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Dressing wounds with potato peel
Patange Vidya,Fernandez Rui,Motla Meena,Mahajan Sunanda
Indian Journal of Dermatology, Venereology and Leprology , 1996,
Abstract: The use of boiled potato peel (PP) in dressing of various skin conditions was studied. A total of 11 patients were selected, which included resistant wounds of pemphigus, bullous pemphigoid and leg ulcers. An autoclaved PP dressing with a thin layer of antiseptic cream was applied at 25 sites. It was covered with multilayered gauze and the dressing was secured firmly with either a roller bandage or with an adhesive tape. Complete epithelization was seen at 20 sites (80%), near complete epithelization at one site. There was no satisfactory response at three sites and at one site the result could not be evaluated. The mean duration of healing was one week for superficial wounds and three weeks for deep wounds. The PP dressing facilitates the wound and three weeks for deep wounds. The PP dressing facilitates the wound healing process by providing and maintaining a moist environment. The PP dressing is easy to prepare, apply as well as remove. It is a comfortable dressing and is also cost effective.
Dressing plantar wounds with foam dressings, is it too much pressure?  [cached]
Ryan Scott Causby,M Pod,Sara Jones
Diabetic Foot & Ankle , 2011, DOI: 10.3402/dfa.v2i0.8751
Abstract: Diabetes and its associated complications have become a major concern locally, nationally and internationally. One such complication is lower extremity amputation, commonly preceded by chronic ulceration. The cause of this tissue breakdown is multi-faceted, but includes an increase in pressure, particularly plantar pressure. As such, the choice of dressing to be applied to a plantar wound should ideally not increase this pressure further. A commonly used and possibly more bulky dressing is the foam dressing. This pilot study investigates the plantar pressures associated with three common foam dressings (Allevyn , Lyofoam and Mepilex ) compared with a control dressing (Melolin ). Twelve healthy males and 19 females [SD] age 36.6 [10.4] were measured using the F-scan plantar pressure measurement system. Substantial variations in individual pressure changes occurred across the foot. No significant differences were identified, once a Bonferroni correction was applied. In healthy adults, it could be concluded that foam dressings do not have any effect on the plantar pressures of the foot. However, the need remains for a robust trial on a pathological population.
Human Amniotic Membrane Dressing: an Excellent Method for Outpatient Management of Burn Wounds
Ali Akbar Mohammadi,Babak Sabet,Hooman Riazi,Ahmad Reza Tavakkolian
Iranian Journal of Medical Sciences , 2009,
Abstract: Background: Burns are among the most common traumas indeveloping countries, which consume large amounts of medicalresources. It is important to find an appropriate materialfor dressing of burn wounds that improves healing and is readilyavailable, easily applicable, and economical.Methods: In a single-blind randomized controlled clinicaltrial from March to October 2006, 211 patients with less than20% burn were enrolled into two groups. The first group contained104 patients with average burn of 11.90± 3.80% of totalbody surface area (TBSA) for whom amnion dressing wasused. The second group composed of 107 patients with averageburn of 12.30± 4.14% of TBSA treated with routine silversulfadiazine dressing.Results: Amniotic membrane usage was accompanied by accelerationin wound healing, less need for skin graft, and lesspain. The mean healing time in superficial parts of burnwounds in the amnion group was significantly shorter than thecontrol group (9.50±2.13 v 14.30±2.60 days; P value < 0.01).The extent of the wound with granulation tissue which neededskin graft was less in the amnion group (2.10 ± 2.21% v 4.20±1.44%; P value < 0.01).Conclusion: Widespread use of amniotic membrane dressingis recommended for limited burn wound management.
Collagen dressing versus conventional dressings in burn and chronic wounds: A retrospective study  [cached]
Singh Onkar,Gupta Shilpi,Soni Mohan,Moses Sonia
Journal of Cutaneous and Aesthetic Surgery , 2011,
Abstract: Objective : Biological dressings like collagen are impermeable to bacteria, and create the most physiological interface between the wound surface and the environment. Collagen dressings have other advantages over conventional dressings in terms of ease of application and being natural, non-immunogenic, non-pyrogenic, hypo-allergenic, and pain-free. This study aims to compare the efficacy of collagen dressing in treating burn and chronic wounds with that of conventional dressing materials. Materials and Methods : The records of 120 patients with chronic wounds of varied aetiologies and with mean age 43.7 years were collected and analyzed. The patients had been treated either with collagen or other conventional dressing materials including silver sulfadiazine, nadifloxacin, povidone iodine, or honey (traditional dressing material). Patients with co-morbidities that could grossly affect the wound healing like uncontrolled diabetes mellitus, chronic liver or renal disease, or major nutritional deprivation were not included. For the purpose of comparison the patients were divided into two groups; ′Collagen group′ and ′Conventional group′, each having 60 patients. For assessment the wound characteristics (size, edge, floor, slough, granulation tissue, and wound swab or pus culture sensitivity results) were recorded. With start of treatment, appearance of granulation tissue, completeness of healing, need for skin grafting, and patients′ satisfaction was noted for each patient in both groups. Results : With two weeks of treatment, 60% of the ′collagen group′ wounds and only 42% of the ′conventional group′ wounds were sterile (P=0.03). Healthy granulation tissue appeared earlier over collagen-dressed wounds than over conventionally treated wounds (P=0.03). After eight weeks, 52 (87%) of ′collagen group′ wounds and 48 (80%) of ′conventional group′ wounds were >75% healed (P=0.21). Eight patients in the ′collagen group′ and 12 in the ′conventional group′ needed partial split-skin grafting (P=0.04). Collagen-treated patients enjoyed early and more subjective mobility. Conclusion : No significant better results in terms of completeness of healing of burn and chronic wounds between collagen dressing and conventional dressing were found. Collagen dressing, however, may avoid the need of skin grafting, and provides additional advantage of patients′ compliance and comfort.
homologous pericardium as a biological dressing for treatment of distal limb wounds in horses: an Experimental study
Bellenzani, Maria Célia Ramos;Matera, Júlia Maria;Giacóia, Márcia Regina;
Acta Cirurgica Brasileira , 1994, DOI: 10.1590/S0102-86501998000400007
Abstract: this study evaluates the effects of homologous pericardium as a biological dressing for treatment of distal limb wounds in horses. five adult horses were put under general anesthesia and a circular wound was created over each metacarpus. the left limb wound was covered with a synthetic semi-occlusive dressing and the right limb wound was covered with pericardium stored in 98% glycerin. fixation of the membrane to the wound margins was done with cyanoacrilate glue. bandage changes and data collection were carried out every 72 hours, until spontaneous detachment of the pericardium occurred. data evaluated were the aspect of the granulation tissue, the behaviour of the membrane and the wound area variation, assessed under digital image analysis. anatomo-pathological study and non-parametric statistical analysis were also performed. pericardium had a positive effect on the granulation tissue, but permanent occlusion of exsudative wounds cannot be recommended.
Case Report: Fluctuating pulse deficits associated with intimal arterial injury following gunshot wounds of the extremity — a sign not to be missed
WR Pillay, B Pillay, TV Mulaudzi, GZ Mohamed, JV Robbs
South African Journal of Surgery , 2005,
Abstract: Gunshot wounds may result in intimal arterial injury without breach of the arterial wall integrity. Haemorrhage, haematoma and a pulse deficit are therefore not always found. We report on two cases of lower extremity gunshot wounds with temporal variations in the clinical and radiological assessment of the pedal pulses. In both cases surgical exploration revealed intact arterial vessel walls but significant intimal injury with overlying thrombus. We propose that the pulse deficits were due to distal thromboembolism. Subsequent clot lysis led to a return of the original pulse deficit. Variation in the distal pulses in patients with gunshot wounds of the extremities should alert one of the possibility of an intimal arterial injury; imaging of the vessels is therefore advised. South African Journal of Surgery Vol.43(1) 2005: 22-24
Clinical and histological evaluation of two dressing materials in the healing of palatal wounds  [cached]
Shanmugam M,Kumar T.S.S,Arun K,Arun Ramya
Journal of the Indian Society of Periodontology , 2010,
Abstract: Background : Free gingival grafts have been used extensively for gingival augmentation procedures, but are associated with postoperative morbidity because of the open palatal wound. This study compares the clinical efficiency of two dressing materials, a non-eugenol-based dressing (Coe-Pak ) and a collagen dressing (Colla Cote ) on palatal wound healing. Materials and Methods : Thirty-two patients in the age group of 25 50 years, who required gingival augmentation, were selected. Free gingival graft was harvested from the palatal mucosa and the wound was then protected using Coe-pak in control group and Colla Cote in test group. The subjective parameters pain and burning sensation were recorded on the 2 nd and 7 th day and the objective parameters colour and consistency were recorded on the 7 th and 42 nd day, using a visual analog scale. Thickness of the mucosa was measured using K file at baseline and 42 nd day. Histological examination was done on 42 nd day. Results : The subjective and objective parameters showed significant improvement in the test group when compared to control group. Histologically, there was a greater evidence of collagen formation and turn over in the test group than control group. Conclusions : Collagen-based dressing may thus offer significantly greater advantages over the traditional non-eugenol dressings.
Which dressing do donor site wounds need?: study protocol for a randomized controlled trial
Anne M Eskes, Fleur E Br?lmann, Louise AA Gerbens, Dirk T Ubbink, Hester Vermeulen, The REMBRANDT study group (REMBRANDT)
Trials , 2011, DOI: 10.1186/1745-6215-12-229
Abstract: A 14-center, six-armed randomized clinical trial is being carried out in the Netherlands. An a-priori power analysis and an anticipated dropout rate of 15% indicates that 50 patients per group are necessary, totaling 300 patients, to be able to detect a 25% quicker mean time to complete wound healing. Randomization has been computerized to ensure allocation concealment. Adult patients who need a split-skin grafting operation for any reason, leaving a donor site wound of at least 10 cm2 are included and receive one of the following dressings: hydrocolloid, alginate, film, hydrofiber, silicone dressing, or paraffin gauze. No combinations of products from other intervention groups in this trial are allowed. Optimum application and changes of these dressings are pursued according to the protocol as supplied by the dressing manufacturers. Primary outcomes are days to complete wound healing and pain (using a Visual Analogue Scale). Secondary outcomes are adverse effects, scarring, patient satisfaction, and costs. Outcome assessors unaware of the treatment allocation will assess whether or not an outcome has occurred. Results will be analyzed according to the intention to treat principle. The first patient was randomized October 1, 2009.This study will provide comprehensive data on the effectiveness of different treatment options for donor site wounds. The dressing(s) that will prevail in effectiveness, satisfaction and costs will be promoted among clinicians dealing with such patients. Thus, we aim to contribute a well-designed trial, relevant to all clinicians involved in the care for donor site wounds, which will help enhance uniformity and quality of care for these patients.http://www.trialregister.nl webcite, NTR1849. Date registered: June 9, 2009Split skin grafting (SSG) is a widely used reconstructive technique to repair skin defects (e.g. burns, chronic, and traumatic wounds) [1,2], including those that cannot be covered by a skin flap or are not likely to heal by
Medical Dressing Treated with Honey/Chitosan Microencapsules  [cached]
Khaled Ebrahim El-Nagar,Nashwa Mostafa Nagi,Mohamed Abdallah Elgamal
International Journal of Chemistry , 2012, DOI: 10.5539/ijc.v4n2p79
Abstract: Wound normally left to dry and dressing keeps infections out as well as reducing the trauma. Advanced technology is used to reduce pain and fast healing with avoiding the deformation of the injured skin. In this work previously UV/ozone irradiated medical dressing samples were treated by honey capsulated in chitosan. Treatment conditions were optimized with respect to weight; air-permeability; whiteness; yellowness and antibacterial. All treated samples showed good antimicrobial performance with sufficient air permeability and weight. The sticky nature of the honey was avoided by formation of microencapsules. Treated gauze samples showed good performance for injured rates with no inflammation.
Outcomes of skin graft reconstructions with the use of Vacuum Assisted Closure (VAC?) dressing for irradiated extremity sarcoma defects
Alex Senchenkov, Paul M Petty, James Knoetgen, Steven L Moran, Craig H Johnson, Ricky P Clay
World Journal of Surgical Oncology , 2007, DOI: 10.1186/1477-7819-5-138
Abstract: The records of 17 preoperatively radiated patients with extremity sarcomas reconstructed with STSGs in conjunction with VAC? therapy were reviewed regarding details of radiation treatment, wound closure, and outcomes.STSGs healed without complications (>95% of the graft take) in 12 (71%). Minor loss (6% – 20% surface) was noted in 3 patients (17.6%) and complete loss in 2 (11.7%). Two patients (11.7%) required flap reconstructions and 12 (88%) healed without further operative procedures.Although flap coverage is an established treatment for radiated wounds, STSG in conjunction with liberal utilization of VAC therapy is an alternative for selected patients where acceptable soft tissue bed is preserved. Healing of the preoperatively radiated wounds can be achieved in the vast majority of such patients with minimal need for additional reconstructive operations.Reconstructive surgeons are frequently confronted with irradiated post-ablative skin and soft tissue defects. Muscle and musculocutaneous flaps have been the traditional form of reconstruction in these patients, and little is known about outcomes of split-thickness skin grafts in the setting of preoperative radiation. In some cases, STSG must be considered as the reconstructive option in patients with significant medical comorbidities, recurrence in the area of previous flap, or failed flap reconstruction that is not amenable to microvascular tissue transfer due to lack of recipient vessels. Historically, reported skin graft loss rates in preoperatively irradiated wounds varied from 30% – 100% [1-3].Modern practice of reconstructive surgery is changing as evidenced by the improvement of surgical techniques, postoperative care, and especially wound care adjuncts. VAC? therapy may simplify reconstruction and improve the outcomes of skin grafts in cases of irradiated defects. The present study was undertaken to evaluate the outcomes of split-thickness skin grafts (STSGs) following oncologic resections in patients wi
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