue to

Introduction: The presence of microorganisms, development of biofilm, and local infection play a significant role in the pathogenesis of hard-to-heal wounds.

Introduction: Povidone polymer stabilizes and improves the use of iodine to reduce wound infections, but iodine is a weak oxidizer and not biocompatible.  A halohydantoin-based polymer exists that stabilizes chlorine, and the efficacy for wound infection control of this stronger oxidizing agent w

Introduction: Amniotic membrane is a promising biomaterial for regenerative medicine, with numerous placental membrane products available on the market for various applications.  A standardized method for Tensile testing using an Instron 5544 has been established (1).

Introduction: Biofilms are a common problem in chronic wounds. A thermo-reversible antimicrobial hydrogel (TRH) containing polyhexanide (PHMB) has previously been shown to be effective against of biofilms when tested using in vitro models.

Introduction: Decellularized extracellular matrix (ECM) medical devices can facilitate healing of hard-to-heal wounds by acting as a scaffold.

Introduction: Diabetic ulcers are a significant complication of diabetes mellitus, commonly attributed to peripheral neuropathy and associated vascular insufficiencies.

Introduction: Colonization of pathogens in wounds significantly inhibits wound healing and is a major factor in the failure of wounds treated with skin grafts and skin substitutes.  Synthetic materials such as bioactive glass are known to have antimicrobial effects and are becoming commercially r

Introduction: It has been researched and well documented that placental tissue has a plethora of growth factors present. Many of these factors are beneficial when it comes to wound treatment as they facilitate an optimal wound environment upon placement of the graft.

Introduction: It is commonly accepted that bacteria found within hard-to-heal wounds exist as surface-associated or aggregated communities, often comprising multiple species.1,2 This polymicrobial nature increases virulence and tolerance to antimicrobial agents.3,4 We evaluated antimicrobial dres

Introduction: In vitro assessment of silver-containing gelling fiber dressings against wound surface-associated antibiotic-resistant pathogensMethods:Four silver-containing dressings were evaluated: carboxymethylcellulose (CMC) dressing containing ionic silver, ethylenediaminetetraacetic acid (ED

Introduction: Non-healing wounds affect over 10.5 million US patients, with healthcare costs estimated at $28-$97 billion1. Multidrug-resistant organisms (MDROs) significantly complicate acute and chronic wounds2.

Introduction: A revolutionary advance in personalized wound care uses a patient's own adipose tissue as the foundation for creating custom-designed wound tissue grafts with the Aplicor 3D printing system.

Introduction: Negative pressure wound therapy (NPWT)* with reticulated open cell foam (ROCF)^ has evolved the practice of wound care. To date, ROCF has not been utilized as an extended wear dressing due to the potential for tissue ingrowth that may occur if left in place for >72 hours.

Introduction: Patients with Pyoderma gangrenosum (PG) can feel like they are walking through a dark tunnel. They need our help to reach the light and close the PG wounds. PG is a painful, inflammatory, ulcerative skin disorder affecting 5.8 people per 100,000 adults.

Introduction: Wound healing progression consists of specific cellular processes that may not be visible until clinical symptoms are observed.  A visual assessment may not provide early awareness of wound deterioration, thus delaying specific interventions and progression toward closure.

Introduction: Hidradenitis suppurativa (HS), a chronic, debilitating, and relapsing inflammatory disease of skin, is extremely challenging to manage. Specialized providers are few, and scattered, PCPs do not routinely treat HS, and a comprehensive treatment model is rare.

Introduction: Diabetes mellitus is a chronic disease that continues to increase in prevalence globally. Diabetics can develop foot-related issues including infections, ulcerations, and gangrene, which can result in amputation or death.

Introduction: Chronic wounds affect millions of US people and burden patients and healthcare systems.

Introduction: Near Infrared Spectroscopy* (NIRS) is a non-invasive imaging device that measures oxygenated and deoxygenated hemoglobin in the wound and periwound tissues to assess the tissue oxygenation saturation percentage two to three millimeters below the epidermal surface.  Tissue evaluation

Introduction: Traditional chart review in wound care research is increasingly challenged by a growing volume of patient data and extensive variables impacting wound outcomes.

Introduction: Fifty percent of acute care support surfaces are compromised within 3.8 years with an increase in failure odds of 67.6% with each additional year of age.1 Compromised surfaces have a 5.83 times greater risk for cross-contamination than that of controls.

Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition marked by the formation of painful, purulent lesions in intertriginous regions, which can lead to the development of sinus tracts and fibrotic scarring. Diagnosis of HS relies primarily on clinical evaluation.

Introduction: Negative pressure wound therapy (NPWT) using a polyurethane, reticulated open-cell foam (ROCF) dressing has been employed for managing diverse wound types. While NPWT’s therapeutic benefits are well established, ROCF dressing application can create obstacles for therapy.

Introduction: An estimated 3 million patients per year are treated for pressure injuries (PIs) in the United States with cost approaching $17.8 billion.1 PIs are the most prevalent in intensive care units (ICUs) with incidence of 8%-40% resulting in increased length of stay, higher mortality rate

Introduction: For the Wound and Lymphedema communities, a Wearable Pressure sensor (WPS) -- to evaluate dressings and teach practitioners best wrapping techniques -- could be transformational.  To adopt such an innovation, the proposed WPS must be clinically accurate.  The goal of this poster is

Introduction: It is usually unclear exactly how much pressure a dressing applies to the leg, and if that pressure is uniform. The goal of this study was to compare two compression dressing types in terms of pressure they are applying from toe to knee. 

Introduction: World Health Organization growth charts1 utilize Centile-based curves to track age-related growth dynamics. Identifying values outside of specific ranges indicates the need for further investigation or intervention.

Introduction: Chronic wounds may take 12 or more weeks to close1. These wounds cost medical systems billions of dollars worldwide2. Accurate and early detection of delayed wound healing may lead to better patient outcomes and lower treatment costs.

Introduction: Venous leg ulcers (VLU) are the most common type of chronic wound accounting for over 70 percent of lower extremity chronic wounds.1-2 Many clinicians describe chronic wounds as a failure to improve surface area dimensions by 50% in one month.3 The 5-year mortality rate for patients

Introduction: Accurate assessment and documentation of wound tissue composition are crucial to monitoring wound healing progress or deterioration.

Introduction: With a recent increase in reported wounds, addressing barriers to wound healing has become crucial. A recent white paper on the Wound Balance concept identifies barriers such as local and systemic factors, misaligned patient goals, and challenges related to dressings.

Introduction: Measuring wound dimensions through traditional methods can be time-consuming and prone to human error. However,  integrating artificial intelligence (AI) into wound care solutions (AI-WCS) has enhanced the assessment process by making it faster and more accurate.

Introduction: Diabetic foot ulcers have a high recurrence rate, with 42% of patients experiencing relapse within two years due to factors such as neuropathy, arteriopathy, and poor offloading and metabolic control.

Introduction: Chronic osteomyelitis, affecting up to 30% of wound cases, is increasing due to diabetes, peripheral vascular disease, and resistant bacteria. It causes significant morbidity, functional impairment, and often recurs after treatment.

Introduction: Over the past decade, wound care has significantly advanced with new materials, technologies, and surgical techniques, though progress has lagged behind fields like surgery and cardiology.

Introduction: Our academic medical center outpatient wound program is led by wound & ostomy certified APRNs with surgeon support as needed, with the clinic staffed by wound & ostomy certified RNs and technicians.

Introduction:  Near infra-red spectroscopy (NIRS) is a non-invasive imaging device that can measure oxygenated and de-oxygenated levels of hemoglobin in the wound and periwound tissues to calculate and create an image of tissue oxygen saturation.

Introduction: Near infra-red spectroscopy (NIRS) has been used to evaluate tissue oxygen saturation and perfusion in a variety of clinical settings including wound care, vascular medicine and surgery.  NIRS has also been used to evaluate the patient’s response to a procedure or therapeutic interv

Introduction: Patients with darker skin tones are at risk for DTPI’s at almost double the rate of patients with lighter skin.1 With racial diversity increasing across the US, and an estimation that darker pigmented nationalities will comprise over half of the population by 2050 2, utilizing skin

Introduction: The Integrated Binder Wrap System (IBWS, patent pending) was developed in a surgical practice based on observed patient needs.  All surgeries require mechanical closure of incisions by means of sutures, staples, glue, etc.  We identified that post-surgical patient manipulation was a

Introduction: Non-healing wounds pose a significant burden on the healthcare system and the patients as they increase the risk of complications, such as infection, amputation, or even death.

Introduction: Chronic wounds, affecting over 6 million Americans, pose significant challenges and an increased risk of amputations 1.

Introduction:

Introduction: Skin grafting is critical for treating severe skin defects and chronic wounds1, particularly those resulting from burns, trauma, and infections.

Introduction: Clinicians often face information overload, making it challenging to keep up with evidence-based practices.1,2 Traditional paper-based pocket guides, which quickly become outdated, have been a common tool for point-of-care decision-making.1 A Portuguese national wound care society*

Introduction: In the setting of a stalled wound despite standard of care, a pinch graft can be performed in the outpatient setting to help promote wound closure.Methods:Partial thickness pinches of skin are taken from a donor site, usually the upper thigh.

Introduction: Osteomyelitis, or infection of the bone, is often seen in association with the diabetic foot ulcer.

Introduction: Chronic venous insufficiency often leads to complications, including venous leg ulcers (VLU). Multispectral near infrared spectroscopy (NIRS) imaging shows promise as an adjunct for assessing microcirculation, providing insights into tissue oxygenation (StO2 ).

Introduction: A novel minimally invasive wound hygiene and debridement technique utilizing Kylon fabric was utilized in the conflict zone setting of the occupied Palestinian Territory of Gaza.

Introduction: Treatment of Pyoderma Gangrenosum is aimed at controlling inflammation, while promoting wound healing and preventing complications.

Introduction:

Introduction: Complex, non healing skin injuries and wounds pose significant physical, emotional and financial challenges for patients, caregivers, clinicians and payers.Methods:83 year old diabetic female (A1C10) with RA on leflutemide presented with bilateral LE ulcerations with exposed bone on

Introduction: Biofilm formation has been reported to cause chronic inflammation and delay healing of wounds, especially chronic and acute dermal wounds. Biofilms formed deep in the wound disrupts healing and is hard to eradicate (1).

Introduction: Recent reports indicate an increase in individuals in the US treated for at least one chronic wound.

Introduction: Diagnostic errors are a common and costly risk for patient harm.1 They occur when a healthcare provider fails to establish an accurate and timely explanation of a patient's health problem and/or communicate this explanation to the patient.2

<p>Introduction: Pain is a very important variable to consider in wound management and wound bed preparation.

Introduction: In the case of cellulitis that is recurrent or recalcitrant despite appropriate antibiotic therapy we propose a surgical technique easily performed as an outpatient.Methods:Elliptical incisions are made through the skin over the area of cellulitis, removing the ellipse.  Using a hem