Michael N. Desvigne, MD, FACS, CWS, FACCWS

Evaluating Extended Usage of Closed Incision Negative Pressure Therapy Over Closed Flap Incisions in Pressure Ulcer Management

Introduction: Closed incision negative pressure therapy (ciNPT*) administers constant subatmospheric pressure1, helps hold incision edges together, removes fluid and infectious materials,...

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

05/26/2022

Hypochlorous Acid Solution* for Wound Bed Preparation in the Surgical and Nonsurgical Patient

The use of hypochlorous acid (HOCL) in the preparation of the wound bed has become an increasingly well-accepted practice. Several guidelines have indicated that HOCL cleansers have the ...

Denise Gilmore , BSN, RN, CWON, CFCN;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

Kurt Holifield , RN, BSN, WCC, OMS;

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Ashley L. Wardman , LPN;

08/19/2021

Beating Biofilm with Hypochlorous Acid Instillation with Negative Pressure Wound Therapy

Biofilm and the bacterial burden have been recognized as impediments to wound progression. The use of negative pressure wound therapy with instillation and dwell time (NPWTi-d) has gained...

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

Denise Gilmore , BSN, RN, CWON, CFCN;

Ashley L. Wardman , LPN;

Kurt Holifield , RN, BSN, WCC, OMS;

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

01/28/2021

Aseptically Processed Meshed Reticular Dermal Matrix For Soft Tissue Reconstruction for Necrotizing Fasciitis: Case Report

Necrotizing infection carries a high mortality.1 If the patient survives, they typically have undergone multiple surgical debridements to assist in clearing the infection and necrotic tis...

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

Denise Gilmore , BSN, RN, CWON, CFCN;

Ashley L. Wardman , LPN;

Kurt Holifield , RN, BSN, WCC, OMS;

01/28/2021

Aseptically Processed Placental and Dermal Tissue Matrices For Soft Tissue Reconstruction. A Review of 145 Cases

Surgical reconstruction of chronic wounds using soft tissue flaps is a routine approach to achieve closure. Due to the poor tissue quality, longstanding inflammation, bioburden and impai...

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

Denise Gilmore , BSN, RN, CWON, CFCN;

Ashley L. Wardman , LPN;

Kurt Holifield , RN, BSN, WCC, OMS;

01/28/2021

Management of Lower Extremity Orthopedic Wounds With Exposed Hardware Using Negative Pressure Wound Therapy With Instillation

Negative pressure wound therapy with instillation and dwell time (NPWTi-d*), which provides wound cleansing to help remove debris, infectious materials, and exudate, has been reported to ...

Kurt Holifield , RN, BSN, WCC, OMS;

Kari Day , RN, BSN, WCC;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Denise Gilmore , BSN, RN, CWON, CFCN;

Ashley L. Wardman , LPN;

01/28/2021

Use of Super-Absorbent Dressings and Compression in the Management of Highly Exudative Bilateral Venous Stasis Ulcers

Venous ulcers, a common type of lower extremity ulcers, can affect up to 3% of the United States population.1 These ulcers can be difficult to heal and may recur in 60%-70% of patients.2 ...

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Denise Gilmore , BSN, RN, CWON, CFCN;

Ashley L. Wardman , LPN;

Kurt Holifield , RN, BSN, WCC, OMS;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

01/28/2021

Aseptically Processed Placental and Dermal Tissue Matrices For Soft Tissue Reconstruction. A Review of 145 Cases

Surgical reconstruction of chronic wounds using soft tissue flaps is a routine approach to achieve closure. Due to the poor tissue quality, longstanding inflammation, bioburden and impai...

Ashley L. Wardman , LPN;

Kurt Holifield , RN, BSN, WCC, OMS;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Denise Gilmore , BSN, RN, CWON, CFCN;

11/23/2020

Beating Biofilm with Hypochlorous Acid Instillation with Negative Pressure Wound Therapy

Biofilm and the bacterial burden have been recognized as impediments to wound progression. The use of negative pressure wound therapy with instillation and dwell time (NPWTi-d) has gained...

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Denise Gilmore , BSN, RN, CWON, CFCN;

Ashley L. Wardman , LPN;

Kurt Holifield , RN, BSN, WCC, OMS;

Krista Bauer (Montgomery) , RN, WCC, OMS;

Kari Day , RN, BSN, WCC;

11/23/2020

A Novel Antimicrobial Topical Spray to Reduce Bioburden and Promote Antibiotic Stewardship

Purpose/Problem: The overuse of antibiotics has led to serious consequences in the overall management of patients. Localized and systemic chronic infection of wounds are commonplace, acco...

Catherine T. Milne , APRN, MSN, CWOCN-AP, ANP, ACNS-BC;

Michael N. Desvigne , MD, FACS, CWS, FACCWS;

Bryce Schuster ;

12/11/2019