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Best in Class: Scottsdale Wound Management Guide

Comprehensive pocket handbook offers differential diagnosis and treatment options at your fingertips

Malvern, PA (June 8, 2009) – Proper wound care management has become one of the top concerns for many clinicians across various medical specialties. Treatment is specific to the wound type, the patient and the long-term care plan and requires ongoing assessment. Read More

2009 WOUNDS Article Index

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Evaluating Efficiency and Complication Rates of Topical Negative Pressure Therapy in the Home Care Setting

VOLUME: 22 PUBLICATION DATE: May 21 2010
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5:May 2010

Abstract: Background. Topical negative pressure (TNP) therapy has been used since 1995 and growing evidence has facilitated its adoption as the standard of care in wound care. Despite its widespread use, literature on the use of TNP therapy in the home care setting is scarce. Methods. A retrospective study of 140 patients treated with TNP therapy in the outpatient department at a single institution between December 2005 and October 2008 was performed. Results. A total of 140 patients with 146 wounds were treated with TNP therapy.

The Use of V.A.C. Instill in the Wounded Pediatric Population

VOLUME: 22 PUBLICATION DATE: Apr 01 2010
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4 April 2010

Abstract: V.A.C. Instill® Therapy Unit (Kinetic Concepts, Inc. [KCI], San Antonio, TX) incorporates negative pressure wound therapy (NPWT) with intermittent automated wound irrigation. The following case describes a 2-year-old male with right thigh compartment syndrome from an acutely developing hematoma. Devascularization of the overlying skin led to full-thickness skin necrosis of the anterolateral and posterior right thigh. Following emergent evacuation and a lateral fasciotomy, necrotic skin was excised and nonviable subcutaneous fat was debrided. Wound care included NPWT with the V.A.C.

Traumatic Arm Wound Infected With Vibrio cholerae in a Non-immunocompromised Host

VOLUME: 22 PUBLICATION DATE: Mar 01 2010
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3 March 2010

Abstract: A 23-year-old man living in Orange County, California who was involved in a motor vehicle accident suffered a closed both-bone forearm fracture that was treated with open reduction and internal fixation. The patient then developed wound necrosis and abscesses that revealed a pure culture of non-toxigenic Vibrio cholerae. The wound required debridement and excision, which was followed by split-thickness skin grafting. He also received antibiotics and eventually fully recovered.



Address correspondence to:
Garrett A. Wirth, MD, MS, FACS

Pyoderma gangrenosum Associated With Cocaine Abuse

VOLUME: 22 PUBLICATION DATE: Feb 01 2010
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Issue: 
2 February 2010

Abstract: A 36-year-old man presented with pyoderma gangrenosum associated with cocaine abuse. The patient presented to our department with a 2-week history of ulceration on the left forearm at a skin graft donor site following surgical intervention to repair a perforation of the nasal septum and palate due to cocaine abuse of at least 10 years’ duration—an estimated dosage of up to 2 g/day. Standard medications and additional substance abuse were not described in the patient’s medical history.




Address correspondence to:
Joachim Dissemond, MD
Department of Dermatology

Sarcoid Ulcer of the Leg: A Challenging Chronic Wound

VOLUME: 22 PUBLICATION DATE: Jan 01 2010
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Issue: 
1 January 2010

Abstract: Sarcoidosis, a systemic inflammatory disease of unknown cause(s), is a diagnosis of exclusion. While skin lesions are common, chronically nonhealing wounds caused by this idiopathic disease are rare and often misdiagnosed. Definitive diagnostic tests do not exist. The finding of noncaseating granulomas on biopsy of wounds is useful. Mistreatment or any delay in proper treatment of ulcerative sarcoidosis can be painful to patients. Corticosteroid therapy generally is effective.



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