BACKGROUND Severe lower extremity trauma as a devastating combat related injury is on the rise and this presents reconstructive surgeons with significant challenges to reach optimal cosmetic and functional outcomes. This study assessed early reconstructions of complex lower extremity battlefield soft tissue wounds. METHODS This was a prospective case series study of battled field injured pati...

The implementation of telenursing within home healthcare of leg wounds is an innovative development initiative that focuses on patients and to some extent next-of-kin in collaboration with nurses. Eleven patients and nine nurses participated in the study. The methods for data collection were surveys, field-notes descriptions, and care charts, as well as digital photos of leg wounds and videotap...

Even with the prevalence of wounds, the medical technol‐ ogy for efficiently managing skin damage is still primitive. The disruption of any of the numerous healing processes can lead to problems in the time-sensitive healing actions of the dermal and epidermal layers. Bacterial infection is one of the major obstacles to proper wound healing as it poses a danger of causing long-term negative eff...

Chronic foot wounds represent an increasing burden to healthcare systems as the age of the population increases. The deep dermal tissues of all chronic wounds harbor microorganisms, however, the precise interaction between microbes in the wounds and impaired healing is unknown. With regard to antibiotic therapy, there is a lack of evidence concerning its effectiveness, optimal regimens or clini...

To review the use of gentian violet 1% (GV) in a long-term care facility for the treatment of small, open wounds and extremity eschars of all sizes and thickness. The records of all the patients receiving topical GV therapy over a period of 1 year, from May 19, 2007 - May 19, 2008 were reviewed. The total sample was 70 patients (38 male, 32 female), average age 65.9 y.o., with 111 wounds (41 pa...

Introduction: Long-term complications of diabetes leads to physical and mental weakness and reduce their quality of life. One of the complications is the chronic wounds of extremities. Because of its outcome, patient’s adaptation can be reduced. The aim of this study was to compare depression between diabetic patients with and without foot wounds. Materials and methods: The comparati...

Of those affected, 90% are women. This is because most of these injuries occur in the home when older women are carrying out domestic chores. Another risk factor is the wearing of skirts, which do not provide protection from injuries that trousers maybe would. Women are also at risk due to skin changes that occur as a result of decreasing hormone levels (Laing et al, 2002; Sussman and Golding, ...

5 10 No 1 “In a biofilm, planktonic bacteria encase themselves in an extra cellular polymeric substance which adheres to the wound bed.” Wound infection is a complication that often contributes to a wound that is failing to heal (World Union of Wound Healing Societies [WUWHS], 2008). A wound that is infected presents many challenges to clinicians and may have a significant impact on the patient...

introduction: traumatic arteriovenous fistula (avf) called to an abnormal relationship between artery and vein which occurs in 10% of arterial traumas. if treatment of avf due to trauma delayed, different outcomes including heart failure, varices and varicose ulcers may accure. in case of chronic traumatic avf, open surgery may lead to remarkable outcomes, presence of many lateral veins and var...