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The development of an infected acute wound porcine model

D. Boone, MD; E. Braitman, MD; J. Afthinos, MD; C. Gendics, RN; E. Sordillo, MD, PhD; G. Todd, MD; J. Lantis, MD; St. Luke’s-Roosevelt Hospital Center, New York, NY

Foot ulcers or gangrene with associated peripheral arterial disease (PAD) are a challenge to treat. Amputation of the toes and metatarsal bones is better tolerated than more extensive amputation because patients who undergo the former can be rehabilitated easily and can return to a good quality of life. In addition, the bony structures of the foot may be remodeled in such a way to prevent further injury.¹ The evaluation of blood flow in the lower extremities is crucial in managing foot ulcers or gangrene with PAD.

The incidence of septic complications following colostomy surgery varies from 0.5% to 25%.^1–6 Wound infections appear to be more common following emergency stoma surgery, increasing the occurrence of sepsis in contaminated cases compared to noncontaminated cases. This can be explained by the contamination of the surgical site, starting from contact of the skin tissue with bacterial flora present in the intestinal lumen, which is not noted during clean procedures or those in which the intestine is not manipulated.⁷

MedEfficiency Launches Assurance Boot

MedEfficiency Inc (Westminster, Colo) released a new Assurance Boot designed for use with its TCC-EZ^™ total contact cast system. The Assurance Boot features a combination locking top strap and a secured inside cast that facilitates compliance with a patient’s offloading treatment regimen.