Journal of the American College of Certified Wound Specialists This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Wound Management of Systemic Sclerosis using Maggots: Out-of-Sight Out-of-Mind
A 54-year-old female patient with a diagnosis of systemic sclerosis presented with painful, necrotic and infected digital ulcers that occurred 9 months ago. During the course of nine months she reported to receive a total of 90 sessions of hyperbaric oxygen therapy at 2.4 atm absolute pressure for 2 hours each; with no significant improvement. On physical examination, she had necrosis over the tips of the first, fourth, and fifth toes as well as on the plantar aspects of the metatarsal heads (Fig. 1A). (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - March 29, 2018 Category: Dermatology Authors: Ay şegül Ercengiz, Zehra Yazıcı Mutlu, Mahmut Özgül, Mesut Mutluoğlu Source Type: research

“Wound management of Systemic Sclerosis using maggots: Out-of-sight out-of-mind.”
A 54-year-old female patient with a diagnosis of systemic sclerosis presented with painful, necrotic and infected digital ulcers that occurred 9 months ago. During the course of nine months she reported to receive a total of 90 sessions of hyperbaric oxygen therapy at 2.4 atmosphere absolute pressure for 2 hours each; with no significant improvement. On physical examination, she had necrosis over the tips of the first, fourth, and fifth toes as well as on the plantar aspects of the metatarsal heads (Figure 1A). (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - March 29, 2018 Category: Dermatology Authors: Ay şegül Ercengiz, Zehra Yazıcı Mutlu, Mahmut Özgül, Mesut Mutluoğlu Source Type: research

Maggot Infestation: Various Treatment Modalities
The invasion of the skin and subcutaneous tissue by the larvae (Maggot) is known as Maggot infestation. It was found that farmers who are working in agricultural fields are more prone to this infestation. A case of 60 year old male patient with ulceration on leg for 10 days which was initially smaller and later developed into a larger wound, due to maggot larvae. This case report illustrates the importance and method of treating this cutaneous myiasis. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - March 29, 2018 Category: Dermatology Authors: Basil Sunny Source Type: research

The Kennedy Terminal Ulcer – Alive and Well
Plaintiff attorneys may wish for the death of the Kennedy Terminal Ulcer, but this has actually been in the medical literature since 1877. Dr. Jean Martin Charcot (same physician known for his work with patients with Charcot foot) first described this phenomenon as Decubitus Ominosus.1 (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - February 26, 2018 Category: Dermatology Authors: Joy E. Schank Source Type: research

Use of In-chamber TCOM to Determine Optimal Hyperbaric Oxygen Treatment Pressure – Abstract of Presentation from ACCWS 7th Annual Symposium
Introduction/Background: Hyperbaric oxygen therapy (HBOT) is used to promote healing in problem wounds. Transcutaneous oxygen measurement (TCOM) can be used to predict response of these wounds to HBOT. Fife et al. demonstrated that in-chamber transcutaneous oxygen pressure (TcPO2) 200–299 mmHg and higher had significantly improved response rates of nearly 80%. In-chamber TCOM values can also be used to determine appropriate treatment pressure while minimizing risk. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - February 6, 2018 Category: Dermatology Authors: Marvin Heyboer, Joseph Byrne, Susan Wojcik Source Type: research

The Role of an Esterified Hyaluronic Acid Matrix in Wound Healing, a Case Series
Hyaluronic acid (HA) is an anionic, non-sulfated glycosaminoglycan, present throughout various tissues in the body, including connective and epithelial tissues. As part of the extracellular matrix (ECM), HA plays an essential role in the migration and proliferation of cells as well as in tissue hydrodynamics.1 It interacts with a number of cell receptors, including CD44, receptor for HA-mediated motility (RHAMM) and intercellular adhesion molecule-1 (ICAM-1).2 Due to the various cellular interactions of HA, it has a various roles throughout each stage of wound healing. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - February 2, 2018 Category: Dermatology Authors: Richard Simman Tags: Editorial Source Type: research

The Role of an Esterified Hyaluronic Acid Matrix in Wound Healing, a Case Series
Hyaluronic acid (HA) is an anionic, non-sulfated glycosaminoglycan, present throughout various tissues in the body, including connective and epithelial tissues. As part of the extracellular matrix (ECM), HA plays an essential role in the migration and proliferation of cells as well as in tissue hydrodynamics. 1 It interacts with a number of cell receptors, including CD44, receptor for HA-mediated motility (RHAMM) and intercellular adhesion molecule-1 (ICAM-1).2 Due to the various cellular interactions of HA, it has a various roles throughout each stage of wound healing. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - February 2, 2018 Category: Dermatology Authors: Richard Simman Source Type: research

The Adjunctive Use of Biologically Engineered Products in Plastic Surgery Practice
Biologically engineered products are medical devices offer support and structure for wound healing by providing a scaffold for cell growth and proliferation. In the field of plastic surgery, these devices are being used to improve the outcomes of surgical closure in selected patients. The purpose of this article is to provide an overview of the source, indications, mechanisms, and outcomes of commonly used biologic products in wound healing. It will also provide an understanding of how biologics can be of value to patients with significant tissue defects requiring plastic surgery. (Source: Journal of the American College o...
Source: Journal of the American College of Certified Wound Specialists - January 17, 2018 Category: Dermatology Authors: R. Michael Johnson, Lucas M. Harrison, Spencer R. Anderson Source Type: research

Summary Article on Advanced Ulcer Treatments used in the Operating Room
Debridement is important throughout the process. There's a lot of discussion in the medical literature about the factors that contribute to chronic wounds or nonhealing wounds, high inflammatory cytokine burden, high bacterial content in the wounds, senescent wound cells, high MMPs. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - January 17, 2018 Category: Dermatology Authors: Christopher L. Winters Tags: Editorial Source Type: research

Impact of Renal Failure on Wounds Healing
Population of patients with the impaired kidney function grows around the world. With the advances of the contemporary medicine people live to the older age, survive cardiac and cerebrovascular events, recover from the complex surgeries, overcome malignancies, infections and autoimmune diseases. That all frequently leads to the development of variable degree of chronic kidney impairment in form of interstitial and/or glomerular injury. Patients with chronic kidney disease (CKD) often share risk factors of hypertension, poorly controlled diabetes mellitus, arterial and venous vascular disease, obesity, malnutrition and chro...
Source: Journal of the American College of Certified Wound Specialists - January 17, 2018 Category: Dermatology Authors: Natallia Maroz Tags: Editorial Source Type: research

Hyperbaric Oxygen Therapy Side Effects – Where Do We Stand?
I recently had the opportunity to present this topic at the ACCWS 7th Annual Symposium. The following is a synopsis of that presentation. We use hyperbaric oxygen therapy (HBOT) for a variety of both elective and emergent indications. It is always important to weight risk and benefit when considering patients for therapies such as HBOT. In addition to an understanding of the benefits, we must also be able to discuss the potential side effects with our patients. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - January 17, 2018 Category: Dermatology Authors: Marvin Heyboer Tags: Editorial Source Type: research