Background: To assess the effectiveness of vacuum assisted closure (VAC) therapy for healing of infected wounds. Methods: In this prospective case-control study, total of 25 patients with chronic non-healing wounds were recruited. Before the application of VAC, surgical debridement was performed to remove all the devitalized necrotic tissues as per requirement and the wound was packed with povo...

Nurses working in the field of wound care are faced with chronic ulcers, infected wounds that may have stubborn necrosis, and slough is very difficult to eliminate within bed treated as devitalized tissue. The beneficial effects maggots biodebridement process healing been known for centuries. However, maggot debridement therapy (MDT) new, few healthcare services use it Indonesia. Searching supp...

Periprosthetic joint infections (PJI) remain a challenge for the orthopaedic surgeon to treat and remain a leading cause of failure of both primary and revision total joint arthroplasty. Once a PJI develops, surgical treatment is generally indicated and includes an aggressive irrigation and debridement. One component of the irrigation and debridement involves the use of an antiseptic irrigating...

OBJECTIVE This study aims to compare hospital mortality rate of surgical debridement followed by primary wound closure versus surgical debridement with closure after preconditioning of the wound. METHODS A historical cohort of 43 patients with postoperative mediastinitis type III and IV between 2000 and 2008. The diagnosis of mediastinitis was based on physical examination and laboratory test...

Papain allows the effective removal of necrotic tissue in wounds by a type of enzymatic debridement. The objective of this work was to emphasize the effectiveness of the association of papain with urea in necrotic lesions. The case of a 56‐year‐old patient is reported with an ulcerated lesion in the internal malleolar region of the left lower limb. The necrotic tissue was made enzymatic...

The use of honey-based dressings has been documented for thousands of years. Recent studies suggest their effectiveness may be, in part, related to their ability to facilitate autolytic debridement. Six patients who presented with multiple comorbidities and risk factors for delayed healing whose wounds required debridement were managed with active Leptospermum honey (ALH) to evaluate the safety...

HYPOTHESIS Open surgery for pancreatic debridement is often associated with major morbidity such as wound complications, fascial dehiscence, and intestinal fistulae. Hand-assisted laparoscopic surgery (HALS) is useful for complex abdominal procedures since the benefits of traditional laparoscopic surgery are retained. Published experience with HALS for pancreatic debridement is limited to anecd...

Negative-pressure wound therapy (NPWT) has been used for the treatment of deep sternal wound infection (DSWI) with promising results. However, questions have been raised regarding the potential risk of right ventricle (RV) rupture during treatment. In the present study, we evaluate our clinical experience of NPWT focusing on RV rupture and major bleeding complications and its potentially negati...

We report a case of necrotizing fasciitis of the hand treated by urgent debridement followed by serial debridements, hyperbaric oxygen, and delayed free muscle flap coverage. After control of the infection, a major soft-tissue defect remained on the dorsum of the wrist and hand, exposing all extensor tendons. A rectus muscle free flap was used for wound coverage and salvage of the exposed tendo...

Objective: Reconstruction of large abdominal wall defects is a challenging procedure, often contraindicated in critically ill patients, with high incidences of complications. We present a case of a patient with a large abdominal wall defect who had reconstruction with MatriDerm® (an engineered dermal template) and split thickness skin grafting (SSG) as an alternative to reconstruction with myoo...