Surgical Wounds

Hydrofiber with silver versus collagenase for treatment of critical colonization of venous ulcers: randomized clinical trial

Background: Venous ulcers (VU) are colonized by several bacteria, some of which have a high biofilm production capacity and can hinder healing. Objectives: To evaluate the action of the H...

Taís Saranholi , MD;

05/26/2022

DLA prophylaxis in patients with lymphatic insufficiency- 30 years of follow-up

Introduction. The lymphatic system in limbs and organs serves detection, transport away, and neutralize microorganisms penetrating integuments. Obstruction of lymphatics pathways brings a...

Waldemar L. Olszewski , MD, PhD;

Marzanna T. Zaleska ;

05/26/2022

Is intermittent pneumatic massage effective in the evacuation of fluid in leg edema caused by lymphatic obstruction and non-healing wounds? ICG visualization and semiquantitative analysis

Introduction. Intermittent pneumatic compression (IPC) is the commonly used modality for therapy of limb lymphedema of different etiology. What seems to be necessary for validation of the...

Marzanna T. Zaleska ;

Oscar M. Alvarez , PhD;

05/26/2022

Extracorporeal Shockwave Therapy (ESWT) in an Outpatient Wound Care Clinic: Retrospective analysis of a non-invasive technology in the management of chronic wounds for wound bed preparation.

Introduction: Chronic wounds affect 6.5 million people in the US. [1]. They contribute significantly to lower limb amputations. Every 20 seconds a limb is amputated somewhere in the world...

Denise Nemeth , MPAS, CWS, PA-C;

05/26/2022

Evaluating the Application of a Closed Incision Negative Pressure Therapy Specialty Dressing Over Incisions Following Sternal Dehiscence Reconstruction Using Bilateral Flaps.

Introduction: Surgical site complications (SSCs) post median sternotomy, such as sternal dehiscence, have an incidence of 0.06% to 12.50%.1-5 If undetected, perioperative mortality may be...

Allen Gabriel , MD, FACS;

Natalie Sampaio ;

Stefani Dantas , PhD;

Vera Rall , PhD;

Luciana Abbade , PhD;

05/26/2022

A Prospective Comparison of Two Post-Operative dressings in the treatment of surgical incisions in healthy volunteers

Introduction: Surgical site infections are one of the leading causes of post-operative morbidity and mortality worldwide. The ideal post-operative dressing protects the wound from bacteri...

Laura Serena ;

Khristina Harrell ;

Omar Al-Jalodi , MD;

Kristy Breisinger , SC;

Thomas E. Serena , MD, FACS, FACHM, MAPWCA;

Sarah Moore , SC;

05/26/2022

Portable NPWT unit successfully treats a large complicated abdominal surgical dehiscence after laparotomy

INTRODUCTION: In the last decade, the number of patients treated with negative pressure wound therapy (NPWT) addressing surgical wound dehiscence has increased to one of the top applicati...

Neha Amin , DO;

Claus Brandigi , MD, FACS;

Kathryn Lovesy , RN;

Joan Wilson , MSN, MHA, RN;

08/19/2021

Disposable Negative Pressure Wound Therapy (d-NPWT) for Small-to-Medium Sized Wounds Including Surgical Wounds, Wound Dehiscence, and Diabetic Foot Ulcerations

Purpose: Negative Pressure Wound Therapy (NPWT) is a commonly used modality to treat wounds. NPWT helps promote wound healing by decreasing edema, removal of tissue debris and exudate. Tr...

Robert J. Klein , DPM, FACFAS, CWS;

08/19/2021

From the Editor

Medicare (Non) Coverage for Debridement: The WPS LCD and What We Really Need to Worry About

11/06/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

A new Local Coverage Determination (LCD) for debridement does not include diabetic foot ulcers in the list of conditions for which debridement is covered. However, the real omission may be “the wounds with no name.” Wisconsin Physicians...

A new Local Coverage...

11/06/2019

Today's Wound Clinic

Pressure Injuries

What Really Causes Pressure Ulcers and How Can We Prevent Them?

11/05/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

This author shares a story of a pressure ulcer that occurred during an unrelated surgery and theorizes that some pressure ulcers are due to angiosomal ischemia and not localized pressure. You can’t get the right prevention in place if you...

This author shares a story of a...

11/05/2019

Today's Wound Clinic